Binge Eating Disorder
Symptoms, Causes, Treatment, and Help
Almost everyone overeats from time to time. But if you regularly overeat while feeling out of control and powerless to stop, you may be suffering from binge eating disorder. People with binge eating disorder struggle with feelings of guilt, disgust, and depression. They worry about what the compulsive eating will do to their bodies and beat themselves up for their lack of self-control. They desperately want to stop binge eating, but feel like they can’t. If this sounds familiar, here’s the good news: binge eating disorder is treatable. You can learn to break the binge eating cycle and develop a healthier relationship with food.
What is binge eating disorder?
Binge eating disorder is a common eating disorder characterized by three key features:
- Frequent episodes of uncontrollable binge eating
- Feeling extremely distressed or upset during or after bingeing
- Unlike bulimia, there are no regular attempts to “make up” for the binges through vomiting, fasting, or over-exercising
It typically begins in late adolescence or early adulthood, often after a major diet. During a binge, you may eat even when you’re not hungry and continue eating long after you’re full. You may also binge so fast you barely register what you’re eating or tasting.
Binge eating may be comforting for a brief moment, but then reality sets back in, along with regret and self-loathing. Binge eating often leads to weight gain and obesity, which only reinforces compulsive eating. The worse you feel about yourself and your appearance, the more you use food to cope. It becomes a vicious cycle: eating to feel better, feeling even worse, and then turning back to food for relief.
Do you have binge eating disorder?
- Do you feel out of control when you’re eating?
- Do you think about food all the time?
- Do you eat in secret?
- Do you eat until you feel sick?
- Do you eat to escape from worries, relieve stress, or to comfort yourself?
- Do you feel disgusted or ashamed after eating?
- Do you feel powerless to stop eating, even though you want to?
The more “yes” answers, the more likely it is that you have binge eating disorder.
Signs and symptoms of binge eating disorder
People with binge eating disorder are embarrassed and ashamed of their eating habits, so they often try to hide their symptoms and eat in secret. This can make it tough for family and friends to spot the warning signs. And you can’t identify a binge eater by appearance. While some binge eaters are overweight or obese, others are of normal weight.
Warning signs that a loved one is bingeing include finding piles of empty food packages and wrappers, cupboards and refrigerators that have been cleaned out, and hidden stashes of high-calorie or junk food.
Behavioral symptoms of binge eating and compulsive overeating
- Inability to stop eating or control what you’re eating
- Rapidly eating large amounts of food
- Eating even when you're full
- Hiding or stockpiling food to eat later in secret
- Eating normally around others, but gorging when you’re alone
- Eating continuously throughout the day, with no planned mealtimes
Emotional symptoms of binge eating and compulsive overeating
- Feeling stress or tension that is only relieved by eating
- Embarrassment over how much you’re eating
- Feeling numb while bingeing—like you’re not really there or you’re on auto-pilot.
- Never feeling satisfied, no matter how much you eat
- Feeling guilty, disgusted, or depressed after overeating
- Desperation to control weight and eating habits
Causes and effects of binge eating disorder
Generally, it takes a combination of things to develop binge eating disorder—including a person's genes, emotions, and experience.
Social and cultural risk factors. Social pressure to be thin can add to the shame binge eaters feel and fuel their emotional eating. Some parents unwittingly set the stage for binge eating by using food to comfort, dismiss, or reward their children. Children who are exposed to frequent critical comments about their bodies and weight are also vulnerable, as are those who have been sexually abused in childhood.
Psychological risk factors. Depression and binge eating are strongly linked. Many binge eaters are either depressed or have been before; others may have trouble with impulse control and managing and expressing their feelings. Low self-esteem, loneliness, and body dissatisfaction may also contribute to binge eating.
Biological risk factors. Biological abnormalities can contribute to binge eating. For example, the hypothalamus (the part of the brain that controls appetite) may not be sending correct messages about hunger and fullness. Researchers have also found a genetic mutation that appears to cause food addiction. Finally, there is evidence that low levels of the brain chemical serotonin play a role in compulsive eating.
Effects of binge eating disorder
Binge eating leads to a wide variety of physical, emotional, and social problems. People with binge eating disorder report more health issues, stress, insomnia, and suicidal thoughts than people without an eating disorder. Depression, anxiety, and substance abuse are common side effects as well. But the most prominent effect of binge eating disorder is weight gain.
