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EATING DISORDER SERIES pt. 3: Binge Eating Disorder

We are continuing our series this week and focusing on Bulimia Nervosa. In this episode you will learn the symptoms, common findings on physical exam, risk factors, criteria to diagnose and treatment options as well as secret tips! If you want to listen to our episode now you can do so by CLICKING HERE.

♡ What is Binge Eating Disorder?

  • An individual with Binge eating disorder loses control over their eating as seen in Bulimia. These people will eat a very large amount of food within a short period of time. In some cases, they can eat a lot of food even when they aren’t hungry or if they are very full. Subsequently, they don’t feel well and can become embarrassed, depressed, full of shame or guilt in regards to their behavior.

Note: all of these behaviors need to affect your day to day life in order to be classified as a disorder!

♡ Causes?

  • Genetics, environment, peer pressure, emotional health

♡ Risk Factors?

  • Age (teens and early 20s)

  • Gender (females are more likely affected than males)

Note: In males this condition may be underdiagnosed since they are less likely to get help.
  • Other risk factors include:

- Family history (higher risk for those with first degree relatives who suffer from anorexia)

- Dieting

- Stress or major life changes

- Specific vocations and activities

i.e.: Athletes: like gymnasts, runners, wrestlers and dancers

♡ Symptoms?

  • Loss of control during the episodes of eating large amounts of food at one time

  • Recurrent episodes with compensation by vomiting, excessive exercise, restrictive eating, and or laxative use

  • Low self esteem

  • Feelings of being out of control

  • Guilt, shame and even withdrawal from family and friends

♡ Physical Exam?

  • Weight can vary from normal to overweight to obese

♡ Complications?

  • High cholesterol, high blood pressure, heart problems, diabetes, GERD and some sleep-related breathing disorders such as, OSA

♡ Diagnosis?

  • You will also obtain labs similar to other eating disorders including but not limited to, a BMP and an EKG

  • Differentiate from other subtypes

Note: In contrast to bulimia, these individuals do not attempt to use compensatory behaviors like purging or excessive exercising

  • Sleep study (in a subset of patients for whom Obstructive Sleep Apnea is a concern)

♡ Treatment?

  • Goals of treatment include: reducing eating binges, achieving healthy eating habits and treating underlying as well as co-occurring conditions.

  • Therapy: various psychotherapy methods like CBT, interpersonal psychotherapy or dialectical behavior therapy

  • Pharmacologic: Vyvanse (note this is a stimulant so it has abuse potential), Topamax (an anticonvulsant which also comes with it’s own slew of side effects) and SSRIs

Note: Vyvanse was approved for ADHD and moderate to severe binge eating disorder.
Note: Pharmacologic regimens may help with the behavior itself but not necessarily help with weight loss and also they come with side effects. Be sure to discuss the ins and outs with your provider

Side effects of Topamax: include sleepiness, dizziness, difficulty concentrating

Side effects of Vyvanse: common ones include dry mouth, insomnia; although more severe side effects may also occurs

  • Behavioral weight loss programs are another treatment option however, this shouldn’t be initiated until the binge eating disorder is treated because this can trigger binge eating episodes given that dieting is a risk factor

♡ Secret Tips

  • Stay active

  • Stay connected with your mental health

  • Adapt your environment to your needs

  • Stick to the treatment plan

That's all for this week, don't forget to leave us feedback, rate, review, subscribe and send in your questions so we can continue to improve as well as, provide you high quality content.

Disclaimer: The Content on our podcast/website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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