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Treatment for overeating disorder


Binge-eating disorder - Diagnosis and treatment

Diagnosis

To diagnose binge-eating disorder, your medical care provider may recommend a psychological evaluation, including discussion of your eating habits.

Your medical care provider also may want you to have other tests to check for health consequences of binge-eating disorder, such as high cholesterol, high blood pressure, heart problems, diabetes, GERD and some sleep-related breathing disorders. These tests may include:

  • A physical exam
  • Blood and urine tests
  • A sleep disorder center consultation

More Information

  • Urinalysis

Treatment

The goals for treatment of binge-eating disorder are to reduce eating binges and achieve healthy eating habits. Because binge eating can be so entwined with shame, poor self-image and other negative emotions, treatment may also address these and any other mental health issues, such as depression. By getting help for binge eating, you can learn how to feel more in control of your eating.

Psychotherapy

Whether in individual or group sessions, psychotherapy (also called talk therapy) can help teach you how to exchange unhealthy habits for healthy ones and reduce bingeing episodes. Examples of psychotherapy include:

  • Cognitive behavioral therapy (CBT). CBT may help you cope better with issues that can trigger binge-eating episodes, such as negative feelings about your body or a depressed mood. It may also give you a better sense of control over your behavior and help you regulate eating patterns.
  • Interpersonal psychotherapy. This type of therapy focuses on your relationships with other people. The goal is to improve your interpersonal skills — how you relate to others, including family, friends and co-workers. This may help reduce binge eating that's triggered by problematic relationships and unhealthy communication skills.
  • Dialectical behavior therapy. This form of therapy can help you learn behavioral skills to help you tolerate stress, regulate your emotions and improve your relationships with others, all of which can reduce the desire to binge eat.

Medications

Lisdexamfetamine dimesylate (Vyvanse), a drug for attention-deficit hyperactivity disorder, is the first FDA-approved medication to treat moderate to severe binge-eating disorder in adults. A stimulant, Vyvanse can be habit-forming and abused. Common side effects include a dry mouth and insomnia, but more-serious side effects can occur.

Several other types of medication may help reduce symptoms. Examples include:

  • Topiramate (Topamax), an anticonvulsant. Normally used to control seizures, topiramate has also been found to reduce binge-eating episodes. However, there are side effects, such as dizziness, nervousness, sleepiness and trouble concentrating, so discuss the risks and benefits with your medical care provider.
  • Antidepressants. Antidepressants may reduce binge-eating. It's not clear how these can reduce binge eating, but it may relate to how they affect certain brain chemicals associated with mood.

While these medications can be helpful in controlling binge-eating episodes, they may not have much impact on weight reduction.

Behavioral weight-loss programs

Many people with binge-eating disorder have a history of failed attempts to lose weight on their own. However, weight-loss programs typically aren't recommended until the binge-eating disorder is treated, because dieting may trigger more binge-eating episodes, making weight loss less successful.

When appropriate, weight-loss programs are generally done under medical supervision to ensure that your nutritional requirements are met. Weight-loss programs that address binge triggers can be especially helpful when you're also getting cognitive behavioral therapy.

More Information

  • Cognitive behavioral therapy
  • Psychotherapy

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Lifestyle and home remedies

Typically, treating binge-eating disorder on your own isn't effective. But in addition to professional help, you can take these self-care steps to reinforce your treatment plan:

  • Stick to your treatment. Don't skip therapy sessions. If you have a meal plan, do your best to stick to it and don't let setbacks derail your overall efforts.
  • Avoid dieting, unless it's supervised. Trying to diet can trigger more binge episodes, leading to a vicious cycle that's hard to break. Talk with your medical care provider about appropriate weight management strategies for you — don't diet unless it's recommended for your eating disorder treatment and supervised by your medical care provider.
  • Eat breakfast. Many people with binge-eating disorder skip breakfast. But, if you eat breakfast, you may be less prone to eating higher calorie meals later in the day.
  • Arrange your environment. Availability of certain foods can trigger binges for some people. Keep tempting binge foods out of your home or limit your exposure to those foods as best you can.
  • Get the right nutrients. Just because you may be eating a lot during binges doesn't mean you're eating the kinds of food that supply all the essential nutrients. Ask your medical care provider if you need to adjust your diet to provide essential vitamins and minerals.
  • Stay connected. Don't isolate yourself from caring family members and friends who want to see you get healthy. Understand that they have your best interests at heart.
  • Get active. Ask your medical care provider what kind of physical activity is appropriate for you, especially if you have health problems related to being overweight.

