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Understanding Binge Eating
If you gorged yourself on chocolate during Halloween or ate so much of your grandma's
pumpkin pie at Thanksgiving that you had to wear elastic-waist pants afterwards, you know
what it feels like to overeat. It's not unusual to overeat from time to time — most
During our teens, the body demands extra nutrients to support growth of muscle and bone.
So if you go through phases where you feel like eating more sometimes, that's usually
But binge eating is different from normal appetite increases or overeating from time to
time. People with a binge eating problem consume unusually large amounts of food on a
regular basis. They often eat quickly, do other things while eating (like watch TV or do
homework), and don't stop eating when they're full. People who binge eat are usually
overweight — even obese — because they habitually consume more calories than their
bodies can use. As a result, they may feel bad about themselves and about their bodies.
Binge eating involves more than just eating a lot. People with this problem don't want to
be overweight. They wish they could be trim and control their weight. Many times people
who binge eat feel misunderstood. It's not as easy as others might think to just stop
eating. With binge eating, a person feels out of control and powerless to stop eating
while doing it. That's why binge eating is also called compulsive overeating.
Emotions often play a role. People with a binge eating problem may overeat when they feel
stressed, upset, hurt, or angry. Many find it comforting and soothing to eat, but after a
binge they're likely to feel guilty and sad about the out-of-control eating. Binge eating
is often a mixed-up way of dealing with or avoiding difficult emotions. Usually, people
who binge eat aren't aware of what's driving them to overeat.
How Binge Eating Differs From Other Eating Disorders
Anorexia nervosa, bulimia nervosa, and binge eating are all considered eating disorders
because they involve unhealthy patterns of eating.
Both binge eating and bulimia involve eating too much food, feeling out of control while
eating, and feeling guilty or ashamed afterward. With bulimia nervosa (sometimes called
binge-purge syndrome), people vomit or use laxatives to try to keep themselves from
gaining weight after eating. They may also try to burn off the extra calories by
exercising compulsively as a way to make up for overeating. Usually, people with bulimia
do not become noticeably overweight (like those with binge eating) or underweight (like
those with anorexia).
Unlike bulimia, people with binge eating disorder do not use vomiting or laxatives to
purge as a way to control weight. People with binge eating problems are usually
overweight. They may try to diet, but often the diets are extreme or unhealthy. Efforts to
adopt healthier ways of eating are often short-lived and unsuccessful.
Both bulimia and binge eating involve out-of-control overeating. Anorexia involves under
eating, or restricting food. People with anorexia are obsessively preoccupied with
thinness and starve themselves to feel more in control. A distorted body image leads them
to believe they're fat — even though they actually may be dangerously thin. Like people
with bulimia, some people with anorexia may also exercise compulsively to lose weight.
All three of these eating disorders involve unhealthy eating patterns that begin gradually
and build to the point where a person feels unable to control them. All eating disorders
can lead to serious health consequences, and all involve emotional distress.
Why Do Some People Binge Eat?
Most experts believe that it takes a combination of things to develop an eating disorder
— including a person's genes, emotions, and behaviors (such as eating patterns) learned
Some people may be more prone to overeating for biological reasons. For example, the
hypothalamus (the part of the brain that controls appetite) may fail to send proper
messages about hunger and fullness. And serotonin, a normal brain chemical that affects
mood and some compulsive behaviors, may also play a role in binge eating.
In most cases, the unhealthy overeating habits that develop into binge eating start during
childhood, sometimes as a result of eating habits learned in the family. It's normal to
associate food with nurturing and love. But some families may overuse food as a way to
soothe or comfort. When this is the case, kids may grow up with a habit of overeating to
soothe themselves when they're feeling pressured because they may not have learned
healthier ways to deal with stress. Some kids may grow up believing that unhappy or
upsetting feelings should be suppressed and may use food to quiet these emotions.
Both guys and girls can have eating disorders. Anorexia and bulimia appear to be more
common among girls. But binge eating seems to be just as likely to affect guys as girls.
It's hard to know just how many teens may have a binge eating problem. Because people
often feel guilty or embarrassed about the out-of-control eating, many don't talk about it
or seek help.
Signs of a Binge Eating Problem
Someone with a binge eating problem might:
binge eat more than twice a week for 6 months or more
eat much more rapidly than normal
eat until uncomfortably full
eat large amounts of food even when not hungry
eat alone because of embarrassment
feel disgusted, depressed, embarrassed, ashamed, angry, or guilty after a binge eating
gain weight excessively
For many people with binge eating problems, it can seem hard to reach out for help because
of the stigma that society places on overeating and being overweight. Many people don't
get treatment for binge eating until they're adults trying to lose weight. But getting
professional help as a teen can reduce some of the long-term health problems.
People with eating disorders need professional help because problems like binge eating can
be caused by brain chemistry and other things that seem beyond someone's control. Doctors,
counselors, and nutrition experts often work together to help those with eating disorders
manage their eating, weight, and feelings.
Nutrition specialists or dietitians can help them learn about healthy eating behaviors,
nutritional needs, portion sizes, metabolism, and exercise. They also can help design an
eating plan that's specially designed for someone's needs and help the person stick with
it and make progress.
Unlike a problem with drugs or alcohol where part of the treatment is avoiding the
substance altogether, people still have to eat. This can make it harder for someone with a
binge eating problem to overcome it because the temptation to overeat is always there. So
part of dealing with a binge eating disorder is learning how to have a healthy
relationship with food.
Psychologists and other therapists can help people learn healthy ways of coping with
emotions, thoughts, stress, and other things that might contribute to someone's eating
Sometimes certain family members can help by talking with the person and his or her
therapist about shared eating patterns, feelings (and beliefs about how feelings should be
expressed), and family relationships. Doing this can help someone examine how certain
eating patterns might be influenced by family — and to change the patterns that aren't
Depending on what's behind someone's binge eating, doctors may prescribe medications along
with therapy and nutrition advice.
People with binge eating disorder may find it helpful to surround themselves with
supportive family members and friends. It's best to avoid people who make negative
comments about eating or weight because they can add to someone's feelings of
self-criticism, making matters worse.
Another thing that can help build self-confidence and take a person's mind off eating is
trying a new extracurricular activity or hobby. Finding a way to express feelings, such as
through music, art, dance, or writing, also can help someone deal with difficult emotions
in a healthy way.
As with any eating disorder, there is no quick fix for binge eating. Treatment can take
several months or longer while someone learns a healthier approach to food. But with the
right guidance, commitment, and practice, it is possible to overcome old habits and
replace them with healthier behaviors.