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Table of Contents
Therapies
Medications
Lifestyle
Treatment Centers
Binge eating disorder treatment can include psychotherapy and lifestyle changes and may include medication. If it is at all possible, it is recommended a person living with an eating disorder seek help from a specialist in eating disorders, given their complexity.
Treatment for binge eating disorder typically involves a form of psychotherapy and prescription medication, such as antidepressants. Around 43.6% of people with binge eating disorder will get treatment at some point in their lives.
What Is Binge Eating?Binge eating disorder involves episodes of eating large amounts of food in a short time without doing behaviors to counteract binge eating (such as inducing vomiting or excessively exercising). People withbinge eating disorderfeel out of control when eating and feel guilt or disgust after these episodes.
What Is Binge Eating?
Binge eating disorder involves episodes of eating large amounts of food in a short time without doing behaviors to counteract binge eating (such as inducing vomiting or excessively exercising). People withbinge eating disorderfeel out of control when eating and feel guilt or disgust after these episodes.
This article will cover the current treatment options for binge eating disorder, from medication to therapy.
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Psychotherapy for Binge Eating Disorder
Psychotherapy is the most common treatment forbinge eating disorder. Several types of therapy are available for treating binge eating disorder, but cognitive behavioral therapy (CBT) is generally the first one tried.
Cognitive Behavioral Therapy
Cognitive behavioral therapy is a type of psychotherapy that focuses on disordered or negative thinking patterns and works on changing them into positive, productive ones.
CBT helps people with:
A form of CBT called Enhanced CBT (CBT-E) has been developed specifically to help people with eating disorders.In CBT-E, people with binge eating disorder have a feeling of control because they are actively involved in all areas of treatment and have the final say on all decisions.
CBT-E emphasizes addressing the underlying disordered thinking that causes eating disorders, rather than the symptoms. A therapist can tailor the treatment to the specific eating disorder that a person has as well as the unique factors in a person’s life that are contributing to the disorder.
In one study, CBT-E had a success rate of about 66% in treating multiple eating disorders.A 2014 study showed that participants with binge eating disorder showed improvement during short-term CBT treatment and continued to improve or were stable during the four years after treatment.
While designed for adults, CBT-E can be adapted to be used with younger people.
Support Groups for Eating DisordersSupport groups for binge eating disorder include:Center for DiscoveryRecovery RecordThe Alliance for Eating Disorders Awareness18percentEDCareAlsanaNational Association of Anorexia Nervosa and Associated Disorders (ANAD)The Eating Disorder FoundationMulti-Service Eating Disorders Association (MEDA)
Support Groups for Eating Disorders
Support groups for binge eating disorder include:Center for DiscoveryRecovery RecordThe Alliance for Eating Disorders Awareness18percentEDCareAlsanaNational Association of Anorexia Nervosa and Associated Disorders (ANAD)The Eating Disorder FoundationMulti-Service Eating Disorders Association (MEDA)
Support groups for binge eating disorder include:
Guided Self-Help
Guided self-help (CBTgsh) is based on the principles and practices of CBT. CBTgsh can be easier to access than CBT-E because mental health professionals can provide it even if they do not specialize in eating disorders.
That said, researchers are still unsure about the effectiveness of CBTgsh. Older studies suggested that participants with binge eating disorder had positive results from treatment with CBTgsh and that it may be beneficial for some people.
Importance of Weight-Inclusive TreatmentStigma, fatphobia, and equating body size with value are all barriers to treatment for binge eating disorder. Healthcare providers should use language and practices that are weight-inclusive and consider “fat” a neutral descriptor.
Importance of Weight-Inclusive Treatment
Stigma, fatphobia, and equating body size with value are all barriers to treatment for binge eating disorder. Healthcare providers should use language and practices that are weight-inclusive and consider “fat” a neutral descriptor.
