Recognizing Binge Eating Disorder and Proper Treatment

Recognizing BED & Treatment

How Do I Know if I Have a Binge Eating Disorder?

Most of us overeat from time to time, and many people often feel they've eaten more than they should have. Eating a lot of food does not always mean that a person has binge eating disorder. Doctors generally agree that most people with serious binge eating problems often:

* feel their eating is out of control
* eat what most people would think is an unusually large amount of food
* eat much more quickly than usual during binge episodes
* eat until so full they are uncomfortable
* eat large amounts of food, even when they are not really hungry
* eat alone because they are embarrassed about the amount of food they eat
* feel disgusted, depressed, or guilty after overeating.

How is binge eating treated?

Several studies have found that people with binge eating disorder may find it harder than other people to stay in weight loss treatment. Binge eaters also may be more likely to regain weight quickly. For these reasons, people with the disorder may require treatment that focuses on their binge eating before they try to lose weight. Even those who are not overweight are frequently distressed by their binge eating, and may benefit from treatment.

Several methods are being used to treat binge eating disorder. Like all eating disorders, binge eating should be treated on both a physical and psychological level. Physicians and nutritionists can help monitor weight gain/loss. Therapy can help modify behavior and attitude. Cognitive-behavioral therapy teaches patients techniques to monitor and change their eating habits as well as to change the way they respond to difficult situations. Interpersonal psychotherapy helps people examine their relationships with friends and family and to make changes in problem areas.

Treatment with medications such as antidepressants may be helpful for some individuals. Self-help groups also may be a source of support. Researchers are still trying to determine which method or combination of methods is the most effective in controlling binge eating disorder. The type of treatment that is best for an individual is a matter for discussion between the patient and her health care provider.

Should People With Binge Eating Disorder Try To Diet?

People who are not overweight should avoid dieting because it sometimes makes their binge eating worse. Dieting here means skipping meals, not eating enough food each day, or avoiding certain kinds of food (such as carbohydrates). These are unhealthy ways to try to change your body shape and weight. Many people with binge eating disorder are obese and have health problems because of their weight. These people should try to lose weight and keep it off. People with binge eating disorder who are obese may find it harder to stay in a weight-loss program. They also may lose less weight than other people, and may regain weight more quickly. (This can be worse when they also have problems like depression, trouble controlling their behavior, and problems dealing with other people.) These people may need treatment for binge eating disorder before they try to lose weight.