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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.
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
One of the most outwardly noticeable signs of binge eating disorder is fluctuations in weight. As many people with BED attempt to diet, this can include periods of losing weight, followed by periods of gaining weight as a result of binge eating episodes. It's important to note, however, that while many people consider weight gain to be one of the primary signs of binge eating, not everyone with BED is in a larger body.
A growing number of studies have indicated that the weight fluctuation and weight gain seen with BED can increase the likelihood of developing metabolic syndrome and heart problems.2,3 Heart disease is another issue commonly associated with BED.7
Repeated binging episodes can result in long-term effects on the gastrointestinal system. In extreme cases, it can result in acute gastric dilation and gastric perforation, where the stomach becomes so full it ruptures.4
Emotional and behavioral signs of binge eating disorder
While binge eating episodes are the most common sign of binge eating disorder, they're often driven by additional mental health concerns.
Anxiety and depression are extremely common co-occurring conditions with BED, with mood disorders affecting 54.2% of those with BED. Anxiety, in particular, co-occurs in 37.1% of people with binge eating disorder.6
The mental health conditions commonly connected to binge eating disorder can manifest in several ways, which is why a frequent symptom of binge eating disorder is mood swings. This can be related to the anxiety or depression people with BED commonly experience.
The disordered eating patterns involved with the condition can also contribute to mood fluctuation and energy fluctuation, leaving people feeling tired or lacking energy.
Binging episodes can cause people to feel uncomfortably full or nauseous. Furthermore, ingesting large amounts of food in a short space of time can lead to heartburn, bloating, and abdominal pain.8
Binge eating may also lead to irritable bowel syndrome in BED patients, showing an increase in the instances of diarrhea, constipation, feelings of anal blockage, and chronic stomach discomfort.8
Emotional and behavioral symptoms of binge eating disorder
As with many eating disorders, binge eating disorder involves a preoccupation with body image, shape, or weight.12 Many people struggling with this condition will exhibit this fixation, which may look like a focus on nutritional information, frequent dieting, or self-consciousness about one's weight or appearance.
These symptoms of binge eating disorder can be associated with many factors, but for a lot of people who struggle with the condition, they're connected to the trait of perfectionism.12
BED is a vicious cycle. People binge to distract themselves from negative emotions. The resulting feelings of shame can lead to feelings of worthlessness.10 The bad feelings associated with a poor self-image can trigger another binging episode. And so the cycle continues.
In addition, the distorted or overly negative body image many people with BED struggle with may contribute to feelings of low self-esteem. As a result, a person may hide their body with baggy clothing. Poor body image could also be an indication that someone is also struggling with body dysmorphic disorder.11
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.
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.
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.