+1 (888) 948-9998
Click here
Adolescent Services
Mental Health
Substance Abuse
Eating Disorder
Co-Occurring Disorders
Contact Us

  • This field is for validation purposes and should be left unchanged.

Teen Binge Eating Treatment

Family Gathering Around the Dining Table is a Stressfull Setting for an Adolescent in Need of Teen Binge Eating Treatment

Binge Eating Disorder Treatment for Teens

Also known as BED, Binge Eating Disorder is characterized by recurrent episodes of severe over eating in the absence of any form of compensatory behaviors (such as exercise, self induced vomiting, etc.). A person suffering from Binge Eating Disorder feels out of control and unable to stop while they are binge eating. A typical binge will involve a large amount of food consumed over a short period of time. After a binge the person will typically feel physically ill from over eating and they will suffer from severe guilt, self-loathing and shame.

People with binge eating disorder frequently suffer from other mental health issues as well such as depression, anxiety, etc. These conditions are known to exacerbate binge eating in part because of their accompanying cognitive distortions. For example, “all or nothing” thinking where the person who is binging thinks, “I have already blown it, so I might as well keep eating”.

There is Help for Binge Eating Disorder

It is difficult to know how many people engage in binge eating because it is a behavior that is most often done in secret. However it is commonly reported that the highest incidences of BED occur during adolescence and the early twenties. These are stressful times in life with so many changes occurring physically, socially, occupationally etc., food can be used as a distraction or a source of comfort or pleasure. Food is dependable because it is always there. Unfortunately this is a vicious cycle that often leads to health problems such as obesity, diabetes, depression, anxiety and much more.

How do you treat Binge Eating Disorder?

Our three-part treatment for binge eating disorder addresses the following concerns:

  • Cessation of destructive eating patterns.
  • Resolving underlying emotional issues that exacerbate the desire for food.
  • Acquisition of necessary coping skills for maintaining healthful habits.

Treatment for Teen Binge Eating Disorder at Adolescent Growth

At Adolescent Growth, we generate a truly individualized treatment plan for each our clients suffering from Binge Eating Disorder. A dedicated team of psychiatrists, medical doctors, licensed clinicians, therapists, licensed nurses, group therapists, academic facilitators, dietitians and other highly trained professionals all work together to create a holistic treatment plan for your suffering teen. Clients are taught healthy ways to cope with stress and anxiety in order to help them form a healthy association with food. The goal is to teach our clients healthy eating patterns and behaviors in order to overcome their eating disorder. Call us today at 1-888-948-9998 and start the process of getting your teen help for binge eating disorder.

Common Causes of Binge Eating in Teens

  • Emotional Turmoil: Adolescents sometimes binge eat in response to emotional stress. Often the teen is under a great deal of pressure at home, at school or in social circles and they are unable to cope with this stress in a healthy manner. Many teens in this situation turn to food as a way to cope. Most people experience pleasure when they eat so most people can understand why food is used as a way to artificially reduce stress.
  • Periods of Long Dieting: Adolescents that binge eat often do so as a result of following a restrictive eating plan or extreme diet. Teens with weight problems or concerns sometimes engage in food restriction, which ultimately leads to extreme hunger. Long periods of extreme hunger often result in massive food binges when the teen can no longer stand being hungry. Once the teen “opens the floodgates” and allows themselves to eat, they often find themselves unable to stop.
  • Environmental Cues: Children’s eating habits are often learned. Food is an intrinsic part of celebration in our society and we are all taught from a young age that special events (either negative or positive) necessitate the preparation and consumption of food. We learn from a very young age that food and feeling good are intimately connected. Furthermore, many children are taught to eat until their food is finished, rather than until they actually feel full. It is common, then for children to eat more at the dinner table than they actually need due to the culturally ingrained value that dictates that we should not waste food. The child may not learn to recognize their bodily cues that tell them that they feel full, because they are taught that satiation is a state that is dictated by our thoughts and not the way we feel physically.
  • Co-Morbidity: It is common for children who binge eat to have another associated mental disorder. Common comorbid conditions include major depression, anxiety, panic disorder, PTSD and/or some impulse control disorders (Such as compulsive shopping, gambling, etc.)
  • Cultural Causes: Many cultures place a great deal of emphasis on food and commonly associate food with pleasant events and celebration. In many cultures it is seen as disrespectful to refuse an offering of food that has been prepared for you. Different cultures also have different attitudes about what constitutes physical beauty. Some cultures value excess weight as a staple of physical attractiveness.
  • Internal Dialogue: Oftentimes our internal dialogue can influence the decision to binge on food. Distorted beliefs known as cognitive biases can cause or exacerbate binges, such as the belief that “I have already eaten too much, so I might as well keep going”, or “I’ll never be able to lose weight so I might as well eat whatever I want”. This distorted thinking can make a minor problem with eating become much, much worse.

