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Binge-Eating Disorder

From Diagnosis to Recovery

By Matthew Tiemeyer, About.com

Updated: March 15, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Binge-eating disorder (BED) is rapidly gaining attention as the most common eating disorder. In one estimate, binge-eating disorder has a lifetime prevalence of 2.8%, making it more common than anorexia and bulimia combined.

What is Binge-Eating Disorder?

Essentially, binge eating is eating more at one time than a person would normally eat. This leaves a lot of room for interpretation. The question of how to defining binge-eating disorder completely is under investigation by the American Psychological Association. BED is not yet a formal diagnosis; it's classified as an "eating disorder not otherwise specified" (EDNOS). For now, the APA has suggested a definition for further debate:

Symptoms of Binge-Eating Disorder

A person with BED can experience a variety of symptoms -- physical, mental, and behavioral. Some symptoms of binge-eating disorder are found in bulimia as well, while others also show up in those who are simply overweight. Symptoms can give clues to whether a further evaluation by a professional is appropriate.

How Binge-Eating Disorder Develops

Most eating disorders have an emotional component at core. The power of the emotions demands action, and binging tends to numb them to make them more bearable. But it's only a short-term solution.

Treatment for Binge Eating

As we recognize the scope of the problem of BED, more treatments emerge to address it. Dialectical behavior therapy (DBT) has proven its value in other settings and is promising as a treatment for BED. It builds skills needed to handle powerful emotions. Cognitive-behavioral therapy is the tried-and-true standard. And a number of medications are prescribed for BED.

Envision Recovery From BED

Binge-eating disorder may feel like a trap. You can escape, though. As treatment takes hold, you'll learn skills that can help you deal with the realities of recovery. And it's important to have others to share the path with you.

Sources:

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, D.C.: American Psychiatric Association; 1994.

Anorexia and Related Eating Disorders, Inc. "Statistics: How many people have eating disorders?" Formerly at http://www.anred.com/stats.html (link now defunct). Accessed 25 February 2008.

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Eating Disorders

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