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Binge Eating Disorder

Binge Eating Disorder: Signs, Symptoms & Treatment

Some people can overeat from time to time, particularly during special occasions or celebrations. However, binge eating disorder (BED) is very different from overeating.  

If you have BED, it feels like the disorder is in control. It’s like you’re unable to stop consuming food despite the effects it has on your emotional, mental, and physical health. Worse, when you’re done, you often feel intense shame and guilt.  

The most common eating disorder in the United States, BED causes people to engage in chronic episodes of bingeing on food. While this disorder affects both men and women, studies show that women are twice as likely to struggle with BED as men.  

As serious (and potentially dangerous) as BED is, it’s also a treatable condition. Treatment involves a combination of talk therapy, lifestyle adjustments, and more. If you’re struggling with BED, reach out to Center for Discovery to learn more about our effective eating disorder treatment programs.

What Is Binge Eating Disorder?

Binge eating disorder, or BED, is an eating disorder that involves consuming larger amounts of food than usual and feeling out of control while doing so. Although the symptoms of BED have been known since the 1950s, BED wasn’t formally recognized as an eating disorder on its own until 2013. 

As we said, BED is very different from overeating. People with BED don’t feel in control of themselves when they’re having an episode. Emotionally, intense feelings of shame often accompany binges, and there can be overwhelming feelings of compulsion when eating as well. BED can also involve serious issues with self-image.  

BED doesn’t discriminate – like other eating disorders, BED can affect anyone of any age or gender. 

How Is Binge Eating Disorder Different from Bulimia?

Both bulimia nervosa and BED can involve bingeing on food. The main difference between BED and bulimia is that BED does not involve purging. People struggling with bulimia often use laxatives, force themselves to vomit, or exercise compulsively after eating.  

That said, BED does have some behaviors in common with bulimia. One of the most common symptoms is restrictive dieting, where a person will strongly restrict the food they eat after a period of bingeing. This often results in a vicious cycle of restricting diet and bingeing. 

What Causes Binge Eating Disorder? 

The root causes of BED aren’t fully understood yet. Multiple complex factors can cause BED to develop. These factors can include:

Genetics 

If you have a close relative with BED or have a family history of it, you may be much more likely to develop this eating disorder. Additionally, some researchers think there may be a connection between this disorder and sensitivity to dopamine, a neurotransmitter used in the body’s reward system.  

Past Trauma 

BED can have roots in past trauma. The loss of a loved one, traumatic events, bullying as a child, and other forms of trauma can contribute to BED and other eating disorders.  

Gender 

While BED can affect anybody, the National Institutes of Health (NIH) cites studies showing it is more common in women than men. While the reason for this isn’t known for certain, it may involve many factors, including the ones listed here.  

Environmental Factors 

Multiple environmental factors contribute to BED. Cultural standards of beauty, body size and weight often cause intense anxiety, which can drive BED. Also, learned behaviors (like having parents who used food as a way to comfort or reward) can play a role in BED.  

Other Disorders 

Some studies appear to show that BED occurs with other mental disorders, including:  

How Common is Binge Eating Disorder? 

BED is the most common eating disorder in the United States. According to the NIH, around 1.25% of women have BED; for men, the percentage is around 0.42%. BED also affects around 1.6% of teens aged 13 to 16. In general, BED tends to occur around 25 years old.  

One thing to remember is that many more people have episodes of binge eating or what the NIH calls “out-of-control eating.” However, these episodes occur less frequently than they do with BED.  

What Are the Symptoms of Binge Eating Disorder?

Binge eating disorder has distinct symptoms. Knowing these symptoms can help you recognize this treatable eating disorder in a loved one or yourself. 