Binge eating recovery tip 1: Develop a healthier relationship with food
It can be difficult to overcome binge eating and food addiction. Unlike other addictions, your “drug” is necessary for survival, so you don’t have the option of avoiding it. Instead, you must develop a healthier relationship with food—a relationship that’s based on meeting your nutritional needs, not your emotional ones.
Avoid temptation. You’re much more likely to overeat if you have junk food, desserts, and unhealthy snacks in the house. Remove the temptation by clearing your fridge and cupboards of your favorite binge foods.
Listen to your body. Learn to distinguish between physical and emotional hunger. If you ate recently and don't have a rumbling stomach, you're probably not really hungry. Give the craving time to pass.
Focus on what you’re eating. How often have you binged in an almost trance-like state, not even enjoying what you’re consuming? Instead of eating mindlessly, be a mindful eater. Slow down and savor the textures and flavors. Not only will you eat less, you’ll enjoy it more.
Eat regularly. Don’t wait until you’re starving. This only leads to overeating! Stick to scheduled mealtimes, as skipping meals often leads to binge eating later in the day.
Don’t avoid fat. Contrary to what you might think, dietary fat can actually help keep you from overeating and gaining weight. Try to incorporate healthy fat at each meal to keep you feeling satisfied and full.
Fight boredom. Instead of snacking when you're bored, distract yourself. Take a walk, call a friend, read, or take up a hobby such as painting or gardening.
The importance of deciding not to diet
After a binge, it’s only natural to feel the need to diet to compensate for overeating and to get back on track with your health. But dieting usually backfires. The deprivation and hunger that comes with strict dieting triggers food cravings and the urge to overeat.
Instead of dieting, focus on eating in moderation. Find nutritious foods that you enjoy and eat only until you feel content, not uncomfortably stuffed. Avoid banning or restricting certain foods, as this can make you crave them even more. Instead of saying “I can never eat ice cream,” say “I will eat ice cream as an occasional treat.”
Tip 2: Find better ways to feed your feelings
One of the most common reasons for binge eating is an attempt to manage unpleasant emotions such as stress, depression, loneliness, fear, and anxiety. When you have a bad day, it can seem like food is your only friend. Binge eating can temporarily make feelings such as stress, sadness, anxiety, depression, and boredom evaporate into thin air. But the relief is very fleeting.
Identify your triggers with a food and mood diary
One of the best ways to identify the patterns behind your binge eating is to keep track with a food and mood diary. Every time you overeat or feel compelled to reach for your version of comfort food Kryptonite, take a moment to figure out what triggered the urge. If you backtrack, you’ll usually find an upsetting event that kicked of the binge.
Write it all down in your food and mood diary: what you ate (or wanted to eat), what happened to upset you, how you felt before you ate, what you felt as you were eating, and how you felt afterward. Over time, you’ll see a pattern emerge.
Learn to tolerate the feelings that trigger your binge eating
The next time you feel the urge to binge, instead of giving in, take a moment to stop and investigate what’s going on inside.
Identify the emotion you’re feeling. Do your best to name what you’re feeling. Is it anxiety? Shame? Hopelessness? Anger? Loneliness? Fear? Emptiness?
Accept the experience you’re having. Avoidance and resistance only make negative emotions stronger. Instead, try to accept what you’re feeling without judging it or yourself.
Dig deeper. Explore what’s going on. Where do you feel the emotion in your body? What kinds of thoughts are going through your head?
Distance yourself. Realize that you are NOT your feelings. Emotions are passing events, like clouds moving across the sky. They don’t define who you are.
Sitting with your feelings may feel extremely uncomfortable at first. Maybe even impossible. But as you resist the urge to binge, you’ll start to realize that you don’t have to give in. There are other ways to cope. Even emotions that feel intolerable are only temporary. They’ll quickly pass if you stop fighting them. You’re still in control. You can choose how to respond.
For a step-by-step guide to learning how to manage stress and uncomfortable emotions, check out Helpguide’s free Emotional Intelligence Toolkit.
Tip 3: Take back control of cravings
Sometimes it feels like the urge to binge hits without warning. But even when you’re in the grip of a seemingly overpowering and uncontrollable urge, there are things you can do to help yourself stay in control.
Accept the urge and ride it out, instead of trying to fight it. This is known as “urge surfing.” Think of the urge to binge as an ocean wave that will soon crest, break, and dissipate. When you ride out the urge, without trying to battle, judge, or ignore it, you’ll see that it passes more quickly than you’d think.
