Illness & Conditions - Health Conditions
Binge Eating Disorder
What is binge eating disorder?
Binge eating means eating large amounts of food in a short time. A person with binge eating disorder binges regularly for several months. When you binge, you feel like you can't control your eating, and you feel unhappy about it afterward.
Binge eating disorder is not the same thing as bulimia . Unlike bulimia, if you have binge eating disorder, you don't vomit or try other ways to get rid of calories. But you might try to limit how much food you eat between binges. Binge eating disorder is sometimes called compulsive overeating.
Some people who binge have a normal weight. But over time, many people who have binge eating disorder gain weight and have problems from being obese . People with binge eating disorder also often have depression, anxiety, or other emotional problems.
Having an eating disorder isn't a sign of weakness or a character flaw. And it is not something you can overcome with just willpower. Many people struggle with eating disorders for a long time. Some people try to keep it a secret or deny that they have a problem. In most cases, you will need treatment to get better. If you have binge eating disorder, treatment can prevent health problems, help you feel better about yourself, and improve the quality of your life.
What causes binge eating disorder?
Experts are not sure what causes binge eating disorder, but it seems to run in families. Cultural attitudes about body shape and weight might also play a role. Anxiety, depression, or stress can cause some people to binge.
What are the symptoms?
From time to time, most of us feel like we have eaten more than we should. But eating too much every now and then does not mean that you have binge eating disorder. If you have binge eating disorder, you may:
Even if you don't have all the symptoms of binge eating disorder, having even a few symptoms can be a sign of a problem that needs treatment. It is important to get help right away if you or someone you know has any of these symptoms.
How is binge eating disorder diagnosed?
A doctor can find out if you have binge eating disorder by doing a physical exam and asking questions about your eating habits and past health. Your doctor may also ask questions about your mental health and how you feel about food and the shape of your body.
How is it treated?
Treatment for binge eating disorder includes getting counseling and, in some cases, taking medicine. Your doctor may have you do both. You may need treatment for a long time to fully recover. You also may need treatment for other problems that often occur with binge eating disorder. These can include depression, obesity, or problems with being overweight.
Who gets binge eating disorder?
Binge eating disorder most often starts in the late teens or the young-adult years. It is more common in women than men.
Binge eating disorder can be triggered by dieting, depression, or anxiety. It can even start because of boredom or stress, which is then relieved by binging. Your risk for binge eating increases if:
Frequently Asked Questions
If you have binge eating disorder, you:
If you have binge eating disorder, you also have three (or more) of the following symptoms:
Binge eating disorder is different from bulimia, because people with binge eating disorder do not regularly vomit or use other ways to get rid of calories. For more information on bulimia, which also is called "binge-purge disorder," see the topic Bulimia Nervosa.
Some people eat very little during the day but eat very large amounts of food in the evening and at night. This is called night eating syndrome.
Frequent binge eating can cause you to gain a large amount of weight, even though you might try to restrict your food intake between binges. People with binge eating disorder often try to follow strict diets. But dieting does not stop the binging for the long term and might actually make the problem worse.
You might feel so discouraged at times that you stop trying to control your eating disorder altogether. One binge might merge into the next, with no period of normal eating in between.
Although you might not have all of the symptoms of binge eating disorder, even a few symptoms can be a sign of a problem that needs treatment. If you have any of these symptoms, or someone you know does, talk to a doctor, friend, or family member about your concerns right away.
Exams and Tests
Doctors diagnose binge eating disorder by doing a physical exam and asking questions about your medical history and eating habits. Your doctor also might do a mental health assessment, which is an evaluation of your emotions and how well you think, reason, and remember.
Binge eating disorder often is associated with being overweight. Your doctor might use a tool called the body mass index (BMI) to look at how much you weigh compared with your height.
Treatment for binge eating disorder includes counseling and sometimes medicine. Goals in treating binge eating often include:
Most people with binge eating disorder need treatment, but many people who have an eating disorder try to keep it secret or deny that they have a problem. Some might join weight management programs to lose weight but do not seek treatment for binging or for mental health problems related to the condition. It often is a family member or friend who convinces the person to seek treatment.
If you think that you or someone you know might have an eating disorder, talk to your doctor. Signs of an eating disorder that needs treatment include binges, concern or embarrassment about eating behaviors, secretive eating habits, preoccupation with weight or body image, or an unhealthy body weight because of eating problems.
Several types of counseling can be useful in treating eating disorders.
Antidepressants sometimes are used in the treatment of binge eating disorder. They may reduce episodes of binge eating and they may help with related depression or anxiety.
Topiramate (Topamax), which is a medicine used to treat seizures and chronic pain, is sometimes used to reduce the urge to binge.
What to think about
Medicines and counseling may help you quit binging and lose excess weight. But this will take some time and patience. Some people find that they still have trouble losing excess weight, even after they stop binging. Talk to your doctor about what results are realistic to expect from treatment.
Unfortunately, many people don't seek treatment for mental health problems. You may not seek treatment because you think the symptoms are not bad enough or that you can work things out on your own. But getting treatment is important.
If you need help deciding whether to see your doctor, read about some reasons why people don't get help and how to overcome them.
Continuing healthy habits at home can improve binge eating disorder.
It is helpful when family members are supportive of their loved one who has binge eating disorder. Learning about the disorder will be useful for the entire family.
In many cases, eating disorders are associated with poor body image and low self-esteem. Parents can help reduce the chances that their children will develop an eating disorder by teaching them to have:
For more information, see the topic Healthy Eating for Children.
Other treatments can help reduce binge eating.
Self-care programs. These are organized programs that provide self-help materials such as manuals or computer-based activities that can be useful in treating eating disorders. But most people who have an eating disorder also need counseling and possibly medicine.
Stress management techniques. Many people report that their binging episodes are triggered by feelings of anxiety or tension. Although not part of the treatment of binge eating disorder, relieving stress can help during recovery and can improve quality of life. Techniques to reduce stress include:
For more information on stress reduction, see the topic Stress Management.
Other Places To Get Help
Last Revised: August 25, 2011
Agras WS (2008). The eating disorders. In DC Dale, DD Federman, eds., ACP Medicine, section 13, chap. 9. Hamilton, ON: BC Decker.
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