Do you sometimes feel that your kids might eat you out of house and home? It can
feel like that at times, especially during the teen years. They grab a handful of
cookies here, a bag of chips there, and finish last night's leftovers in a flash.
They're growing like weeds, of course, so you figure all that eating is OK. And most
of the time, it is.
But sometimes, heavy snacking isn't what it seems to be. A kid who eats unusually
large amounts of food — and feels guilty or secretive about it — could
be struggling with a common eating
disorder called binge eating disorder.
About Binge Eating Disorder
Lots of people find comfort in food. After all, it's often at the heart of our
happiest celebrations. Birthdays can mean cake with friends; Thanksgiving often means
turkey and stuffing with family. Most people will sometimes eat much more than they
normally do (or even want to) on special occasions.
But people with binge eating disorder have a different relationship with food —
they feel like they've lost all control over how much they're eating, like they can't
stop. They also binge more frequently — at least twice a week for several months.
For people with binge eating disorder, at first food may provide feelings of calm
or comfort or stop them from feeling upset. But if bingeing continues, it can cause
anxiety, guilt and distress. A binge usually involves eating unusually large amounts
of food quickly. While bingeing, a person feels completely out of control. These behaviors
can become a habit, which is often alternated with dieting.
Binge eating disorder is more common in people who are overweight or obese,
but it affects people of healthy weight as well. However, there's little information
on how many kids and teens have it because the condition has only recently been
recognized. Some people may be too embarrassed to seek help for it.
Also, because most binge eating is done alone, even if their kids may be gaining
weight, parents might not be aware that it's due to bingeing.
While other eating disorders (like anorexia and bulimia) are much more common in females,
about a third of those with binge eating disorder are male. Adults in treatment (including
2% of adult Americans — roughly 1 million to 2 million people) often say their
problems started in childhood or adolescence.
Signs and Symptoms
Kids and teens who sometimes eat a lot don't necessarily have binge eating disorder.
Kids can have huge appetites, especially during growth spurts, when they need more
nutrients to fuel their growing bodies. So it can be difficult to determine whether
a child has binge eating disorder. But several signs distinguish someone who binge
eats from someone with a "healthy appetite."
Parents and other family members may first suspect a problem when they notice large
amounts of food missing from the pantry or the refrigerator, though it's hard to imagine
one child could have eaten so much.
Other signs include:
a child eating a lot of food quickly
a pattern of eating in response to emotional stress, such as family conflict,
peer rejection, or poor academic performance
a child feeling ashamed or disgusted by the amount they have eaten
finding food containers or wrappers hidden in a child's room
an increasingly irregular eating pattern, such as skipping meals, eating lots
of junk food, and eating at unusual times (like late at night)
People who binge might experience feelings that are common to many eating disorders,
such as depression,
anxiety, guilt, or shame.
They may avoid school, work, or socializing with friends because they're ashamed of
their binge eating problem or changes in their body shape and weight.
The causes of binge eating disorder aren't clear, although the National Institutes
of Health (NIH) report that up to half of all people who have it also have a history
of depression. It's not known, though, if binge eating brings on depression or if
people with depression are prone to the disorder.
Many people who binge eat say that episodes can be triggered by feelings of stress,
anger, sadness, boredom, or anxiety. However, even if someone feels better temporarily
while eating, it's usually associated with feelings of distress. Most commonly, after
a binge a person will feel anxious, guilty, and upset about losing control.
How It Differs From Other Eating Disorders
Binge eating disorder is slightly different from other eating disorders.
People with bulimia nervosa (sometimes called binge-purge syndrome)
binge on food and then purge (vomiting or using laxatives) to avoid gaining weight.
They may also fast (stop eating for a while) or compulsively
exercise after an eating binge. Like people who suffer from binge eating disorder,
those with bulimia nervosa repeatedly eat very large amounts of food and feel
guilty or ashamed about it. Unlike bulimia, however, those with binge eating disorder
do not or are unable to purge and are, therefore, frequently overweight.
Anorexia nervosa also involves feelings of guilt about eating.
Whereas people with binge eating disorder consistently overeat, people with anorexia
starve themselves, causing potentially life-threatening damage to their bodies. They
also may compulsively exercise to achieve weight loss, a condition known as anorexia
If the doctor thinks your child might have an eating disorder, he or she will take
a thorough medical history. The doctor will also discuss the family history, patterns
of eating in the family, and emotional issues. In addition, a complete physical will
be done and lab tests may be ordered. Blood tests can look for medical issues (like
high cholesterol or thyroid problems) that may be related to having an unhealthy weight.
Doctors and mental health professionals use the criteria in the Diagnostic and
Statistical Manual IV (DSM-IV) when they identify binge eating disorder. These include:
binge eating more food than most people could consume in short periods of time
a sense of lack of control over eating
feelings of distress about eating behaviors
binge eating that happens, on average, at least 1 days a week for 3 months
the binges are not associated with regular purging with laxatives or by vomiting
or excessive exercise
binge episodes associated with:
eating more rapidly than usual
eating until uncomfortably full
eating when not hungry
eating alone or in secret
feelings of disgust, depression, or guilt
As with any eating disorder, it's also important for a child to have psychological
therapy for support and to help change unhealthy behaviors.
Different types of therapy can help treat binge eating disorder. For example, family
therapy and cognitive-behavioral therapy teach people techniques to monitor and change
their eating habits and the way they respond to stress.
Family therapy includes the whole family in the process of helping the individual.
Cognitive-behavioral therapy combines the approach of helping people change self-defeating
thoughts along with changing their behavior. Counseling also helps patients look at
relationships they have with others and helps them work on areas that cause them anxiety.
In some cases, doctors may prescribe medication to be used with therapy.
But there's no quick fix for any eating disorder. Treatment can take several months
or longer while the person learns how to have a healthier approach to food. Although
weight-control programs are helpful for some people affected by binge eating disorder,
kids and teens should not begin a diet or weight-control program
without the advice and supervision of a doctor.
For some parents and family members, the long road to recovery can be frustrating
and expensive. Get support for yourself through parents groups or by reading about
the disorder so you can help your child and your family get through this.
Risks and Complications
Many children and teens with binge eating disorder become overweight after months
of overeating. Their most common health risks are the same ones that accompany obesity,
high blood pressure,
high cholesterol levels,
gallbladder disease, heart disease, some kinds of cancer, and depression and anxiety.
Helping Your Child
If you suspect your child has a problem with binge eating, call your doctor for
advice and referrals to qualified mental health professionals who have experience
treating eating disorders in kids.
Reassure your child that you're there to help or just to listen. Having an eating
disorder can be difficult to admit, and your child may not be ready to acknowledge
having a problem. You also can encourage healthier eating habits by modeling your
own positive relationship with food
and exercise and by not using
food as a reward.
With the help of your family, friends, and supportive professionals, your child
can start eating healthy amounts of food and learn to manage stress in healthier ways.