Binge-eating disorder

DEFINITION

Binge-eating disorder is a serious eating disorder in which you frequently consume unusually large amounts of food and feel unable to stop eating.

 

Almost everyone overeats on occasion, such as having seconds or thirds of a holiday meal. But for some people, excessive overeating that feels out of control and becomes a regular occurrence crosses the line to binge-eating disorder.

When you have binge-eating disorder, you may be embarrassed about overeating and vow to stop. But you feel such a compulsion that you can’t resist the urges and continue binge eating. If you have binge-eating disorder, treatment can help.

CAUSES

The causes of binge-eating disorder are unknown. But family history, biological factors, long-term dieting and psychological issues increase your risk.

SYMPTOMS

Most people with binge-eating disorder are overweight or obese, but you may be at a normal weight. Behavioral and emotional signs and symptoms of binge-eating disorder include:

  • Eating unusually large amounts of food in a specific amount of time, such as over a 2-hour period
  • Feeling that your eating behavior is out of control
  • Eating even when you’re full or not hungry
  • Eating rapidly during binge episodes
  • Eating until you’re uncomfortably full
  • Frequently eating alone or in secret
  • Feeling depressed, disgusted, ashamed, guilty or upset about your eating
  • Frequently dieting, possibly without weight loss
  • Unlike a person with bulimia, after a binge, you don’t regularly compensate for extra calories eaten by vomiting, using laxatives or exercising excessively. You may even try to diet or eat normal meals. But restricting your diet may simply lead to more binge eating.
  • The severity of binge-eating disorder is determined by how often episodes of bingeing occur during a week.

When to see a doctor

  • If you have any symptoms of binge-eating disorder, seek medical help as soon as possible. Binge-eating disorder usually doesn’t get better by itself, and it may get worse if left untreated.
  • Talk to your primary care doctor or a mental health provider about your binge-eating symptoms and feelings. If you’re reluctant to seek treatment, talk to someone you trust about what you’re going through. A friend, loved one, teacher or faith leader can help you take the first steps to successful treatment of binge-eating disorder.

Helping a loved one who has symptoms

  • A person with binge-eating disorder may become an expert at hiding behavior, making it hard for others to detect the problem. If you have a loved one you think may have symptoms of binge-eating disorder, have an open and honest discussion about your concerns.
  • Provide encouragement and support. Offer to help your loved one find a qualified doctor or mental health provider and make an appointment. You might even offer to go along.