Treatment FAQ

what are treatment options for binge eating disorder

by Zachary Blick Published 2 years ago Updated 2 years ago
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Medication

Lisdexamfetamine dimesylate (Vyvanse) is the first FDA-approved drug to treat binge eating disorder in adults. It's also used to treat ADHD. It is not clear how the drug works in binge eating, but it’s thought to control the impulsive behavior that can lead to bingeing. In studies, patients who took the medicine had fewer episodes of binge eating.

Therapy

  • You struggle to eat in front of others. ...
  • You develop rituals based around eating. ...
  • You’re losing and gaining weight rapidly. ...
  • You’re experiencing body dysmorphia. ...
  • You’re constantly eliminating food groups or experimenting with new diet trends. ...
  • You struggle to stay warm, even when it’s hot outside. ...
  • Your stomach constantly hurts. ...

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Nutrition

Vyvanse isn't a new drug, but the FDA approved it as a treatment for binge eating disorder (BED) in 2015. It was first used as a treatment for attention deficit hyperactivity disorder (ADHD).

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While it is possible to lose weight and burn fat in a healthy manner with intermittent fasting, you may not be the type to thrive on this style of eating. It’s important to recognize when intermittent fasting is dangerous and straying into a type of eating disorder. Look for the following warning signs: You feel anxiety about food.

Which medications are used to treat binge eating disorder?

How to tell if you have a binge eating disorder?

Does Vyvanse help treat binge eating disorder?

Does intermittent fasting help with binge eating disorder?

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What is the treatment of binge?

Lisdexamfetamine (Vyvanse) is approved by the FDA to treat binge eating disorder. The drug, which is also used to treat ADHD, helps reduce the number of episodes and is the first FDA-approved medication to treat binge eating disorder.

What therapy helps with eating?

The following are several types of the most prominent therapies used to treat eating disorders.Cognitive Behavioral Therapy. ... Cognitive Processing Therapy. ... Dialectical Behavioral Therapy. ... Interpersonal Psychotherapy. ... Acceptance and Commitment Therapy. ... Nutritional Therapy. ... Family Therapy. ... Expressive Arts Therapy.More items...

How do you get rid of a binging addiction?

Eat breakfast. People who binge eat have predictable patterns. Many will eat no breakfast, have a light lunch, then be famished in the afternoon and eat too much. Eat at regular times throughout the day. Timely, predictable meals go a long way toward giving you power over the binge.

How would a patient overcome an eating disorder?

Individual or group therapy. Therapy can help you explore the issues underlying your eating disorder, improve your self-esteem, and learn healthy ways of responding to stress and emotional pain. Different therapists have different methods, so it is important to discuss with them your goals in working towards recovery.

What is the most successful type of therapy for individuals with anorexia nervosa?

CBT and IPT are the most established treatments for binge eating disorder and bulimia nervosa. FBT is the most established type of therapy for children and adolescents with anorexia nervosa, and may also be beneficial for those with bulimia nervosa.

What is the first treatment objective when treating a patient with anorexia nervosa?

The first goal of treatment is getting back to a healthy weight. You can't recover from anorexia without returning to a healthy weight and learning proper nutrition. Those involved in this process may include: Your primary care doctor, who can provide medical care and supervise your calorie needs and weight gain.

How do you overcome a fast food addiction?

Here are 10 ideas to get you started.Plan ahead. There's no better way to handle cravings than planning your meals and snacks ahead of time. ... Shop the perimeter. ... Eat healthy fats. ... Eat enough protein. ... Try fruit. ... Taste the rainbow. ... Think about junk food differently. ... Focus on adding healthy foods.More items...

How do I get self control with food?

To help stop emotional eating, try these tips:Keep a food diary. Write down what you eat, how much you eat, when you eat, how you're feeling when you eat and how hungry you are. ... Tame your stress. ... Have a hunger reality check. ... Get support. ... Fight boredom. ... Take away temptation. ... Don't deprive yourself. ... Snack healthy.More items...

Which type of mental health professional is most likely to prescribe medication to a patient with clinical depression?

Medications and psychotherapy are effective for most people with depression. Your primary care doctor or psychiatrist can prescribe medications to relieve symptoms. However, many people with depression also benefit from seeing a psychiatrist, psychologist or other mental health professional.

