Health Library Logo

Health Library

Binge Eating Disorder

Overview

Binge-eating disorder is a serious problem. It's characterized by an overwhelming feeling of being unable to stop eating, often resulting in consuming significantly more food than usual. We all overeat sometimes – maybe having a second helping at Thanksgiving dinner, for example. However, if you regularly feel like you can't control your eating and regularly consume unusually large amounts of food, it could be a sign of binge-eating disorder. People with this condition often feel ashamed or embarrassed about their eating binges. Consequently, they may try to restrict their eating, which can actually make the urge to binge even stronger, creating a frustrating cycle. Fortunately, treatment for binge-eating disorder can help people regain control over their eating habits and find a healthier balance.

Symptoms

People with binge-eating disorder can have a wide range of body weights, from overweight or obese to a healthy weight. Regardless of their weight, most people with this disorder feel unhappy about their body size or shape.

Binge-eating disorder has several key symptoms. One common symptom is a feeling of losing control over eating. This means someone might feel unable to stop eating once they start. Another symptom is consuming significantly larger portions of food than usual within a short time, like two hours or less. People may also eat when they aren't hungry or already feel full. During these episodes, eating happens very quickly. The person often continues eating until they feel extremely full and uncomfortable. They might eat alone or in secret to hide their behavior. This often leads to feelings of depression, disgust, shame, guilt, or anxiety related to their eating habits.

Unlike bulimia nervosa, which involves purging (vomiting, using laxatives, or excessive exercise) after a binge, people with binge-eating disorder don't typically purge. They might try to compensate by dieting or eating less at other meals, but this often just makes the problem worse by potentially triggering more binge episodes. The severity of the disorder depends on how much the binge eating affects their mood and daily life.

Binge-eating disorder can be a temporary problem, come and go, or last for years. If you think you might have this condition, getting help is crucial. Talk to your doctor or a mental health professional about your symptoms and feelings. If you're hesitant to talk to a professional, start by talking to a trusted friend, family member, teacher, or religious leader. They can provide support and encouragement to take the first steps toward treatment.

Seeking help from a specialist in eating disorders or an organization dedicated to eating disorders can provide additional support. People with binge-eating disorder often hide their behavior due to feelings of shame and embarrassment. This can make it difficult for others to notice the problem.

If you're concerned about a loved one, have a sensitive and open conversation about your concerns. Remember that eating disorders are mental health conditions, and the behaviors aren't the person's fault. Offer encouragement, support, and help them find a healthcare professional or mental health specialist experienced in treating eating disorders. You can even help them schedule and attend appointments.

When to see a doctor

If you're experiencing symptoms of binge eating disorder, seek help right away. It's important to talk to a doctor or mental health professional about what you're feeling and the behaviors you're noticing. If you're feeling embarrassed about your eating habits and worried about talking to a healthcare provider, start by talking to someone you trust. A friend, family member, teacher, or religious leader can offer encouragement and support as you begin the process of getting help. These trusted individuals can help you take the first steps towards treatment. For extra support, consider talking to a professional with expertise in eating disorders or contacting an organization that specializes in these conditions. They can provide understanding and guidance specific to your situation.

Causes

Scientists don't fully understand what causes binge-eating disorder. However, several factors can make someone more likely to develop the condition. These include:

  • Genetics: Some people may inherit a tendency towards binge-eating disorder from their family history. This means certain genes might play a role.

  • Body function: The way your body processes food and regulates hunger can influence your risk. For example, some people may have a harder time feeling full after eating.

  • Past dieting: Long-term dieting, particularly restrictive dieting, can sometimes increase the risk of binge-eating disorder. The body might react by overeating when food is available.

  • Other mental health issues: People who have other mental health problems, such as depression or anxiety, may be more prone to binge-eating disorder. These conditions often overlap and can influence each other.

Risk factors

Binge-eating disorder is more common in women than men. Anyone can develop it, but it often starts during the late teens or early twenties. Several things can increase your risk:

Family History: If your parents or siblings have (or had) an eating disorder, you're more likely to develop one yourself. This suggests that certain genes within a family might make a person more prone to eating disorders. It's important to remember that having a family history doesn't guarantee you'll get an eating disorder, but it does increase your chances.

Dieting: Many people with binge-eating disorder have a history of dieting. Restricting calories or dieting can sometimes trigger a strong desire to binge eat. This happens because the body might be reacting to the periods of limited food intake, leading to an overwhelming urge to eat large amounts of food.

Mental Health Conditions: People with binge-eating disorder often have negative feelings about themselves, their abilities, and their achievements. These feelings, combined with stress, a poor body image, and certain foods, can trigger binge-eating episodes. Even specific situations, such as parties, free time, or driving, can sometimes act as triggers. These situations might evoke feelings that lead to binge eating.

Complications

Binge eating can lead to both mental and physical health problems. When someone regularly binges on large amounts of food, it can create a range of difficulties.

Emotional and Social Impact: Binge eating disorder can make it hard to enjoy life. People with this condition may struggle to perform well at work, or in their personal relationships. They might feel uncomfortable in social situations and withdraw from friends and family, leading to feelings of isolation.

Physical Health Concerns: One of the most obvious effects is weight gain. This extra weight can contribute to a number of physical health issues. For example, it can put stress on joints, increasing the risk of joint pain. Excess weight also raises the risk of serious conditions like heart disease and type 2 diabetes. Furthermore, digestive problems, such as gastroesophageal reflux disease (GERD), can arise. Poor nutrition, linked to the disordered eating patterns, can also negatively impact overall health. Weight gain can also sometimes lead to sleep apnea, a sleep-related breathing disorder.

Mental Health Issues: Binge eating disorder is often connected to other mental health problems. Depression and anxiety are common. People with binge eating disorder may also struggle with substance use disorders, and in some cases, experience suicidal thoughts or behaviors.

It's crucial to remember that these are not just abstract possibilities; they are real consequences that can significantly impact a person's well-being. If you or someone you know is struggling with binge eating, seeking professional help is essential. A healthcare professional can provide support, guidance, and treatment options to address the underlying issues and improve overall health and happiness.

Prevention

Helping a child with binge-eating: Focus on healthy habits, not body image.

If your child is binge-eating, it's important to show them that their body is okay, no matter their shape or size. Emphasize that restricting food or dieting isn't a healthy way to live unless a doctor has diagnosed a food allergy.

Talk to your child's doctor about any worries you have. Doctors are trained to recognize the early signs of eating disorders. They can recommend the best treatment options, and point you towards helpful resources to support your child.

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

Made in India, for the world