Binge Eating Disorder

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Binge eating disorders involve eating large amounts of food, such as an entire large pizza, cake, pie, or family size portions, in a short amount of time, with the sense that you are losing control over the behavior.

Initially, this behavior may may provide a sense of comfort, security, and pleasure, but afterwards, it can lead to physical and emotional discomfort, malignant guilt, and torment.

Learn about binge eating disorder diagnosis, treatment, and resources below.

Definition, Symptoms, and Diagnosis

What is binge eating disorder?

Binge eating disorders involve episodes of consuming large quantities of food (binging) to the point of discomfort, most of the time very quickly, without the self-induced vomiting or other compensatory behaviors found in bulimia. To be diagnosed as binge eating disorder, this behavior must occur regularly, at least once a week for three months.

Prevalence of binge eating disorder

In the United States, about 2.8% of adults experience binge eating disorder during their lifetime, and female have a higher prevalence of binge eating disorder (1.6%) than males (0.8%).

The average age of onset for binge eating disorder is 25 years old.

Signs and symptoms of binge eating disorder

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Diagnosing binge eating disorder

Binge eating disorder is diagnosed according to the criteria outlined in the DSM-V (Diagnostics and Statistics Manual). Binge eating criteria include:

Binge eating episodes include three or more of the following:

Medical complications of binge eating disorder


Treatment for binge eating disorder

Best treatment for binge eating disorder

The best treatment for binge eating disorder can involve both psychotherapy and medication.

Cognitive Behavioral Therapy (CBT) is used to help the patient identify negative thinking patterns and unhelpful behaviors that have contributed to the disorder. Behavioral therapy is used to help make the behavioral changes necessary to helping the patient stop the binges.

Support groups and family therapy help the patient to deal with the effects the disorder has on relationships and self image.

Commonly prescribed medications for binge eating disorder

The most commonly prescribed medications for binge eating disorder include:


Help a friend with binge eating disorder

Helping someone with binge eating disorder involves being compassionate and understanding, even if you may not be able to fully understand what the individual is experiencing.

Let the person know that you are there to listen and that you won’t judge them. Avoid making comments about what they eat or how, or telling them to try a certain diet or exercise program. Avoid advising; rather, think more about listening and validating feelings.

Researching the disorder to understand it better can be helpful, too. Ask if they are in treatment and what you can do as their friend or loved one to help support their treatment.

Here are some things to keep in mind when helping someone with binge eating disorder.

Do

Don’t

Learn more on how to help a friend >>
Learn how to help a friend struggling with anorexia nervosa >>
Learn how to help a friend struggling with bulimia nervosa >>


Additional resources

National advocacy organizations for binge eating disorder

National Eating Disorders Association: The National Eating Disorders Association (NEDA) is a nonprofit organization dedicated to supporting individuals and families affected by eating disorders. NEDA offers our programs and services to raise awareness, build communities of support and recovery, and fund research.

National Association of Anorexia Nervosa and Associated Disorders (ANAD): The National Association of Anorexia Nervosa and Associated Disorders (ANAD) is a non-profit organization headquartered in Illinois, providing support, awareness, advocacy, referral, education, and prevention work for people struggling with eating disorders.

Project HEAL: Project HEAL is a non-profit organization that advocates for everyone who is seeking treatment for eating disorders, regardless of their race, income, insurance plan, age, education level, sex, or sexual orientation. They provide financial assistance in accessing treatment for highly motivated applicants who want to recover from an eating disorder but cannot afford to pay for treatment. They also have a peer mentorship program called Communities for HEALing, in which they offer one-on-one support and local weekly support groups. Communities for HEALing is undergoing a research study that will demonstrate whether different kinds of mentorship can help people recover from an eating disorder, whether that is through peer mentorship or social support mentorship.

International Association of Eating Disorders Professionals (IAEDP): The International Association of Eating Disorders Professionals (IAEDP) provides ethical and professional standards for therapists, nutritionists, and other medical and mental health professionals  that treat eating disorders. They provide educational classes, and trainings in order to promote a standard of excellence in the field of eating disorders. They also certify that professionals have met prescribed requirements, help raise public and professional awareness for eating disorders, and assist in prevention efforts.


Find therapists specializing in binge eating disorder

What to look for in a therapist who treats binge eating disorder

Most eating disorder treatment includes team approach: nutritionist, physician, psychiatrist, counselor etc. There are different levels of care depending on the severity of the eating disorder. The best approach to treatment is holistic and encompasses all of the different aspects and complexities of an eating disorder: physical and mental as well as social and interpersonal function.

Find therapists who treat eating disorders, including binge eating disorder, on Zencare, below. Search by insurance, fees, and location; watch therapist introductory videos; and book free initial calls to find the right therapist for you!

Rhode Island Eating Disorder Therapist & Treatment Directory

Boston Area Eating Disorder Therapists Directory

New York City Eating Disorder Therapists Directory

New to therapy? Learn about how to find a therapist here.


Sources

The lifetime prevalence of binge eating disorder was 2.8%.

What are the key diagnostic features of BED according to the DSM-5? They are...

For adults with BED, cognitive-behavioral therapy (CBT) is the most well-established psychological treatment, as reflected in systematic reviews, meta-analysis, and clinical guidelines, although superiority to other bona fide treatments has not been demonstrated clearly.