People often use the term “bingeing” casually to watching a Netflix series in one weekend. When it comes to food, however, bingeing can be the sign of a serious eating disorder.

Binge eating disorder (BED) is the most common eating disorder in the US, yet it is often overlooked. When struggling with BED, someone has recurrent eating episodes where they consume an objectively large amount of food (even if not hungry) in a short period of time, often to the point of physical discomfort and with a feeling of being out of control. It’s common to experience intensely painful emotions such as shame and guilt leading up to a binge, and many folks also feel depressed or guilty afterward.

While binge eating can be seen in both anorexia and bulimia, someone with BED does not usually engage in purging or other behaviors in an attempt to get rid of calories consumed. Someone with BED is likely to struggle with body image concerns and have a history of dieting.

Warning Signs of Binge Eating Disorder

What can families be on the lookout for when it comes to BED? Binge eating often occurs in isolation, so it can be hard for others to know their loved one is struggling. Possible signs of binge eating disorder include:

• Weight fluctuations
• Avoiding eating with friends or family
• Hiding or hoarding food
• Food wrappers/containers found hidden or in the garbage
• Food missing from its usual place
• Negative body image
• Frequent dieting
• Having rules about “good” and “bad” foods
• Low self-worth
• Social withdrawal

It’s also important to note that while loss-of-control eating occurs in children, it can be difficult for them to describe it or understand what that means. Additionally, while it is challenging for anyone to determine what is an objectively large amount of food, it is especially difficult when it comes to young people whose nutritional needs fluctuate throughout growth periods. If you have concerns about your child’s relationship with food, it’s important to get an evaluation and support from a professional.

Who Gets Binge Eating Disorder?

One common myth about BED is that it only affects people who are in larger bodies. The truth is, as with any eating disorder, you can’t tell someone has BED just by looking at them. Binge eating disorder affects people in a range of body sizes, across races, ethnicities, genders, and socioeconomic statuses. Although the average age of onset for BED is 21 years old, binge eating disorder can be seen across the lifespan. If you notice any signs that have you worried about a loved one, trust your intuition and seek a professional opinion.

Why Does Someone Develop Binge Eating Disorder?

Binge eating disorder is complex and can be influenced by multiple factors, including genetic vulnerabilities and social components. It may be impossible to pinpoint a particular cause of someone’s BED, just as with other eating disorders. It isn’t necessary to identify a cause, however, in order to start treating the symptoms of binge eating disorder.

Although we may not be able to identify a specific trigger for binge eating disorder, we do know that certain risk factors can increase someone’s vulnerability to developing an ED. A common catalyst for binge eating is dietary restriction, or not taking in enough calories. It can be helpful to remember that a strong biological drive for food after a period of food restriction is a survival tool. Insufficient amounts of food for any reason–or lack of satisfaction around food–can send the brain signals that food is scarce, causing it to seek out large quantities of food when possible.

What Does Treatment for Binge Eating Disorder Look Like?

Through Equip’s virtual Family-Based Treatment model (FBT), patients and their loved ones get wrap-around support from a team of specialists, including a therapist, a medical provider, a dietitian, a peer mentor, and a family mentor.

FBT for binge eating disorder starts with educating the whole family about the illness and empowering everyone to work together to fight the eating disorder. Nutritional rehabilitation is always step one, and that means making sure the patient is eating enough and eating regularly – and getting enough variety, satisfaction, and pleasure from food. During FBT sessions, the therapist will help the family and patient focus on normalizing eating patterns and ensuring adequate food intake occurs throughout the day, as patients benefit from the support of their family to achieve this goal.

Throughout treatment, patients and families are supported in unlearning common diet beliefs and taking an “all foods fit” approach to help end the cycle of restricting and binge eating. In addition, developing body image resilience, learning a wide range of coping skills, and rebuilding trust and safety around food can support lasting recovery from BED. Treatment of co-occurring conditions, such as post-traumatic stress disorder can be important to incorporate once eating is consistent. To bolster relapse prevention, Equip also provides patients with an evidence-based body empowerment program.

Like all eating disorders, binge eating disorder is not a choice or a character flaw. Instead, it’s a serious, brain-based illness that can be life-threatening. The good news is that BED can be treated, and with Family-Based Treatment, recovery can happen at home.