What is enhanced CBT?

CBT-E stands for Enhanced Cognitive Behavior Therapy. It is one of the leading evidence-based treatments for eating disorders, including anorexia nervosa, bulimia nervosa, binge-eating disorder, and other similar states. CBT-E was originally developed as an outpatient treatment for adults.

What is an Orthorexic?

What Is Orthorexia? Orthorexia is an unhealthy focus on eating in a healthy way. Eating nutritious food is good, but if you have orthorexia, you obsess about it to a degree that can damage your overall well-being. Steven Bratman, MD, a California doctor, coined the term in 1996.

Setting Up A Treatment Plan

You and your treatment team determine what your needs are and come up with goals and guidelines. Your treatment team works with you to: 1. Develop...

Medications For Eating Disorders

Medications can't cure an eating disorder. They're most effective when combined with psychological therapy.Antidepressants are the most common medi...

Hospitalization For Eating Disorders

Hospitalization may be necessary if you have serious physical or mental health problems or if you have anorexia and are unable to eat or gain weigh...

Hospital Day Treatment Programs

Day treatment programs are structured and generally require attendance for multiple hours a day, several days a week. Day treatment can include med...

Residential Treatment For Eating Disorders

With residential treatment, you temporarily live at an eating disorder treatment facility. A residential treatment program may be necessary if you...

Ongoing Treatment For Health Problems

Eating disorders can cause serious health problems related to inadequate nutrition, overeating, bingeing and other factors. The type of health prob...

What is the best treatment for binge eating disorder?

First-line treatment for binge eating disorder in adults is individual psychological therapy. Manual-based cognitive-behavioral therapy (CBT) is the most researched psychotherapy for BED, and at present, the best-supported among all treatment options. 3

What is binge eating disorder?

Binge eating disorder (BED) is the most common eating disorder in the United States . According to the National Eating Disorders Association, it is believed to affect 3.5% of women, 2% of men, and up to 1.6% of adolescents 1  . It is characterized by repeated episodes of binge eating without the compensatory behaviors found in bulimia nervosa.

What is CBT therapy?

6. CBT is a time-limited approach that focuses on the interaction between thoughts, feelings, and behaviors.

What is the key component of CBT for BED?

Key components of the treatment include psychoeducation, mindfulness, self-monitoring of key behaviors, cognitive restructuring, and establishing regular patterns of eating. 7 CBT for BED addresses dietary restriction and the incorporation of feared foods.

What does it mean to be identified as a distinct eating disorder?

Being identified as a distinct eating disorder means that individuals with this condition can receive more support and treatment. It also may result in further research on the condition and help reassure people that others share the same experience.

Is binge eating disorder a medical condition?

Although commonly thought to be a “less severe” eating disorder, binge eating disorder can cause significant emotional and physical distress and is associated with significant medical issues and an increased mortality rate. 2 .

When was CBT E published?

The book was published in 1993 by Fairburn, Marcus, and Wilson and an update of that treatment, CBT-E, was published in 2008 by Fairburn. 4. According to an extensive review of the literature in 2015, there are also still too few studies to draw conclusions about which formats of CBT might be most effective. 5.

What is the best medication for binge eating?

Medication. Lisdexamfetamine ( Vyvanse) is approved by the FDA to treat binge eating disorder. The drug, which is also used to treat ADHD, helps reduce the number of episodes and is the first FDA-approved medication to treat binge eating disorder. The most common side effects are dry mouth, trouble sleeping, increased heart rate, ...

How does group therapy help with eating disorders?

In group therapy, you can find support and openly discuss your feelings and concerns with others who share common experiences and problems.

What is the outlook of binge eating disorder?

What's the Outlook? Like other eating disorders, binge eating disorder is a serious problem that can be solved with proper treatment. With treatment and commitment, many people with this disorder can overcome the habit of overeating and learn healthy eating patterns.

Why is binge eating so difficult?

Treatment of binge eating disorder is challenging, because most people feel ashamed of their disorder and try to hide their problem. Often, they're so successful that close family members and friends don't know they binge eat. Eating disorders require a big-picture treatment plan that's tailored to meet your individual needs.

