Binge eating 

Introduction 

Binge eating usually takes place in private and is often followed by feelings of guilt or disgust 

The binge eating cycle

People who binge eat often display a particular pattern of behaviour known as the binge eating cycle. The binge eating cycle (described below) is difficult to break.

  • Binge eating leads to a surge in blood sugar which causes the pancreas to produce insulin (a hormone that helps to break down fat and carbohydrate in the body).
  • The insulin causes blood sugar levels to fall rapidly, resulting in a false message being sent to the brain that more food is needed to top up glucose levels.
  • This results in cravings for sugary foods to provide a quick glucose fix, so the person eats large quantities of food even when they are not hungry.
  • Eating large amounts of sugary foods leads to a rapid increase in blood sugar levels and the production of insulin, causing the cycle to begin again.

Binge eating is an eating disorder where a person feels compelled to overeat on a regular basis.

People who binge eat consume very large quantities of food over a short period of time and they often eat even when they are not hungry. Binges are often planned and can involve the person buying "special binge foods".

Binge eating usually takes place in private with the person feeling that they have no control over their eating. They will often have feelings of guilt or disgust after binge eating. These feelings highlight underlying psychological issues, such as:

  • depression – feelings of extreme sadness that last for a long time
  • anxiety – a feeling of unease, such as worry or fear, that can range from mild to severe

Depression and anxiety may be both a cause and an effect of binge eating.

Binge eating is a mental health condition, but it is also triggered by the effect that the binge eating cycle has on the body (see box, below left, for more information about the binge eating cycle).

See Binge eating – Causes for more information.

Who is affected by binge eating?

Anyone can be affected by binge eating. Unlike anorexia where more women than men are affected, binge eating affects men and women equally. The condition tends to be more common in older adults than in younger people.

Binge eating and bulimia

People who binge eat and those with bulimia (another type of eating disorder) often eat until they are uncomfortably full. People with bulimia then purge (flush out) the food they have eaten by making themselves vomit or by taking laxatives (medicine to help empty the bowels).

Unlike those with bulimia, people who binge eat do not purge themselves to control their weight. Therefore, binge eating can cause weight gain, which can lead to obesity (see below), which is where a person has too much body fat for their sex and height).

See the Health A-Z topic about Bulimia for more information about the condition.

Binge eating and obesity

Binge eating is often associated with obesity, where someone is very overweight with a body mass index (BMI) of 30 or over. Obesity is a serious health problem that can lead to a number of serious chronic (long-term) health conditions such as:

Being obese can also shorten your life expectancy. For example, the life expectancy of obese adults who are over the age of 40 can be shortened by six or seven years. 

See Binge eating – Symptoms for details of other health conditions that are related to obesity and the Obesity Health A-Z topic.

Outlook

Binge eating is a treatable condition, and a number of different treatment options are available. For example, treatments include:

See Binge eating – Treatment for more information.

Last reviewed: 17/02/2011

Next review due: 17/02/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

Trieste said on 27 December 2011

I came off my SSRI Citalopram because I didn't like the idea of being on an " anti depressant" although I actually am on them as " anti panic " medication. I make no apologies for needing a fairly low dose of these meds as I have the trauma of an elderly relative with Dementia at one end of things and a son with addictions at the other end of life. Anyway, I was OK for a few months without the SSRI then the panic came back witha vengeance as Insomnia, IBS and misery so I'm now back on the meds with full acceptance of who I am and my need of a little help at this moment in time.
After all Diabetics take Insulin and those with Thyroid problems Thyroxin without feeling guilty and so we must not beat ourselves up for needing to restore the serotonin levels in our brain when these become depleted by stress.
Life is not a competition!
Hope this helps someone out there!

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ronnie2001 said on 09 September 2011

I was taking anti depressants until about 7 or 8 weeks ago, after taking them for about 4 years. I stopped taking them after I bought a kitten, and he gives me so much joy, that I gave them up as I felt good and didn't want to take them any more. I know that I should have weaned myself off them, however, I just stopped and have felt no side effects whatsoever, apart for mild light headedness and dizziness during the first week I stopped them.

However for the last 9 months or so, I have found to my dismay, that I seem to have developed binge eating, and over the last 6 months or so I have gained about a stone and a half.

Its been far worse over the last 2 months or so, when I just want to eat, especially after I get home from work, when I know I wont be seeing anyone, and that I have the whole night to get over the effects, i.e. uncomfortably full stomach and feeling bloated.

I don't want to eat, I don't feel hungry, and I know I don't need it, but I have to have it, things like a quick fix of cold baked beans, toast and marmite, a huge bowl of cereal, with lots of sugar, etc etc.

Its awful, because I say to myself, I am not going to do this anymore, but always end up stuffing myself, and then feeling SO bad, guilty, ashamed, and disgusted, so much so that I swear to myself the next day I will not do it anymore, and then go on and eat something else to 'make me feel better', knowing full well I will feel horrible again immediately after, and so it goes on. I haven't got to the point of wanting to make my self sick, but it has passed in to my thoughts on occasions.

There are things going on i my life which is causing me a great deal of worry, (not health problems), but I feel I am in control of it so I don't know why I am binge eating. Any suggestions, that would not include taking anti depressants, would be helpful.

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