{"id":865,"date":"2024-09-23T23:27:22","date_gmt":"2024-09-23T23:27:22","guid":{"rendered":"https:\/\/www.reflexmd.com\/blog\/?p=865"},"modified":"2025-04-21T22:23:24","modified_gmt":"2025-04-22T02:23:24","slug":"the-truth-about-binge-eating-disorder","status":"publish","type":"post","link":"https:\/\/www.reflexmd.com\/blog\/binge-eating\/the-truth-about-binge-eating-disorder\/","title":{"rendered":"The Truth About Binge Eating Disorder"},"content":{"rendered":"\n<p>When you hear the term eating disorder, you probably think: super-strict diet or restricting food. But actually, the most common and undertreated eating disorder in the United States is <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5035811\/\">binge eating disorder (BED<\/a>), a condition that involves <em>over<\/em>-consumption of food. <\/p>\n\n\n\n<p>About 1.25% of adult women and 0.42% of adult men have binge eating disorder, according to the <a href=\"https:\/\/www.niddk.nih.gov\/health-information\/weight-management\/binge-eating-disorder\/definition-facts\">National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)<\/a>.<\/p>\n\n\n\n<p>\u201cBinge eating is when a person eats an excessive amount of food and feels unable to control their eating behaviors,\u201d explains Courtney Morgan, LPCC, a licensed therapist. \u201cPeople with binge eating issues often feel ashamed, which makes seeking treatment incredibly challenging.\u201d&nbsp;<\/p>\n\n\n\n<p>Below is more about this difficult-to-manage disorder, its symptoms, and doctors treat it. 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.elementor-button{padding:12px 25px 12px 25px;}.elementor-13 .elementor-element.elementor-element-5c1e777 .elementor-button{font-size:var( --e-global-typography-7c01e8a-font-size );line-height:var( --e-global-typography-7c01e8a-line-height );letter-spacing:var( --e-global-typography-7c01e8a-letter-spacing );word-spacing:var( --e-global-typography-7c01e8a-word-spacing );}}\/* Start custom CSS for button, class: .elementor-element-3165b55 *\/.elementor-13 .elementor-element.elementor-element-3165b55 button {\n    white-space: nowrap;\n}\/* End custom CSS *\/\n\/* Start custom CSS for container, class: .elementor-element-c04910d *\/.elementor-13 .elementor-element.elementor-element-c04910d {\n    max-width: 900px;\n}\n.elementor-13 .elementor-element.elementor-element-c04910d p {\n    margin-bottom: 0;\n}\/* End custom CSS *\/\n\/* Start custom CSS for container, class: .elementor-element-a7d1126 *\/.elementor-13 .elementor-element.elementor-element-a7d1126 {\n    overflow: visible;\n}\/* End custom CSS *\/<\/style>\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"13\" class=\"elementor elementor-13 e-loop-item e-loop-item-937 post-937 cta type-cta status-publish hentry category-binge-eating\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-a7d1126 e-con-full e-flex e-con e-parent\" data-id=\"a7d1126\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c04910d e-con-full e-flex e-con e-child\" data-id=\"c04910d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9fb1137 elementor-widget elementor-widget-text-editor\" data-id=\"9fb1137\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tSilence the food noise once and for all!\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46d501d elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"46d501d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">If binge eating is a concern, a prescription GLP-1 can help.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7047b33 elementor-widget elementor-widget-text-editor\" data-id=\"7047b33\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tTake 25% Off Any 3-month Plan using Code: SPRING25 at Checkout\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-59b9a6c e-con-full e-flex e-con e-child\" data-id=\"59b9a6c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3165b55 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"3165b55\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.reflexmd.com\/?question=gender\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 48c110.532 0 200 89.451 200 200 0 110.532-89.451 200-200 200-110.532 0-200-89.451-200-200 0-110.532 89.451-200 200-200m140.204 130.267l-22.536-22.718c-4.667-4.705-12.265-4.736-16.97-.068L215.346 303.697l-59.792-60.277c-4.667-4.705-12.265-4.736-16.97-.069l-22.719 22.536c-4.705 4.667-4.736 12.265-.068 16.971l90.781 91.516c4.667 4.705 12.265 4.736 16.97.068l172.589-171.204c4.704-4.668 4.734-12.266.067-16.971z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Start My Journey<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\n\n<h2 class=\"wp-block-heading\">The elements of binge eating disorder<\/h2>\n\n\n\n<p>BED differs from bulimia nervosa, an eating disorder that comes with a compensatory behavior like purging, exercising, or laxative abuse post-binge, according to the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562178\/\">National Library of Medicine<\/a>. People with BED don\u2019t usually demostrate those behaviors. It\u2019s also more common in those who have obesity, but it can impact people of all sizes.