what is binge eating disorder?
Binge eating disorder (BED) is a treatable condition characterized by recurrent episodes of consuming food in larger amounts very quickly and to the point of discomfort. BED is one of the newest eating disorders formally recognized in the DSM-5, a manual for assessing and diagnosing mental disorders.
Binge eating disorder can result from numerous psychological, social, cultural, and biological factors and is the most common eating disorder in the United States, affecting approximately 2.8 million adults.
Diagnosis
Binge eating disorder (BED) is diagnosed by recurrent episodes, at least once a week for three months, associated with specific criteria, presented with marked distress, and not linked with compensatory behaviors as seen in bulimia nervosa and anorexia nervosa. Specific criteria include eating an amount of food in a discrete period that is much larger than most people in a similar timeframe and losing control of eating during the episode. Associations with binge eating episodes are eating much more quickly than usual, eating until uncomfortably full, and feeling disgusted with oneself, depressed, or guilty afterward.
What To Look Out For
The warning signs and symptoms of BED feature emotional, behavioral, and physical properties. These include, but are by far not limited to, diminished comfortability with eating around others, stealing and hoarding food in strange places, withdrawing from friends and activities, dieting, frequent checking in the mirror, eating alone out of embarrassment, and feelings of low self-esteem, disgust, depression, and guilt. Furthermore, noticeable fluctuations in weight (up and down), difficulty concentrating, and gastrointestinal complications are common physical attributes of BED.
Impact on the Mind and Body
The health consequences of BED are serious, life-threatening, and affect both the emotional and physical health of the suffering individual. Those struggling with an eating disorder, such as BED, need to seek professional help early on because it increases the likelihood of recovery on both a physical and emotional level. BED can have a negative impact on a person’s cardiovascular, gastrointestinal, neurological, and endocrine systems. Common health consequences include low heart rate, slowed digestion, constipation, malnutrition, intestinal obstruction and infection, difficulty falling or staying asleep, fainting and dizziness, reduced metabolic rate, kidney failure, and anemia.
Treatment
Treatment for BED includes medicine and counseling, with the following goals:
- Reducing the number of binge-episodes
- Developing healthy eating and exercise habits
- Dealing with the shame or guilt surrounding the eating disorder
- Developing a healthy view of body and self
- Receiving treatment for other conditions related to BED, such as anxiety and depression
Counseling services include cognitive-behavioral therapy (CBT), interpersonal therapy, and dialectical behavior therapy. CBT can help control the urge to binge eat, interpersonal therapy can help one examine connections between relationships and binge-eating, and dialectical behavior therapy focuses on helping to manage emotions. Medicines to reduce the urge to binge-eat include antidepressants, topiramate (Topamax), and lisdexamfetamine dimesylate (Vyvanse).
It is important to speak with a doctor or trusted medical professional for more information regarding medicine and counseling services.
BED is a serious and life-threatening condition that is treatable; however, the process of healing takes time and patience. It is essential that those suffering receive treatment and work with medical professionals to heal their relationship with food, body, and self. Reasons for not seeking treatment include embarrassment, distrust, financial worry, and that healing will come if enough time passes. If you or a loved one are suffering from BED, find support and seek help. Know that you are loved, valued, worthy, and deserve to heal.
BALANCE eating disorder treatment center™, located in New York City, offers free consultation calls to help you explore next steps. We provide in-person programming seven days a week and are in-network with UnitedHealthcare (UHC), Cigna, Emblem, and Oscar, with Aetna coverage coming soon. Support is available, and recovery is possible. Schedule a free consultation call with our admissions team here and stay connected with BALANCE on Instagram here.
References
“Binge Eating Disorder.” Binge Eating Disorder | Michigan Medicine, 23 Sept. 2020,
https://www.uofmhealth.org/health-library/hw266473#hw266509.
“Binge Eating Disorder.” National Eating Disorders Association, 22 Feb. 2018,
https://www.nationaleatingdisorders.org/learn/by-eating-disorder/bed.
“Binge Eating Disorder Facts and Statistics: The Recovery Village.” The Recovery Village Drug and
Alcohol Rehab, The Recovery Village Drug and Alcohol Rehab, 14 Apr. 2021,
https://www.therecoveryvillage.com/mental-health/binge-eating/binge-eating-statistics/.
Iqbal, Aqsa. and Anis Rehman. “Binge Eating Disorder.” StatPearls, StatPearls Publishing, 5 November 2021.
“Statistics & Research on Eating Disorders.” National Eating Disorders Association, 14 July 2021, https://www.nationaleatingdisorders.org/statistics-research-eating-disorders.
This post was written by BALANCE Blog Contributor, Tori Barkosky (she/her).
Tori is a recent graduate of St. Catherine University, having earned a B.A. in Psychology and a minor in Nutrition Science. Tori is passionate about all things related to intuitive eating, HAES, mental health, body respect, eating disorders, and disordered eating. She also geeks out on neuroscience and loves studying the brain and its anatomy. Tori currently works as a Mental Health Practitioner at an eating disorder clinic. Outside work, she enjoys practicing yoga, exploring nature, and drinking coffee.



