Binge-eating disorder

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Symptoms

By Mayo Clinic staff

When you have binge-eating disorder you often have numerous behavioral and emotional signs and symptoms, such as:

  • Eating large amounts of food
  • Eating even when you're full
  • Eating rapidly during binge episodes
  • Feeling that your eating behavior is out of control
  • Eating a lot even though you're not hungry
  • Depression
  • Anxiety
  • Frequent dieting, possibly without weight loss
  • Frequently eating alone
  • Feeling depressed, disgusted or upset about your eating

After a binge, you may try to diet or eat normal meals. But restricting your eating may simply lead to more binge eating, creating a vicious cycle.

You may have no obvious physical signs or symptoms when you have binge-eating disorder. You may be overweight or obese, or you may be of a normal weight.

When to see a doctor
If you have any binge-eating disorder symptoms, seek medical help as soon as possible. Binge-eating disorder usually doesn't get better by itself, and it may even get worse if left untreated.

If you have a primary care doctor, talk to him or her about your binge-eating symptoms and feelings. Or seek help directly from a mental health provider. If you're reluctant to seek treatment, try to work up the courage to talk to someone about what you're going through, whether it's a friend or loved one, a health care professional, a teacher, a faith leader or someone else you trust. They can help you take the first steps to successful binge-eating disorder treatment.

Helping a loved one with binge-eating disorder symptoms
If you have a loved one you think may have symptoms of binge-eating disorder, have an open and honest discussion about your concerns. You may not be able to force someone to seek professional care, but you can offer encouragement and support. You can also help your loved one find a qualified doctor or mental health provider and make an appointment. You may even be able to go to an appointment with him or her.

References
  1. Treasure J, et al. Eating disorders. The Lancet. 2009. In press. Accessed Dec. 11, 2009.
  2. Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/binge.htm. Accessed Dec. 10, 2009.
  3. Proposed disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association, 2000. http://psychiatryonline.com/content.aspx?aID=5458. Accessed Dec. 11, 2009.
  4. Bulik CM, et al. Diagnosis and management of binge eating disorder. World Psychiatry. 2007;6:142.
  5. Yager J. Binge eating disorder: The search for better treatments. American Journal of Psychiatry. 2008;165:1.
  6. Forman SF. Eating disorders: Treatment and outcome. http://www.uptodate.com/home/index.html. Accessed Nov. 2, 2009.
  7. Williams PM, et al. Treating eating disorders in primary care. American Family Physician. 2008;77:187.
  8. Gwirtsman HE, et al. Eating disorders. In: Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: McGraw-Hill Co.; 2008. http://www.accessmedicine.com/content.aspx?aID=3288493. Accessed Nov. 1, 2009.
  9. Douglass L. Yoga as an intervention in the treatment of eating disorders: Does it help? Eating Disorders. 2009;17:126.
  10. Meridia (sibutramine): Market withdrawal due to risk of serious cardiovascular events. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm228830.htm. Accessed Oct. 8, 2010.
DS00608 Oct. 9, 2010

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