Binge Eating Disorder is a very difficult disorder to live with. Contrary to our culture’s high value of food, there is also a common stigma surrounding over eating and being overweight.

Adolescent Growth can help. If you or someone you love if struggling with Binge Eating, we invite you to call our admissions department for information on how we can help. Call today 1-888-948-9998.

Risk Factors, Diagnostic Criteria, and Treatment

Characterized by frequent episodes of excessive overeating that bring about feelings of distress and shame4, binge eating disorder is a public health concern. A 2013 Harvard Medical School study in the journal Biological Psychiatry conducted a survey with respondents from 14 different countries to determine the prevalence of binge eating disorder. They found that binge eating disorder was more common than bulimia nervosa, with a lifetime prevalence of 1.4 percent for binge eating disorder compared to .8 percent for bulimia nervosa1.

Scientists and public health experts have conducted research on binge eating disorder to determine its characteristics and risk factors, to assess the medical and psychiatric conditions associated with it, and to uncover information regarding effective treatment options for this eating disorder.

The Characteristics of Patients with Binge Eating Disorder

There are several differing characteristics among patients with a binge eating disorder.

Young Women

According to the study in Biological Psychiatry, binge eating disorder is more common among women, and on average, the condition develops between the late teenage years and the early twenties. A second study, published in a 2009 edition of the International Journal of Eating Disorders, confirmed these results, finding that women were more likely than men were to report binge eating2. The results of the research with binge eating disorder suggest that women are more susceptible than men are to this condition.

Relationship to Obesity

There also seems to be a relationship between obesity and binge eating disorder. A 2007 study in the journal Comprehensive Psychiatry found that the average body mass index among people with binge eating disorder was 34.1, in the obese range. People with binge eating disorder had a considerably higher body mass index when compared to those without the disorder; however; obese individuals without binge eating disorder were found to be psychologically similar to normal weight individuals without the disorder, which indicates that binge eating disorder is a separate condition from obesity 3. While binge eating disorder can increase the risk of obesity, not all individuals with obesity display the psychopathology associated with this condition.

Diagnostic Criteria for Binge Eating Disorder

According to the Diagnostic and Statistical Manual of Mental Disorders binge eating disorder is characterized by episodes during which a person eats significantly more than the typical person would eat during a given time period.

Feelings Experienced During Binge Episodes

During these episodes, the person feels as if he or she cannot control the amount of food consumed; the episodes also involve conditions including eating more quickly than normal, concealing the amount of food consumed because of embarrassment, and feeling ashamed or depressed after eating. Binge eating disorder involves not only consuming an excessive amount of food, but also the experience of feelings of depression and shame linked to the overeating.

Regular Bingeing

To meet full criteria for binge eating disorder, a person must demonstrate apparent distress regarding the binge eating and engage in episodes of binge eating at least once per week for a period of three months. Occasional episodes of overeating do not constitute binge eating disorder, as the Diagnostic and Statistical Manual of Mental Disorders specifies that the bingeing must occur at least once per week for an individual to meet diagnostic criteria.

The binge eating episodes cannot regularly involve compensatory actions, such as exercising to burn excess calories, as is seen with bulimia nervosa.

Comparisons to Anorexia and Bulimia

Binge eating disorder is a distinct condition that is separate from anorexia and bulimia, but may share some characteristics with these disorders. In 2000, researchers from San Diego State University, Yale University, Brown University, and Oxford University conducted research that compared individuals with binge eating disorder to those with anorexia and bulimia as well as control groups.

The study’s results, published in the International Journal of Eating Disorders, found that participants with binge eating disorder scored similarly on the Eating Disorders Examination to patients with anorexia and bulimia. Specifically, patients with binge eating disorder were preoccupied with weight and body shape, and they found both weight and body shape to be a critical part of their self-evaluation. Furthermore, patients with binge eating disorder displayed more psychopathology related to disordered eating when compared to overweight individuals who served in the control group5.

Differences from Bulimia and Anorexia

Much like anorexia and bulimia, binge eating disorder involves psychopathology and is accurately classified as a mental disorder. However, it differs from bulimia, as it does not involve compensatory behaviors, such as purging or exercising excessively to burn calories, and it is distinct from anorexia, which involves restrictive eating behaviors and a low body weight, according to the Diagnostic and Statistical Manual of Mental Disorders.

