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Writer's pictureKimberly Mahr

Understanding Binge Eating Disorder

We all have those days when a pint of ice cream or a bag of chips seems like the ultimate comfort. However, what happens when that occasional indulgence spirals out of control, leading to uncontrolled eating episodes marked by feelings of distress and guilt? This is where binge eating disorder (BED) comes into play.


In this insightful guide, we'll delve into the depths of BED, explore how to recognize its signs, and shed light on effective strategies to address this often misunderstood eating disorder.


image of a table full of fast food: bbq potato chips, a half-eaten pizza, a couple of partially eaten burgers, and french fries.

Understanding Binge Eating Disorder


Binge eating disorder is the most common eating disorder that healthcare providers diagnose, although many people don’t realize it’s a disorder. Binge eating disorder is the most common of all eating disorders, accounting for almost half of all diagnoses. In the U.S., it affects almost 3% of the population, including all racial and ethnic groups. It’s more commonly diagnosed in women and people assigned female at birth than in men and people assigned male at birth, by a ratio of about 3:2. It’s also more commonly diagnosed in teenagers than adults, by a ratio of about 4:3.


Binge eating disorder is a serious mental health condition characterized by recurrent episodes of consuming large quantities of food rapidly, often to the point of discomfort. Unlike bulimia nervosa, individuals with BED do not engage in compensatory behaviors such as purging or excessive exercising. The key features of BED include:


  • Frequent Episodes: Individuals with BED experience recurring episodes of binge eating, typically at least once a week for three months.

  • Loss of Control: During a binge eating episode, individuals feel a sense of lack of control over their eating behavior.

  • Emotional Distress: Binge eating is often accompanied by feelings of guilt, shame, and disgust.

Binge eating disorder is not about the food; it's about how food is being used to either feel or not feel certain feelings (like shame, unworthiness, loneliness) and it is often a strategy adopted earlier in life in an attempt to navigate unmet emotional needs.


What Causes Binge Eating Disorder?


Like other eating disorders, binge eating disorder results from a mix of factors related to genetics, thoughts and feelings (particularly about your self-esteem, weight, shape), cultural and social issues (diet culture), and environment. Binge eating disorder also has been linked to depression and anxiety. For some people, dieting in unhealthy ways—such as skipping meals, not eating enough food, or avoiding certain kinds of food—may contribute to binge eating, as well as early life trauma (such as emotional needs being unmet or food scarcity) and conditioning (body-shaming, diet culture).


Signs and Symptoms of Binge Eating Disorder


Identifying whether you or someone you know may be struggling with binge eating disorder is the first step towards seeking help. Some common signs and symptoms of BED include:


  • Eating in Secret: Individuals with BED may eat in secret or hide food wrappers to conceal the extent of their eating.

  • Eating Past Fullness: Consuming large amounts of food rapidly, even when not physically hungry, is a typical behavior.

  • Emotional Triggers: Binge eating episodes are often triggered by emotional distress, stress, or anxiety.

  • Feelings of Guilt: Post-binge, individuals may experience intense feelings of guilt, shame, or low self-esteem.

  • Body Image Concerns: Persistent dissatisfaction with one's body shape or weight is common among individuals with BED.


Many people may exhibit signs or symptoms of binge eating occasionally. When they begin to recur regularly (once a week or more), you may have a disorder. Environmental conditions such as stress and relationships can influence your behavior and affect your mental health. These conditions may combine with other causes to push you over the edge from occasional disordered behavior to meeting the criteria for BED. Interestingly, some people who have BED eat fairly "normal" meals throughout their days, or even eat very little most of the day, only to secretively binge when home alone.


How to Recognize If You Have Binge Eating Disorder


Recognizing the presence of binge eating disorder in your life or in someone close to you requires heightened awareness and a keen eye for subtle behavioral cues. Binge eating disorder is a serious mental health issue and it can have significant adverse physiological effects as well, and should be taken very seriously.


If you resonate with the following statements, it might be time to seek professional guidance:


  • You frequently consume large amounts of food (more than most people would eat) in a short period.

  • Your eating behaviors feel out of control and distressing.

  • You experience negative emotions like guilt or shame after a binge eating episode.

  • You hide your eating habits from others due to embarrassment or feelings of guilt.

  • Your relationship with food is impacting your mental well-being and quality of life.


Addressing Binge Eating Disorder: Strategies for Healing


While binge eating disorder can be challenging to navigate, it is essential to remember that recovery is possible with the right support and techniques. Here is a five-pronged approach to address BED and regain a positive relationship with food and your body:


  1. Therapy: Consulting a mental health professional, such as a therapist or counselor, who specializes in eating disorders is crucial. Therapy sessions can help you delve into the underlying emotional triggers of binge eating and develop coping mechanisms to manage stress and negative emotions effectively. You will also work with your therapist to challenge and reframe negative thought patterns related to food, body image, and self-worth. Developing a more positive and compassionate mindset can transform your relationship with yourself and enhance your self-esteem.

  2. Nutrition Support: Your work with an eating disorder therapist should also be supported by at the same time working with a registered dietician who specializes in eating disorders. They can help you curate a nutrition plan that meets your nutritional goals, as well as help you address emotional eating and developing healthy alternative coping strategies.

  3. Mindfulness: Embracing mindful eating techniques can help you become more attuned to your body's hunger and fullness cues. By slowing down during meals, savoring each bite, and paying attention to your body's signals, you can foster a healthier relationship with food and reduce the likelihood of binge eating episodes.

  4. Support System: Connecting with family members, friends, or support groups who understand your struggles can provide immense emotional support. Having a strong support system can help you feel less isolated and offer encouragement during challenging moments on your journey to recovery.

  5. Self-Care: Incorporate self-care practices into your daily routine to nurture your physical and emotional well-being. Engage in activities that bring you joy, reduce stress levels, and promote relaxation, such as meditation, yoga, journaling, or spending time in nature.


Embracing Healing and Recovery


In conclusion, binge eating disorder is a complex and multifaceted condition that requires compassionate understanding and dedicated support. By acknowledging the signs and symptoms of BED, seeking professional help, and implementing positive coping strategies, individuals can embark on a journey towards healing and recovery. Remember, you are not alone in this battle, and there is hope for a brighter, healthier tomorrow.


Remember, change is possible, and recovery is within reach. You deserve to live a life free from the grips of binge eating disorder. Reach out for help, embrace self-compassion, and take the first step towards a healthier relationship with food and yourself.


For a free consultation, please reach out to one of our experienced Eating Disorder Specialists:






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