Alternative medicine

Most dietary supplements and herbal products designed to suppress the appetite or aid in weight loss are ineffective and may be misused by people with eating disorders. And natural doesn't always mean safe. Weight-loss supplements or herbs can have serious side effects and dangerously interact with other medications.

If you use dietary supplements or herbs, discuss the potential risks with your medical care provider.

Coping and support

Living with an eating disorder is especially difficult because you have to deal with food on a daily basis. Here are some tips to help you cope:

  • Ease up on yourself. Don't buy into your own self-criticism.
  • Identify situations that may trigger destructive eating behavior so you can develop a plan of action to deal with them.
  • Look for positive role models who can help lift your self-esteem. Remind yourself that the ultrathin models or actresses showcased in women's magazines often don't represent healthy, realistic bodies.
  • Try to find a trusted relative or friend whom you can talk with about what's going on.
  • Try to find someone who can be your partner in the battle against binge eating — someone you can call on for support instead of bingeing.
  • Find healthy ways to nurture yourself by doing something just for fun or to relax, such as yoga, meditation or simply a walk.
  • Consider journaling about your feelings and behaviors. Journaling can make you more aware of your feelings and actions, and how they're related.

Get support

If you have binge-eating disorder, you and your family may find support groups helpful for encouragement, hope and advice on coping. Support group members can understand what you're going through because they've been there themselves. Ask your medical care provider if he or she knows of a group in your area.

Preparing for your appointment

Treatment of binge-eating disorder may require a team approach that includes doctors and other medical care providers, mental health professionals and dietitians with experience in eating disorders.

Here's some information to help you get ready for your appointments. Ask a family member or friend to go with you, if possible, to help you remember key points and give a fuller picture of the situation.

What you can do

Before your appointment make a list of:

  • Symptoms you're experiencing, including any that may seem unrelated to the reason for your appointment
  • Key personal information, including any major stresses or recent life changes
  • All medications you're taking, as well as any herbs, vitamins or other supplements, and their dosages
  • A typical day's eating, which can help your medical care provider or mental health professional understand your eating habits

Questions to ask your medical care provider or mental health professional include:

  • What treatments are available, and which do you recommend?
  • If medication is a part of treatment, is a generic drug available?
  • Are there any brochures or other printed material I can have? What websites do you recommend?

Don't hesitate to ask other questions during your appointment.

What to expect from your doctor

Your medical care provider or mental health professional is likely to ask you a number of questions, such as:

  • What does your typical daily food intake look like?
  • Do you eat unusually large amounts of food or until you're uncomfortably full?
  • Do you feel your eating is out of control?
  • Have you tried to lose weight? If so, how?
  • Do you think about food often?
  • Do you eat even when you're full or not hungry?
  • Do you ever eat in secret?
  • Do you feel depressed, ashamed or guilty about your eating?
  • Do you ever make yourself vomit to get rid of calories?
  • Are you concerned about your weight?
  • Do you exercise? How often?

Your medical care provider or mental health professional will ask additional questions based on your responses, symptoms and needs. Preparing and anticipating questions will help you make the most of your appointment time.

By Mayo Clinic Staff

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Binge-eating disorder: What's the best treatment?

Perhaps the greatest controversy in the field of eating-disorder treatment is the debate over how to treat binge-eating disorder. The condition--currently a provisional category in the Diagnostic and Statistical Manual--is marked by recurrent binge-eating without purging and is typically seen in people who are obese.

Like people with bulimia nervosa, those with binge-eating disorder carry distorted attitudes about eating, shape and weight, as well as mood symptoms such as depression and personality disorders. The disorder affects about 2 percent of the general population and 8 percent of people who are obese.

Because binge-eating disorder involves both weight and eating-disorder concerns, researchers in both the obesity and eating-disorders fields perceive treatment goals through the lens of their own training. On one side of the debate, eating-disorders experts believe binge-eating is best treated by traditional eating-disorder approaches, such as helping patients reduce or eliminate bingeing, improving their self-esteem and body acceptance, and treating underlying psychological problems such as depression and anxiety.

On the other side, obesity experts maintain, it's better to treat the obesity first. They believe that tackling psychological problems without addressing excess weight puts the cart before the horse.