Behavioral Symptoms of Binge Eating Disorder

BED has distinct behavioral symptoms. These include:  

  • Eating unusual amounts of food during a limited period, usually one to two hours  
  • Feeling a lack of control and/or compulsion during episodes of binge eating  
  • Having episodes of binge eating at least once a week and occurring for several months  
  • Experiencing feelings of shame, disgust and/or worry about binge eating  
  • Eating to the point of discomfort while feeling unable to stop  
  • Eating alone or secretly  
  • Withdrawing socially or avoiding social situations  
  • Hoarding food  
  • Engaging in self-harm, including substance abuse 
  • Feeling embarrassed about the amount of food consumed
  • Experiencing sadness with regard to body or weight
  • Feeling depressed, ashamed, guilty or disgusted about your eating

Physical Symptoms of Binge Eating Disorder

The large amounts of food eaten during bingeing sessions can create multiple health problems, which include:  

  • Trouble sleeping  
  • Heart complications 
  • Digestion problems, including feelings of bloating or being constipated  
  • Changes in weight  
  • Problems sleeping  

Understanding the Psychological Symptoms of Binge Eating Disorder

BED is accompanied by mental health symptoms:  

  • Feelings of shame or self-loathing during and after bingeing sessions  
  • Anxiety  
  • Depression  
  • Low self-esteem  
  • Dissatisfaction with personal appearance, shape and/or weight  
  • A preoccupation with eating, food, and/or weight  
  • A distorted body image

How Is Binge Eating Disorder Diagnosed?

Disorders like BED can be tricky to diagnose accurately. In most cases, a diagnosis involves a conversation with a mental health professional who’s been trained in diagnosing eating disorders.  

BED can also cause health problems, like high blood pressure, heart issues, diabetes, electrolyte imbalances and more. It’s why diagnosing BED often involves a physical exam, urine and blood tests, and more. 

How is Binge Eating Disorder Treated? 

There isn’t really a “cure” for binge eating disorder. Rather, it’s a chronic condition that needs to be managed throughout life.  

That said, binge eating disorder responds well to treatment. At Center for Discovery, our eating disorder treatment programs make extensive use of a form of therapy called psychotherapy.  

Psychotherapy for BED 

Psychotherapy is better known as talk therapy. Basically, it involves sitting down with a trained mental health professional and safely exploring your behaviors, thoughts, and feelings.  

These sessions help you find ways to change harmful behaviors like binge eating by exploring their root causes. With psychotherapy, you’ll learn where your behaviors come from, develop healthy coping skills to replace them, and create a happy, healthy relationship with food.  

Center for Discovery makes use of several forms of psychotherapy in our treatment programs. They include:  

  • Cognitive Behavioral Therapy (CBT): Cognitive behavioral therapy helps you examine abnormal and distorted beliefs and thinking patterns…and change them. It operates on the principle that psychological problems are based on unhealthy thinking and learned behavior patterns. Techniques like meditation and role-playing often play major roles in CBT sessions.  
  • Dialectical Behavior Therapy (DBT): Dialectical behavior therapy is based on CBT, but is designed to help people who experience very intense emotions. It’s used to treat BED because researchers think it and other eating disorders are related to issues around control of unpleasant, intense emotions. DBT helps you accept your present reality and change the parts of it that are creating issues.   

Medications for BED 

Prescription medication may play a role in treating BED. Antidepressants, appetite suppressants and antianxiety medications can help treat BED. It’s important to note that, as useful as these medications can be, they don’t treat the root causes of BED. They’re always best used along with other forms of treatment, like talk therapy. 

How Can I Help a Loved One with Binge Eating Disorder? 

BED doesn’t simply affect the person struggling with it; it affects everyone around them. Seeing a loved one suffer because of BED can be extraordinarily difficult, leaving you feeling helpless as your spouse, partner, child, relative or friend is trapped in its destructive cycle.  

There are a few things you can do to help your loved one realize they need help:  

Learn More about BED 

Learning about binge eating disorder, its symptoms, and how it affects people will help you understand what your loved one is experiencing…which helps you help them more effectively.  

Ask for Help 

You likely have a bigger support network than you realize. Talk to your friends, share your knowledge, and you can use your network to help convince your loved one that they need help…and rely on them for strength.  

Talk With, Not To, Your Loved One 

When you’re ready, have a conversation with your loved one. Let them know you’re concerned, and that help is available. Don’t be angry, don’t try to scare them, and don’t use judgmental language. All of these can cause your loved one to withdraw from the conversation and resist attempts to help them.  

Be There 

When your loved one is in our care, you’re encouraged to be a source of encouragement and support. We welcome your active participation while your loved one is in treatment. Reach out to a Center for Discovery representative to learn more.  

