Condition

Binge Eating

Binge-eating disorder (BED) is a serious and potentially life-threatening eating disorder in which people frequently consume unusually large amounts of food and feel unable to stop eating.

Mental health

Overview

Binge-eating disorder (BED) is a serious and potentially life-threatening eating disorder in which people frequently consume unusually large amounts of food and feel unable to stop eating. BED is characterized by recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; experiencing shame, distress, or guilt after the binge; and not regularly using unhealthy measures (e.g., purging) to counter the binge eating. BED is a severe and life-threatening eating disorder. People with BED often experience functional impairment, an increased risk of suicide, and a high frequency of co-occurring psychiatric disorders. People with binge eating disorder are usually very upset by their binge eating and may experience stress, trouble sleeping, and depression. Binge eating disorder may lead to weight gain and to related health problems, such as heart disease and diabetes.

BED is the most common eating disorder in the United States. It affects 3.5% of women, 2% of men, and up to 1.6% of adolescents. Among women, BED is most common in early adulthood, while among men it is most common in midlife. People with obesity are at a higher risk for developing BED than people of normal weight. Although most people with obesity do not have BED, most people who have the disorder are obese.People of normal weight can also have BED.

Like other eating disorders, BED can be treated with a combination of psychological support and counseling, family support, and lifestyle changes.

Symptoms

  • Evidence of binge eating, including the disappearance of large amounts of food in short periods of time or lots of empty wrappers and containers indicating consumption of large amounts of food
  • Secretive food behaviors, including eating secretly (e.g., eating alone or in the car, hiding wrappers) and stealing, hiding, or hoarding food
  • Disruption in normal eating behaviors, including eating throughout the day with no planned mealtimes; skipping meals or taking small portions of food at regular meals; engaging in sporadic fasting or repetitive dieting; and developing food rituals (e.g., eating only a particular food or food group [e.g., condiments], excessive chewing, not allowing foods to touch)
  • Extreme restrictions and rigidity with food and periodic dieting and/or fasting
  • Periods of uncontrolled, impulsive, or continuous eating beyond the point of feeling uncomfortably full, but does not purge
  • Lifestyle schedules or rituals to make time for binge sessions
  • Feelings of anger, anxiety, worthlessness, or shame preceding binges
  • Feelings of disgust about body size.
  • Rigid and inflexible “all or nothing” thinking
  • A strong need to be in control
  • Difficulty expressing feelings and needs
  • Perfectionistic tendencies
  • Working hard to please others

Causes & risk factors

The cause of BED is unknown. Like other eating disorders, BED probably results from a combination of genetic, psychological, emotional, social, and other factors. BED has been linked to depression and anxiety, and painful childhood experiences such as family problems and critical comments about shape, weight, or eating may also make some people more likely to develop the disorder.

When to get help

Reach out to a doctor or counselor if you regularly eat large amounts of food and feel unable to stop, or feel shame or distress around eating. Binge eating disorder is treatable, and support helps.

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All information on this site is provided “as-is” for informational purposes only and is not a substitute for medical advice or treatment. You should consult with a medical professional if you have any questions about your health.