The goals for treatment of binge-eating disorder are to reduce eating binges, and, when necessary, to lose weight. Because binge eating is so entwined with shame, poor self-image and other negative emotions, treatment also may address these and other psychological issues.
By getting help for binge eating, you can learn how to feel more in control of your eating.
Whether in individual or group sessions, psychotherapy (also called talk therapy) can help teach you how to exchange unhealthy habits for healthy ones and reduce bingeing episodes. Examples of psychotherapy include:
- Cognitive behavioral therapy (CBT). CBT may help you cope better with issues that can trigger binge-eating episodes, such as negative feelings about your body or a depressed mood. It may also give you a better sense of control over your behavior and help you regulate eating patterns.
- Interpersonal psychotherapy. This type of therapy focuses on your relationships with other people. The goal is to improve your interpersonal skills — how you relate to others, including family, friends and co-workers. This may help reduce binge eating that's triggered by poor relationships and unhealthy communication skills.
- Dialectical behavior therapy. This form of therapy can help you learn behavioral skills to help you tolerate stress, regulate your emotions and improve your relationships with others, all of which can reduce the desire to binge eat.
Lisdexamfetamine dimesylate (Vyvanse), a drug that's used to treat attention-deficit hyperactivity disorder, is now approved to treat binge-eating disorder in adults. This drug is the first FDA-approved medication to treat moderate to severe binge-eating disorder. Vyvanse is a stimulant and can be habit-forming and abused. Common side effects include dry mouth and insomnia, but more serious side effects can occur.
Several other types of medication may help reduce symptoms. Examples include:
- The anticonvulsant topiramate (Topamax). Normally used to control seizures, topiramate has also been found to reduce binge-eating episodes. However, there are side effects, such as dizziness and kidney stones, so discuss the risks and benefits with your doctor.
- Antidepressants. Antidepressants known as selective serotonin reuptake inhibitors (SSRIs) may be helpful. It's not clear how these can reduce binge eating, but it may relate to how they affect certain brain chemicals associated with mood.
Behavioral weight-loss programs
Many people with binge-eating disorder have a history of failed attempts to lose weight on their own. However, weight-loss programs typically aren't recommended until the binge-eating disorder is treated because dieting may trigger more binge-eating episodes, making weight loss less successful.
When appropriate, weight-loss programs are generally done under medical supervision to ensure that your nutritional requirements are met. Weight-loss programs that address binge triggers can be especially helpful when you're also getting cognitive behavioral therapy.
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.