Binge Eating Disorder
In binge eating disorder, a person 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 feeling by vomiting, exercising, or taking laxatives.
It is thought that 4% of US population has binge eating disorder. Women are slightly at more risk than men. The illness peaks at 40-50 years old.
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 is possibly related to that condition. Studies also suggest that people with binge eating disorder may have other emotional problems that can include: low self-esteem, anger, and/or ]]>obsessive compulsive behavior]]> .
These factors increase your chance of developing binge eating disorder. Tell your doctor if you have any of these risk factors:
- Gender: women
- Becoming overweight at a younger age
- Yo-yo dieting (dieting may trigger binge eating)
- History of depression and/or ]]>substance abuse]]>
- History of sexual abuse
- Preoccupation with body shape
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
Your doctor will ask about your symptoms and medical history, and perform a physical exam. 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.
Talk with your doctor about the best treatment plan for you. Treatment options include:
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 feel better about your body shape and weight.
In interpersonal psychotherapy, a ]]>counselor]]> will help you look at your personal relationships and make changes in areas that are negatively affecting your life.
Certain antidepressant medications may be beneficial for some people with binge eating disorder.
Mental Health America
Something Fishy: Website on Eating Disorders
Canadian Mental Health Association
National Eating Disorder Information Centre
American Psychiatric Association. Diagnostic and Statistical Manual. 4th ed. Washington, DC: American Psychiatric Association; 2000.
Binge-eating disorder. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/binge-eating-disorder/DS00608 . Updated July 2008. Accessed February 16, 2009.
Binge eating disorder. Weight-control Information Network website. Available at: http://win.niddk.nih.gov/publications/binge.htm . Accessed June 26, 2007
Eating disorders. National Mental Health Information Center website. Available at: http://mentalhealth.samhsa.gov/publications/allpubs/ken98-0047/default.asp#top . Accessed June 26, 2007
Last reviewed January 2010 by ]]>Theodor B. Rais, 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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