"Public health experts who deal with obesity would say, 'If you're not treating the weight, it's like helping someone get rid of a hangnail and leaving the cancer,'" says Kelly Brownell, PhD, a psychologist who heads the Yale Center for Eating and Weight Disorders and treats people with binge-eating disorder and obesity. "Binge-eating itself is not of public health significance--eliminating it does not address all of the potential long-term sequelae of obesity such as hypertension, stroke and heart attack. "

Because the disorder is multifaceted, there are numerous tacks to treat it, believes Columbia University psychiatrist B. Timothy Walsh, MD, who chaired the DSM-IV working group on eating disorders. For example, the literature shows that cognitive behavioral therapy is useful for depression and bulimia, that interpersonal therapy aids depression, and that behavioral weight-loss management can help treat obesity.

"There's a lot going on when you're trying to look at the utility of these interventions," Walsh says. "For many people with binge-eating disorder, you can think of at least three potential targets, and it's not clear whether you should aim at all of them at the same time."

Managed care can make matters worse, he says, because it may only pay for one approach when more may well be needed.

WHAT SHOULD TREATMENT TARGET?

Clinicians who treat binge-eating disorder as an eating disorder say that addressing the specific and general psychopathology that underlies the condition eliminates binge-eating and helps patients feel better about themselves. Treatments that fall into this camp include cognitive behavioral therapy, which addresses a person's thoughts and behaviors about eating and self-image, and interpersonal psychotherapy, which helps a person face and heal rifts in current relationships.

As an example of the effectiveness of interpersonal therapy in treating binge-eating disorder, Denise Wilfley, PhD, a binge-eating disorder expert at San Diego State University, describes a woman she helped using this treatment: The woman had been living in another country, and once she returned to the United States, lost all of her social support. She began to binge-eat, and in addition, developed major conflicts with her son, which added to her level of distress.

Treatment helped the woman address her relationship difficulties with her son and build her social network, both hallmarks of the interpersonal approach. The woman's depression gradually vanished, and at the one-year follow-up, she continued to be binge-free. But treating personal problems is not the only thing these therapies can do, Wilfley maintains. They can also have a positive effect on the very thing obesity experts bark about: clients' weight.

In a study now in press in the Archives of General Psychiatry, Wilfley shows how this might come about. The study, the largest on binge-eating disorder to date, compares outcomes of 162 overweight binge-eating disorder patients. Half received group cognitive behavioral therapy and half received interpersonal therapy. Both therapies showed high long-term success in reducing binge-eating and treating a range of psychological problems.

And for 25 percent of the sample, the therapies also helped reduce weight: Participants who abstained from binge-eating at post-treatment and maintained abstinence at a one-year follow-up lost weight, while those who continued to binge-eat gained weight.

The pattern provides a clue for further interventions, Wilfley believes. "If we help people eliminate binge-eating patterns, it should have an impact on body weight," she notes.

Researchers who are more concerned with obesity, however, argue it's not enough to make weight loss a side issue that may or may not get addressed. The way to go, they believe, is behavioral weight loss, which is usually less expensive, shorter in duration and directly targets obesity.

These researchers make a mirror argument to Wilfley's comments about eating-disorder treatments.

"People who use behavioral weight-loss treatments say that it does eliminate binge-eating--and there is some evidence for this," says G. Terence Wilson, PhD, a psychologist at Rutgers University who was a member of the DSM-IV working group on eating disorders.

It's also true, however, that many obesity treatments don't hold up in the long run.

"There is really no good treatment for obesity," maintains Christopher Fairburn, MD, a psychiatrist and eating disorders expert at the University of Oxford. "Surgery is possibly the best, but it's pretty radical. Drug treatments help about 5 percent of people, but you have to keep taking them indefinitely. And behavioral therapies...everyone relapses," he says. "The psychology of it is very interesting," Fairburn adds. "Losing weight is quite easy. But people can only keep it up for a while, then they tend to just throw in the towel."

But Brownell counters that some programs do work, especially if they include a strong weight-maintenance component. "The estimates are far too pessimistic on weight loss," he argues.

A CLINICALLY TROUBLED SUBGROUP

There's yet another wrinkle in the binge-eating disorder debate: Researchers and clinicians are starting to discover that there are probably two groups of binge-eating disorder patients, one that has disordered eating and obesity but less serious psychological problems; another that displays those same eating disturbances but has more long-term, entrenched psychological difficulties.

A recent study by Yale University psychologist Carlos Grilo, PhD, and colleagues confirms the existence of such a group. In the December 2001 issue of the Journal of Consulting and Clinical Psychology (Vol. 69, No. 6), he and colleagues report that about a third of the 101 binge-eating disorder patients in the study--those who generally showed greater negative affect--also demonstrated more severe eating-related psychopathology and had greater psychological disturbances than the rest of the group. That effect held up over time, Grilo notes in the article, adding to the probability that this is a bona-fide subtype of the disorder.

