Binge Eating Disorder (BED)

Binge eating disorder is characterised by consuming large quantities of food in a very short period of time until the individual is uncomfortably full. It is similar to the eating disorder bulimia nervosa except the individuals do not use any form of purging following a binge. Additionally, people with bulimia are typically of normal weight or may be slightly overweight whereas people with binge eating disorder are typically overweight or obese. Individuals usually feel out of control during a binge episode, followed by feelings of guilt and shame. Many individuals who suffer with binge eating disorder use food as a way to cope with or block out feelings and emotions they do not want to feel. Individuals can also use food as a way to numb themselves, to cope with daily life stressors, to provide comfort or fill a void they feel within. Like all eating disorders, binge eating is a serious problem but can be overcome through proper treatment.

Binge eating disorder is similar to, but it is distinct from, compulsive eating. People with binge eating disorder do not have a compulsion to overeat and do not spend a great deal of time fantasising about food. On the contrary, some people with binge eating disorder have very negative feelings about food. As with other eating disorders, binge eating is an expressive disorder - that is, the disorder is an expression of a deeper, psychological problem.

Continual debate exists over whether binge eating disorder should have its own diagnosis. Some believe that it is a milder form, or subset of bulimia nervosa, but others argue that it is its own distinct disorder. Currently it is characterised under Eating Disorder Not Otherwise Specified (EDNOS), and the diagnostic manual simply states that ‘more research is needed’.

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