When You Can’t Stop Eating
Binge-eating disorder is more common than both anorexia and bulimia. Here's how to know if you have a problem — and how to get help.
"Binge eating is a major medical problem and a significant factor in the nation's obesity crisis," says lead study author James I. Hudson, MD, associate professor of psychiatry at Harvard Medical School and director of the Biological Psychiatry Laboratory at McLean Hospital in Belmont, Massachusetts. However, unlike anorexia (a disorder marked by a seriously decreased appetite, self-induced starvation, drastic weight loss and an aversion to food) and bulimia (a disorder in which a person eats large amounts of food and then vomits, uses laxatives and/or exercises excessively to control her weight), binge eating, which involves eating a large amount of food in a short period of time and feeling out of control during that time, is not yet considered an official psychiatric disorder. Instead, it's classified as an unofficial condition that requires more research. "This [McLean] study will bolster the case for making [BED] an official disorder," says Dr. Hudson.
Official or not, BED is a very real condition that can hurt both your physical and mental health. Here's what you need to know — and how to get help:
Do I have binge-eating disorder?
Scarfing down a bag of chips in one sitting isn't exactly healthy, but a single binge (or even a few) doesn't constitute a disorder. BED is classified by uncontrolled eating binges at least twice a week for a period of at least six months. Rather than being recognized based on a specific amount of food consumed, BED is diagnosed on a case-by-case basis, relying on the patient's personal account of feeling out of control while she's eating. Still, experts caution that many people who don't meet the exact criteria for BED may still have a problem. "Bingeing once a week or more, for more than a few weeks, is a red flag," says Jean Fain, LICSW, a teaching associate in psychiatry at Cambridge Health Alliance/Harvard Medical School. Other signs of trouble include eating excessive amounts of food until you feel uncomfortably full, feeling like you can't stop eating, hiding food or eating alone, feeling ashamed about your eating habits, and feeling that your eating habits are interfering with your social or work life. Notes Fain, "If you suspect that you have a problem, it's always a good idea to see a professional, who can help you determine whether to seek treatment."Notably, you don't have to be overweight or obese to have binge-eating disorder. "On the whole, binge eating and obesity go hand in hand. But some binge eaters are normal weight," says Dr. Hudson. In many cases, people with BED start out at a healthy weight and later become overweight as a result of their eating habits; others may try to compensate for their binges by consuming very little food the rest of the time, which may keep their weight down.









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Today, for example, I ate two huge bowls of cereal with sliced banana. Then, I munched on some almonds and pretzels with peanut butter. For lunch, I ate four servings of quick-steam broccoli & cheese, along with a piece of pita bread and more pretzels and half a container of hummus. Then, I had 2-3 servings of vanilla frozen yogurt with chocolate topping. It's now 4 PM, and even though my stomach is uncomfortably bloated and full, I'm already wondering what I can eat next.
I eat in the car OFTEN, because that's usually when I can eat alone. Also, after my roommates' go to sleep, I'll sneak to the kitchen and pull out an armload of food to bring back to my room. The other night, I ate an entire carton of English ****ins with butter and fruit spread, along with half a carton of blueberries; this was after midnight. And the next night, I stopped at the grocery store and purchase a ½ pound of shaved turkey, a can of reduced fat Pringles, a jar of bean dip, and a package of reduced fat Oreos. I ate all but half of the Oreos by the time I got home. And I hid the rest of the cookies in my purse to get them to my room, and I ate them later that night.
I'm always very strategic when discarding old wrappers, etc. Honestly, I’m hesitant to call it a disorder. I thought I was just a hungry slob. But really, I’m NOT hungry. I don’t even know what it’s like to be hungry. I want to know! I really want to control my incessant urge to eat, eat, eat. Please help me.
If given drug therapy, use it exactly as prescribed. If you have a bad reaction or side effects, let your doctor know so changes can be made. Not all drugs act the same in all people, and sometimes it's a trial and error processess. PLEASE DON'T GIVE UP!!
In fact, if your doctor doesn't understand the problem, find another doctor. Ask a trusted friend or relative or your gynecologist for a referral. You may be surprised to find others also have problems; maybe not yours, but something for which they see someone.
Good luck, and reply to this thread as a blog so others can see your progress.
I was doing pretty well towards the end of high school, but things turned south once I got to college. At that point, I sought out treatment for major depressive disorder and chronic childhood-onset insomnia.
My family has a history of depression and obesity, but I can tie my BED directly through specific family members -- my mother has had a major problem with BED since I was a young child and we share all the same characteristics of BED.
Both of us have major self-esteem problems stemming from BED, but late in my sophomore year of college, I developed anorexia in response to the pressure. On top of all this, some psychiatric medications I took for insomnia just made my BED ten times worse.
I tried Topamax, but couldn't handle the side-effects. However, after some resistance to the idea, I was prescribed Adderall to help me stay alert during the day. The decreased appetite that came with the 40mg of Adderall I take in the AM has been, literally, a lifesaver. While I'm not anywhere near my ideal weight, I finally feel in control of my urges to overeat. For once, I can actually *plan* meals without eating every convenience food in the house.
I would never suggest seeking out Adderall (or another stimulant) if you don't actually need the intended effects of the drug -- and DEFINITELY not without the supervision of a doctor -- but if you are also depressed and have problems with focus, attention, and interest during the day, it's something I would definitely talk to your doctor or psychiatrist about.
No one thing will "fix" BED, and it's not something that I know to just "go away," but staying focused on exactly how your BED affects you and what helps you on a personal level is completely key to develop a healthy lifestyle. I'm keeping up the hope that BED will finally make it into the DSM so it can get the attention it truly requires.
This is a big LIE. I was on Zoloft for a year and gained TWENTY ..20 pounds...like that was gonna help my depression?!! I just didn't give a hoot about anything. I felt SO doped up that I just ate and ate and didn't even CARE It did not help me in any way. Do the research yourself. By the way, I took myself OFF that junk. Why be a pushover!?
Please help me, I can't deal with this anymore.
I weigh 180 and I'm only 5 feet tall I recently had my gallbladder removed and now I have terrible Gerd, I also have developed high cholesterol and I have no time to exersize I need to lose weight and I need Help lowering my cholesterol , and I need to know how to manage being a mother a wife and taking care of myself, help....