How to Recognize Binge Eating Disorder
Sixteen year-old Addison has a great, loving family and plenty of friends. She excels in school and is also very active in the church’s youth department and in sports as well. Addison’s issues are deep within, however. She has trouble expressing her emotions and therefore struggles alone in her sadness and insecurities.
When the day is done and the night closes in, as everyone else sleeps, Addie feels drawn to the kitchen area. The day’s stresses fade away as she begins to relax over the food she finds there. From cookies, chips, and cake to a gallon of chocolate ice cream, she eats all she can manage to get her hands upon. Then she makes her way to her bedroom where more snacks she’s stashed await her.
At first, Addy experiences relief as she eats. She does not, however, enjoy feeling powerless over the situation and not in control. Once she realizes the amount of food she’s eaten, she is overridden with shame. Addy swears to herself that she will never repeat the action again. Huntington Beach Christian Counseling offers support for individuals like Addy, helping them address their struggles with compassion and understanding.
She tries to live up to her promise but cannot. The cycle continues, over and over again. Every time she feels stressed out, she uses food for an outlet. She has no clue what to do about her situation or who to turn to. She doubts anyone would understand. She feels extremely along and afraid.
Brady has just turned thirteen. He’s known as a nice kid and he is also the joker of the classroom. He’s got friends but isn’t at all secure in himself or his friendships. He is always paranoid that his friends will decide they don’t like him anymore due to something he says or does.
His jokes are just a cover for his fear. Food is one thing he can rely upon to give him the happiness he is longing for. When sad, stressed, or bored, food is always there to lift him up and offer him relief, at least temporarily.
It wasn’t until Brady got into therapy that he realized the connection between food and his feelings. He knew he was drawn to food, but prior to therapy, he didn’t know the full implications and how very serious the situation was. When he felt he was not in control, he knew he could eat food and he’d feel better, if only for a moment.
The eating then turned to shame, especially when comments were made about his love for food by his parents. His eating caused him to gain weight which prompted bullying by his peers. The situation eventually escalated to the point that he required therapy. Now he is learning to identify and express his feelings. He is developing skills that he needs in order to cope with the emotions that used to overwhelm him.
Tammy is a young woman of thirty-four years of age. She has had issues with her body image and problems with her self-esteem for as long as she can remember. Her weight and appearance have been a struggle ever since she was a child.
She faced ridicule and bullying by her peers which turned into a severe distrust of others. She doubts who she is on the inside and feels very alienated. She is grown now but her job is quite stressful and very fast-paced. Keeping up with the job is tough and keeping up with life is even tougher.
There are two things that help Tammy deal with her stresses: food and alcohol. It seems she is forever having one drink too many or eating too much, too quickly. She feels remorseful after doing either. But, she feels very alone and overwhelmed.
She is doing all she knows how to do to cope with the way she feels. Therapy has crossed her mind but she thinks she should be able to handle her emotions and feelings on her own. Besides, unleashing all the pain is a scary thought. She doesn’t need the added stress.
The concept of being an “emotional eater” simply means to use eating in order to cope. It isn’t a new thing and most people have heard of it but it is far more serious than most realize. Binge Eating Disorder differs from just eating too much at one sitting. It isn’t simply eating for reasons that are emotionally based either. While both scenarios are problematic, they don’t entail the qualifications for being a binge type eater.
What Binge Eating Disorder Really Is
Binge Eating Disorder was recognized by the Association of the American Psychiatric’s list of mental disorders in 2013. Before that, it was in still in research although it was deemed a serious problem by a myriad of professionals throughout the course of many years. Finally, it has its rightful place as a disorder with a name and a set of criteria which distinguish it.
The BED diagnosis criteria are as follows:
- The person must have repeated episodes of bing-eating.
- The definition of a binge consists of possessing three or more of the five following characteristics:
- Eating considerably quicker than normal
- Continuing consumption of food beyond being comfortably full
- Eating large quantities of food even though one is not feeling hungry
- Eating alone because of being embarrassed by the portion sizes
- Having feelings of guilt, depression, or disappointment with oneself following the binge-driven behavior
- In addition, the person who engages in the binges must feel significant emotional distress or remorse about the binge they have taken part in.
