Binge Eating Disorder (BED): is categorised by binge eating, in the absence of compensatory behaviour, occurring once a week for at least 3 months.
Binge eating episodes are associated with: eating rapidly, when not hungry, until extreme fullness, and/or associated with depression, shame or guilt.
Treatment of Binge Eating Disorder
The primary goal of Binge Eating Disorder treatment is to resolve the eating disorder symptoms as follows;
- Abstinence from binge eating
- Reduce the over evaluation of shape and weight (describing a sense that self worth is largely or exclusively dependent on attainment of a certain weight or shape)
- Weight stabilisation
Note: Weight loss is not a necessary part of treatment for Binge Eating Disorder. If a person is experiencing negative health effects, lifestyle and behaviour changes such as physical activity and improved nutritional quality are helpful, even if there is no change in body weight.
To date, the most effective treatment method for Binge Eating Disorder is Cognitive Behavioural Therapy-Enhanced (CBT-E).
This approach focuses on restoring regular eating (i.e., removing the occurrence of binge-eating episodes), reducing the overevaluation of weight and shape, improving self-worth, and practicing effective emotional regulation skills.
While treatment with an experienced therapist is always recommended as the first line approach, there is also been evidence for Guided-Self Help (GSH) approaches such as the following;
Overcoming Bulimia and Binge-Eating: A self-help guide using Cognitive Behavioral Techniques. Rev Ed. Auth: Peter Cooper Pub: Robinson UK, 2009