Binge Eating Disorder Definitions Disorder characterised by recurrent uncontrollable binge eating episodes that occur at least once a week for three months. Epidemiology • • Peaks in adolescents and young children More common in females than males. Aetiology • • • Genetic factors - FHx Strict dieting and having access to preferred binge foods. Psychological issues for example: - Poor body self-image - Stress - Childhood bullying Clinical Features • • • Recurrent episodes that are not associated with inappropriate weight compensatory behaviours Pronounced obesity at a young age May be associated with: - ASCVD risk factors - Physiological conditions e.g. major depression disorder Diagnosis DSM-V Key InFo • • All individuals with binge eating disorder experience emotional distress about their binge eating, but not all individuals necessarily experience distress over their weight or appearance. Individuals with binge eating disorder often conceal their eating behaviours (e.g., by eating alone. Management • • Refer all patients for psychotherapy e.g. CBT Pharmacotherapy - May reduce the frequency of disease ➔SSRIs ➔Lisdexamfetamine Complications • • Obesity Metabolic syndrome