Someone with compulsive eating disorder consumes large amounts of food, often in secret, until they feel uncomfortably full. The condition can get worse if left untreated and usually does not get better on its own. It affects physical as well as mental health, as obesity and other medical problems including diabetes or joint problems may develop as a result, as well as psychological problems such as depression.
Binge eating often starts in the late teenage years. The causes are not clear but the condition often runs in families and it can be triggered by stress, low mood, poor body image, boredom, poor self-esteem or even past excess dieting.
It is important that anyone who may be suffering from compulsive eating disorder is properly assessed by either a GP or by a mental health professional, so that the relative contributions of psychological problems and diet can be determined. Sometimes binge eating and obesity can occur as a feature of other psychiatric conditions such as depression, bipolar disorder, anxiety, bulimia and ADHD, which may need treating in their own right.
Once compulsive eating disorder has been diagnosed, a plan to manage and treat the condition can be devised to take into account individual preferences and needs. This might take the form of guided self-help, psychological interventions or antidepressant medication.
Discussing the problem with a friend, writing a diary or joining a support group (such as b-eat) can all help. Guidance on meal planning, reducing the availability of certain foods and finding healthy ways of living can also be effective ways of treating the condition.
Compulsive eating disorder can also be addressed with Cognitive Behavioural Therapy (CBT) or other psychological therapies. These can help to improve self-confidence, body image and to build self-esteem.
Yes, the terms are often used interchangeably. Binge Eating Disorder (BED) is the clinical term used in mental health diagnoses, while “compulsive eating” is a more general description. Both involve regularly eating large quantities of food and feeling out of control during episodes.
Yes. While many people with compulsive eating disorder are overweight, it is possible to have the condition and still be within a normal weight range. The diagnosis is based on behaviours and feelings, not just weight.
Signs include eating large amounts of food in a short time, eating when not hungry, eating in secret, feeling shame or guilt after eating, and trying to hide eating habits from others.
Usually not. Without treatment, the condition can persist or worsen over time. Seeking help from a GP or mental health professional is important to begin appropriate treatment and support.
Cognitive Behavioural Therapy (CBT) is often the most effective treatment. Other approaches include guided self-help, support groups, nutritional counselling, and sometimes medication like antidepressants.
