Binge Eating Disorder (BED)

13 min read

Binge Eating Disorder (BED) is an eating disorder characterized by recurrent episodes of eating large quantities of food in a short period of time, often accompanied by feelings of guilt, shame, and distress. It is the most common eating disorder in the United States, affecting an estimated 3.5% of women and 2% of men. BED is associated with a range of physical and psychological health problems, including obesity, depression, and anxiety.

Causes of BED

The exact cause of BED is unknown, but it is thought to be a combination of biological, psychological, and environmental factors. Biological factors may include genetic predisposition, hormonal imbalances, and changes in brain chemistry. Psychological factors may include stress, low self-esteem, and difficulty regulating emotions. Environmental factors may include exposure to dieting, food availability, and cultural influences.

Diagnosis of BED

BED is diagnosed based on a person’s symptoms and behaviors. A doctor or mental health professional will ask questions about eating habits, feelings, and behaviors related to food. They may also use psychological tests and physical exams to rule out other conditions. A diagnosis of BED requires that a person has experienced recurrent episodes of binge eating for at least three months.

Complications of BED

BED can lead to a range of physical and psychological health problems. These include obesity, type 2 diabetes, high blood pressure, heart disease, and depression. BED can also lead to social isolation, difficulty forming relationships, and difficulty functioning in daily life.

Prevention of BED

Preventing BED requires a combination of lifestyle changes and psychological interventions. Eating a balanced diet, exercising regularly, and getting enough sleep can help reduce the risk of developing BED. Psychological interventions such as cognitive behavioral therapy (CBT) can help people learn to manage their emotions and cope with stress in healthier ways.

Take the Binge Eating Disorder (BED) Assessment

Symptoms

Physical Symptoms

Physical symptoms of BED can include:

  • Eating large amounts of food in a short period of time
  • Eating even when you are not hungry
  • Eating quickly
  • Feeling out of control while eating
  • Feeling embarrassed or ashamed about your eating habits
  • Gaining weight

Emotional Symptoms

Emotional symptoms of BED can include:

  • Feeling guilty or ashamed about your eating habits
  • Feeling depressed or anxious
  • Having low self-esteem
  • Having difficulty concentrating
  • Having difficulty controlling your emotions
  • Having difficulty sleeping

Seeking Help

If you or someone you know is struggling with BED, it is important to seek help. Treatment for BED typically includes a combination of psychotherapy, medication, and lifestyle changes. A mental health professional can help you develop a treatment plan that is tailored to your individual needs.

Causes

Genetics

Research suggests that genetics may play a role in the development of BED. Studies have found that individuals with a family history of eating disorders are more likely to develop BED than those without a family history. Additionally, certain genetic variations have been linked to an increased risk of developing BED.

Psychological Factors

Psychological factors, such as low self-esteem, depression, anxiety, and stress, may contribute to the development of BED. People with BED often have difficulty managing their emotions and may turn to food as a way to cope with difficult feelings. Additionally, people with BED may have difficulty regulating their emotions, which can lead to overeating.

Environmental Factors

Environmental factors, such as dieting, body image issues, and exposure to media messages about dieting and body image, may also contribute to the development of BED. Additionally, people who have experienced trauma or abuse may be more likely to develop BED.

Biological Factors

Biological factors, such as hormones and neurotransmitters, may also play a role in the development of BED. Studies have found that people with BED have higher levels of the hormone ghrelin, which is associated with hunger and appetite. Additionally, people with BED may have an imbalance of certain neurotransmitters, such as serotonin, which can affect mood and appetite.

While the exact cause of BED is unknown, it is likely that a combination of genetic, psychological, environmental, and biological factors contribute to its development. If you or someone you know is struggling with BED, it is important to seek professional help.

Getting a Diagnosis

What is Binge Eating Disorder?

Binge Eating Disorder is a type of eating disorder in which a person experiences recurrent episodes of eating large amounts of food in a short period of time, often accompanied by feelings of guilt, shame, and distress. BED is different from overeating, as it is associated with a loss of control over eating and is often accompanied by feelings of distress. BED is the most common eating disorder in the United States, affecting an estimated 3.5% of women and 2% of men.

