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Binge Eating Disorder

Anila Khaliq, MD, Osmaan A. Minhas, DO and Eesha Salman Bashir, MBBS Reviewed 06/2019
 


BASICS

DESCRIPTION

Binge eating disorder (BED) is characterized by episodes of uncontrollable consumption of large amounts of food in a discrete amount of time associated with a subjective sense of lac...

DIAGNOSIS

  • According to the DSM-5 Diagnostic Criteria for BED, binge eating episodes are typically associated with three of the following: eating more rapidly than usual; eating more than comfortably s...

TREATMENT

GENERAL MEASURES

Assessment of people with eating disorders should be comprehensive and include physical, psychological, and social needs and a comprehensive assessment of risk to self. 

MEDICATION

ONGOING CARE

Schedule frequent follow-ups to closely track course of disease and patient progress. 

FOLLOW-UP RECOMMENDATIONS

  • Health care professionals should acknowledge that many people with eating di...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Dakan...

ADDITIONAL READING

  • Goldschmidt AB, Le Grange D, Powers P, et al. Eating disorder symptomatology in normal-weight vs. obese individuals with binge eating disorder. Obesity (Silver Spring).  2011;1...

CODES

ICD10

  • F50.81 Binge eating disorder

  • R63.2 Polyphagia

ICD9

307.59 Other disorders of eating 

SNOMED

  • 439960005 Binge eating disorder

  • 72366004 Eating disorder

  • 267023007 Excessive eating - polyphagia

CLINICAL PEARLS

  • BED is the most common eating disorder but often unrecognized and is underdiagnosed and untreated.

  • Nonobese individuals with BED tend to be younger and reluctant to seek treatment.

  • Consi...

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