Many people overeat occasionally—but binge eating disorder (BED) involves more than just eating too much. BED is characterized by repeated episodes of eating large amounts of food—often quickly and to the point of discomfort—followed by feelings of shame, distress, or guilt.
You might have BED if you:
- Feel a loss of control during eating episodes
- Eat when you’re not hungry or continue past fullness
- Eat alone or in secret to avoid judgment
- Feel powerless to stop bingeing, even if you want to
- Experience emotional distress related to your eating behaviors
If these patterns sound familiar, a binge eating therapist can help you explore whether you meet criteria for BED and what steps you can take toward recovery.
Recognizing the symptoms
Binge eating disorder can affect anyone—regardless of gender, age, body size, or background. Many people struggle in silence for years, blaming themselves or feeling too ashamed to seek help.
Common symptoms include:
- Recurrent episodes of eating unusually large amounts of food in a short time
- Eating much faster than normal during these episodes
- Eating until uncomfortably full or even in pain
- Eating alone due to embarrassment
- Feeling disgusted, depressed, or very guilty afterward
- Lack of regular compensatory behaviors (such as vomiting or excessive exercise)
A therapist for binge eating can help you recognize these symptoms as part of a treatable condition—not a personal failing.
What do the diagnostic criteria mean?
According to the DSM-5, binge eating disorder is diagnosed when:
- Binge eating occurs at least once a week for three months
- The person feels a lack of control during these episodes
- The binge episodes are marked by at least three of the following:
- Eating much more rapidly than normal
- Eating until feeling uncomfortably full
- Eating large amounts when not physically hungry
- Eating alone due to embarrassment
- Feeling disgusted or ashamed afterward
Unlike bulimia, binge eating disorder does not involve purging or other compensatory behaviors. A licensed binge eating disorder therapist can help assess your symptoms and provide a clear, supportive diagnosis if needed.
Getting diagnosed
Diagnosis typically begins with a comprehensive intake interview with a mental health professional. You may also complete screening tools or questionnaires.
During this process, your provider will explore:
- Your eating patterns and history
- How food and emotions are connected for you
- Physical and psychological consequences of your eating habits
- Co-occurring conditions like anxiety, depression, or trauma
Early diagnosis opens the door to healing. A trained therapist for binge eating disorder will approach this process with compassion and without judgment.