Thursday, November 30, 2023

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    Binge Eating Disorder: Are You Stuck In The Pendulum Effect?

    “As I searched for food perfection, and as I gained weight, I began to realize that the race for perfection in anything was the path to destruction.”

    Rachael Rose Steil, Running in Silence: My Drive for Perfection and the Eating Disorder That Fed It

    In today’s era, the increase in awareness about eating right and staying fit has led to many eating disorders, especially in the millennials. One of the most common eating disorder, which at present has affected at least 2.8 million adults in America is Binge Eating Disorder (B.E.D).

    These maladies, are not merely character flaws but are evident disorders. But it’s difficult to simply look at an individual and diagnose the ailment. A particular person is suffering from an eating disorder can be deduced, by recording his/her history and taking into account the signs and symptoms.

    Binge Eating Disorder was first coined in 1959 by a psychiatrist, and researcher Albert Stunkard, as Night Eating Syndrome. Further, the term Binge Eating Disorder was established to explain a similar binge eating behaviour without the nocturnal aspect.

    It affects both normal weighing men and women but again instances are seen more in the females. Patients grapple with emotions of guilt and disgust and are often also associated with depression or anxiety. These underlying conditions compel them to overeat 4i(often very quickly and to the point of discomfort) thus leading to obesity, which can indirectly reinforce further compulsive eating. They feel a sense of satisfaction when they indulge themselves in binge eating; thus creating a vicious cycle.

    Common Factors Of Binge Eating Disorder

    1. Genetic And Psychological (Stress-induced)

    • Low self-esteem and self-respect
    • Feeling of hopelessness
    • Trouble coping up with emotions
    • Perfectionism
    • Impulsivity

    2. Cultural Or Societal (Peer Pressure)

    • An over-emphasis on appearance
    • Beauty standards that promote being thin is being beautiful
    • To avoid being body shamed and to fit in the scrutinizing society.

    Complications Of Binge Eating Disorder

    There are psychological and physical problems associated with binge eating which are:

    • Poor quality of life
    • Difficulties functioning at work, and personal life
    • Obesity
    • Related medical conditions, such as joint aches, heart disease, type 2 diabetes, gastroesophageal reflux disease (GERD), and sleep-related breathing disorders

    Psychiatric disorders include:

    • Depression
    • Bipolar disorder
    • Anxiety
    • Stress
    • Drug or alcohol abuse

    Signs And Symptoms Of Binge Eating Disorder

    Overeating sad girl
    • Indulging in large amount of foods in short periods of time.
    • Eating until one feels full and uncomfortable.
    • Eating rapidly and frequently mostly in secret.
    • Feeling depressed and guilty after the eating episode.
    • Frequent dieting, possibly without weight loss.

    The severity of the disorder is determined by how often episodes of bingeing occur during one week.

    Diagnosis Of Binge Eating Disorder

    Psychological evaluation, including a history of eating habits, is recommended. Labs for high cholesterol, high blood pressure, heart problems, diabetes, GERD, and some sleep-related breathing disorders are also conducted.

    Treatment For Binge Eating Disorder

    The main goal of treating B.E.D is to provide both a healthy mind and body to the patient. This is achieved through:

    Psychotherapy And Counselling

    Examples of psychotherapy include:

    Cognitive-behavioral therapy (CBT)

    CBT basically helps to control the trigger factors for binge eating and also helps one cope better with depressed mood and eliminate the negative thoughts.

    Interpersonal psychotherapy

    The goal of this therapy is to improve the interpersonal skills of the patient and thus reduce triggers due to problematic and unhealthy relationships.

    Dialectical behavior therapy 

    This therapy strengthens the patient’s will power and behavioural skills.

    Medications For Binge Eating Disorder

    Lisdexamfetamine dimesylate (Vyvanse), a drug for attention-deficit hyperactivity disorder, is the first line of drug approved by FDA to treat moderate to severe binge-eating disorder in adults. Being a stimulant, it can be easily abused

    Other types of medications include:

    Topiramate (Topamax), an anticonvulsant.


    Behavioural Weight-loss Programs

    Many people have a history of failed attempts to shed those extra pounds. However, weight-loss programs are recommended only when the binge eating disorder is treated, because dieting may further trigger more binge-eating episodes, making weight loss not possible. Such programs are carried under medical supervision so that nutritional requirements are met.

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