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Binge Eating Disorder (BED)
Binge Eating Disorder (BED) is an eating disorder characterized by recurrent episodes of uncontrolled excessive food intake, often accompanied by feelings of shame, guilt, and a lack of control.
Binge Eating Disorder (BED) is a serious mental health condition that is not limited to any geographic region. While the prevalence and treatment approaches may vary somewhat between countries, BED is a global issue that affects individuals worldwide.
In India, BED is relatively understudied compared to other eating disorders like anorexia and bulimia. However, estimates suggest that around 2-3% of the Indian population may be affected by BED. Factors like rapid urbanization, changing dietary habits, and increasing body image concerns are believed to contribute to the rise of BED and other eating disorders in the country. Access to quality mental health care and awareness about BED remains a challenge in many parts of India.
Internationally, BED is the most common eating disorder, affecting an estimated 2-3.5% of adults in the United States and similar proportions in many other Western countries. BED can have significant physical, mental and social consequences if left untreated, making effective treatment guidelines crucial.
Several major professional organizations have published clinical practice guidelines for the treatment of BED, which provide evidence-based recommendations for healthcare providers. Here is an overview of some of the key treatment guidelines:
American Psychological Association (APA) Clinical Practice Guideline for the Treatment of Eating Disorders (2023):
The American Psychiatric Association (APA) has recently updated its guidelines for the treatment of eating disorders, including binge eating disorder (BED). The updated guidelines emphasize the importance of comprehensive evaluation during the initial assessment.
According to the APA guidelines, healthcare providers should screen for the presence of an eating disorder as part of the initial psychiatric evaluation. The initial assessment should gather information on the patient's history of height and weight, eating-related behaviors, food intake, weight control practices, and family history. Clinicians should also identify any co-occurring physical or mental health conditions.
For patients diagnosed with BED, the APA guidelines recommend two primary treatment approaches: eating disorder-focused cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT). These therapies can be provided either individually or in a group setting.
Additionally, the guidelines state that adults with BED who prefer medication or have not responded adequately to psychotherapy alone should be treated with either an antidepressant medication or the medication lisdexamfetamine.
This comprehensive approach aims to address the multifaceted nature of BED and provide effective, evidence-based care.
For Book, access the below link:
The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders, Fourth Edition
NICE guideline : Eating disorders: recognition and treatment-Published: 23 May 2017 and Last updated: 16 December 2020
The NICE guidelines recommend CBT-based therapy or IPT as first-line psychological treatments for BED. They suggest lisdexamfetamine as the first-line medication option and encourage a multidisciplinary approach involving medical, psychological and dietetic support.
American Academy of Family Physicians (AAFP)
Initial evaluation, diagnosis and treatment of anorexia nervosa and bulimia nervosa (2015)
The AAFP has published guidelines that provide recommendations for the initial evaluation, diagnosis, and treatment of two major eating disorders - anorexia nervosa and bulimia nervosa.
American Academy of Pediatrics (AAP)
Identification and management of eating disorders in children and adolescents (2021)
The AAP guidelines focus on the unique challenges in identifying and managing eating disorders among the pediatric population, offering evidence-based approaches tailored for children and adolescents.
Canadian Practice Guidelines
Canadian practice guidelines for the treatment of children and adolescents with eating disorders (2020). These guidelines from Canada provide specialized guidance on the assessment and treatment of eating disorders in the pediatric and adolescent populations.
German S3-Guideline
Treatment of anorexia nervosa–new evidence-based guidelines (2019)
The German S3-Guideline offers evidence-based recommendations for the treatment of anorexia nervosa, incorporating the latest research and clinical best practices.
The Royal Australian and New Zealand College of Psychiatrists
Clinical practice guidelines for the treatment of eating disorders (2014). These guidelines from the professional organization in Australia and New Zealand offer regional expertise on the management of eating disorders.
The Royal College of Psychiatrists
Medical emergencies in eating disorders: guidance on recognition and management (2022, updated 2023). The Royal College of Psychiatrists has developed specific guidance on identifying and managing the medical complications and emergencies that can arise in eating disorder patients.
World Federation of Societies of Biological Psychiatry
Guidelines for the pharmacologic treatment of eating disorders (2011). These international guidelines focus on the appropriate use of medications in the treatment of various eating disorder diagnoses.