<\/p>\n\n\n\n<p>\u201cTo be diagnosed with binge eating disorder, a person has to report recurrent episodes of binge eating,\u201d says Samantha DeCaro, Psy.D, a licensed clinical psychologist. \u201cThese episodes must occur at least once a week for three months, which is considered mild. But can be as extreme as 14 times a week or more.\u201d<\/p>\n\n\n\n<p>People who binge eat may be so disconnected from themselves during episodes that they are unaware of what\u2019s happening, says Amy Goldsmith, RD, a dietitian who specializes in eating disorders. They might also eat without feeling physically hungry.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Common symptoms of BED<\/h2>\n\n\n\n<p>The disorder presents with different signs, symptoms, and behaviors, Goldsmith says, but some of the most common are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Eating large amounts of food quickly<\/li>\n\n\n\n<li>Losing control while eating, especially being unable to stop&nbsp;<\/li>\n\n\n\n<li>Eating large amounts of food when one isn\u2019t necessarily hungry<\/li>\n\n\n\n<li>Eating in secret<\/li>\n\n\n\n<li>Eating until one is uncomfortably full<\/li>\n\n\n\n<li>Feeling guilt and shame post-binge<\/li>\n\n\n\n<li>Having consistent thoughts of food, and planning around when one will be able to eat alone<\/li>\n\n\n\n<li>Hoarding favorite foods<\/li>\n\n\n\n<li>Restricting food throughout the day to prepare for a binge, or restricting after a binge<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What triggers binge eating episodes<\/h2>\n\n\n\n<p>Every person with BED has personal triggers that fuel an episode of binging, but there are a few common threads. Those with BED tend to binge to regulate their emotions, after attempting a severely restrictive diet, or to cope with depression and anxiety, says Morgan.&nbsp;<\/p>\n\n\n\n<p>In those cases, binge eating usually functions as an escape from tough feelings. \u201cShame, guilt, sadness, and anxiety are commonly reported as emotional triggers to binge eating episodes,\u201d says Dr. DeCaro. \u201cThose who experience weight-based stigma, discrimination, or bullying may also be at elevated risk of binge eating.\u201d&nbsp;<\/p>\n\n\n\n<p>Feelings of scarcity\u2014whether those are physical or psychological\u2014can also contribute to BED, she adds. Similarly, experiencing food insecurity or a lack of regular access to balanced meals can put a person at heightened risk.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The health dangers for people with BED&nbsp;<\/h2>\n\n\n\n<p>Untreated BED can bring on many health issues, some more serious than others. Those include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gastrointestinal distress like acid reflux, constipation, and diarrhea<\/li>\n\n\n\n<li>Obesity<\/li>\n\n\n\n<li>Depression and anxiety<\/li>\n\n\n\n<li>Low self esteem and negative body image<\/li>\n\n\n\n<li>Difficulty focusing<\/li>\n\n\n\n<li>Type 2 diabetes<\/li>\n\n\n\n<li>High blood pressure<\/li>\n\n\n\n<li>High cholesterol<\/li>\n\n\n\n<li>Gallbladder disease<\/li>\n\n\n\n<li>Sleep apnea<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How doctors treat binge eating disorder<\/h2>\n\n\n\n<p>Because BED is both a mental and physical condition, treatment often comes from multiple angles. Treatment often consists from&nbsp;the help of \u201ca therapist, a dietitian, a primary care physician, and a psychiatrist, if needed,\u201d says Dr. DeCaro. Together, they work to assess progress and target the various medical, nutritional, and emotional factors that fuel the binge eating cycle, she adds.&nbsp;<\/p>\n\n\n\n<p>Therapy, in particular, might include the processing of emotions, addressing unresolved trauma, deepening connections with others, and taking a morally neutral approach to food and weight. This last one is very important, says Dr. DeCaro says. This is because many people in recovery from BED turn to dieting and weight loss to combat the condition and improve body image.&nbsp;<\/p>\n\n\n\n<p>\u201cThere is mounting evidence that restricting food and repeatedly losing and regaining weight worsens binge eating disorder cycles,\u201d she says. \u201cIt also causes tremendous harm, both medically and psychologically.<\/p>\n\n\n\n<p>\u201cAn effective treatment approach should provide the support and skills needed to navigate even the most frequent and intense urges,\u201d she continues. \u201c[It should also include] tools to mindfully observe emotional patterns.