Compulsive overeating

From WikiMD's Food, Medicine & Wellness Encyclopedia

Compulsive Overeating is a behavioral condition characterized by an uncontrollable urge to consume large quantities of food, often rapidly and to the point of discomfort or pain. This condition is also known as binge eating disorder (BED) and is classified as an eating disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Compulsive overeating is marked by episodes of excessive food intake without the regular use of compensatory measures, such as purging, seen in bulimia nervosa.

Causes and Risk Factors[edit | edit source]

The exact cause of compulsive overeating is unknown, but it is believed to be a combination of genetic, biological, environmental, and psychological factors. Risk factors include a history of dieting, body image dissatisfaction, emotional distress, and co-occurring mental health disorders such as anxiety and depression.

Symptoms[edit | edit source]

Symptoms of compulsive overeating include:

  • Eating large amounts of food in a short period of time
  • Feeling out of control during binge eating episodes
  • Eating even when not hungry or already full
  • Eating rapidly during binge episodes
  • Feeling shame, disgust, or guilt after eating
  • Eating alone due to embarrassment about the quantity of food consumed

Diagnosis[edit | edit source]

Diagnosis of compulsive overeating involves a comprehensive evaluation, including a medical history, physical examination, and discussion of eating habits. Mental health professionals may use the criteria outlined in the DSM-5 to diagnose BED.

Treatment[edit | edit source]

Treatment for compulsive overeating typically involves a combination of psychotherapy, nutritional counseling, and sometimes medication. Cognitive-behavioral therapy (CBT) is the most effective form of psychotherapy for treating BED. Medications, such as antidepressants or appetite suppressants, may also be prescribed to help manage symptoms.

Complications[edit | edit source]

If left untreated, compulsive overeating can lead to serious health complications, including obesity, type 2 diabetes, high blood pressure, heart disease, and certain types of cancer. It can also have a significant impact on an individual's emotional and psychological well-being.

Prevention[edit | edit source]

Prevention of compulsive overeating focuses on promoting healthy eating habits, regular physical activity, and a positive body image. Early intervention is crucial for individuals showing signs of disordered eating behaviors.


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Contributors: Prab R. Tumpati, MD