Binge Eating Disorder (BED) is an eating disorder characterized by recurrent episodes of uncontrolled excessive food intake, often accompanied by feelings of shame, guilt, and a lack of control.
Binge Eating Disorder (BED) is a serious mental health condition that is not limited to any geographic region. While the prevalence and treatment approaches may vary somewhat between countries, BED is a global issue that affects individuals worldwide.
In India, BED is relatively understudied compared to other eating disorders like anorexia and bulimia. However, estimates suggest that around 2-3% of the Indian population may be affected by BED. Factors like rapid urbanization, changing dietary habits, and increasing body image concerns are believed to contribute to the rise of BED and other eating disorders in the country. Access to quality mental health care and awareness about BED remains a challenge in many parts of India.
Internationally, BED is the most common eating disorder, affecting an estimated 2-3.5% of adults in the United States and similar proportions in many other Western countries. BED can have significant physical, mental and social consequences if left untreated, making effective treatment guidelines crucial.
Several major professional organizations have published clinical practice guidelines for the treatment of BED, which provide evidence-based recommendations for healthcare providers. Here is an overview of some of the key treatment guidelines:
American Psychological Association (APA) Clinical Practice Guideline for the Treatment of Eating Disorders (2023):
The American Psychiatric Association (APA) has recently updated its guidelines for the treatment of eating disorders, including binge eating disorder (BED). The updated guidelines emphasize the importance of comprehensive evaluation during the initial assessment.
According to the APA guidelines, healthcare providers should screen for the presence of an eating disorder as part of the initial psychiatric evaluation. The initial assessment should gather information on the patient's history of height and weight, eating-related behaviors, food intake, weight control practices, and family history. Clinicians should also identify any co-occurring physical or mental health conditions.
For patients diagnosed with BED, the APA guidelines recommend two primary treatment approaches: eating disorder-focused cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT). These therapies can be provided either individually or in a group setting.
Additionally, the guidelines state that adults with BED who prefer medication or have not responded adequately to psychotherapy alone should be treated with either an antidepressant medication or the medication lisdexamfetamine.
This comprehensive approach aims to address the multifaceted nature of BED and provide effective, evidence-based care.
For Book, access the below link:
The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders, Fourth Edition
NICE guideline : Eating disorders: recognition and treatment-Published: 23 May 2017 and Last updated: 16 December 2020
The NICE guidelines recommend CBT-based therapy or IPT as first-line psychological treatments for BED. They suggest lisdexamfetamine as the first-line medication option and encourage a multidisciplinary approach involving medical, psychological and dietetic support.
American Academy of Family Physicians (AAFP)
Initial evaluation, diagnosis and treatment of anorexia nervosa and bulimia nervosa (2015)
The AAFP has published guidelines that provide recommendations for the initial evaluation, diagnosis, and treatment of two major eating disorders - anorexia nervosa and bulimia nervosa.
American Academy of Pediatrics (AAP)
Identification and management of eating disorders in children and adolescents (2021)
The AAP guidelines focus on the unique challenges in identifying and managing eating disorders among the pediatric population, offering evidence-based approaches tailored for children and adolescents.
Canadian Practice Guidelines
Canadian practice guidelines for the treatment of children and adolescents with eating disorders (2020). These guidelines from Canada provide specialized guidance on the assessment and treatment of eating disorders in the pediatric and adolescent populations.
German S3-Guideline
Treatment of anorexia nervosa–new evidence-based guidelines (2019)
The German S3-Guideline offers evidence-based recommendations for the treatment of anorexia nervosa, incorporating the latest research and clinical best practices.
The Royal Australian and New Zealand College of Psychiatrists
Clinical practice guidelines for the treatment of eating disorders (2014). These guidelines from the professional organization in Australia and New Zealand offer regional expertise on the management of eating disorders.
The Royal College of Psychiatrists
Medical emergencies in eating disorders: guidance on recognition and management (2022, updated 2023). The Royal College of Psychiatrists has developed specific guidance on identifying and managing the medical complications and emergencies that can arise in eating disorder patients.
World Federation of Societies of Biological Psychiatry
Guidelines for the pharmacologic treatment of eating disorders (2011). These international guidelines focus on the appropriate use of medications in the treatment of various eating disorder diagnoses.
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