Treatment FAQ

what is the best treatment for binge eating disorder

by Shad Hyatt Published 3 years ago Updated 2 years ago
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Medication

20 rows · Sertraline. Sertraline (mean dose 187 mg) has been shown to be effective in the treatment of ...

Therapy

On one side of the debate, eating-disorders experts believe binge-eating is best treated by traditional eating-disorder approaches, such as helping patients reduce or eliminate bingeing, improving their self-esteem and body acceptance, and treating underlying psychological problems such as depression and anxiety.

Nutrition

They call for treatments like cognitive-behavioral therapy, which addresses a person’s eating-related thoughts and behaviors, and interpersonal psychotherapy, which helps a person develop healthier relationships. Weight loss, these experts say, will follow. In contrast, obesity experts say it’s best to tackle the weight problem first.

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Oct 19, 2021 · The recommended psychological treatment for binge eating disorder is cognitive-behavioral therapy (CBT), which is very effective at reducing the number of binge eating episodes individuals have. CBT treatment usually involves weekly meetings with a therapist that focus on how thoughts connect with emotions and binge eating behaviors.

How to overcome my binge eating disorder?

Cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) remain the most established treatments for bulimia nervosa and binge eating disorder, with stepped-care approaches showing promise and new behavioral treatments under study. Transdiagnostic enhanced CBT has improved symptoms in adults and youth.

Which medications are used to treat binge eating disorder?

Binge Eating Disorder (BED) is a complex disorder that can have devastating effects on your life. Find out more about the symptoms and causes of BED and the best ways to treat it here.

Does Vyvanse help treat binge eating disorder?

Which of the following is the best treatment approach for binge-eating disorder? A. A diet that lists foods to be eaten and others to be avoided B. A structured eating plan that the person eats without regard to his or her hunger signals C. Encouraging a person to nurture others rather than focus on his or her own needs.

How to tell if you have a binge eating disorder?

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How do you fix binge eating?

Here are 15 tips to help overcome binge eating.Ditch the diet. Fad diets can often be very unhealthy, and studies show that overly restrictive eating methods may trigger episodes of binge eating. ... Avoid skipping meals. ... Practice mindfulness. ... Stay hydrated. ... Try yoga. ... Eat more fiber. ... Clean out the kitchen. ... Start hitting the gym.More items...•Sep 17, 2018

How do you stop binge behavior?

Tips and more to help curb binge eatingAvoid dieting.Exercise.Identify triggers.Reduce stress.Don't skip meals.Mindfulness.Remove temptations.Drink water.More items...•Nov 11, 2019

How do you recover from a serious binge?

“Drink lots of water – at least two liters or more – the next day to rehydrate your body after consuming high-salt and high-sugar foods as well as alcohol,” Vavrek says. Keeping your body well-hydrated is always a good practice, especially after a binge, because water aids in digestion and reduces bloating.Dec 13, 2017

How do I stop thinking about my next meal?

Thanks to a few pointers from nutritionists and online health coaches, here are some easy ways to switch your focus and how to stop thinking about food.Take a walk.Sit by a window and read a book.Listen to a podcast.Call a friend, parent, or sibling.Meditate.Get really good at doing something fancy.More items...•Mar 31, 2020

Why can't I stop bingeing?

Some people who overeat have a clinical disorder called binge eating disorder (BED). People with BED compulsively eat large amounts of food in a short amount of time and feel guilt or shame afterward. And they do so often: at least once a week over a period of at least 3 months.

How many calories is considered a binge?

Binge eating is when a person eats a much larger amount of food in a shorter period of time than he or she normally would. During binge eating, the person also feels a loss of control. A binge eater often: Eats 5,000–15,000 calories in one sitting.Mar 1, 2022

What should I do after a heavy meal at night?

5 things to do after eating a large mealTake a 10-minute walk. “A walk outside can help clear your mind and also help improve blood sugar levels,” says Smith. ... Relax and don't stress out. Don't be too hard on yourself, particularly if it's a one-time occurrence. ... Drink water. ... Take a probiotic. ... Plan your next meal.

How do I get my diet back after falling off?

12 ways to get your diet back on trackDon't put it off - start now, not tomorrow. ... If you're offered a drink, choose a sugar free one. ... Cut out alcohol. ... Don't buy biscuits, snack on fruit. ... Only eat between meals if you are hungry. ... Have a healthy weekend. ... Plan your meals. ... Put more vegetables on your plate.More items...

What is the best way to stop binge eating?

Psychotherapy. Whether in individual or group sessions, psychotherapy (also called talk therapy) can help teach you how to exchange unhealthy habits for healthy ones and reduce bingeing episodes. Examples of psychotherapy include: Cognitive behavioral therapy (CBT).

What is the drug for binge eating disorder?

Medications. Lisdexamfetamine dimesylate (Vyvanse), a drug for attention-deficit hyperactivity disorder, is the first FDA-approved medication to treat moderate to severe binge-eating disorder in adults. A stimulant, Vyvanse can be habit-forming and abused. Common side effects include a dry mouth and insomnia, but more-serious side effects can occur.

What tests are needed for binge eating?

These tests may include: A physical exam. Blood and urine tests. A sleep disorder center consultation.

How does CBT help with binge eating?

CBT may help you cope better with issues that can trigger binge-eating episodes, such as negative feelings about your body or a depressed mood. It may also give you a better sense of control over your behavior and help you regulate eating patterns. Interpersonal psychotherapy.

How to deal with destructive eating?

Identify situations that may trigger destructive eating behavior so you can develop a plan of action to deal with them. Look for positive role models who can help lift your self-esteem. Remind yourself that the ultrathin models or actresses showcased in women's magazines often don't represent healthy, realistic bodies.

Does topiramate help with binge eating?

Topiramate (Topamax), an anticonvulsant. Normally used to control seizures, topiramate has also been found to reduce binge-eating episodes. However, there are side effects, such as dizziness, nervousness, sleepiness and trouble concentrating, so discuss the risks and benefits with your medical care provider. Antidepressants.

Can binge eating cause weight loss?

Many people with binge-eating disorder have a history of failed attempts to lose weight on their own. However, weight-loss programs typically aren't recommended until the binge-eating disorder is treated, because dieting may trigger more binge-eating episodes, making weight loss less successful.

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 effect of binge eating on people?

Like people with bulimia nervosa, those with binge-eating disorder carry distorted attitudes about eating, shape and weight, as well as mood symptoms such as depression and personality disorders. The disorder affects about 2 percent of the general population and 8 percent of people who are obese. Because binge-eating disorder involves both weight ...

Is binge eating a disorder?

On one side of the debate, eating-disorders experts believe binge-eating is best treated by traditional eating-disorder approaches, such as helping patients reduce or eliminate bingeing, improving their self-esteem and body acceptance, and treating underlying psychological problems such as depression and anxiety.

Is there any cure for obesity?

It's also true, however, that many obesity treatments don't hold up in the long run. "There is really no good treatment for obesity," maintains Christopher Fairburn, MD, a psychiatrist and eating disorders expert at the University of Oxford. "Surgery is possibly the best, but it's pretty radical. Drug treatments help about 5 percent ...

Is cognitive behavioral therapy good for depression?

For example, the literature shows that cognitive behavioral therapy is useful for depression and bulimia, that interpersonal therapy aids depression, and that behavioral weight-loss management can help treat obesity. "There's a lot going on when you're trying to look at the utility of these interventions," Walsh says.

Is it better to treat obesity first or treat it first?

On the other side, obesity experts maintain, it's better to treat the obesity first. They believe that tackling psychological problems without addressing excess weight puts the cart before the horse.

Is binge eating disorder a psychological disorder?

There's yet another wrinkle in the binge-eating disorder debate: Researchers and clinicians are starting to discover that there are probably two groups of binge-eating disorder patients, one that has disordered eating and obesity but less serious psychological problems; another that displays those same eating disturbances but has more long-term, entrenched psychological difficulties.

What are the symptoms of binge eating disorder?

People with binge eating disorder have distorted attitudes about eating, weight and shape. They also have mood-related symptoms, such as depression and personality disorders. Not surprisingly, experts on eating disorders say the best treatment focuses on the eating disorder.

Is it better to tackle obesity first or treat it?

Weight loss, these experts say, will follow. In contrast, obesity experts say it’s best to tackle the weight problem first. Treatment that targets obesity directly is typically less expensive and shorter in duration than psychological treatment, they say.

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.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

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.

Coping and Support

  • 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 cholesterol, high blood pressure, heart problems, diabetes, GERD and some sleep-related breathi…
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Preparing For Your Appointment

  • The goals for treatment of binge-eating disorder are to reduce eating binges and achieve healthy eating habits. Because binge eating can be so entwined with shame, poor self-image and other negative emotions, treatment may also address these and any other mental health issues, such as depression. By getting help for binge eating, you can learn how to feel more in control of your ea…
See more on mayoclinic.org

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