By LUCY ORMONDE
When you hear the term ‘eating disorder’ you think of anorexia and bulimia. Right?
Your mental picture is probably of an extremely underweight person – probably a young woman.
But what about the other end of the scale? Literally.
It turns out that ‘binge eating’ is now Australia’s most common eating disorder.
A new report from The Butterfly Foundation estimates 913,986 Australians are currently suffering from some form of eating disorder, which is approximately four per cent of the population.
Breaking that four per cent down, approximately three per cent of sufferers have anorexia, 12 per cent have bulimia nervosa, 47 per cent suffer from binge eating disorder (BED) and 38 per cent from other eating disorders.
So while the widespread image of someone with an eating disorder is a young woman with anorexia, in fact the most common type of eating disorder sufferer is likely to be obese with 44 per cent of all obese people suffering from BED.
But did you even know that binge eating was a classified eating disorder?
And – the question we wanted to know as we discussed the report among the women in our editorial meeting – what actually constitutes ‘binge eating disorder?’
Surely we’ve all been guilty of scoffing a tub of ice cream on the couch after a break-up or eating a whole pizza and garlic bread and dessert. But at what point do those actions become a disorder?
According to the mental health resource Reach Out, there are seven characteristics of a Binge Eating Disorder:
- Feeling that your eating is out of control.
- Eating what most people would consider to be a large or excess amount of food on a regular basis.
- Being secretive about what is eaten and when.
- Feeling disgusted, depressed or guilty about overeating.
The Butterfly Foundation CEO Christine Morgan said the easiest way to understand Binge Eating Disorder was like bulimia nervosa “without the purging.”
“It’s a feeling of being out of control,” Christine said when we asked her how to separate binge eating as a disorder from the occasional over indulgence. “There’s not a sense of will power,” she said. “There’s a very high level of distress. It’s that overwhelming sense of ‘I am not in control’.”
Christine described Binge Eating Disorder as a “very, very serious illness,” but she said that even though approximately 44 per cent of all obese people suffer from this disorder, few seek help because of shame.
When the next Diagnostic and Statistical Manual of Mental Disorders (DSM5) comes out next year, it will be the first time Binge Eating Disorder will be classified as a stand alone disorder.
“And that’s indicative of how prevalent it is,” Christine said. “They need the validation that this is a serious disorder. There is help available.”
If you need help or support you can call the Butterfly Foundation support line on 1800 334 673.




Comments
13 Comments so far
I never really thought of myself as having an “eating disorder” after reading this article and looking at the Butterfly Foundation website It is clear I fall into this category.
Seeing GP tomorrow – will discuss this issue and see where I go from here!
Thanks Mamma mia – I now no longer feel insane!
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This post has me in tears.
As one that suffers with this I have this ongoing feeling that people don’t believe it’s a “real disorder” most people see it as sure you just eat too much.
Hopefully there is more awareness in the future for this eating disorder and all sufferers can get this under control.
Thanks mama Mia for addressing it.
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While I’m not trying to minimize the suffering that people can go through I do wonder about the very contemporary tendency to medicalse and pathologise every aspect of human behaviour.
You eat too much? It’s a binge eating disorder. You’re unhappy because your life is crap? You’re depressed. You’re a self-obsessed arsehole? You’ve got narcissistic personality disorder.
I know people love to have “reasons” or “excuses” for their behaviour, but I still find it strange that someone should be “thrilled” to be diagnosed.
I’m not saying that pathological conditions that require medical and psychiatric treatment don’t exist. But I do suspect a lot of people jump onto the “disorder” bandwagon because its fashionable or offers an easy excuse.
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Calling something a disorder or medicalising/pathologising it doesn’t mean it provides an excuse. What it does provide is a model for understanding what is going on, usually a lot of indication as to the mechanisms that contributed, and suggestions of treatments and management strategies that might help. Psychological conditions like binge eating disorder can be so confusing, difficult to understand, debilitating and chronic for those who have them, and I can only imagine I would be thrilled if I was suffering and found out that there was a way to make sense of my situation, and that there were specific treatments that could really make a difference.