What is the best way to change your thinking?

Psychotherapy. This is a type of individual counseling that focuses on changing your thinking (cognitive therapy) and behavior (behavioral therapy). It includes practical techniques for developing healthy attitudes toward food and weight, as well as approaches for changing the way you respond to difficult situations.

What is the treatment for eating disorders?

Treatments for eating disorders include therapy, education and medication. Find out what works. By Mayo Clinic Staff. Eating disorder treatment depends on your particular disorder and your symptoms. It typically includes a combination of psychological therapy (psychotherapy), nutrition education, medical monitoring and sometimes medications.

What type of therapy is used for eating disorders?

Cognitive behavioral therapy. This type of psychotherapy focuses on behaviors, thoughts and feelings related to your eating disorder. After helping you gain healthy eating behaviors, it helps you learn to recognize and change distorted thoughts that lead to eating disorder behaviors. Family-based therapy.

What to do if eating disorder doesn't improve?

If an eating disorder doesn't improve with standard treatment or causes health problems, you may need hospitalization or another type of inpatient program. Having an organized approach to eating disorder treatment can help you manage symptoms, return to a healthy weight, and maintain your physical and mental health.

How to help someone with eating disorder?

Practice meal planning. Establish regular eating patterns — generally, three meals a day with regular snacks. Take steps to avoid dieting or bingeing.

What are the health problems associated with eating disorders?

Health problems linked to eating disorders may include: Electrolyte imbalances, which can interfere with the functioning of your muscles, heart and nerves. Heart problems and high blood pressure. Digestive problems.

How long does eating disorder therapy last?

It involves seeing a psychologist or another mental health professional on a regular basis. Therapy may last from a few months to years. It can help you to: Normalize your eating patterns and achieve a healthy weight.

What is hospital day treatment?

Hospital day treatment programs. Day treatment programs are structured and generally require attendance for multiple hours a day, several days a week. Day treatment can include medical care; group, individual and family therapy; structured eating sessions; and nutrition education.

What is the best treatment for binge eating disorder?

Psychotherapy is the most common treatment for binge eating disorder. Several types of psychotherapies are available for use in treating binge eating disorder, but cognitive behavioral therapy (CBT) is generally the first one tried.

How to get rid of binge eating?

Get rid of "binge foods": If you tend to binge on certain foods, don't keep them in the house. If they aren't readily available, it is easier to avoid them. Meal-plan: Plan healthy meals and snacks ahead of time, and stick to your list when grocery shopping.

What is binge eating disorder?

Binge eating disorder is different from overeating. While everyone has times they eat until they are uncomfortably full, people who have binge eating disorder feel they are not in control of their eating.

What is the most common eating disorder in the United States?

Binge eating disorder is the most common eating disorder in the United States. It is marked by episodes of eating large amounts of food in a short period of time without engaging in behaviors to counteract the binge eating, such as inducing vomiting or excessive exercise.

How successful is CBT E?

In one study, CBT-E had a success rate of about 66% across a variety of eating disorders. 3. With CBT-E, people with binge eating disorder are actively involved in all areas of treatment and have the final say on all decisions. This encourages a feeling of self-control. 4.

What are the barriers to binge eating?

Stigma, fat-phobia, and equating body size with value are all barriers to treatment for binge eating disorder. It is imperative that healthcare providers use language and practices that are weight-inclusive and consider "fat" a neutral descriptor. 10

What is cognitive behavioral therapy?

Cognitive behavioral therapy is a type of psychotherapy that focuses on disordered or negative thinking patterns and works on changing them into positive, productive ones. CBT works on the premise that: 2. Faulty or unhelpful ways of thinking can lead to psychological problems.

Learning What Treatment Options For Binge Eating Disorder Are Effective

As with treatment for any eating disorder, combining therapeutic treatments that involve nutritional/medical interventions, psychotherapy, medication management and more may help a person with binge eating disorder find recovery.

Addressing Weight Concerns Among Binge Eating Disorder Sufferers

While binge eating disorder can occur and develop in any individual, regardless of their weight, size, or body type, many sufferers may become overweight or obese as a result of binge eating behaviors.