The criteria for this disorder is different from that of bulimia nervosa, however, because an individual with BED doesn’t frequently take part in behaviors that are aimed at preventing weight gain.
Negative emotions usually come prior to the episode of binging. It can also be characterized by triggering from other root stressors. That is the reason it’s often regarded as a coping mechanism which is closely related to stress and other negative emotions.
As mentioned before, it is typical with this disorder for food to be consumed in a rush instead of at a pace that is normal. There is little to no mindfulness in the process. The person is likely to eat as an effort to relieve emotions and/or to escape stress.
Shame tends to be an ever-present part of the equation. It is common for those with BED to experience it on a regular basis. It is also typical for one to attempt to hide their shame by engaging in their behavior disorder which only increases and intensifies the negative ways they were already feeling. That is how cyclical behavioral patterns begin and continue.
Additional Common Diagnoses
Those who have been diagnosed with BED quite often meet additional criteria pertaining to other diagnoses as well. It’s not unusual for them to also display signs and symptoms of anxiety disorders, depressive disorders, and even bipolar disorders. Another typical problem is substance and alcohol abuse. For this reason, a professional who is trained to recognize BED will also generally check for additional diagnoses as well.
Medical Complications
This type of eating disorder should be taken very seriously. Heart disease, diabetes type 2, muscle and joint issues, osteoarthritis, high blood pressure, and gastrointestinal problems may be present. It’s vital with a BED assessment to also have an evaluation of medical health as well as one of mental health.
BED Risk Factors
There are a number of factors that put a person at more risk, typically. Those things tend to be common with those who have BED.
Some of those risk factors are:
- Persistent dieting, prior to or in conjunction with active BED
- Significant weight change history
- Being overweight
- Having low self-esteem
- Not being able to emotionally cope or express oneself
- Being unhappy with bodily appearance
- Possessing other mental health disorders like having bipolar disorder, substance abuse issues, or depression
- Being bullied or made fun of about weight
- Emotional, sexual, or any other type of trauma or neglect
- Experiencing a significant loss such as a breakup or death
Warning Signs of Binge Eating Disorder
Remember that weight is not always an indicator that someone has BED. The problem can occur in those who don’t have weight issues and those who have weight issues may not have BED.
Shame is frequently experienced with BED. Due to shame, hiding the symptoms and behaviors is very common. Though not conclusive, the signs below may be an indicator of the disorder if one or more are present.
- Trouble eating in social situations, preferring to eat when alone
- Obsessing over food and/or binge planning
- Eating fast with a lack of control
- Frequently feeling constipated or bloated
Eating past the point of feeling full- Discovering food wrappers, hoarding food, finding large quantities of food missing
- Elevated withdrawal from activities and relationships and/or becoming isolated more
- Habitually beginning new diets and/or odd meal rituals and/or frequently skipping meals
- Fluctuation of weight
- Unhealthy fixation and focus on bodily shape and/or weight
- Gastrointestinal problems
Binge Eating Disorder Treatment
If a loved one, or yourself, is displaying BED symptoms, it’s imperative to seek a professional evaluation by a specialist in the field. Because BED is likely to include serious medical complications, it is recommended that a physician also evaluate the patient.
In addition, a dietitian can be a very important professional involved in the treatment since they are able to assist a person with the diagnosis and the disorder. They can play a crucial role in the patient understanding and coming to grips with the implications BED has on their health. Nutritional needs are discussed and medication is sometimes prescribed.
If BED is determined to be present, a number of psychological treatments exist which can be of help. Some of these methods are as follows:
- Cognitive Behavior based therapy, or CBT, is a method which assists individuals in understanding the direct relationship thoughts, behaviors, and feelings have. It helps them develop positive and effective strategies to help alter negative patterns.
- Dialectical Behavioral Technique, known also as DBT, is a helpful approach to teaching new skills which can be focused on so that emotions can be regulated during stressful times and during temptations to eat irregularly. Both individual and group settings are generally a part of this type of therapy.
- Interpersonal Psychotherapy, also known as IP, is a technique which helps individuals explore relationships such as loss, conflict, and so forth. It examines how they perceive themselves alongside others and takes a look at how those components might play into their eating disorder and its behaviors.
