Many people think eating disorders only involve strict dieting or very low weight. But the most common eating disorder in the U.S. is binge eating disorder (BED). It affects about 1.2% of adult women and 0.42% of adult men.
What binge eating disorder is
Binge eating disorder happens when a person repeatedly eats a large amount of food in a short time and feels unable to stop. After a binge, people often feel shame, guilt or distress.
Unlike some other eating disorders, binge eating does not involve self-induced throwing up, using laxatives or exercising too much. Because of this, it can be easy to miss or misunderstand.
Why binge eating is hard to see
Many people think binge eating is the same as overeating, but it is not. Overeating might happen at a social meal or party. Binge eating feels very different.
Binge eating often includes:
- Eating much more food than usual
- Eating very fast
- Eating past the point of feeling full
- Feeling unable to stop
- Eating to cope with painful emotions
Because it does not always look dramatic on the outside, many people blame themselves instead of seeing it as a real health condition. This can delay getting help.
“Binge eating is about losing control and feeling upset before, during or after eating. If eating feels secret or driven by strong emotions, it may be more than overeating.”
John Langlow, MD, MBA – Medical Director
Health risks
Binge eating disorder can affect both physical and mental health. People with BED have a higher risk of:
- Type 2 diabetes
- High blood pressure
- Heart disease
These risks grow when binge eating happens often.
BED can also harm mental well-being. Many people with BED struggle with:
- Anxiety
- Depression
- Low self-esteem
- Stress
Living with guilt and worry about food can feel overwhelming.
How culture plays a role
The world around us can make binge eating more common. Processed foods are easy to find and are designed to make us want more. Busy days push us toward fast, convenient meals.
At the same time, society sends mixed messages about body shape, dieting and “good” or “bad” foods. This can create a painful cycle of:
- Restriction
- Cravings
- Binge eating
- Shame
Instead of helping us build healthy habits, our culture often adds pressure and guilt.
Overeating vs. binge eating
Overeating is about eating too much at one time. Binge eating is about losing control and feeling upset before, during or after eating. If eating feels secret or driven by strong emotions, it may be more than overeating. That is a sign to seek support.
What to do if you’re struggling
If you feel stuck in a cycle of bingeing and restricting, you are not alone. Small steps can help:
- Notice your triggers, such as stress or being tired
- Try not to skip meals
- Be kind to yourself
- Reach out to a professional for support
Treatment works
Most people with BED can be safely treated with outpatient treatment.
Therapy, such as cognitive behavioral therapy (CBT), can help you change the thoughts and habits that lead to binge eating. Some people may also benefit from medication, but medication alone is usually not enough.
The most helpful care comes from working with trained professionals who can help you build healthy patterns and heal your relationship with food.
If you or someone you know may have BED, Lucet offers resources that can guide you to the next step. Help is available.
John Langlow, MD, MBA is a medical director at Lucet.
