The present study investigated whether different forms of disordered-eating-related cognitions and psychological flexibility were associated with psychological distress among female Asian American and European American college students in the United States. Disordered-eating-related cognitions examined in the present study included thoughts (a) associated with the fear of gaining weight, (b) on perceived importance of having an ideal weight and shape as a means of being accepted by others, and (c) of perceived self-worth related to self-control over diet and weight levels. Data from 87 Asian American and 231 European American female college students were used for the present analyses. In both groups, all forms of disordered-eating cognitions were positively associated with psychological distress, which was in turn inversely associated with psychological flexibility. In the Asian American group, cognitions on perceived importance of having an ideal body shape and weight to be socially accepted by others and psychological flexibility were uniquely related to psychological distress when controlling for other disordered-eating cognitions (i.e., thoughts related to fear of weight gain, self-worth from feeling in control of eating), age, and Body Mass Index (BMI). In the European American group, when controlling for other study variables, only psychological flexibility uniquely related to psychological distress. Implications of the present findings for counseling practice are discussed.