There are even more treatment types that might be recommended for BED, depending on the individual needs that you may have which flow from our life experiences, like trauma, abuse, etc. A qualified licensed therapist will be able to lovingly point you in the direction that will be the most helpful where a full plan of treatment is concerned.
It is overwhelming to live with BED. Hopeless feelings can consume you and sadness may be a constant emotion you feel. But, there is a better way. There’s hope just around the corner when you begin your journey to healing and recovery. Don’t put it off. Call today and walk in the sunshine. A brand new life awaits you. Christian Counselors at Huntington Beach Christian Counseling are here to support you on this transformative journey.
“Happy”, Courtesy of Matias Saw, Unsplash.com, CC0 License; “Altered Conscious”, Courtesy of Alex Perez, Unsplash.com, CC0 License; “Frustrated,” courtesy of Tim Gouw, unsplash.com, CC0 License; “Stack of Pancakes”, Courtesy of Maria Mekht, Unsplash.com, CC0 License

Perhaps you, yourself, often engage in a particular behavior that but don’t really have any idea what drives it. It may have crossed your mind that these odd behaviors are signs of what is commonly referred to as OCD.
Some of the ritual behaviors such as checking, ordering, hand washing, or other mental acts like counting, repeating words quietly, or praying that the person feels compelled to perform to relieve their obsession;
It seems that middle age adults appear to be the ones struggling with Obsessive Compulsive Disorder symptoms but the reality is that the mean onset age is 19.5 years of age with 1 in 4 cases beginning at age 14. Almost 25% of males experience onset prior to age 10 while those whose 35 years old or older rarely experience the onset of symptoms, although it does happen.
Obsession with one or more perceived flaw (such as hair thinning or face wrinkles) or physical appearance defect (such as believing they are not pretty or handsome) that other people never noticed but at some point, made the person perform repetitive behavior (like checking themselves in the mirror) or a mental act (like comparing themselves to others) in response to their concern about how they look.
Experiencing a “traumatic event” is something many people have to cope with — and there is a range of situations that can be labelled as “traumatic events.” Trauma is often described as being both a physiological and a psychological wound. When we perceive a threat to our lives or experience a threatening situation, or witness serious harm occurring to another person, our response is one of being traumatized.
Trauma Informed Care, therefore, isn’t only beneficial for people who have experienced the more obvious kinds of trauma. Rather, it can help anyone – because one of the biggest challenges when seeking out counseling is finding someone that you feel will understand your issues more deeply than just the surface level. The focus on empathy in trauma informed care is a huge benefit.
Trauma Informed Care helps to build a greater level of resilience by treating the whole person. Understanding past trauma and the way that you respond to and handle trauma is an important part of the process. Trauma Informed Care respects where you are on the journey toward recovery and meets you where you are – removing the need for you to pretend that you’re doing better than you are. This is essential for healing.
God reaches out to us in the moments when we are feeling the most desperate. In Isaiah 41:10, he says, “Don’t be afraid, for I am with you. Don’t be discouraged for I am your God. I will strengthen you and help you. I will hold you up with my victorious right hand.”
As you consider these factors, you can identify your strengths and weaknesses, and how you can improve to be a better leader and asset to your organization.
Asking for possible negative feedback is never enjoyable, and you’ll probably feel vulnerable, but it can help your team connect with you on a more human level and improve your relationships.
Even children who are usually well behaved may encounter a situation where they are so overcome by emotion that they “lose it” and engage in inappropriate behaviors. This is especially true of very young children whose emotions are still in the early stages of development.
We all know it’s wrong to tell a lie, but we all do it from time to time. No matter what age, lying is a significant problem when it becomes habitual – so ingrained that the person’s word cannot be trusted. Some children become repetitive liars, which can make it difficult for parents to know when to believe the child. This could even put the child in harm’s way.
If your child is usually cheerful and compliant, then abruptly begins to question your directives, or refuse to obey, this defiant attitude may be a way of asserting himself or testing boundaries. Your child may be disrespectful to you or other authority figures. Many times this behavior is picked up from peers or even TV shows.
Children begin to experiment with cigarette smoking, drinking alcohol, or smoking marijuana around the age of thirteen. But children much younger than this engage in substance use, especially if it is readily available at home or from a friend or relative. Obviously, this behavior demands immediate attention before addictions develop or other serious issues ensue.
The Enneagram has been used for hundreds of years and remains one of the most popular personality typing systems. In ancient times this system was shrouded in secrecy, but today anyone can have access to it.
Since we are all sinners, all family relationships involve some level of brokenness and pain. Some people experience this brokenness much earlier or more intensely than others do, but it is there at some level for everyone.
What are your true desires? What do you fear? What do you sense God is saying to you? If you are in the head/thinking triad, you probably have a busy mind full of active thought, and quieting your inner voice can help you connect with God’s voice and understand your true self.
In this age of social media, more and more people, including popular entertainers, are posting their struggles with anxiety.
In CBT, the professional counselor helps the sufferer reframe how they think and how they understand their behavior. In this way, negative thought patterns may hopefully be reduced to something more rational and realistic, preventing these unnecessary mental worries and physical responses to worry.
Spiritual self-care, which many today seem to ignore, is very essential as a weak spiritual connection to God makes one very susceptible to all kinds of problems, especially worries about the future. Regular prayer time, reading of Scripture, meaningful Church attendance, and fellowship with other caring believers will do wonders for the spiritual health so that negative, anxious thoughts will not easily bring one down.
Now while yoga is very helpful for those suffering from anxiety, as a Christian, one must remember to only incorporate the principles of relaxation and mindfulness and not any non-Christian spiritual practices or beliefs. Compromising one’s spiritual beliefs should never be an option.
It can be exhausting to deal with behavior problems in children. Parents often feel angry and confused about their child’s behavior. It can be terrifying when you don’t understand what’s happening with your child, don’t know how to help, but feel totally responsible for making things better for them.
For parents struggling to deal with their child’s difficulties, the principle question that needs to be considered is What is my child’s need that’s being unmet? When we talk about unmet needs, however, it’s important to remember that these are deep, emotional needs, not issues regarding toys or other material things.
It’s clear when looking at this Functional Behavioral Analysis chart that it’s possible to come to entirely different conclusions about the behavior when you consider the function of the behavior. It’s not always as clear cut as parents assume it to be, meaning that problem behaviors are not always problems but rather dysfunctional coping mechanisms.
In children whose problem behavior relates to bodily functions, it is sometimes the case that the child feels they have so little control in their life that they develop problem behaviors with their bodily functions because that’s one thing they do have control over.
While many may seek happiness, it is joy that allows one to see the positives in life despite the changing circumstances. But true spiritual joy can only occur when a person is focused on God, trusting in Him as our loving Father, provider, and protector.
Contrary to what the media usually presents, kindness does require grand gestures towards others. Small, daily acts of kindness, such as a smile or a helping hand, can already change a person’s outlook towards life. But when dealing with difficult people or tough situations, it helps to ask God for the strength to be kind. Kindness is a spiritual fruit that blesses both the giver and the receiver.
Self-control is the final fruit. With self-control, a man will be able to manage his response to antagonistic situations. However, to truly have self-control, the other spiritual fruits need to be present and the divine help of the Holy Spirit must be there as well. Without them, trying to manage one’s anger will be very, very difficult indeed.
As stewards of the child, parents or other guardians are naturally concerned. But though they may desire to get to the root of the problem so that a solution can be found, the child might not be able to properly express their feelings or might not wish to do so. Rather than becoming frustrated and angry at the child for not saying what they feel, parents or guardians should try other ways to get the child to open up and share what is bothering them, such as the following suggested therapeutic activities for children.
Another effective method for young children is role-playing. Sometimes the child knows how they feel, but they are afraid to say it. Role-playing allows them to act out their inner emotions and thoughts from the “safety” of pretending to be someone else.
The challenge here is for parents or guardians to get the child to try, since they may feel like they are doing additional homework. But if they can be encouraged to give it a try, even if their first attempt only results in a few phrases written down, they might eventually see how helpful journaling can be. Privacy is another issue, especially for older children. In such cases, a heart to heart talk about the need for a trusted adult to know what is going on may be needed.
Initially, the child may need some help in how to pray so the parent or guardian can first model a prayer where God’s almighty power is acknowledged; thanksgiving is declared, and then prayer requests are made. After some sessions, the child can then be asked to pray, out loud or silently. The objective here is for the child to become more relaxed as they begin to depend on and trust in God.