Most people with binge-eating disorder are overweight or obese, but you may be at a normal weight. Behavioral and emotional signs and symptoms of binge-eating disorder include:
- Eating unusually large amounts of food in a specific amount of time, such as over a 2-hour period
- Feeling that your eating behavior is out of control
- Eating even when you're full or not hungry
- Eating rapidly during binge episodes
- Eating until you're uncomfortably full
- Frequently eating alone or in secret
- Feeling depressed, disgusted, ashamed, guilty or upset about your eating
- Frequently dieting, possibly without weight loss
Unlike a person with bulimia, after a binge, you don't regularly compensate for extra calories eaten by vomiting, using laxatives or exercising excessively. You may even try to diet or eat normal meals. But restricting your diet may simply lead to more binge eating.
The severity of binge-eating disorder is determined by how often episodes of bingeing occur during a week.
When to see a doctor
If you have any symptoms of binge-eating disorder, seek medical help as soon as possible. Binge-eating disorder usually doesn't get better by itself, and it may get worse if left untreated.
Talk to your primary care doctor or a mental health provider about your binge-eating symptoms and feelings. If you're reluctant to seek treatment, talk to someone you trust about what you're going through. A friend, loved one, teacher or faith leader can help you take the first steps to successful treatment of binge-eating disorder.
Helping a loved one who has symptoms
A person with binge-eating disorder may become an expert at hiding behavior, making it hard for others to detect the problem. If you have a loved one you think may have symptoms of binge-eating disorder, have an open and honest discussion about your concerns.
Provide encouragement and support. Offer to help your loved one find a qualified doctor or mental health provider and make an appointment. You might even offer to go along.
April 09, 2015
- Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/binge.htm. Accessed Feb. 28, 2015.
- Binge-eating disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed March 2, 2015.
- Vyvanse (prescribing information). Wayne, Pa.: Shire US, Inc.; 2015. http://www.vyvanse.com/. Accessed Feb. 27, 2015.
- Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. March 11, 2015.
- Grothe K (expert opinion). Mayo Clinic, Rochester, Minn. March 26, 2015.
- Sim LA, et al. Identification and treatment of eating disorders in the primary care setting. Mayo Clinic Proceedings. 2010;85:746.
- Binge eating disorder. The Merck Manual Professional Edition. http://www.merckmanuals.com/professional/psychiatric_disorders/eating_disorders/binge_eating_disorder.html. Accessed Feb. 28, 2015.
- Sysko R, et al. Binge eating disorder in adults: Overview of treatment. http://www.uptodate.com/home. Accessed March 2, 2015.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. April 6, 2015.
- Goracci A, et al. Pharmacotherapy of binge-eating disorder: A review. Journal of Addiction Medicine. 2015;9:1.
- Jasik CB. Body image and health: Eating disorders and obesity. Primary Care. 2014;4:519.
- Eating disorders: Advice for parents. NHS Choice. http://www.nhs.uk/Livewell/eatingdisorders/Pages/eating-disorders-advice-parents.aspx. Accessed March 2, 2015.
- McElroy SL, et al. Efficacy and safety of lisdexamfetamine for treatment of adults with moderate to severe binge-eating disorder: A randomized clinical trial. JAMA Psychiatry. 2015;72:235.
- Winham SJ, et al. Bipolar disorder with comorbid binge eating history: A genome-wide association study implicates APOB. Journal of Affective Disorders. 2014;165:151.
- Breuner CC. Complementary, holistic, and integrative medicine: Eating disorders. Pediatrics in Review. 2010;31:e75.