Keep Your Cup Full 

Self-care is critically important during times of stress. Remember to make time for yourself and attend to your own physical, mental, and even spiritual needs during this time. It’ll help you help your loved one.  

What Happens If Binge Eating Disorder Isn’t Treated?

If left untreated, BED can rapidly cause serious side effects. These can range from gastrointestinal effects like bloating and constipation to potentially life-threatening problems like heart failure, electrolyte imbalances, kidney issues and anemia. In men, BED can lower testosterone; in women, it can affect the menstrual cycle. It can also cause muscle and bone loss, resulting in a higher risk of fractures.  

Psychologically, BED can take a terrible toll. It can damage a person’s self-image, contribute to depression and anxiety disorders, and make day-to-day functioning all but impossible. Combined, BED can make life unbearable. Fortunately, it’s treatable. 

Find Binge Eating Disorder Treatment Now at Center for Discovery 

With the right help, you can manage your symptoms of BED and live the happy, fulfilling life you deserve. Treating BED effectively requires specialized care from experts who truly understand eating disorders.  

Our exclusive Path to Peace virtual treatment program is specifically aimed at people with binge eating symptoms or chronically diet, providing a safe space for you to share your story with other people who are going through the same struggles you are.  

BED isn’t the only eating disorder we treat. We also offer comprehensive care for:  

Center for Discovery also provides help for co-occurring disorders.  

Why Choose Center for Discovery? 

At Center for Discovery, our patients receive highly personalized care for BED, allowing them to find their true resilient, strong selves. We offer:  

Being diagnosed with an eating disorder can feel like the end of the world. It isn’t. It’s a doorway into a new, happy, and healthy life: One that you truly deserve. Discover the you within you at CFD today.

Find a Center Near You

Locate 50+ residential and
outpatient centers nationwide.

FIND A CENTER

Binge Eating Disorder: Signs, Symptoms & Treatment  

Some people can overeat from time to time, particularly during special occasions or celebrations. However, binge eating disorder (BED) is very different from overeating.  

If you have BED, it feels like the disorder is in control. It’s like you’re unable to stop consuming food despite the effects it has on your emotional, mental, and physical health. Worse, when you’re done, you often feel intense shame and guilt.  

The most common eating disorder in the United States, BED causes people to engage in chronic episodes of bingeing on food. While this disorder affects both men and women, studies show that women are twice as likely to struggle with BED as men.  

As serious (and potentially dangerous) as BED is, it’s also a treatable condition. Treatment involves a combination of talk therapy, lifestyle adjustments, and more. If you’re struggling with BED, reach out to Center for Discovery to learn more about our effective eating disorder treatment programs. 

What is Binge Eating Disorder? 

Binge eating disorder, or BED, is an eating disorder that involves consuming larger amounts of food than usual and feeling out of control while doing so. Although the symptoms of BED have been known since the 1950s, BED wasn’t formally recognized as an eating disorder on its own until 2013.  

As we said, BED is very different from overeating. People with BED don’t feel in control of themselves when they’re having an episode. Emotionally, intense feelings of shame often accompany binges, and there can be overwhelming feelings of compulsion when eating as well. BED can also involve serious issues with self-image.  

BED doesn’t discriminate – like other eating disorders, BED can affect anyone of any age or gender.   

How is Binge Eating Disorder Different from Bulimia Nervosa? 

Both bulimia nervosa and BED can involve bingeing on food. The main difference between BED and bulimia is that BED does not involve purging. People struggling with bulimia often use laxatives, force themselves to vomit, or exercise compulsively after eating.  

That said, BED does have some behaviors in common with bulimia. One of the most common symptoms is restrictive dieting, where a person will strongly restrict the food they eat after a period of bingeing. This often results in a vicious cycle of restricting diet and bingeing.  

What Causes Binge Eating Disorder? 

The root causes of BED aren’t fully understood yet. Multiple complex factors can cause BED to develop. These factors can include:

Genetics

If you have a close relative with BED or have a family history of it, you may be much more likely to develop this eating disorder. Additionally, some researchers think there may be a connection between this disorder and sensitivity to dopamine, a neurotransmitter used in the body’s reward system.  

