News Flash: Binge-Eating (307.51) in DSM-5

I thought that this would be an appropriate post for all you late night and recurrent binge-eaters. The question is,  “Does your pattern of late night and recurrent episodes of late night eating meet criteria for DSM-V Binge Eating? Many of us are chronic dieters. We go from Jenny Craig to Weight Watchers to the Cabbage Diet. We simply cannot get control of our eating habits and or desire to eat healthy. Now some of you refuse to even calculate your BMI (body mass index), but you should regularly. After all, obesity is a killer and is fulminate in most of our communities. Even the First Lady of our nation, Mrs. Obama has recognized  the problem with eating healthy and maintaining a healthy life-style crossing all cultures and nationalities. However, as I excitedly looked through my new DSM-V book, I stumbled across something. The disorder diagnostically classified as “Binge-Eating Disorder“. Now, was this already in DSM-IV? I am not sure but I know that I have never diagnosed anyone to date with this disorder but there are several of my patients that I am almost sure meet the criteria.

I would like to share with you the DSM-V (APA DSM-V Copyright 2013) criteria for this disorder. If you think that you might meet criteria, please notify your psychiatrist (if you have one) or your PCP (primary care physician). Please don’t tell me that you don’t have a PCP. If not, please call your insurance company or go to the nearest community health clinic because the life you save may be your very own. Remember that obesity can be a silent killer that leads us into a number of health sequelae that don’t look or feel good.

A. Recurrent episodes of binge eating.  An episode of binge eating is characterized by both of the following:

1.  Eating, in a discrete period of time, an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.

2.  A sense of lack of control over eating during the episode.

B.  The binge-eating episodes are associated with 3 or more of the following:

  1. Eating much more rapidly than normal.
  2. Eating until feeling uncomfortably full.
  3.  Eating large amounts of food when not feeling physically hungry.
  4. Eating alone because of feeling embarrassed by how much one is eating.
  5. Feeling disgusted with oneself, depressed, or very guilty afterward.

C.   Marked distress regarding binge-eating is present.

D.  The binge-eating occurs, on average, at least once a week for three months.

E.  The binge eating is not associated with the recurrent use of inappropriate compensatory behaviors as in bulimia nervosa or anorexia nervosa.

(Taken directly from the APA’ s DSM-V Manual)

Oftentimes the source of the eating issues lies in bad relationship dynamics. I need you to also go by and pick up my book, “Am I in A Bad Relationship?”  This book will most probably be helpful for those of you who also meet criteria for this disorder.

Dr. O

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