Sunday, September 5, 2010

The B.E.D. Binge

In BED, a binge may not have a readily definable beginning or end and may last for days, rather than for an hour or two as is typical of bulimia or the bingeing anorexic.  The duration of the binge can vary greatly.  Binge days are more the norm than are discrete binge episodes.  Some binges end with the sufferer going to sleep;others continue for days; and still others take the form of continuous snacking throughout the day with no defined meal times.  In some cases, the BED binge takes the form of a night eating, with excessive calories being consumed mainly between 6pm and going sleep.

It may be characterized by:
  • Rapid Eating
  • Eating when not physically hungry
  • Eating until uncomfortably full
  • Eating alone to avoid embarrassment
  • Feeling disgusted with oneself, depressed, angry, or very guilty after over eating
Binge eating can become a problem at any age, although BED is more likely than other eating disorders to develop later in life.  Most people who seek help for BED are older, 30+.  Men are more likely to develop BED than other eating disorders.  Those with BED usually eat for emotional reasons: comfort, avoid upsetting situations, numb painful emotions, or distract themselves from boredom.  Some are unable to report a specific trigger for a binge but may report a feeling of low-level, persistent tension and anxiety that is relieved by binge eating.  At times the BED beinge has a dissociative quality, resulting in the obese binge eater, "numbing out" or "spacing out."

More on this to follow, but you talk about describing what I've gone through as a text book case, and this is it.

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