Distract yourself. Anything that engages your attention will work: taking a walk, calling a friend, watching something funny online, etc. Once you get interested in something else, the urge to binge may go away.
Talk to someone. When you start to notice the urge to binge, turn to a friend or family member you trust. Sharing what you’re going through can help you feel better and discharge the urge to binge.
Delay, delay, delay. Even if you’re unsure if you’ll be able to fight the urge to binge, make an effort to delay it. Try to hold off for 1 minute. If you succeed. Try to stretch it out to 5 minutes. If you delay long enough, you may be able to avoid the binge.
Tip 4: Support yourself with healthy lifestyle habits
When you’re physically strong, relaxed, and well rested, you’re better able to handle the curveballs that life inevitably throws your way. But when you’re already exhausted and overwhelmed, any little hiccup has the potential to send you off the rails and straight toward the refrigerator. Exercise, sleep, and other healthy lifestyle habits will help you get through difficult times without binge eating.
Manage stress. One of the most important aspects of controlling binge eating is to find alternate ways to handle stress and other overwhelming feelings without using food. These may include meditating, using sensory relaxation strategies, and practicing simple breathing exercises.
Make time for regular exercise. Physical activity does wonders for your mood and your energy levels, and it’s also a powerful stress reducer. The natural mood-boosting effects of exercise can help put a stop to emotional eating.
Aim for 8 hours of sleep every night. When you don’t get the sleep you need, your body craves sugary foods that will give you a quick energy boost. Getting plenty of rest will help with appetite control and reduce food cravings.
Connect with others. Don’t underestimate the importance of close relationships and social activities. You're more likely to succumb to binge eating triggers if you lack a solid support network. Talking helps, even if it’s not with a professional.
Helping a binge eater
If you suspect that your friend or family member has binge eating disorder, bring up your concerns. It may seem daunting to start such a delicate conversation, and the person may deny bingeing or become angry and defensive. But there’s a chance that he or she will welcome the opportunity to share the struggle.
If the person shuts you out at first, don’t give up; it may take some time before your loved one is willing to admit to having a problem. And remember: as difficult as it is to know that someone you love may be have an eating disorder, you can’t force someone to change. The decision to seek recovery has to come from them. You can help by offering your compassion, encouragement, and support throughout the treatment process.
Tips for helping a person with binge eating disorder
Encourage him or her to seek help. The longer an eating disorder remains undiagnosed and untreated, the more difficult it will be to overcome, so urge your loved one to get treatment.
Be supportive. Try to listen without judgment and make sure the person knows you care. If your loved one slips up on the road to recovery, remind them that it doesn’t mean they can’t quit binge eating for good.
Avoid insults, lectures, or guilt trips. Binge eaters feel bad enough about themselves and their behavior already. Lecturing, getting upset, or issuing ultimatums to a binge eater will only increase stress and make the situation worse. Instead, make it clear that you care about the person’s health and happiness and you’ll continue to be there.
Set a good example by eating healthily, exercising, and managing stress without food. Don’t make negative comments about your own body or anyone else’s.
TIf you need powerful social and emotional skills that relieve stress and help you make better choices, read FEELING LOVED.
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More help for eating disorders
- Emotional Eating vs. Mindful Eating: Tips to Help You Fight Food Cravings and Satisfy Your Needs with Mindful Eating
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Resources and references
Signs and symptoms of binge eating and compulsive overeating
Binge Eating Disorder – Learn about the symptoms, causes, and treatment options for binge eating disorder. (National Institute of Diabetes and Digestive and Kidney Diseases)
Compulsive Overeating and Binge Eating Disorder – UK-based eating disorder nonprofit offers information on the compulsive overeating and its causes. (The National Centre for Eating Disorders)
Binge Eating Disorder – Written for teens, this article describes the symptoms, causes, effects, and treatment of binge eating disorder. (Nemours Foundation)
How to Stop a Binge Before it Starts – Offers helpful long-term strategies for avoiding binge eating and tips for dealing with the urge to binge in the moment. (WebMD)
Out of Control: A True Story of Binge Eating – A New York Times journalist recounts her own experiences with binge eating and how she managed to stop. (New York Times)
Binge eating support groups
Overeaters Anonymous – Find an Overeaters Anonymous group in your area and learn how the 12-steps apply to binge eating recovery. (Overeaters Anonymous)
Eating Disorders Anonymous – Find support and group meetings with other eating disorder sufferers in your area. (Eating Disorders Anonymous)
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