"There may well be subgroups of patients with high rates of depression and low self-esteem who need specialized treatment," says Wilson. "Others who don't have that degree of pathology might just need behavioral weight loss treatment."

BEST OF BOTH WORLDS?

Meanwhile, some researchers are looking at ways to develop a treatment approach that includes both weight-loss and psychological components.

Research conducted by Stanford University psychiatrist Stewart Agras, MD, for example, shows this may be possible. In a 1997 study reported in the Journal of Consulting and Clinical Psychology(Vol. 65, p. 343-347), he found that people who abstained from binge-eating following specialty eating-disorder treatment were significantly more likely to benefit from weight-loss treatment in both the short and long run.

Some of the questions troubling the field may be addressed in a study planned by Wilfley, Agras and Wilson. Now submitted as a grant proposal to the National Institute on Mental Health, the study plans to compare the effects of three divergent treatments that represent the field's areas of controversy: interpersonal psychotherapy, behavioral weight-loss treatment and a guided self-help intervention developed by Fairburn that's intended to provide a credible, inexpensive treatment alternative. Besides looking at binge-eating and body weight, the study will compare how the treatments affect the subgroup of binge-eating disorder patients with high negative affect noted in Grilo's study.

The debates in the field may simmer down once more data are in, Wilfley comments.

"We're a very young area," she says. "We need the next generation of research to help answer some of the questions that are plaguing our field."

Tori DeAngelis is a writer in Syracuse, N.Y.

Medical treatment of compulsive overeating by a psychologist, treat the disease by a psychotherapist

Sometimes it happens that delicious food, appetizing appearance of dishes cause a person to get up from the table with a feeling of a full stomach. If such situations occur rarely, overeating can be controlled, then there is nothing to worry about. If we are talking about causeless and uncontrolled appetite, which is preceded by stress or negative emotions, then we can suspect a dangerous eating disorder - compulsive or uncontrolled overeating. It is important not to miss the moment and turn to a psychotherapist in time.

Article content:

  • Disease description
  • Causes
  • Psychological aspect of the problem
  • Methods of psychotherapy in the treatment of illness
  • Possible complications

Description of the disease

Compulsive overeating (CP) is a dangerous pathological condition. The patient is unable to control his appetite due to stress. The essence and nature of a compulsive disease is well explained by its second name - psychogenic overeating, since the causes of the development of an eating disorder should be sought not in the physiological, but in the mental sphere.

Any stressful situation can provoke a painful condition: the loss of a loved one, the loss of keys, a conversation with superiors in a raised tone, and other unpleasant situations.

Bouts of psychogenic overeating may recur from time to time. As with other eating disorders, the patient considers himself healthy. The exception is excess weight, which accompanies psychogenic overeating. Uncontrolled appetite has clear differences from other foodborne illnesses:

  • if during anorexia the patient ceases to adequately perceive his own body, then with compulsive overeating the problem of excess weight becomes obvious and is the root cause of contacting a psychologist, psychotherapist, other doctors;
  • The binge patient usually does not seek to get rid of food by inducing artificial vomiting, while the symptoms of bulimia are characterized by obligatory cleansing procedures, which the patient cannot refuse.

Causes of occurrence

Normal physiological need - to eat exactly when there is a feeling of hunger. If food intake is reduced to nervous chewing, no attention is paid to the amount eaten, it is worth considering that it is bulimia or uncontrolled overeating that can cause increased weight, the appearance of extra centimeters in volume.

Physiological factors can provoke compulsive overeating - dysfunction of the hypothalamus and genetic predisposition. Genetic scientists have identified three genes whose presence in the genetic code leads to obesity and can provoke the development of an eating disorder.

The psychological aspect of the problem of psychogenic overeating

Physiological and genetic causes may be a consequence of the development of an eating disorder, but the psyche plays a central role.

Leading psychotherapists in describing clinical cases of compulsive overeating note that the onset of the disease is preceded by negative life events. Such stress can be caused by social and physiological factors.

In order to understand whether you have a problem or whether you need the help of a psychotherapist, you should honestly answer a number of questions.

  • Have you noticed that your diet is difficult to control?
  • all your thoughts are related to food?
  • Do you prefer to eat alone?
  • Do you tend to overeat when stressed out, distracted from current problems?
  • Do you experience guilt that affects your enjoyment of eating?
  • How often do you start eating without feeling hungry?
  • Do you find it difficult to refuse food if you are treated?

