Binge Eating Disorder

Lindsay Dawn Porter, MD, Jennifer Mitchell, FAMSSM, FAAFP, MD and Rachel Conkin Kaminski, MBA, MD Reviewed 05/2023

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 at least three of the following: eating more rapidly than usual; eating more than comf...

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

The level of risk to the patient’s mental and physical health should be moni...

REFERENCES

Erskine HE, Whiteford HA. Epidemiology of binge eating disorder. Curr Opin Psychiatry. 2018;31(6):462–470. doi: 10.1097/YCO.0000000000000449.

Chu J, Raney J, Ganson K, et al. Adverse child...

CODES

ICD10

F50.81 Binge eating disorder
R63.2 Polyphagia

SNOMED

439960005 Binge eating disorder
72366004 Eating disorder
267023007 Excessive eating - polyphagia

CLINICAL PEARLS

BED is the most common eating disorder but is often unrecognized, underdiagnosed, and undertreated.
Non-obese individuals with BED tend to be younger and reluctant to seek treatment.
Fir...

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