chapter  10
17 Pages

TREATING BINGE EATING

Introduction Binge eating is defined as eating unusually large amounts of food while experiencing a lack of control over eating. Loss of control is assessed by asking, “Did you have a sense of loss of control at the time?” “Could you have stopped eating once you had started?” “Could you have prevented the episode from occurring?” (Wolfe, Baker, Smith, and Kelly-Weeder, 2009). Patients who binge eat may have a diagnosis of anorexia nervosa (AN), bulimia nervosa (BN), or binge-eating disorder (BED). Some are overweight or obese and some not. Entrenched AN, especially if the body mass index (BMI) is less than 17.5, almost always includes bouts of binge eating (Lowe et al., 2011). It is important to note that binge eating is found in over 60% of AN patients and is known to delay or inhibit full recovery in AN (Tenconi, Lunardi, Zanetti, Santonastaso, & Favaro, 2006).