If you answered yes to 4 or more questions, it makes sense to contact a medical institution for advice and clarification of the causes of nutritional problems.

Methods of psychotherapy in the treatment of illness

The solution to the fight against food addiction is to seek help from a specialist. Only a psychologist is able to help find the causes of binge eating disorder and form a healthy model of dealing with stress.

The Center for the Study of Eating Disorders uses the latest psychotherapy techniques accepted in the international medical community.

Depending on the severity of the condition, a treatment algorithm is selected. It can be done on an outpatient or inpatient basis under the supervision of a psychotherapist. The following areas of psychotherapy are used to treat patients with compulsive psychogenic overeating, bulimia, anorexia and other eating disorders:

  • CBT - cognitive behavioral therapy;
  • DBT - Dialectical Behavioral Psychotherapy;
  • FBT - Family Involved Therapy.

All methods have scientifically proven effectiveness, are actively used in practice by psychotherapists and other doctors of "CIRPP" in the fight against overeating.

Family Therapy

Successful Family Psychological Therapy, which was developed for the treatment of patients with eating disorders by the leading specialists of the Maudsley Clinic.
A multi-family group has been organized in CIRP, in which not only patients, but also their relatives, as co-dependent persons, undergo therapy. In the course of group therapy, the psychotherapist helps to jointly develop the right adaptation tactics, build the right behavior model, and provides the necessary support to parents whose children suffer from eating disorders.

Cognitive behavioral therapy

The program is aimed at finding the causes of eating disorders (bulimia, anorexia, compulsive uncontrolled overeating, etc.). It is important to find out the root cause of the disease, this will help in choosing the right tactics.

DBT - Dialectical Behavior Therapy

The use of Dialectical Behavior Therapy has a positive effect in the treatment of patients with compulsive overeating. The method is aimed at finding new ways to deal with stress, teaching effective emotional regulation techniques that are not related to eating or deliberately refusing it.

At the end of the treatment phase, the patient will be able to painlessly give up destructive ways of dealing with stress, strict weight control and dietary regimens. Bouts of uncontrolled overeating will be left behind.

Psychologists of "CIRPP" use the latest methods of working with people suffering from eating disorders, psychogenic overeating. In addition to providing basic medication, resuscitation, developing an individual diet, the DBT program includes the work of online psychotherapy groups, art therapy, dance therapy led by a psychotherapist, and other eating behavior adjustment programs.

Possible complications

Late treatment of an eating disorder can adversely affect the condition of a patient suffering from regular overeating. If there is no treatment, then there is a high probability of developing other complications:

  • decrease or increase in blood pressure;
  • aggressive or lethargic behaviour;
  • metabolic disorder;
  • obesity;
  • depression;
  • alcohol or drug addiction;
  • diseases of the cardiovascular system;
  • type 2 diabetes and others.

Gradually, complications can become chronic, which reduces the chances of a full recovery. It is not difficult to avoid such a scenario - it is enough to be attentive to your own health, pay attention to alarming symptoms and consult a doctor in time.

Getting help from a psychologist, nutritionist or psychotherapist is easy: sign up for an initial medical consultation by calling +7(499) 703-20-51 or through the online form.

Author: Maksim Borisovich Sologub

Head Physician of TsIRPP

psychiatrist, psychotherapist.

Eating disorder - compulsive overeating, treatment of psychogenic nervous overeating in Moscow

Everyone at least once got up from the table with a feeling of a full stomach. If this happens infrequently, then there is no cause for concern. If the episodes are repeated, or so you are trying to get rid of stress, bad mood, it is worth suspecting the development of a nervous eating disorder. Compulsive overeating, namely eating in uncontrollable sizes, repeated episodically. The disease often occurs against the background of mental disorders, sometimes contributes to gaining excess weight, obesity. Therapy is carried out by a psychiatrist, interacting with a nutritionist, a psychologist.

Article content:

  • Disease description
  • Symptoms
  • Diagnostics
  • Treatment
  • Complications and neglected forms

Neuro-Eating Disorder - Description of the Disease

According to the Diagnostic and Statistical Manual of Mental Illnesses, psychogenic overeating (hyperphagic stress response) is an independent disease, coded separately 307.51. A patient with eating disorders is used to dealing with negative emotional stress, bouts of binge eating. The disease is manifested by a brutal appetite, which requires an abnormal amount of food with a high calorie content to satisfy it. Serious factors (loss of a family member, injury) and minor reasons - a raised voice, a missed bus, etc. can provoke a nervous attack. Nervous eating disorder is caused by mental causes, there is no physiology in a causal relationship. Food in this case is a tonic that allows you to forget about the problem for a while, to relax. The patient, who has experienced a nervous shock, does not try to feed the stomach, but to drown out the feelings.

