Objective: Comorbidity between Emotionally Unstable Personality Disorder (EUPD) and Eating Disorders (ED) is high. Literature demonstrates worse outcomes for traditional evidence-based treatments, when EUPD and an ED is comorbid. This service improvement project aimed to generate recommendations for improving care for individuals with comorbid EUPD and ED, by: (1) understanding current service-user experiences of receiving and accessing care for their difficulties; and, (2) producing recommendations for the local region to improve care. Method: The project comprised semi-structured interviews with nine service-users. Thematic Analysis [(Braun & Clarke, 2021)](#ref-0003) was used to generate themes, create recommendations to improve care for this population, and a stepped model of psychological care provision for Oxford Health NHS Foundation Trust. Results: Six themes were derived from patient interviews: (1) Navigating diagnosis: the quest for understanding and effective support; (2) “It’s either the EUPD or the ED”: experiences of disconnect and misplaced focus; (3) Crisis as a catalyst for support: “You have to be bad enough to get care”; (4) Lost in the system: waiting times and professional uncertainty; (5) What makes care meaningful; and finally, (6) “It all exists within me”: a call for integrated care. Conclusions: The project produced a set of recommendations, aimed at improving care for individuals with EUPD and EDs. These included a thorough assessment of comorbidity and consideration of patient choice, alongside differing levels of psychological intervention to be considered according to presenting needs. Highlights Most service-users experienced longer waiting times to access care, and felt care was often disjointed. Many voiced feeling compelled to pick one area of difficulty over another to work on, which often conflicted with their own goals and needs. A delayed identification of difficulties was prevalent within the sample, with ‘crisis point’ often depicted as the catalyst for support. Service-users highlighted the possible disparity between clinician knowledge and personal goals and needs. Psychoeducation regarding the interplay and aetiology between EUPD and ED was viewed as helpful. Care could be improved for service-users with EUPD and ED, to introduce a more consistent provision of support tailored to individualised needs and goals.