Interpersonal Psychotherapy for Eating Disorders
A 2018 study showed that people with binge eating disorder have more interpersonal problems than those without binge eating disorder, regardless of their weight.Interpersonal problems may begin before binge eating disorder starts or develop as a result of binge eating disorder.
Interpersonal psychotherapy (IPT) for binge eating disorder helps people work on problems they’re having in their relationships, such as poor communication and arguments with their family, friends, and coworkers. It can take place in a group or individual format. IPT is done in three phases over 20 weekly sessions.
A 2015 study comparing CBT-E with IPT showed improvement for people with binge eating disorder in both treatment categories, but CBT-E was more effective than IPT. At the end of treatment, 65.5% of the CBT-E participants reached remission, compared to 33.3% of the IPT participants. In the follow-up period, the CBT-E remission rate was 69.4%, while for IPT it was 49%.
It takes longer to see results with IPT for binge eating disorder and the success rate is lower than it is with CBT-E. However, it is an option for people who are unable to participate in CBT-E, have not responded to other treatments, or would benefit from an interpersonal focus in therapy.
Treating Co-Occurring Mental Health ConditionsPeople with eating disorders may also have other mental health disorders that need to be addressed in treatment for treatment of the eating disorder to be effective. A 2022 review noted that for eating disorders in general, 62% also had anxiety, up to 54% had a mood disorder, and 27% were living with a substance use disorder, and 27% had post-traumatic stress disorder.
Treating Co-Occurring Mental Health Conditions
People with eating disorders may also have other mental health disorders that need to be addressed in treatment for treatment of the eating disorder to be effective. A 2022 review noted that for eating disorders in general, 62% also had anxiety, up to 54% had a mood disorder, and 27% were living with a substance use disorder, and 27% had post-traumatic stress disorder.
Mindfulness-Based Eating Awareness Training
Mindfulness-based eating disorder awareness training (MB-EAT) uses mindfulness practices to help a person develop greater awareness of hunger and fullness cues, sensory-specific satiety (feeling satisfied), and emotional and other triggers that lead to binge eating.General mindfulness practices are also included in the treatment.
MB-EAT does not recommend or ban specific foods—it advocates for eating with intention and without distraction. Mindful eating exercises can include:
While research suggests that mindfulness-based practices can be helpful for some people with binge eating disorder, there have not been enough high-quality, long-term studies to know for sure. In some studies, the techniques helped in the short term but were not as effective over a longer period.
Multidisciplinary ApproachTreatment for binge eating disorder may involve more than one approach at a time, such as CBT-E and medication. A 2015 review indicated that a multidisciplinary strategy shows promising results and should be studied further.
Multidisciplinary Approach
Treatment for binge eating disorder may involve more than one approach at a time, such as CBT-E and medication. A 2015 review indicated that a multidisciplinary strategy shows promising results and should be studied further.
FDA-Approved Medications
Prescription medications that are used to treat other conditions such as depression, attention deficit hyperactivity disorder (ADHD), and epilepsy are sometimes used to treat binge eating disorder as well.
For example, a 2015 study showed that second-generation antidepressants topiramate (Topamax), andlisdexamfetamine (Vyvanse)may have a positive effect on binge eating disorder.
Second-Generation Antidepressants
Most second-generation antidepressants fall into two main categories: selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs).
Common SSRIs include:
Common SNRIs include:
Topamax (Topiramate)
Topiramate (Topamax) is an anticonvulsant that has been used to treat binge eating disorder.This medication can help stabilize mood, control impulses, reduce cravings, and regulate appetite.
Older studies suggested that Topamax can be an effective medication for people with binge eating disorder and may help them have fewer binges.More research is needed to look at the long-term effectiveness and safety of using Topamax for binge eating disorder.
Vyvanse (Lisdexamfetamine)
Lisdexamfetamine (Vyvanse)is a stimulant used to treat ADHD that has been shown to decrease binge eating.In 2015, the Food and Drug Administration (FDA) approved Vyvanse to treat moderate to severe binge eating disorder in adults.
Vyvanse is better known as atreatment for ADHD, but research has shown that people who took Vyvanse had fewer episodes of binge eating per week compared to people who took a placebo. It’s thought that Vyvanse helps with binge eating because it changes chemicals in the brain related to mood and thinking. These changes may help people not feel the urge to binge eat or stop the urge if they do feel it.
A Warning About Lisdexamfetamine
Lifestyle Approaches for Binge Eating Disorder
Binge eating disorder is best treated under the guidance of a healthcare provider or mental health professional, but there are things you can do on your own to help get the most out of your treatment plan.
Listen to Your Body
Hunger cues are your body’s way of telling you that it needs more nutrition so it can provide you with the energy you need to go about your day. Learning to recognize your body’s hunger cues can help you avoid getting so hungry that it triggers a binge. Once you learn what your hunger cues are, pay attention and honor them.
Recognize hunger cues such as:
Eat when you are hungry, but don’t wait until you are “starving.” Try rating your hunger from 1 (not hungry) to 5 (extremely hungry). Eat when you are at about the 3 mark.
Create a Supportive Environment
If you pay attention to your thoughts and feelings before, during, and after a binge, you’ll quickly pick up on trends. You can use this information to your advantage and take steps to prevent a binge.
Use Your Time Well
Coping with binge eating isn’t only when you’re eating. It’s important to stay in tune with your body at all times, not just when food is around.
Where to Find HelpIf you or someone you know is struggling with eating disorders or body image issues, you can reach out to theNational Alliance for Eating DisordersHelpline at 1-866-662-1235. The helpline is open Monday to Friday, 9 a.m. to 7 p.m. EST and offers emotional support, education, and assistance finding eating disorder treatment and care.
Where to Find Help
If you or someone you know is struggling with eating disorders or body image issues, you can reach out to theNational Alliance for Eating DisordersHelpline at 1-866-662-1235. The helpline is open Monday to Friday, 9 a.m. to 7 p.m. EST and offers emotional support, education, and assistance finding eating disorder treatment and care.
Binge Eating Disorder Treatment Centers
Some people with binge eating disorder attend a treatment program to get help. Your healthcare provider or therapist can talk to you about whether doing so would be beneficial.
Binge eating disorder treatment centers can be inpatient (you live there while you are in treatment) or outpatient/day programs (you have treatment during the day and go home at night).
Some programs are at specific eating disorder clinics, while others are affiliated with (and often located within) hospitals.
One of the most well-known eating disorder treatment centers in the U.S., The Renfrew Centers, takes more than 400 insurance plans. Renfrew also has more than one location.
You may need a referral from your healthcare provider or therapist to enter a treatment program.
If you have health insurance, check with your carrier to find out what coverage they will offer. Some plans will cover certain types of treatment programs or only offer coverage for a limited amount of time. You will also need to check with the eating disorder program you are considering, as some of them do not take insurance.
If you don’t have insurance, your insurance won’t cover treatment, or the program doesn’t take insurance, you’ll need to find out how much treatment will cost. Fees will depend on the type of treatment and how long the program lasts.
For example,Project HEALestimates that eating disorder treatment can range from $1,500 to $2,000 a day, depending on whether it’s outpatient or inpatient.
Summary
Binge eating disorder is different from overeating. While everyone has times they eat until they are uncomfortably full, people who have binge eating disorder feel they are not in control of their eating.
If you feel you may have a problem with eating, book an appointment with your healthcare provider. They can discuss yoursymptomswith you and help you find a treatment that is right for you.
Different types of therapy, like mindfulness training and CBT, along with prescription medications like antidepressants can also be helpful. For some people, a combination of treatments works best.
