Definition
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 involve purging.
In other cases, binging can happen without other eating disorders. For example, the person may feel upset about binging, but may not try to undo these feelings by vomiting, exercising, or taking laxatives.
Causes
It is not clear exactly what causes binge eating disorder. Since about half of people with binge eating disorder have a history of depression, it may be related to that condition. Studies also suggest that people with binge eating disorder may have other emotional problems, including low self-esteem, anger, and/or obsessive compulsive behavior.
Risk Factors
Factors that may increase your risk of developing a binge eating disorder include:
- Obesity
- Gender: women
- Becoming overweight at a young age
- Yo-yo dieting may trigger binge eating
- History of depression and/or substance abuse
- History of sexual abuse
- Excess concern with body shape
Symptoms
Symptoms of binge eating disorder include:
- Eating quickly
- Eating until you are uncomfortably full
- Eating large amounts when you are not hungry
- Eating alone due to embarrassment
- Feeling disgusted, depressed, or guilty after eating
Diagnosis
Your doctor will ask 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 are at least two binge-eating episodes a week, on average, for six months, along with a lack of control over eating behavior.
Treatment
Talk with your doctor about the best treatment plan for you. Treatment options include:
Cognitive-Behavioral Therapy
In 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.
Interpersonal Psychotherapy
In interpersonal psychotherapy, a counselor will help you look at your personal relationships and make changes in areas that are negatively affecting your life.
Medications
Certain antidepressant medications may be helpful for some people with binge eating disorder.
Prevention
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.
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