Diagnosing Binge Eating Disorder

Binge Eating Disorder is diagnosed based on a person’s symptoms and behaviors. To be diagnosed with BED, a person must meet the following criteria:

  • Eating large amounts of food in a short period of time (e.g., within two hours)
  • Feeling a lack of control over eating during the episode
  • Experiencing distress, such as guilt, shame, or disgust, after the episode
  • Eating more rapidly than normal during the episode
  • Eating until feeling uncomfortably full
  • Eating alone or in secret due to embarrassment
  • Frequently dieting without success

If a person meets these criteria, they should seek help from a mental health professional. A mental health professional can help diagnose BED and provide treatment options.

Conclusion

Binge Eating Disorder is a serious mental health condition that affects millions of people around the world. It is important to seek help if you or someone you know is experiencing symptoms of BED. A mental health professional can help diagnose BED and provide treatment options.

Questions for Your Doctor

Discuss Your Symptoms

The first step in getting the right treatment for BED is to discuss your symptoms with your doctor. Be sure to tell your doctor about any episodes of binge eating, how often they occur, and how long they last. It is also important to tell your doctor about any other symptoms you may be experiencing, such as feelings of guilt or shame after binge eating, or any changes in your eating habits.

Discuss Your Medical History

Your doctor will also need to know about your medical history, including any past or current mental health conditions, as well as any medications you are taking. This information will help your doctor determine the best course of treatment for you.

Discuss Your Treatment Options

Once your doctor has a better understanding of your symptoms and medical history, they can discuss treatment options with you. Treatment for BED may include cognitive-behavioral therapy, medications, or a combination of both. Your doctor can help you decide which treatment option is best for you.

Discuss Your Support System

It is also important to discuss your support system with your doctor. Having a strong support system can be an important part of managing BED. Your doctor can help you identify resources and support groups that can help you cope with your condition.

Discuss Your Goals

Finally, it is important to discuss your goals with your doctor. What do you hope to achieve with treatment? What are your expectations? Your doctor can help you set realistic goals and provide guidance on how to reach them.

Talking to your doctor about BED can be difficult, but it is an important step in getting the help you need. By discussing your symptoms, medical history, treatment options, support system, and goals, you can work together with your doctor to find the best treatment plan for you.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. It is often used to treat BED, as it can help individuals identify and modify the thoughts and behaviors that lead to binge eating. CBT can also help individuals develop healthier coping strategies for dealing with stress and emotions.

Interpersonal Psychotherapy (IPT)

Interpersonal Psychotherapy (IPT) is another type of psychotherapy that focuses on improving interpersonal relationships. It can help individuals with BED identify and address any issues that may be contributing to their binge eating, such as difficulty expressing emotions or difficulty communicating with others. IPT can also help individuals develop healthier communication skills and better ways of dealing with stress.

Medication

In some cases, medication may be prescribed to help treat BED. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can help reduce binge eating episodes. Other medications, such as antipsychotics, may also be prescribed to help reduce cravings and improve mood.

Nutrition Counseling

Nutrition counseling can help individuals with BED develop healthier eating habits and learn how to make better food choices. A nutritionist can provide guidance on how to create a balanced diet and provide tips on how to make healthier food choices. They can also help individuals identify and address any underlying issues that may be contributing to their binge eating.

Support Groups

Support groups can be a great way for individuals with BED to connect with others who are going through similar experiences. These groups can provide a safe and supportive environment for individuals to share their stories and receive encouragement and advice from others. Support groups can also help individuals develop healthier coping strategies and learn how to better manage their emotions.

Conclusion

Binge Eating Disorder is a serious mental health condition that can have a significant impact on an individual’s life. Fortunately, there are a variety of treatments available to help those suffering from BED. Cognitive Behavioral Therapy, Interpersonal Psychotherapy, medication, nutrition counseling, and support groups can all be effective in helping individuals manage their symptoms and lead healthier lives.