Past Trauma

BED can have roots in past trauma. The loss of a loved one, traumatic events, bullying as a child, and other forms of trauma can contribute to BED and other eating disorders.

Gender 

While BED can affect anybody, the National Institutes of Health (NIH) cites studies showing it is more common in women than men. While the reason for this isn’t known for certain, it may involve many factors, including the ones listed here. 

Environmental Factors 

Multiple environmental factors contribute to BED. Cultural standards of beauty, body size and weight often cause intense anxiety, which can drive BED. Also, learned behaviors (like having parents who used food as a way to comfort or reward) can play a role in BED.  

Other Disorders

Some studies appear to show that BED occurs with other mental disorders, including:  

How Common is Binge Eating Disorder? 

BED is the most common eating disorder in the United States. According to the NIH, around 1.25% of women have BED; for men, the percentage is around 0.42%. BED also affects around 1.6% of teens aged 13 to 16. In general, BED tends to occur around 25 years old.  

One thing to remember is that many more people have episodes of binge eating or what the NIH calls “out-of-control eating.” However, these episodes occur less frequently than they do with BED.  

What are the Symptoms of Binge Eating Disorder? 

Binge eating disorder has distinct symptoms. Knowing these symptoms can help you recognize this treatable eating disorder in a loved one or yourself.

Behavioral Symptoms of Binge Eating Disorder 

BED has distinct behavioral symptoms. These include:  

  • Eating unusual amounts of food during a limited period, usually one to two hours  
  • Feeling a lack of control and/or compulsion during episodes of binge eating  
  • Having episodes of binge eating at least once a week and occurring for several months  
  • Experiencing feelings of shame, disgust and/or worry about binge eating  
  • Eating to the point of discomfort while feeling unable to stop  
  • Eating alone or secretly  
  • Withdrawing socially or avoiding social situations  
  • Hoarding food  
  • Engaging in self-harm, including substance abuse  

Physical Symptoms of Binge Eating Disorder 

The large amounts of food eaten during bingeing sessions can create multiple health problems, which include:  

  • Trouble sleeping  
  • Heart complications 
  • Digestion problems, including feelings of bloating or being constipated  
  • Changes in weight  
  • Problems sleeping  

Understanding the Psychological Symptoms of Binge Eating Disorder 

BED is accompanied by mental health symptoms:  

  • Feelings of shame or self-loathing during and after bingeing sessions  
  • Anxiety  
  • Depression  
  • Low self-esteem  
  • Dissatisfaction with personal appearance, shape and/or weight  
  • A preoccupation with eating, food, and/or weight  
  • A distorted body image 

How is Binge Eating Disorder Diagnosed?

Disorders like BED can be tricky to diagnose accurately. In most cases, a diagnosis involves a conversation with a mental health professional who’s been trained in diagnosing eating disorders.  

BED can also cause health problems, like high blood pressure, heart issues, diabetes, electrolyte imbalances and more. It’s why diagnosing BED often involves a physical exam, urine and blood tests, and more. 

How is Binge Eating Disorder Treated? 

There isn’t really a “cure” for binge eating disorder. Rather, it’s a chronic condition that needs to be managed throughout life. That said, binge eating disorder responds well to treatment. At Center for Discovery, our eating disorder treatment programs make extensive use of a form of therapy called psychotherapy.

Psychotherapy for BED

Psychotherapy is better known as talk therapy. Basically, it involves sitting down with a trained mental health professional and safely exploring your behaviors, thoughts, and feelings.  

These sessions help you find ways to change harmful behaviors like binge eating by exploring their root causes. With psychotherapy, you’ll learn where your behaviors come from, develop healthy coping skills to replace them, and create a happy, healthy relationship with food.  

Center for Discovery makes use of several forms of psychotherapy in our treatment programs. They include:  

  • Cognitive Behavioral Therapy (CBT): Cognitive behavioral therapy helps you examine abnormal and distorted beliefs and thinking patterns…and change them. It operates on the principle that psychological problems are based on unhealthy thinking and learned behavior patterns. Techniques like meditation and role-playing often play major roles in CBT sessions.  
  • Dialectical Behavior Therapy (DBT): Dialectical behavior therapy is based on CBT, but is designed to help people who experience very intense emotions. It’s used to treat BED because researchers think it and other eating disorders are related to issues around control of unpleasant, intense emotions. DBT helps you accept your present reality and change the parts of it that are creating issues.   

