A person with binge eating disorder often eats an unusually large amount of food and feels that eating is out of control. Binge eating disorder often occurs with
bulimia nervosa, another eating disorder that may also involve purging.
In others, binge eating can happen without other eating disorders. For example, the person may feel upset about binge eating, but may not try to undo these feelings by vomiting, exercising, or taking laxatives.
It is not clear exactly what causes binge eating disorder. Since a lot of people with binge eating disorder have a history of anxiety or
depression, it may be related to these conditions. Studies also suggest that people with binge eating disorder may have other emotional problems, including low self-esteem, anger, and/or
obsessive compulsive behavior.
Depression may be a cause of binge eating disorder.
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Binge eating disorder is more common in women. Other factors that may increase your chance of binge eating disorder include: ObesityBecoming overweight at a young ageA pattern of losing and gaining weight through dieting
History of depression, low self-esteem, and/or
substance abuseHistory of sexual abuseExcess concern with body shape
Symptoms include: Episodes of eating large amounts of food over a short period of timeObesity, in some cases
You will be asked about your symptoms and medical history. A physical exam will be done. You may be referred to a mental health professional or eating disorder specialist.
Binge eating is diagnosed when there is: An average of at least 1 binge-eating episode a week for 3 monthsA lack of control over eating behaviorDistress about the binge-eating episode3 or more episodes of: Eating quicklyEating until you are uncomfortably fullEating large amounts when you are not hungryEating alone due to embarrassmentFeeling disgusted, depressed, or guilty after eating
Talk with your doctor about the best treatment plan for you. Treatment options include:
cognitive-behavioral therapy, a mental health professional will teach you how to keep track of your eating and change your unhealthy eating habits. This may involve learning how to respond to tough situations and how to feel better about your body shape and weight.
Physical therapy may help to reduce depression associated with binge eating disorder. Therapy options may include yoga or aerobic exercise.
In interpersonal psychotherapy, a
will help you look at your personal relationships and make changes in areas that are negatively affecting your life.
Certain antidepressant medications may be helpful for some people with binge eating disorder and depression.
There is no known way to prevent binge eating disorder. If you have young children, however, it is important to display positive and healthy attitudes about eating and body image.
Binge eating disorder. National Association of Anorexia and Associated Disorders website. Available at:
http://www.anad.org/get-information/about-eating-disorders/binge-eating-disorder. Accessed May 5, 2016.
Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Disorders website. Available at:
http://www.niddk.nih.gov/health-information/health-topics/weight-control/binge_eating/Pages/binge-eating-disorder.aspx. Updated October 25, 2013. Accessed May 5, 2016.
Binge eating disorder. Kids Health—Nemours Foundation website. Available at:
http://kidshealth.org/teen/food_fitness/problems/binge_eating.html. Updated August 2011. Accessed May 5, 2016.
Vancampfort D, Vanderlinden J, et al. A systematic review on physical therapy interventions for patients with binge eating disorder. Disabil Rehabil. 2013;35(26):2191-2196.
Last reviewed June 2016 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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