Drugs & Medications

Fortunately, there are a number of medications available to help people with BED manage their symptoms. These medications can help reduce the frequency and intensity of binge eating episodes, as well as improve overall mood and quality of life. Here is a look at some of the most commonly prescribed drugs for BED.

Antidepressants

Antidepressants are one of the most commonly prescribed medications for BED. These drugs work by increasing levels of serotonin, a neurotransmitter that helps regulate mood and appetite. Commonly prescribed antidepressants for BED include selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).

Antipsychotics

Antipsychotics are another type of medication that can be used to treat BED. These drugs work by blocking dopamine receptors in the brain, which can help reduce the urge to binge eat. Commonly prescribed antipsychotics for BED include olanzapine (Zyprexa) and aripiprazole (Abilify).

Mood Stabilizers

Mood stabilizers are another type of medication that can be used to treat BED. These drugs work by stabilizing mood and reducing impulsivity, which can help reduce the urge to binge eat. Commonly prescribed mood stabilizers for BED include lithium (Lithobid) and valproic acid (Depakote).

Conclusion

Binge Eating Disorder is a serious mental health condition that can have a significant impact on a person’s life. Fortunately, there are a number of medications available to help people with BED manage their symptoms. Antidepressants, antipsychotics, and mood stabilizers are all commonly prescribed drugs for BED, and can help reduce the frequency and intensity of binge eating episodes, as well as improve overall mood and quality of life.

Diet

Tips for Eating Well with BED

  • Eat regular meals and snacks throughout the day. This can help to regulate blood sugar levels and reduce the urge to binge.
  • Choose nutrient-dense foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats. These foods will provide your body with the nutrients it needs to stay healthy.
  • Avoid processed and sugary foods. These foods can trigger cravings and lead to overeating.
  • Drink plenty of water. Staying hydrated can help to reduce cravings and keep you feeling full.
  • Eat slowly and mindfully. This can help to reduce the urge to overeat and allow you to recognize when you are full.
  • Avoid skipping meals. Skipping meals can lead to overeating later in the day.
  • Plan ahead. Meal planning can help to reduce the stress of deciding what to eat and make it easier to stick to healthy eating habits.

Eating well can help to reduce the symptoms of BED and improve overall health. It is important to remember that everyone is different and what works for one person may not work for another. It is also important to seek professional help if you are struggling with BED. A qualified healthcare professional can help you to develop an individualized treatment plan that is tailored to your needs.

Lifestyle

1. Eat Regularly

Eating regular meals and snacks throughout the day can help to reduce the urge to binge. Eating regular meals and snacks can also help to regulate your blood sugar levels, which can help to reduce cravings and hunger. Try to plan your meals and snacks in advance and stick to a regular eating schedule.

2. Avoid Dieting

Dieting can be a trigger for binge eating. Instead of dieting, focus on making healthy food choices and eating in moderation. Eating a balanced diet that includes a variety of foods can help to reduce cravings and provide the nutrients your body needs.

3. Get Enough Sleep

Getting enough sleep is important for managing BED. Lack of sleep can increase cravings and hunger, which can lead to binge eating. Aim for 7-9 hours of sleep each night and try to stick to a regular sleep schedule.

4. Exercise Regularly

Regular exercise can help to reduce stress and anxiety, which can be triggers for binge eating. Exercise can also help to reduce cravings and hunger. Aim for at least 30 minutes of exercise each day and try to find activities that you enjoy.

5. Practice Mindful Eating

Mindful eating can help to reduce binge eating episodes. Mindful eating involves paying attention to your body’s hunger and fullness cues and eating slowly and without distractions. Try to focus on the taste, smell, and texture of your food and savor each bite.

6. Seek Professional Help

If you are struggling to manage BED, it is important to seek professional help. A mental health professional can help you to identify triggers and develop strategies to manage BED. They can also provide support and guidance to help you make lifestyle changes.