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How to help someone with binge eating disorder

Binge eating disorder (BED) is a serious mental health condition that can have devastating impacts, not just on the people struggling with it, but on their friends, family, and loved ones.

Whether you're wondering how to help a friend with binge eating disorder, how to help a partner with binge eating disorder, or how to help anyone else with BED, there are some ideas and considerations to keep in mind.

8
 minute read
Last updated on 
August 26, 2024
Help for binge eating disorder
In this article

What is binge eating disorder?

Despite being the second-most common eating disorder in the United States—behind only the umbrella category of other specified feeding or eating disorders (OSFED)—binge eating disorder is still widely misunderstood.1

The condition revolves around episodes of binge eating, which involve eating large quantities of food over a given period of time (for example, in a three-hour window of time). There is a loss of control during these episodes over what and how much is eaten, and they are often followed by feelings of shame or guilt over the behavior.1

Unlike other eating disorders that feature binge eating episodes, BED does not include compensatory behavior, meaning those who struggle with BED do not exercise, vomit, use laxatives, or participate in other behaviors to "undo" the effects of their binge eating.1

Generally, a doctor or therapist will diagnose binge eating disorder if someone experiences a binge eating episode at least once a week over the course of at least three months.1

Causes of BED

As with most eating disorders, BED can be traced to a number of biological, psychological, and environmental causes. It usually isn’t just one factor but a combination of issues that lead to the development of binge eating disorder.

Some common binge eating disorder risk factors include:2

The experience of trauma—particularly bullying, discrimination, food insecurity, and abuse—has also been tied to the development of BED.3,6

Common misconceptions about BED

Binge eating disorder remains misunderstood, despite impacting a large number of people.

Many believe that the condition is simply an issue of willpower. They may say that someone with BED can simply choose to eat better or stop eating so much. This is not the case. In fact, this widespread misconception about BED is partially what drives feelings of shame, guilt, and embarrassment around the disorder for those struggling with it.

Others think everyone who struggles with BED is overweight, but this is also untrue. The disorder impacts people of all body shapes and sizes, as well as all genders, races, ethnicities, and ages. And BED is neither rare, the same thing as bulimia nervosa, nor a behavior people only resort to when they're stressed.

Binge eating disorder is a legitimate and complex mental health issue that can not be simplified by any of these false assumptions.

When to get help for someone with binge eating disorder

Many people with BED will try to hide their symptoms of binge eating or possibly even be in denial of their condition or the severity of it. This can all make it difficult to know whether someone is even struggling with BED, let alone when or if they need help.

Some warning signs to look out for include:2,4
  • Missing, hidden, stashed, or hoarded food
  • Evidence of binging episodes, such as food wrappers or containers in the garbage
  • Obsessive thinking about food or specific food cravings
  • Often eating alone or avoiding food-related events with others
  • Frequent dieting
  • Feelings of guilt, shame, embarrassment, or remorse related to food or eating habits
  • Weight gain or weight fluctuation

If you recognize some of these warning signs in your loved one or otherwise worry they may be struggling with a deeper binge eating problem, it's likely time to seek out help.

Helping someone with binge eating disorder

Whether you're wondering how to help a friend with binge eating disorder, how to help a partner with binge eating disorder, or how to help a son or daughter stop binge eating, there are approaches you can take that can help encourage both their seeking treatment and their long term recovery.

Remember: Eating disorders are complex, and recovery is a process. If they're an important part of your life, it's important to help someone with binge eating disorder at the many different stages of their recovery journey.

Talk to them
Advocate for professional help
Encourage healthy coping mechanisms/positive changes
Create a supportive environment
Learn how to deal with relapses and setbacks

Don't forget about your own self-care

Indeed, helping someone else can take a lot of energy away from yourself. This is why it's important to remember your own needs, even when someone else is struggling.

You may want to try following your own mindfulness or meditation practices, journaling, yoga, going for walks, meeting up with friends, or participating in other activities that feel good, help you relax, take your mind off of the situation, and help you feel more grounded and focused.

When your own energy is depleted, it can be even more difficult to give anything to anyone else. Filling your cup first can help ensure that you have enough left to offer your loved one in their times of need.

Disclaimer about "overeating": Within Health hesitatingly uses the word "overeating" because it is the term currently associated with this condition in society, however, we believe it inherently overlooks the various psychological aspects of this condition which are often interconnected with internalized diet culture, and a restrictive mindset about food. For the remainder of this piece, we will therefore be putting "overeating" in quotations to recognize that the diagnosis itself pathologizes behavior that is potentially hardwired and adaptive to a restrictive mindset.

Disclaimer about weight loss drugs: Within does not endorse the use of any weight loss drug or behavior and seeks to provide education on the insidious nature of diet culture. We understand the complex nature of disordered eating and eating disorders and strongly encourage anyone engaging in these behaviors to reach out for help as soon as possible. No statement should be taken as healthcare advice. All healthcare decisions should be made with your individual healthcare provider.

Resources

  1. Binge Eating Disorder. (n.d.) National Eating Disorders Association. Accessed March 2024.
  2. Binge-eating disorder. (n.d.) Mayo Clinic. Accessed March 2024.
  3. Striegel-Moore, R., Dohm, F., Pike, K. M., Wilfley, D. M., Fairburn, C. G. (2002). Abuse, Bullying, and Discrimination as Risk Factors for Binge Eating Disorder. The American Journal of Psychiatry, 159(11), 1902-1907.
  4. Binge Eating Disorder. (n.d.) Cleveland Clinic. Accessed March 2024.
  5. How to help someone with an eating disorder. (2023). National Health Service. Accessed March 2024.
  6. Hazzard, V. M., Loth, K. A., Hooper, L., Becker, C. B. (2020). Food Insecurity and Eating Disorders: a Review of Emerging Evidence. Current Psychiatry Reports, 22(12), 74.

FAQs

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