Treating Binge Eating Disorder

Seeking treatment for binge eating disorder is important because it can lead to health conditions such as depression, diabetes, heart disease, high cholesterol, blood pressure, gallbladder disease, and cancer. 2

Treatment Outcomes

Lydecker discusses treatment duration and outcomes for binge eating disorder below.

Tips to Improve Treatment Outcomes

These are some strategies that can help you reduce binge eating and improve treatment outcomes: 3

A Word From Verywell

Binge eating disorder is a psychiatric condition that can lead to serious health complications if left untreated. If you think you or a loved one may have binge eating disorder, you should seek treatment from a healthcare professional. Treatment can involve therapy and medication.

What is eating disorder therapy?

A relatively short-term, symptom-oriented therapy focusing on the beliefs, values, and cognitive processes that maintain the eating disorder behavior. It aims to modify distorted beliefs and attitudes about the meaning of weight, shape, and appearance, which are correlated to the development and maintenance of the eating disorder.

What is evidence based treatment for eating disorders?

Many professionals now recommend the use of evidence-based treatment, which is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.” In eating disorder therapies, evidence-based treatment usually means that the therapy has been used in a research study and found to be effective in reducing eating disorder symptoms, encouraging weight restoration in underweight patients, and decreasing eating disorder thoughts.

What is DBT treatment?

A behavioral treatment supported by empirical evidence for treatment of binge eating disorder, bulimia nervosa, and anorexia nervosa. DBT assumes that the most effective place to begin treatment is with changing behaviors. Treatment focuses on developing skills to replace maladaptive eating disorder behaviors. Skills focus on building mindfulness skills, becoming more effective in interpersonal relationships, emotion regulation, and distress tolerance. Although DBT was initially developed to treat borderline personality disorder, it is currently being used to treat eating disorders as well as substance abuse.

What is CRT in eating disorders?

CRT targets rigid thinking processes considered a core component of anorexia nervosa through simple exercises, reflection, and guided supervision. As of 2017, CRT is being studied to test effectiveness in improving treatment adherence in adults with anorexia; it has not been tested in other eating disorders.

What is the first goal of eating disorder treatment?

Reducing eating disorder behaviors is generally considered the first goal of treatment, and the following therapies currently have the most evidence for effectiveness. Treatments are listed in alphabetical order.

What is the psychodynamic approach to eating disorders?

Psychodynamic psychotherapists view behaviors as the result of internal conflicts, motives and unconscious forces, and if behaviors are discontinued without addressing the underlying motives that are driving them, then relapse will occur. Symptoms are viewed as expressions of the patient’s underlying needs and issues and are thought to be resolved with the completion of working through these issues.

What is DBT used for?

Although DBT was initially developed to treat borderline personality disorder, it is currently being used to treat eating disorders as well as substance abuse.

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Diagnosis

Treatment

Alternative Medicine

Coping and Support

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The goal of treatment is to reduce the frequency of binge eating, losing weight and treating psychological issues to help one control their urges to binge eat.
Medication

Psychostimulants: It is known to control the impulses of binge eating.

Lisdexamfetamine dimesylate


Selective serotonin reuptake inhibitors (SSRIs): To reduce symptoms of anxiety.

Escitalopram


Anticonvulsants/Mood stabilizers: To control the episodes.

Topiramate

Therapy

Cognitive behavior therapy:To cope with negative feelings about one’s body.

Dialectical behavior therapy:To cope with stress and regulate emotions.

Nutrition

Foods to eat:

  • Whole grains – brown rice, brown bread
  • Fruits and vegetables
  • Lean meats e.g., fish
  • Foods containing unsaturated fats

Foods to avoid:

  • Red meats
  • Refined foods – white sugar and rice
  • Foods with saturated fat – fast Foods

Specialist to consult

Psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behaviour problems.
Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Nutritionist
Specializes in the subject of nutrition and advises on matters of food.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Dieticians
Specialize in the nutritious diet and patient's food habits.

Preparing For Your Appointment

  • To diagnose binge-eating disorder, your medical care provider may recommend a psychological evaluation, including discussion of your eating habits. Your medical care provider also may want you to have other tests to check for health consequences of binge-eating disorder, such as high …
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