Binge-eating disorder

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Symptoms

By Mayo Clinic staff

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 at a normal weight. However, you likely have numerous behavioral and emotional signs and symptoms, such as:

  • Eating unusually large amounts of food
  • Eating even when you're full or not hungry
  • Eating rapidly during binge episodes
  • Eating until you're uncomfortably full
  • Frequently eating alone
  • Feeling that your eating behavior is out of control
  • Feeling depressed, disgusted, ashamed, guilty or upset about your eating
  • Experiencing depression and anxiety
  • Feeling isolated and having difficulty talking about your feelings
  • Frequently dieting, possibly without weight loss
  • Losing and gaining weight repeatedly, also called yo-yo dieting

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.

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 can 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. You can offer encouragement and support and help your loved one find a qualified doctor or mental health provider and make an appointment. You may even offer to go along.

References
  1. Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/binge.htm. Accessed Jan. 31, 2012.
  2. Appendix B: Criteria sets and axes provided for further study. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://dsm.psychiatryonline.org/content.aspx?bookid=22§ionid=1891981. Accessed Jan. 31, 2012.
  3. Sim LA, et al. Identification and treatment of eating disorders in the primary care setting. Mayo Clinic Proceedings. 2010;85:746.
  4. Herpertz S, et al. The diagnosis and treatment of eating disorders. Deutsches Ärzteblatt International. 2011;108:678.
  5. Hay PJ, et al. Clinical psychopharmacology of eating disorders: A research update. International Journal of Neuropsychopharmacology. 2011; In press. Accessed Feb. 2, 2012.
  6. Breuner CC. Complementary, holistic, and integrative medicine: Eating disorders. Pediatrics in Review. 2010;31:c75.
  7. Carei TR, et al. Randomized controlled clinical trial of yoga in the treatment of eating disorders. Journal of Adolescent Health. 2010;46:346.
  8. Forman SF. Eating disorders: Epidemiology, pathogenesis and clinical features. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2012.
  9. Carrard I, et al. Acceptance and efficacy of a guided Internet self-help treatment program for obese patients with binge eating disorder. Clinical Practice & Epidemiology in Mental Health. 2011;7:8.
  10. Hudson JI, et al. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry. 2007;61:348.
  11. Mazzeo SE, et al. Environmental and genetic risk factors for eating disorders: What the clinician needs to know. Child and Adolescent Psychiatric Clinics of North America. 2009;18:67.
  12. Hall-Flavin DK (expert opinion). Mayo Clinic Rochester, Minn. Feb. 22, 2012.
  13. Sim LA (expert opinion). Mayo Clinic Rochester, Minn. Feb. 20, 2012.
  14. Goldschmidt AB, et al. Which dieters are at risk for the onset of binge eating? A prospective study of adolescents and young adults. Journal of Adolescent Health. February 22, 2012. http://jahonline.org. Accessed March 21, 2012.
DS00608 April 3, 2012

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