Binge eating may serve many functions, according to Amy Pershing, LMSW, ACSW, the executive director of Pershing Turner Centers, an eating disorder recovery outpatient clinic in Ann Arbor, Mich., and Annapolis, Md.
It might soothe stress and help you escape, especially when you've experienced trauma or significant shame, she
stressed the importance of paying attention to the client's experience with food, not just to the criteria.
"[I]t is critical to remember that the most important issues are a lack of control over the eating behavior and distress/shame over the behavior."
noted that some clients may "graze" throughout the day, and eat significantly more than needed, but in a longer period of time than the DSM defines.
Family dysfunction, genetics, attachment ruptures, mood disorders, trauma ("rates are significantly higher with BED
, especially complex trauma") and environment (such as experiences with weight stigma) may all play a role, Pershing
is treated by a 'sensible eating plan' (i.e., a diet)," Pershing
Diets are actually contraindicated for BED
and may trigger it, she
Treatment requires that people with BED work through the psychological, physical and situational factors that trigger binge episodes, Pershing
"Another diet will not change anything; all it will do it lighten your wallet and leave you with a 95 percent likelihood of regaining the weight in 3 years."
doesn't require the same level of intervention as anorexia or bulimia.
Typically, it requires the same treatment as any other eating disorder, Pershing