Medications for BED 

Prescription medication may play a role in treating BED. Antidepressants, appetite suppressants and antianxiety medications can help treat BED. It’s important to note that, as useful as these medications can be, they don’t treat the root causes of BED. They’re always best used along with other forms of treatment, like talk therapy.  

How Can I Help a Loved One with Binge Eating Disorder? 

BED doesn’t simply affect the person struggling with it; it affects everyone around them. Seeing a loved one suffer because of BED can be extraordinarily difficult, leaving you feeling helpless as your spouse, partner, child, relative or friend is trapped in its destructive cycle. There are a few things you can do to help your loved one realize they need help:  

Learn More about BED

Learning about binge eating disorder, its symptoms, and how it affects people will help you understand what your loved one is experiencing…which helps you help them more effectively.

Ask for Help 

You likely have a bigger support network than you realize. Talk to your friends, share your knowledge, and you can use your network to help convince your loved one that they need help…and rely on them for strength.  

Talk With, Not To, Your Loved One 

When you’re ready, have a conversation with your loved one. Let them know you’re concerned, and that help is available. Don’t be angry, don’t try to scare them, and don’t use judgmental language. All of these can cause your loved one to withdraw from the conversation and resist attempts to help them.  

Be There 

When your loved one is in our care, you’re encouraged to be a source of encouragement and support. We welcome your active participation while your loved one is in treatment. Reach out to a Center for Discovery representative to learn more.  

Keep Your Cup Full 

Self-care is critically important during times of stress. Remember to make time for yourself and attend to your own physical, mental, and even spiritual needs during this time. It’ll help you help your loved one.

What Happens if Binge Eating Disorder isn’t Treated?

If left untreated, BED can rapidly cause serious side effects. These can range from gastrointestinal effects like bloating and constipation to potentially life-threatening problems like heart failure, electrolyte imbalances, kidney issues and anemia. In men, BED can lower testosterone; in women, it can affect the menstrual cycle. It can also cause muscle and bone loss, resulting in a higher risk of fractures.  

Psychologically, BED can take a terrible toll. It can damage a person’s self-image, contribute to depression and anxiety disorders, and make day-to-day functioning all but impossible. Combined, BED can make life unbearable.  

Fortunately, it’s treatable.  

Find Binge Eating Disorder Treatment Now at Center for Discovery 

With the right help, you can manage your symptoms of BED and live the happy, fulfilling life you deserve. Treating BED effectively requires specialized care from experts who truly understand eating disorders.  

Our exclusive Path to Peace virtual treatment program is specifically aimed at people with binge eating symptoms or chronically diet, providing a safe space for you to share your story with other people who are going through the same struggles you are.  

BED isn’t the only eating disorder we treat. We also offer comprehensive care for:  

Center for Discovery also provides help for co-occurring disorders.

Why Choose Center for Discovery? 

At Center for Discovery, our patients receive highly personalized care for BED, allowing them to find their true resilient, strong selves. We offer:  

Being diagnosed with an eating disorder can feel like the end of the world. It isn’t. It’s a doorway into a new, happy, and healthy life: One that you truly deserve. Discover the you within you at CFD today.

Find a Center Near You

Locate 50+ residential and
outpatient centers nationwide.

FIND A CENTER

Clinically reviewed by

Matthew Ruble, MD

Matthew Ruble, MD

Dr. Ruble is the chief medical officer of Discovery Behavioral Health, the parent company of Center for Discovery. During his career, Dr. Ruble has served on the faculty of Harvard Medical School and was the national medical director for Humana, Inc. He is genuinely passionate about serving and advancing the behavioral health industry.

LEARN MORE

Clinically reviewed by

Matthew Ruble, MD

Matthew Ruble, MD

Dr. Ruble is the chief medical officer of Discovery Behavioral Health, the parent company of Center for Discovery. During his career, Dr. Ruble has served on the faculty of Harvard Medical School and was the national medical director for Humana, Inc. He is genuinely passionate about serving and advancing the behavioral health industry.

LEARN MORE

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Preferred In-Network Provider for All Major Health Insurance

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