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.
The causes of binge-eating disorder are unknown. But genetics, biological factors, long-term dieting and psychological issues increase your risk.
Factors that can increase your risk of developing binge-eating disorder include:
- Family history. You're much more likely to have an eating disorder if your parents or siblings have (or had) an eating disorder. This may indicate that inherited genes increase the risk of developing an eating disorder.
- Psychological issues. Most people who have binge-eating disorder feel negatively about themselves and their skills and accomplishments. Triggers for bingeing can include stress, poor body self-image, food and boredom.
- Dieting. Many people with binge-eating disorder have a history of dieting — some have dieted to excess dating back to childhood. Dieting or restricting calories during the day may trigger an urge to binge eat, especially if you have low self-esteem and symptoms of depression.
- Your age. Although people of any age can have binge-eating disorder, it often begins in the late teens or early 20s.
You may develop psychological and physical problems related to binge eating.
Complications that may be caused by binge-eating disorder include:
- Feeling bad about yourself or your life
- Poor quality of life
- Problems functioning at work, with your personal life or in social situations
- Social isolation
- Medical conditions related to obesity, such as joint problems, heart disease, type 2 diabetes, gastroesophageal reflux disease (GERD) and some sleep-related breathing disorders
Psychiatric disorders that are often linked with binge-eating disorder include:
- Bipolar disorder
- Substance use disorders