Uncontrolled Overeating Patterns: Identifying Signs

Compulsive Overeating: Signs to Watch For

The National Eating Disorders Association (NEDA) offers a helpline, a free resource for individuals struggling with Binge Eating Disorder (BED) or their loved ones. This service allows for text, call, or online chat with trained volunteers, providing immediate assistance.

BED differs from other eating disorders as it does not usually involve compensatory behaviors such as purging, fasting, excessive exercise, or using laxatives. Instead, it is characterized by regular episodes of uncontrolled eating, resulting in feelings of distress.

To be diagnosed with BED, at least three of the following symptoms must be present: eating much more rapidly than usual, eating until feeling uncomfortably full, consuming large amounts of food even when not hungry, eating alone due to embarrassment, feeling disgusted, depressed, or guilty after binge eating, and distress about binge eating. An episode of binge eating involves eating a large amount of food in a short period and feeling a loss of control.

The most common therapies for BED are primarily psychotherapy, aiming to normalize eating behavior and address underlying psychological issues. Cognitive behavioral therapy (CBT) is a widely used approach, but interpersonal psychotherapy (IPT) and dialectical behavior therapy (DBT) are also effective. Medication such as antidepressants (SSRIs) and lisdexamfetamine may also be used to reduce binge episodes, though no medications are officially approved for BED in Germany, and pharmacotherapy is usually considered only if psychotherapy is unavailable or ineffective. A healthcare professional may also prescribe medications as part of the treatment for BED.

It is important to note that if a healthcare professional suggests a weight loss approach as a solution for BED, it may be beneficial to consider switching to a different doctor or therapist who takes a "weight-neutral" approach.

If you suspect someone you care about has BED, approach the situation with care. Encourage them to seek help from a healthcare professional who specializes in eating disorders, and avoid talking about dieting or making negative comments about people's appearance or eating habits.

According to statistics, about 1.2% of people in the United States have BED, with 1.6% of females and 0.8% of males affected. If you or someone you know is struggling with BED, remember that help is available, and recovery is possible.