\u201d&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medications with potential to help<\/h2>\n\n\n\n<p>The only medication approved by the&nbsp;<a href=\"https:\/\/www.fda.gov\/drugs\/news-events-human-drugs\/fda-approves-multiple-generics-adhd-and-bed-treatment\">U.S. Food and Drug Administration<\/a> to treat BED is lisdexamfetamine, a stimulant developed to treat the inattention, impulsiveness, and hyperactivity associated with&nbsp;attention-deficit\/hyperactivity disorder (ADHD). It\u2019s prescribed off-label to help control the impulses associated with BED.&nbsp;<\/p>\n\n\n\n<p>However, Dr. DeCaro says it\u2019s worth noting that an important part of BED treatment is that patients learn to \u201cconsistently nourish themselves, tune into and trust their body\u2019s signals, and gradually reintroduce foods they may have once been afraid of.\u201d&nbsp;<\/p>\n\n\n\n<p><strong>RELATED: <a href=\"https:\/\/www.reflexmd.com\/blog\/binge-eating\/common-symptoms-binge-eating\">18 Signs of Binge Eating You Should Never Ignore<\/a><\/strong><\/p>\n\n\n\n<p>Lisdexamfetamine and its comparative drugs may make that difficult, because possible side effects include&nbsp;decreased appetite, stomach pain, nausea, and vomiting, she adds. It\u2019s also a controlled substance with high potential for abuse, misuse, and dependence.&nbsp;<\/p>\n\n\n\n<p>\u201cBED rarely travels alone, and substance use disorders can be common in people with it,\u201d Dr. DeCaro explains. \u201cIf someone stops taking the medication due to any adverse effect, withdrawal symptoms may include increased appetite, which can potentially exacerbate binge eating urges and episodes.\u201d &nbsp;<\/p>\n\n\n\n<p>Recent preliminary studies found that new weight loss drugs, including GLP-1 and some other similar meds (including liraglutide), show potential for the treatment of BED:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A small <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2667368123000268#bib13\">study<\/a> on the impact of using GLP-1 to treat severe to moderate BED found that participants\u2019 scores on the binge eating scale (which researchers utilize to measure how BED symptoms are affected) were greatly reduced, compared to those who were treated by existing meds like lisdexamfetamine.\u00a0<\/li>\n\n\n\n<li>Another <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10915596\/\">study<\/a> showed a reduction in binge eating frequency,&nbsp; BED comorbidities, and mental health side effects in those treated with liraglutide and similar GLP-1 receptor agonists.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>Both studies concluded that more research is necessary to define the drugs\u2019 impact and how exactly these meds are reducing symptoms, and what the optimal dosage and treatment should be. Dr. DeCaro agrees that more research is needed and expresses concern that the meds could interfere with other eating disorder treatments for BED. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ways to find support for BED<\/h2>\n\n\n\n<p>For those who are looking for help with binge-eating disorder, Morgan recommends reaching out to a primary care doctor or utilizing resources from the <a href=\"https:\/\/www.nationaleatingdisorders.org\/get-help\/\">National Eating Disorders Association<\/a>, <a href=\"https:\/\/www.feast-ed.org\/\">Families Empowered And Supporting Treatment for Eating Disorders<\/a>, or the <a href=\"https:\/\/anad.org\/\">National Association of Anorexia Nervosa and Associated Disorders<\/a>.&nbsp;<\/p>\n\n\n\n<p>\u201cIf you or someone you know is struggling with binge-eating disorder,\u201d she says, \u201cyou are not alone.\u201d&nbsp;<\/p>\n\n\n\n<p>If you worry about binge eating and think GLP-1 might be right for you, talk to your doctor or <a href=\"https:\/\/chat2.reflexmd.com\/dchat\/\">chat<\/a> with a ReflexMD Wellness Advisor now.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Binge eating is more common than you think. It\u2019s also often misunderstood. Here\u2019s what you need to know\u2014and why experts are so hopeful about new treatments on the horizon. <\/p>\n","protected":false},"author":9,"featured_media":896,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[75],"tags":[76,104],"class_list":["post-865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-binge-eating","tag-food-noise","tag-glp-1"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Binge Eating Disorder: Symptoms, Triggers, and Treatments | ReflexMD<\/title>\n<meta name=\"description\" content=\"What is binge eating disorder? 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