Binge-eating Disorder

Binge-eating disorder is characterized by recurrent episodes of consuming large amounts of food within a discrete period, accompanied by feelings of loss of control, without compensatory behaviors. Etiology involves genetic predisposition, dysregulation of appetite and reward pathways, emotional dysregulation, and sociocultural influences. Clinically, patients report eating rapidly, eating until uncomfortably full, and experiencing guilt or distress following episodes, often resulting in overweight or obesity. Diagnosis requires structured clinical interview using DSM-5 criteria, assessing frequency, severity, and impact on functioning. Management combines cognitive-behavioral therapy, interpersonal psychotherapy, pharmacologic therapy (e.g., lisdexamfetamine, SSRIs), and nutritional counseling. Prognosis improves with early intervention and sustained adherence to treatment.