Comorbid Disorders

Physical Health Concerns

The complications associated with binge eating disorder extend beyond psychopathology, as it can also cause physical health problems. A 2017 study in Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity analyzed the results of the existing research with binge eating disorder6. Results indicated that binge eating disorder is linked to:

  • Diabetes
  • High blood pressure
  • Abnormal cholesterol levels
  • Sleep disorders
  • Metabolic syndrome
  • Asthma
  • Gastrointestinal problems
  • Menstrual and pregnancy complications
  • Polycystic ovarian syndrome

Mental Health Concerns

In addition to the physical health complications seen with binge eating disorder, individuals with this condition are also at increased risk for experiencing other mental health disorders. A study in a 2009 edition of the International Journal of Eating Disorders analyzed the prevalence of psychiatric disorders among patients with binge eating disorder. The authors of the study with the Yale University School of Medicine found that nearly three-fourths of the patients with binge eating disorder had experienced another mental health disorder at some point during their lives. 43 percent of participants in the study had another mental health diagnosis at the time. The most common mental health conditions among people struggling with binge eating disorder include:

  • Mood disorders
  • Anxiety disorders
  • Substance abuse disorders

Patients who had a mental health diagnosis at the time of the study also demonstrated lowers levels of self-esteem and greater eating disorder pathology7. Binge eating disorder appears to have a strong link to other psychiatric conditions.

Risk Factors for Binge Eating Disorder

Individuals with binge eating disorder are likely to experience comorbid mental and physical health conditions, and there are certain risk factors that can increase a person’s chance of developing binge eating disorder.

A 2005 study in Psychological Medicine discovered that ethnicity was not linked to eating disorder risk8. However, the study results showed that compared to women with another psychiatric conditions, those with binge eating disorder were more likely to:

  • have been obese as children
  • have experienced overeating or binging within their families
  • have been exposed to family conflict or demanding parents

The experiences that people have in childhood can play a significant role in the development of binge eating disorder

Risk Factors Compared to Anorexia Nervosa and Bulimia Nervosa

Additional research has explored the risk factors for binge eating disorder, comparing these risk factors to those associated with other eating disorders, including anorexia and bulimia. The study, published in 2017 in the Journal of Abnormal Psychology, evaluated risk factors for eating disorders among a group of young women who were not satisfied with their bodies.

The study found that after three years, there was an increased risk in developing eating disorders, including binge eating disorder, purging disorder, and bulimia nervosa in women who:

  • experienced negative emotions
  • engaged in overeating or dieting
  • received mental health services
  • idealized thinness

Individuals who were naturally lean were more likely to develop anorexia nervosa throughout the course of the study9. These results suggest that binge eating disorder shares risk factors with bulimia and purging disorder but may have different risk factors when compared to anorexia.

Binge Eating Disorder Treatment

Pharmacalogical Options

In 2017, scientists from the Department of Medical Epidemiology and Biostatistics in Stockholm, Sweden, and the University of North Carolina Chapel Hill evaluated the results of nearly 30 studies that assessed the effectiveness of various treatment options for binge eating disorder. These scientists discovered that a stimulant medication called lisdexamfetamine was superior to antidepressants for preventing binge eating.

Cognitive Behavioral Therapy

The study also found that cognitive behavioral therapy was more effective than behavioral weight loss programs for decreasing the occurrence of binge eating episodes10.

Getting Treatment

The study also found that cognitive behavioral therapy was more effective than behavioral weight loss programs for decreasing the occurrence of binge eating episodes10.
Doctor's Referral

Treatment is important for people suffering from binge eating disorder. Medical and mental health professionals should be provided with training, so they are prepared to identify people who are at risk for this condition, as well as those suffering from it, in order to make referrals to appropriate resources or treatment providers.

A Common Concern

As research has shown, binge eating disorder is even more common than bulimia nervosa, making it a relatively prevalent eating disorder and a threat to public health. Individuals who are diagnosed with binge eating disorder are likely to experience other physical and mental health conditions, including diabetes, sleep disorders, and mood and anxiety disorders. While binge eating disorder is associated with obesity, the emotional and metal aspects separates individuals with binge eating disorder from obese individuals without the disorder.

Recovery From Binge Eating Disorder Is Possible

It is therefore important that patients struggling with binge eating disorder receive quality treatment so they can achieve optimal functioning and restore their health and wellness. Treatment can be effective and can result in positive changes.

Sources