Author: Hannah Hickenbotham

Binge Eating Disorder (BED) is a significant mental health challenge affecting approximately 1.5% of women and 0.3% of men worldwide. Despite its prevalence, BED often remains misunderstood and stigmatised, leading many to suffer in silence. In this blog, we aim to provide insight into BED with compassion to reduce the stigmas and stereotypes commonly associated with the condition. We'll explore its prevalence, signs, impact on daily life, associated conditions, and available treatment options. We aim to offer understanding and support to those grappling with this complex disorder. What is Binge Eating Disorder? Binge Eating Disorder (BED) is characterised by recurrent episodes of consuming large amounts of food in a short period, accompanied by a sense of loss of control. This can lead to feelings of guilt, shame, and distress. BED affects individuals from all demographics and backgrounds. However, due to stigma and misconceptions surrounding overeating and weight-related issues, many individuals may hesitate to seek help or may not even recognize their symptoms as a treatable disorder. What are the signs of Binge Eating Disorder? BED is often a very secretive disorder as a result of the shame associated with eating behaviours. However, if you are concerned about yourself or a loved one, it is important to recognise the symptoms of BED to get help and know that recovery is possible. Common signs to look out for can include: Consuming large amounts of food: Episodes of binge eating involve consuming unusually large quantities of food in a short period, often to the point of discomfort. A lack of awareness of food consumption: Individuals may feel like they are in a trance, or be unable to remember consuming large quantities of food leading to a sense of being out of control. Eating in secret: Individuals with BED may feel ashamed of their eating habits and may eat in secret to avoid judgment or scrutiny from others. Emotional distress: Binge eating episodes are typically followed by intense feelings of guilt, shame, and distress. Individuals may feel overwhelmed by their lack of control over their eating habits. Attempts to control eating: Individuals may force themselves to restrict due to the guilt of eating, which causes intense feelings of hunger causing bingeing behaviours to occur, leading to a cycle of guilt and further binge eating. How does Binge Eating Disorder impact someone's day-to-day life? Binge eating is not a case of eating a large meal and getting on with your day. Individuals with Binge Eating Disorder may experience constant preoccupation with food, their body, negative thoughts about themselves and a desire to lose weight. Resulting from the guilt and shame individuals may experience, their lives can become very isolating and lonely, which is why talking about these issues and reducing the stigmas are so important to support individuals in their recovery. Binge Eating Disorder can negatively impact: Emotional well-being: Living with BED can take a significant toll on emotional well-being, leading to feelings of guilt, shame, and low self-esteem. These emotions may contribute to further binge eating episodes, creating a cycle of distress. Social Interactions: Individuals with BED may withdraw from social activities or avoid situations involving food due to feelings of embarrassment or shame about their eating habits. This can lead to social isolation and strained relationships. Decreased productivity and absenteeism: BED may cause concentration, fatigue, and physical discomfort after binge eating episodes. Stressful work situations can trigger binge eating, affecting job performance and attendance. Physical Health: Binge eating can have detrimental effects on physical health, including weight gain, obesity, gastrointestinal issues, and increased risk of chronic conditions such as type 2 diabetes and cardiovascular disease. Additionally, individuals may experience fatigue, lethargy, and decreased energy levels due to their eating habits. Impact on intimacy: BED can affect intimacy in romantic relationships, as individuals may feel self-conscious about their bodies and avoid physical intimacy. Feelings of guilt and shame may also interfere with emotional closeness and connection. Financial strain: Binge eating episodes can result in excessive spending on food, leading to financial strain and conflict within relationships. Partners may feel frustrated or concerned about the financial implications of binge eating disorder and may struggle to support their loved one financially. What comorbidities are associated with Binge Eating Disorder? Depression: Many individuals with BED also experience symptoms of depression, including persistent sadness, feelings of worthlessness, and loss of interest in activities they once enjoyed. Anxiety disorders: Anxiety disorders are commonly associated with BED, with a 2021 study reporting 59% of individuals with BED experiencing anxiety, including generalised anxiety disorder, social anxiety disorder, and panic disorder. These conditions may exacerbate feelings of distress and contribute to binge eating episodes. Substance abuse: A 2021 study reported that 68% of individuals experience substance use disorders. Some individuals with BED may turn to substances such as alcohol or drugs as a means of coping with emotional distress or numbing their feelings of guilt and shame. Borderline personality disorder (BPD): Binge eating behaviours have been seen in patients with BPD, which is suggested to allow individuals to cause self-harm using food, as well as a temporary suppression of feelings of emptiness. Post-traumatic stress disorder (PTSD): Similarly to BPD, bingeing may provide a form of self-harm using food for individuals that have experienced trauma due to the resulting feelings of guilt, shame and self-loathing. What are the treatment options for Binge Eating Disorder? Effective treatment options are available for BED, including cognitive-behavioral therapy (CBT), medication, and support groups. BED treatment involves establishing a regular pattern of eating, understanding the emotions and experiences which lead to binge eating, and establishing alternative coping mechanisms which allow you to navigate challenging situations without leaning into binge eating. Cognitive-Behavioural Therapy (CBT): CBT is considered the gold standard treatment for BED and focuses on identifying and challenging maladaptive thoughts and behaviours related to food and body image. This therapy aims to develop healthier coping strategies and improve self-esteem. Dietetic support: Dietetic support can aid in recovery from binge eating disorder by providing personalised meal plans, nutritional guidance, and strategies to develop a healthy relationship with food. Additionally, dietitians can address underlying issues related to binge eating, such as emotional eating triggers, and support individuals in adopting balanced eating habits to manage their symptoms effectively. Medication: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help alleviate symptoms of depression and anxiety commonly associated with BED. These medications can help stabilise mood and reduce the frequency and severity of binge eating episodes. Support Groups: Joining a support group for individuals with BED can provide valuable peer support, encouragement, and validation. These groups offer a safe space to share experiences, learn from others, and receive guidance and encouragement on the journey to recovery. Binge Eating Disorder is a serious mental health condition that requires understanding, support, and appropriate treatment. At The Body Image Treatment Clinic, London, we have a team of Psychotherapists and Dietitians who specialise in supporting individuals with eating disorders, such as Binge Eating Disorder. Please visit our Eating Disorder Services page or send a message via our contact page to find out more about how we can help you on your recovery journey.

Author: Hannah Hickenbotham

Understanding Binge Eating Disorder

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