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That diagnosis changed my life why wouldn’t i be thrilled? The reason i was thrilled as I am now able to receive the correct treatment rather than on a continual rollercoaster of dieting, bingeing and self loathing. Binge eating disorder does not simply mean eating too much it is so much more than over eating. I wouldn’t expect people who haven’t experienced it to understand. It is still hard work to overcome as i do want to change my behaviour I have certainly not used it as an excuse for my behaviour but a change in treatment.
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I have been receiving treatment for my BED for about a year. It is a slow road but it is worth it. Letting go of all the negative feelings I had and all the energy it used has been liberating. Reading about a drug addicts attraction to drugs was what Made me realize there was something really wrong when I realized I felt exactly the same way about food- no control etc. So thrilled my dr diagnosed me
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I have a couple of friends that number 5 relates to. I never see them eat or they only eat normal serves of healthy food, they exercise and yet have serious weight problems. I can only assume they must eat heaps in the privacy of their own homes.
I’ve never mentioned it directly to them because there may be other reasons behind their weight that I dont now about (medical, metabolism etc) and its not really my business but this article makes me wonder if I should be asking if they’re ok…
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I suffer from BED – along with anxiety, and depression. One monster feeds the next. And I am very lucky in that I have doctors, family friends and a psychiatrist that are all wonderfully supportive and are helping me deal with this.
But it is a long and hard and difficult journey.
My fat is a giant, cushy, wobbbly, heavy suit of armour and as much as my logical brain wants me to get rid of it the emotional brain is not quite ready. After all if I’m a tubby then boys won’t like me and I won’t get my heart broken, right?
And if people don’t like me it’s because I’m obese yeah?
What if I lose the weight and I still don’t make friends, or get invited out or get asked on dates. It must mean that there is something wrong with me? Easier to stay fat…
That’s the kind of horrible distorted thinking that goes on in my head. Every. Single. Day.
I wouldn’t choose this. I wouldn’t wish it on my worst enemy. It’s not a lack of willpower, or a choice, or laziness.
It is mental illness.
I hope this article helps educate some of the people that are less than tolerant of people who are overweight. Because you never know the burdens other people are carrying.
If you wouldn’t walk up to an annorexic and tell them to just eat already…
And if you wouldn’t walk up to a person dying of lung cancer and tell them they deserve it because they smoked…
Then don’t walk up to an overweight person and tell them to just eat less, or exercise more or that they are a burden on the health system.
You never know, they could already be leaning upon the health system, just for more serious reasons than a few extra pounds.
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I can relate to everything you said. Wish I was brave enough to get help for it though- its really hard for me to admit even to myself that my binge eating, anxiety & depression all go hand in hand, let alone tell a doctor or psychologist.
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Have your read Fat is a Feminist Issue? You seem quite aware of most of the points that book makes already, but I found it helped me to understand my eating compulsions better.
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Your post could have been written by me. With the help of my psychologist and a change of antidepressant, the hungry beast of emotional emptiness has been sated and that internal monologue quiet for about 6 months now. For the first time in 20 years I am eating like a “normal” person without a sense of deprivation and have lost 15 kg. Of course it is a psychological issue. Who really wants to loathe themselves? Really
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Overeaters Anonymous has really helped me with a cruel and debilitating binge eating problem. I’ve now abstained from eating compulsively for the last four years and my life is entirely changed. If you feel like your eating is out of control, check out http://www.oa.org – there are no dues or fees for members and it works.
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The good news is that binge-eating disorder is very treatable – recovery rates are high with appropriate treatment. The problem is that often our instinctive ways to try to help ourselves (eg. restriction following a binge; dieting etc) make the binge-eating worse and reinforce the vicious cycle. This is then compounded by shame and secrecy, often stopping us from getting the help that we need to break the cycle. I would encourage anyone out there who is struggling with BED to seek help from an eating disorder specialist. Hopefully these stats will help sufferers to realise that they are not alone, and they don’t need to feel ashamed or suffer in silence.
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