Binge-Eating Disorder
We
all like to eat. And on some occasions like wedding, party or holiday meals we
sometimes eat more than usual. It’s very common to many people and it’s normal
to eat more in sometimes.
But
there are some people who not only eat in some occasion but also eat more in
normal times. They overeat all times and it seems that they don’t have a
control over their eating.
And
it becomes regular that they eat likes this. These people are suffering from a
disorder which is called Binge-Eating Disorder (BED). They feel embarrassed to
eat like this and want to stop but they feel such a compulsion that they can’t
resist eating.
So,
today we will know all the basic information that will be helpful for us in
learning about this disorder. We will know
- What Binge-eating disorder is
- Causes and Risk factors
- Signs and Symptoms
- Diagnosis and
- Treatment of Binge-eating disorder
Let’s
start our today’s topic.
What
Is Binge-Eating Disorder
Binge
eating disorder is mainly an eating disorder. It is referred as repeated binge
eating periods (eating a lot) with some negative social and psychological
problems. It occurs without the compensatory behaviors that are common to
bulimia or binge-purge subtype of anorexia nervosa.
In
this type of disorder they eat a lot but they don’t use any techniques to lose
weight. That’s why many people who are suffering from this are seemed to be
overweight.
And
people mainly develop this kind of eating disorder because they connect eating
food as a way of dealing with some psychological conditions such as depression
or anxiety.
And
they eat a lot of food in a short period of times. During eating they feel a
kind of relief but after eating they experience feeling of shame or loss of
control. They often feel distress and unhappiness about their body shape and
weight.
Binge eating disorder mainly starts in adolescence or young adulthood. There is not
much gender difference in developing this disorder.
Causes and Risk factors
Like
many other eating disorders the actual causes of binge eating disorder are not
known. Researchers are trying to find out those causes. But there are some
factors which are believed to be causes of the disorder.
The
risk factors are
Family history
If
your family members have a history of having an eating disorder then there is a
possibility that you can develop this disorder.
Psychological Issues
Some
people have negative perceptions about themselves. They feel they are inferior
to others. So these thought can trigger for eating disorder. Some of them can
have phobias, depression, bipolar disorder, anxiety or post traumatic stress
disorder (PTSD).
Dieting
The
people who are suffering from binge have a history of dieting. Restricting
foods can increase the trigger to eat food a lot in one time.
Changes in Brain
The
changes in the brain areas can also increased the risk to eat a lot of food and
less self control.
Body size and image
It
is seen that many people who are suffering from this disorder has weight
problems like they are overweight. And many have negative thought of body
image. These can increase the risk of getting the disorder.
Traumatic experiences
Many
traumatic experiences like abuse, death of a loved one, separation from the
family or any kind of accident can play a role.
Signs and Symptoms
There
are some common signs and symptoms which can be found in most of the person who
is suffering from binge eating disorder. If anyone is having these symptoms
then he/she should consult for professional help.
The
common behavioral and emotional symptoms are
- always eating a large amount of food in a specific time like eating after every 2 hours.
- eating even when one is full or not even hungry
- always try to eat alone or in a secret
- eating fast in binge periods
- try to do dieting without weight loss
- don’t stop eating until you are not feeling uncomfortable
- always feel that one’s eating behavior is out of control
- feel disgusted, depressed, upset about eating behavior.
The
person who is suffering from binge doesn’t try to compensate like bulimia. They
simply do dieting or eat normal meals but doing dieting increase the more binge
eating.
Diagnosis of Binge eating disorder
If
you think that you are having the symptoms of Binge eating disorder, then you
should really talk to a professional. Then your medical care can give you some
physical and psychological test to diagnose it.
The
physical tests can include heart, blood test and also ask you about your eating
habits like how much you eat or how often you eat to understand the situations.
Professional
mental health worker will try to check your symptoms with the criteria
described by DSM-5. According to DSM-5, the binge eating disorder should have
these criteria. They are
1.
repeated binge-eating episodes
2. in binge eating episodes must include at least 3 of these features
absence of hunger
unusual fast eating
uncomfortable fullness
try to eat in secret due
to shame
feelings of self-disgust,
depression or severe guilt
3.
binge eating episodes should take place at
least weekly over the course of 3 months.
4.
there should be no compensatory behaviors
like bulimia
5.
hamper normal life
Treatment for Binge-eating Disorder
There
is a chance to get normal life if you get treatment early for binge-eating
disorder. And the main purposes of treatment are to reduce eating binges and
try to develop healthy eating habits. Here both psychotherapy and medications
work well.
Psychotherapy
Both
individual and group therapy can help. It helps to change unhealthy thoughts
and develop healthy thoughts.
1. Cognitive behavioral therapy (CBT)
This
therapy helps one to cope better with issues that are related to binge eating
disorder. It mainly helps to change negative thoughts like negative feelings
about one’s body into positive thoughts.
2.
Dialectical behavior therapy
This
type of therapy helps one to learn behavioral skills to help one to tolerate
stress and anxiety, regulate one’s emotions and improve one’s eating habits to
cope a better life.
3.
Interpersonal psychotherapy
It
is mainly works to focus one’s relationship with other people. Its main goal is
to help one’s improve their interpersonal skills. By improving relationship
with family and friends it helps to reduce binge eating which is triggered by
many problematic relationships.
4.
Weight loss therapy
Its
main goal is to help people to lose weight and by doing this one can reduce
binge eating behavior by helping them to improve self-esteem and body image. It
includes diet and exercise.
Medications
It
is found that there is no current medications for binge eating disorder which
can be as effective as psychotherapy. Some medications are used like
antidepressants, antiepileptic drugs ( topiramate).
So
that is it for today’s topic. I think it will help you a little to understand
what binge-eating disorder is and how we can cope with it. See you in the next
post. Thank you.
Sources
Binge-Eating Disorder: Anxiety Disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013.

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