It is important to distinguish between physiological hunger and appetite of a nervous nature. This is an important step towards recovery, selection of treatment:

Nervous hunger Physical hunger
May occur against the background of satiety, occurs suddenly and abruptly. Develops gradually, the body does not require urgent saturation.
During attacks, the body requires unhealthy food - fast food, fatty foods, sweets, starchy foods, etc. are in priority. You can satisfy your appetite with any food, homemade and healthy food.
The serving size is much larger than the usual volume, there is no control over the amount eaten. A person eats exactly as much as needed to satisfy hunger.
The serving size is much larger than the usual volume, there is no control over the amount eaten. The physical need for food is disguised as a feeling of "sucking in the pit of the stomach", weakness.
Feelings of guilt and shame arise after eating. After eating, a feeling of satisfaction comes, strength appears.

The causes of mental disorders can be genetic.

Compulsive eating disorder - symptoms

The basis of nervous overeating is the satisfaction of emotional needs, the solution of life problems, the ability to temporarily forget about loneliness, etc. However, food is a temporary salvation, after a short satisfaction comes a feeling of shame for weak willpower, guilt for the amount of food eaten. Eating disorder symptoms are often confused with other eating disorders. The symptoms of bulimia echo the clinical picture of compulsive overeating.

An eating disorder or compulsive overeating is accompanied by the following symptoms:

  • food becomes the only way to get rid of melancholy, sadness and other negative emotions;
  • ED patient prefers to eat alone, hiding bouts of binge eating;
  • lack of satiety after a sufficient amount of food consumed;
  • Stress causes regular overeating even when there is no physical need for food;
  • a patient with eating disorders eats abnormally large portions in a short period of time;
  • Gluttony aggravated during stress, emotional experiences.

The main manifestation of compulsive eating disorder is loss of control over appetite. Even with conscious overeating, a person cannot stop. A psychogenic disorder is more likely to affect people with an unstable psyche who take events to heart. At risk are teenagers and women. Men also suffer from eating disorders, but much less frequently and, unlike women, do not seek to part with negative eating habits, taking them for granted.

Diagnosis and treatment of psychogenic overeating

If you suspect nervous overeating, you should immediately seek help. You can make an appointment with a psychiatrist.

The Diagnostic and Statistical Manual of Mental Illness contains criteria, if 3 of them are met, the diagnosis of Eating Disorder - Binge Eating is confirmed:

  • you prefer to eat alone;
  • you experience discomfort from the amount eaten;
  • you often sit down to eat when you don't feel hungry;
  • after eating, guilt overcomes, self-loathing appears;
  • regardless of the size of the portion you eat quickly, the food is not chewed thoroughly.

The doctor performs a control weighing, finds out what the patient's weight was in the recent past, how quickly the figure on the scales has changed. Then he selects the tactics of treatment in accordance with the anamnesis.

Treatment

Therapy of patients suffering from nervous overeating should be comprehensive. Eating disorders are treated by a psychiatrist, psychotherapist, psychologist, nutritionist. The family doctor in this situation is not competent due to the lack of necessary knowledge and experience in the treatment of ED.

"CIRP" specializes in the study, treatment of ED and adheres to complex tactics:

  • drug therapy;
  • psychotherapy effective for eating disorders;
  • power restoration.

In the course of psychotherapy, individual and group methods are used, the main task of which is setting the right goals, teaching self-control, developing incentives, healthy beliefs.

Much attention in the treatment of eating disorders is given to nutrition, sometimes hospitalization is recommended. The clinic has created comfortable conditions for the treatment of patients, if necessary, emergency medical care is provided, an intensive care unit is provided. Usually, binge eating is treated on an outpatient basis. At first, support and control of loved ones at home is recommended. To make an appointment at the Center for the Study of Eating Disorders in Moscow, call +7(499) 703-20-51 or using the online form.

Complications and neglected forms

An eating disorder (overeating) is fraught with the development of serious consequences - obesity and atherosclerosis. The patient experiences chronic emotional dissatisfaction, which leads to prolonged depression and causes suicidal thoughts.

If destructive overeating therapy is not carried out, the risk of developing complications is high: