Binge-Eating Disorder

Binge-Eating Disorder covers assessment, medical considerations, and evidence-based therapy for recurrent binge episodes without compensatory behaviors. This page turns evidence into action: functional analysis of triggers, CBT-E and IPT protocols, and weight-neutral, stigma-free care that prioritizes health and function. If you’re comparing an eating disorder conference, you’ll find practical steps for integrating nutrition counseling, sleep stabilization, and emotion-regulation skills while coordinating care for mood/anxiety and metabolic health. Because BED often co-occurs with ADHD and SUD, we link to CBT for Substance Use so teams can align craving management and stimulus control across conditions.

Sustained improvement depends on consistent practice and compassionate framing. We outline stimulus control, meal structure, and coping plans for high-risk windows; address night eating, shift work, and stress-related patterns; and review when pharmacotherapy (e.g., lisdexamfetamine) may be considered alongside therapy. Sleep and circadian alignment reduce evening vulnerability, while peer and digital supports extend skills between sessions. Equity matters: culturally responsive materials and access to affordable, non-stigmatizing nutrition care widen reach. Measurement-based care tracks frequency, distress, function, and quality of life to guide iterative adjustments.

Treatment Focus

Assessment and formulation

  • Clarify binge frequency, triggers, and impairment.
  • Screen for mood/anxiety and ADHD; assess metabolic risks.

CBT-E and IPT protocols

  • Target dietary restraint, body image, and emotion regulation.
  • Schedule regular practice and review relapse scripts.

Nutrition and health

  • Structure meals and snacks; avoid extreme dieting.
  • Coordinate metabolic screening and supportive activity.

Sleep and stress pathways

  • Stabilize routines; address night eating and shift patterns.
  • Teach relaxation and distress-tolerance skills.

Implementation and Support

Group and digital programs
Skills groups and guided online modules to scale access.

Family/partner involvement
Supportive communication and environment without policing.

Crisis and relapse planning
Early warning signs, coping steps, and rapid re-entry.

Comorbidity management
Align care for ADHD/SUD and mood disorders to reduce relapse.

Equity and cultural adaptation
Tailor materials to culture and literacy; reduce cost barriers.

Primary care integration
Coordinate labs, referrals, and follow-ups with shared plans.

Measurement and outcomes
Track frequency, distress, function, and QoL on dashboards.

Ethics and language
Use weight-neutral, person-first communication to reduce stigma.

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