Binge Eating

Do you struggle with binge eating? 
We all overeat at times, especially when there’s yummy fare on offer.
Over indulging sometimes is a natural part of enjoying life.

Binge eating is quite different to this. Binge eating is characterized by a sense of urgency, and for some people, a feeling of being disconnected or checked out from what they are doing, and of having no control over their consumption of food. There can be a lot of fanatasising and mental planning of binges in the lead up to binge eating.

Moreover, binge eating is considered a Binge Eating Disorder when there’s recurrent episodes of consuming large amounts of food in a discrete period while experiencing a loss of control over one’s eating behavior. This is often a very painful experience – commonly linked with feelings of shame, guilt, and distress.

Binge eating can be a serious condition and can lead to physical, emotional, and social health problems. The good news is that like most conditions, Binge Eating Disorder is a treatable condition.

In summary, the characteristics of Binge Eating Disorder include:

  1. Frequent Binge Episodes: People with BED often engage in recurrent binge eating episodes, typically consuming large quantities of food in a short time frame, such as within two hours.
  2. Loss of Control: During a binge, individuals often feel a profound sense of loss of control over their eating, making it difficult for them to stop even if they want to.
  3. Emotional Distress: After a binge, individuals frequently experience intense guilt, shame, and emotional distress, which can further contribute to a cycle of overeating.
  4. Eating in Secret: Many people with BED eat in secret or hide their binge episodes from others due to feelings of embarrassment or shame.
  5. Frequent Dieting: Some individuals with BED may cycle between restrictive diets and binge eating, which can exacerbate the disorder.
  6. Weight Gain: Binge eating can lead to weight gain, and individuals with BED are at an increased risk of obesity and related health problems.
  7. Negative Self-Image: BED can significantly impact self-esteem and body image, leading to further emotional distress.

Treatment for Binge Eating Disorder (BED) often involves psychotherapy, and two common approaches are Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).

1. Cognitive-Behavioral Therapy (CBT): CBT is a structured, time-limited therapy that focuses on identifying and changing maladaptive thought patterns and behaviors. In the context of BED, CBT helps individuals understand and address the triggers and cognitive distortions that contribute to binge eating. Common components of CBT for BED include:

  • Self-Monitoring: Keeping a food diary to track binge episodes, emotions, and triggers.
  • Cognitive Restructuring: Identifying and challenging negative thought patterns related to food, body image, and self-worth.
  • Behavioral Strategies: Developing coping skills, such as stress management, problem-solving, and assertiveness training.
  • Normalization of Eating Patterns: Encouraging regular, balanced eating to reduce the cycle of restrictive dieting and binging.

2. Acceptance and Commitment Therapy (ACT): ACT is a mindfulness-based therapy that focuses on accepting negative thoughts and emotions and then committing to values-based actions. In the context of BED, ACT aims to help individuals develop a more compassionate relationship with themselves and their emotions. Key elements of ACT for BED include:

  • Mindfulness Skills: Learning to be present and nonjudgmental about thoughts, emotions, and sensations related to eating.
  • Values Clarification: Identifying one’s core values and using them to set goals and make meaningful life choices.
  • Committed Action: Encouraging individuals to take purposeful actions that align with their values, even in the presence of difficult emotions.

Both CBT and ACT can be effective treatments for BED, and the choice of therapy may depend on the individual’s preferences and specific needs. Medication may also be considered in some cases, and it’s essential to consult with a mental health professional to determine the most appropriate treatment plan for each person.

Janene England and Alex Corcoran both hold the ANZAED Eating Disorder Credential. This credential is awarded to a select group of clinicians, in recognition of their advanced training, skills, and experience in the treatment of complex eating disorder presentations. To receive this credential, clinicians need to demonstrate that they have met several key criteria, as well as provide a written commitment to continue to undertake ongoing eating disorder specific professional development activities throughout the year. Janene England and Alex Corcoran have trained across many models of treatment over the decades of their respective professional careers, and take an integrative approach to helping people in their recovery. Please see the ‘meet our team’ section of our website for further information.

Eating Disorders Mental Health Care Plans: Patients with eating disorders can access up to 40 psychological services per calendar year – www.mbsonline.gov.au. The following sites have great FAQ sections re. the items and referral process:

www.insideoutinstitute.org.au/medicare and www.thebutterflyfoundation.org.au, and we are always happy to try and assist with any queries you may have.

Please don’t hesitate to reach out to us if you would like some help. To enquire about an appointment at Moving Forward Clinical Psychologists, please complete our Online Contact Form, or call us on 1300 133 013. Our experienced Clinical Psychologists are located in Terrigal (10 minutes from Erina) on the beautiful NSW Central Coast. We are also available Australia wide, via Telehealth.