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Signs and symptoms of binge eating disorder

Binge eating disorder (BED) is the most common eating disorder in the United States, affecting an estimated 1.25% of adult women and 0.42% of adult men.1

It is possible to treat binge eating disorder, but to help ensure people with this condition get the help they need and deserve, it's important to understand the signs and symptoms.

5
 minute read
Last updated on 
October 3, 2024
October 3, 2024
Binge eating disorder
In this article

What is binge eating disorder?

Binge eating disorder is a mental health condition that manifests as binge eating episodes. These are distinctive periods when a person eats much more than would be considered typical during that period. Binging episodes are also characterized by:9

  • A lack of control over how much or what is eaten
  • Eating more rapidly than normal
  • Eating beyond the point of feeling full
  • Eating when not feeling physically hungry

Feelings of shame or self-disgust often follow these episodes. And many people partake in these episodes alone due to shame or embarrassment around their eating habits.9

Binge episodes of BED are similar to those involved with bulimia nervosa, though, unlike BN, binge eating disorder doesn't involve "compensatory" behavior for binges, such as self-induced purging. Many people with BED do attempt to diet or otherwise restrict their food intake, but in many cases, this leads to future binge eating episodes.11

Physical signs of binge eating disorder

Weight fluctuation
Cardiovascular issues
Gastrointestinal disturbances

Emotional and behavioral signs of binge eating disorder

Erratic eating behavior
Co-occurring mental health conditions

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Physical symptoms of binge eating disorder

Mood swings and energy fluctuation
Gastrointestinal discomfort

Emotional and behavioral symptoms of binge eating disorder

Preoccupation with body image
Low self-esteem

When to get help for binge eating disorder symptoms

If you notice any of these signs and symptoms of binge eating disorder in yourself or others, it may be time to seek out help.

It can be hard to identify providers who are trained and knowledgeable about disordered eating. Medical providers are not always familiar with the nuances of eating disorders. They may inadvertently add to the problem by focusing on measures like BMI or "treatments" like weight loss.

In general, a multidisciplinary team approach is often most helpful. This allows experts from various fields to help address the physical, mental, and emotional aspects deeply involved in BED and other eating disorders.

We offer remote treatment
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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. Udo, T., Grilo, C. M. (2018). Prevalence and Correlates of DSM-5-defined Eating Disorders in a Nationally Representative Sample of U.S. Adults. Biological Psychiatry, 84(5), 345–35
  2. Mitchell, J. E. (2016). Medical Comorbidity and Medical Complications Associated with Binge eating disorder. International Journal of Eating Disorders, 49, 319-323.
  3. Mathisen, T. F., Rosenvinge, J. H., Friborg, O., et al. (2018). Body Composition and Physical Fitness in Women with Bulimia Nervosa or Binge Eating Disorder. International Journal of Eating Disorders, 51, 331– 342.
  4. Sato, Y., Fukudo, S. (2015). Gastrointestinal Symptoms and Disorders in Patients with Eating Disorders. Clinical Journal Gastroenterol, 8(5), 255-63.
  5. Physical Signs and Symptoms of an Eating Disorder. (2019, August 22). National Eating Disorders Association. Accessed May 2024.
  6. Santonicola, A., Gagliardi, M., Guarino, M., Siniscalchi, M., Ciacci, C., & Iovino, P. (2019). Eating Disorders and Gastrointestinal Diseases. Nutrients, 11(12), 3038. 
  7. Definition & Facts for Binge Eating Disorder. (n.d.) National Institute of Diabetes and Digestive and Kidney Diseases. Accessed May 2024.
  8. Cremonini, F., Camilleri, M., Clark, M. M., Beebe, T. J., Locke, G. R., Zinsmeister, A. R., Herrick, L. M., Talley, N. J. (2009). Associations Among Binge Eating Behavior Patterns and Gastrointestinal Symptoms: a Population-based Study. International Journal of Obesity, 33(3), 342-53.
  9. DSM-IV and DSM-5 diagnostic criteria for binge-eating disorder. (2015). Comparative Effectiveness Reviews, 160.
  10. Wheeler, R. B. (2021). Binge Eating Disorder Symptoms. WebMD. Accessed May 2024.
  11. Binge Eating Disorder. (2018, May 5). Mayo Clinic. Accessed May 2024.
  12. Iqbal, A., Rehman, A. (2015). Binge Eating Disorder. StatPearls. Accessed May 2024.

FAQs

Can I binge eat and not gain weight?

While many people do gain weight following periods of binge eating, the effect does not happen to everyone. Many people with BED practice intermittent dieting, which may counteract weight gain, and everyone's body and metabolism are completely different.

If you're experiencing the signs and symptoms of binge eating disorder, whether or not you're gaining weight, it's essential to seek out help.

Further reading

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Further reading

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