If you regularly eat very large amounts of food at once, you may have binge eating disorder. Up to half of people with obesity have this problem.1
A binge is when you eat a lot of food in a short amount of time. Binge eating disorder is a real illness that can make you upset. It's not the same as bulimia, another eating disorder. People who have bulimia have a binge and then try to stop themselves putting on weight afterward by vomiting, taking pills or exercising too much.2
Some people get up and eat at night even though they don't feel hungry. Doctors call this night eating syndrome. It's more common in women than in men.
What you eat during a binge is less important than the amount you eat, and how you feel about it. You might feel:
- A little excited or rebellious when you're planning or preparing a binge
- Frightened of being caught, gaining weight or being out of control3 4 5 6
- Guilty
- Ashamed
- Self-loathing
- Disgusted
- Numb
- Distanced from bad feelings.
- National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults. Available at http://www.nhlbi.nih.gov/guidelines (accessed 10 April 2008).
- National Institute of Diabetes and Digestive and Kidney Diseases. Binge eating disorder. September 2004. Available at http://win.niddk.nih.gov/publications/binge.htm (accessed on 10 April 2008).
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th edition. American Psychiatric Association, Washington DC, USA; 2000. 1994
- Bushnell JA, Wells JE, Hornblow AR, et al. Prevalence of three bulimia syndromes in the general population. Psychological Medicine. 1990; 20: 671-680. 2236377
- Coker S, Vize C, Wade T, et al. Patients with bulimia nervosa who fail to engage in cognitive behavior therapy. International Journal of Eating Disorders. 1993; 13: 35-40. 8477275
- Reas DL, Schoemaker C, Zipfel S, et al. Prognostic value of duration of illness and early intervention in bulimia nervosa: a systematic review of the outcome literature. International Journal of Eating Disorders. 2001; 30: 1-10. 11439404
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This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |