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. 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NDT: 833.MedlinePlus.Lisdexamfetamine.Fornaro M, Solmi M, Perna G, et al.Lisdexamfetamine in the treatment of moderate-to-severe binge eating disorder in adults: systematic review and exploratory meta-analysis of publicly available placebo-controlled, randomized clinical trials.Neuropsychiatr Dis Treat. 2016;12:1827–1836. Published 2016 Jul 25. doi:10.2147/NDT.S109637FDA.FDA approves multiple generics of ADHD and BED treatment.UAB.Recognizing your hunger cues.CDC.About low blood sugar (hypoglycemia).Penn Medicine.Are you really hungry? How to understand your hunger cues.Nemours TeensHealth.Binge eating disorder.Walden Eating Disorders.How to stop binge eating.Pacanowski CR, Pisetsky EM, Berg KC, et al.Self-weighing behavior in individuals with eating disorders[published correction appears in Int J Eat Disord. 2016 Sep;49(9):901].Int J Eat Disord. 2016;49(8):817-821. doi:10.1002/eat.22537Balance Eating Disorder Treatment Center.10 steps to help you manage binge eating.Peckmezian T, Paxton SJ.A systematic review of outcomes following residential treatment for eating disorders.Eur Eat Disord Rev. 2020;28(3):246-259. doi:10.1002/erv.2733Multi-service Eating Disorder Association.Find a treatment center.Walden.I don’t have insurance, how can I get eating disorder treatment?.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
National Eating Disorders Association.Statistics and research on eating disorders.American Psychological Association.What is cognitive-behavioral therapy?CBT-E.A description of CBT-E.Dalle Grave, R., Eckhardt, S., Calugi, S.et al.A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders.J Eat Disord7, 42 (2019). doi:10.1186/s40337-019-0275-xNational Center of Excellence for Eating Disorders.CBT-E training.Fairburn CG, Bailey‐Straebler S, Basden SL, et al.A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders.Behaviour Research and Therapy. 2015;70:64-71. doi:10.1016/j.brat.2015.04.010Fischer S, Meyer AH, Dremmel D, Schlup B, Munsch S.Short-term Cognitive-Behavioral Therapy for Binge Eating Disorder: Long-term efficacy and predictors of long-term treatment success. Behaviour Research and Therapy; 58:36-42.National Eating Disorders Collaboration.Cognitive behavioural therapy guided self help (CBT-GSH) treatment in eating disorders.DeBar LL, Striegel-Moore RH, Wilson GT, et al.Guided self-help treatment for recurrent binge eating: replication and extension.PS; 62(4):367-373.Zandberg LJ, Wilson GT.Train-the-trainer: implementation of cognitive behavioural guided self-help for recurrent binge eating in a naturalistic setting.European Eating Disorders Review. 2013;21(3):230-237.National Eating Disorders Association.Recognizing, treating, and coping with binge eating disorder.Brugnera A, Lo Coco G, Salerno L, et al.Patients with binge eating disorder and obesity have qualitatively different interpersonal characteristics: Results from an interpersonal circumplex study.Comprehensive Psychiatry. 2018;85:36-41. doi:10.1016/j.comppsych.2018.06.008ITP for ED.Overview of ITP for eating disorders.Society of Clinical Psychology.Interpersonal psychotherapy for binge eating disorder.Hambleton A, Pepin G, Le A, et al.Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature.J Eat Disord. 2022;10(1):132. doi:10.1186/s40337-022-00654-2Kristeller JL, Wolever RQ, Sheets VL.Mindfulness-based eating awareness training (MB-EAT) for binge eating: A randomized cinical trial.Mindfulness. 2013;5(3):282-297. doi:10.1007/s12671-012-0179-1American Psychological Society.Bite, chew, savor.Grohmann D, Laws KR.Two decades of mindfulness-based interventions for binge eating: A systematic review and meta-analysis.J Psychosom Res. 2021;149:110592. doi:10.1016/j.jpsychores.2021.110592Amianto F, Ottone L, Abbate Daga G, Fassino S.Binge-eating disorder diagnosis and treatment: a recap in front of DSM-5.BMC Psychiatry; 15(1):70.Berkman ND, Brownley KA, Peat CM, et al.Management and Outcomes of Binge-Eating Disorder. Agency for Healthcare Research and Quality (US).Science JMEC for CD and C.Table 1, list of second-generation antidepressants included in the 2011 updated review.ARHQ.Treating binge-eating disorder.MedlinePlus.Topiramate.McElroy SL, Arnold LM, Shapira NA, et al.Topiramate in the treatment of binge eating disorder associated with obesity: a randomized, placebo-controlled trial[published correction appears in Am J Psychiatry. 2003 Mar;160(3):612].Am J Psychiatry. 2003;160(2):255-261. doi:10.1176/appi.ajp.160.2.255Leombruni P, Lavagnino L, Fassino S.Treatment of obese patients with binge eating disorder using topiramate: a review.Neuropsychiatr Dis Treat. 2009;5:385-392. doi:10.2147/ndt.s3420Slomski A.Adhd drug decreased binge eating.JAMA; 313(12):1200-1200.Guerdjikova AI, Mori N, Casuto LS, McElroy SL.Novel pharmacologic treatment in acute binge eating disorder – role of lisdexamfetamine. NDT: 833.MedlinePlus.Lisdexamfetamine.Fornaro M, Solmi M, Perna G, et al.Lisdexamfetamine in the treatment of moderate-to-severe binge eating disorder in adults: systematic review and exploratory meta-analysis of publicly available placebo-controlled, randomized clinical trials.Neuropsychiatr Dis Treat. 2016;12:1827–1836. Published 2016 Jul 25. doi:10.2147/NDT.S109637FDA.FDA approves multiple generics of ADHD and BED treatment.UAB.Recognizing your hunger cues.CDC.About low blood sugar (hypoglycemia).Penn Medicine.Are you really hungry? 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National Eating Disorders Association.Statistics and research on eating disorders.
American Psychological Association.What is cognitive-behavioral therapy?
CBT-E.A description of CBT-E.
Dalle Grave, R., Eckhardt, S., Calugi, S.et al.A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders.J Eat Disord7, 42 (2019). doi:10.1186/s40337-019-0275-x
National Center of Excellence for Eating Disorders.CBT-E training.
Fairburn CG, Bailey‐Straebler S, Basden SL, et al.A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders.Behaviour Research and Therapy. 2015;70:64-71. doi:10.1016/j.brat.2015.04.010
Fischer S, Meyer AH, Dremmel D, Schlup B, Munsch S.Short-term Cognitive-Behavioral Therapy for Binge Eating Disorder: Long-term efficacy and predictors of long-term treatment success. Behaviour Research and Therapy; 58:36-42.
National Eating Disorders Collaboration.Cognitive behavioural therapy guided self help (CBT-GSH) treatment in eating disorders.
DeBar LL, Striegel-Moore RH, Wilson GT, et al.Guided self-help treatment for recurrent binge eating: replication and extension.PS; 62(4):367-373.
Zandberg LJ, Wilson GT.Train-the-trainer: implementation of cognitive behavioural guided self-help for recurrent binge eating in a naturalistic setting.European Eating Disorders Review. 2013;21(3):230-237.
National Eating Disorders Association.Recognizing, treating, and coping with binge eating disorder.
Brugnera A, Lo Coco G, Salerno L, et al.Patients with binge eating disorder and obesity have qualitatively different interpersonal characteristics: Results from an interpersonal circumplex study.Comprehensive Psychiatry. 2018;85:36-41. doi:10.1016/j.comppsych.2018.06.008
ITP for ED.Overview of ITP for eating disorders.
Society of Clinical Psychology.Interpersonal psychotherapy for binge eating disorder.
Hambleton A, Pepin G, Le A, et al.Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature.J Eat Disord. 2022;10(1):132. doi:10.1186/s40337-022-00654-2
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