Binge Eating Disorder (BED)
People who eat in secret, eat until they are uncomfortably full, and feel a sense of shame after eating, may be struggling with Binge Eating Disorder (BED).
BED is diagnosed when a person participates in a minimum of two binge-eating episodes per week for six months, where a considerably large amount of food is consumed in a short timeframe (e.g. 2 hours). These episodes are accompanied by a feeling of ‘loss of control’ over what, and how much, is consumed.
There are many biological and lifestyle factors that can drive a desire to overeat, however, when unhelpful thinking is activated this can develop into compulsive overeating.
Some people use binge eating as a way of coping with difficult emotions, and over time feel unable to break free from complex patterns of thoughts, emotions and behaviours.
Most often, people with binge eating disorder struggle with their weight. You may follow a binge eating episode with restrictive dieting for several days to make up for the excess calories consumed.
This may create intense cravings for sugar and a physiological drive to eat, setting you up for another binge episode. With your physiology and emotions in chaos, it is easy to feel trapped in what feels like a constant binge eating cycle.
James Lamper and his team of bariatric psychotherapists specialise in the treatment of binge eating. They work alongside our nutrition team in our non-surgical weight loss programme called Reframe.
BINGE EATING DISORDER & WEIGHT LOSS SURGERY
Obesity is a common physical result of binge eating and compulsive overeating.
Binge eating is the most common disordered eating presentation seen in patients seeking weight loss surgery.
Weight loss surgery is a successful intervention to treat excessive weight gain and obesity that results from binge eating.
The most common weight loss surgeries performed are the Gastric Sleeve, Gastric Bypass, Mini Gastric Bypass and Gastric Band.
Bariatric surgery limits the amount of food a person can consume by creating a smaller gastric pouch, and in some cases affecting the absorption of food that is consumed. This reduces the volume of food an individual can consume at a meal, and increases the feeling of fullness and satiety.
Bariatric surgery may physically restrict the patient from consuming the same high volumes of food during a bingeing episode as before. This in turn can promote gradual weight loss and reduce the desire for bingeing episodes.
It is important you are honest with your surgeon and wider MDT. We are here to support you in achieving the best outcomes from your weight loss surgery.
Most people just require a few extra psychotherapy sessions to address their conflated relationship between emotions and food before their scheduled surgery date.