How to Get a Binge Eating Disorder Diagnosis

How Is Binge Eating Disorder Diagnosed?

Weight is not a criterion for a BED diagnosis. People of any weight or body shape may be diagnosed with the condition. Professionals look at numerous factors when determining how to diagnose binge eating disorder.

BED is a mental health condition listed in the American Psychiatric Association’sDiagnostic and Statistical Manual of Mental Disorders, Fifth Edition(DSM-5), and there are exams and tests that are also a part of how binge eating is diagnosed.

DSM-5 criteria

For someone to receive a binge eating disorder diagnosis, they must have repeated binge eating episodes that occur once a week on average. A binge episode is characterized by eating a large amount of food during a distinct period of time and having a lack of control while eating.

For a diagnosis, binge eating episodes must be present for at least 3 months and be accompanied by feelings of distress. To meet the diagnostic criteria for a binge eating disorder diagnosis, 3 or more of the behaviors must apply:

• Eating more quickly than normal
• Eating a large amount of food without feeling hungry
• Eating enough food to feel uncomfortably full
• Eating alone due to embarrassment about your behavior
• Feeling guilt, disgust, or depression after a binge episode

Binge eating can also be a symptom of other eating disorders, like bulimia nervosa. However, people with bulimia nervosa engage in compensatory behavior, like purging, after a binging episode. These behaviors aren’t seen in people with BED. Similarly, people with anorexia nervosa starve themselves, a behavior also not seen with BED.

Tests & exams

While recurrent episodes of binging are linked with binge eating disorder, it’s important to note that it can also be a sign of other issues. For example, many people with attention deficit hyperactivity disorder (ADHD) struggle with inattention and impulse control, which studies show can contribute to overeating. Other medical conditions can also influence a person’s eating habits, such as certain types of anxiety.

For these reasons, an important component of how binge eating is diagnosed is ruling out other potential causes for destructive binging behaviors. Doctors may run a number of exams and tests before a diagnosis is made. Some of them might include:

• Lab work: Blood work and specialized tests, such as a thyroid function test and/or urinalysis, can help identify health issues that might be contributing to binge eating.
• Physical exam:Doctors will look at a patient’s height, body weight, and vital signs to see if there are any indicators of a serious health problem.
• Psychological evaluation: A mental health professional may ask questions about your mood, feelings, and eating habits. You might also be asked to complete a test to screen for BED or other conditions.

At Talkspace, you can connect with a mental health professional online to get a diagnosis. They’ll evaluate your symptoms and provide you with a diagnosis and treatment plan tailored to your condition. Getting a binge eating disorder diagnosis online eliminates many of the barriers that prevent people from getting help. From the comfort of your home, you can work towards bettering your mental health.

What to Do if You Get Diagnosed with Binge Eating Disorder

Once you have received a diagnosis, it’s critical to make sure you seek the appropriate treatment option for your condition so you can learn how to stop binge eating. Taking your diagnosis seriously can help you avoid negative health symptoms and can improve the chance of a positive outcome.

Therapy and medications to treat binge eating disorder are both common.

Seek therapy for BED

In therapy, you can learn to identify what causes binge eating. You’ll also likely focus on tools that will let you replace unhealthy habits with more appropriate and positive choices. Working with a therapist one-on-one can also help you process any guilt and shame associated with your binging.

Some types of therapy for binge eating disorder include:

• Interpersonal psychotherapy:While this type of therapy is primarily focused on strengthening interpersonal skills, interpersonal therapy can also help you identify relationships that might play a role in your unhealthy relationship with food.
• Cognitive behavioral therapy (CBT): Cognitive behavioral therapy is a type of therapy that can increase your awareness of unhealthy thought patterns and behaviors so you can change them. Studies show that the types of CBT are highly effective at reducing binge eating.

Medication options

• Vyvanse: Vyvanse is a stimulant used to treat ADHD. Currently, it’s the only medication that the FDA has approved as a treatment option for binge eating disorder. In short-term studies, taking Vyvanse consistently reduced the number of binge-eating episodes in patients.
• Antidepressants: Many people who binge eat struggle with anxiety and depression. Not only can antidepressants treat those conditions, but they also might help address additional factors contributing to binge eating. Serotonin and dopamine levels in the brain can influence impulse control, mood, and appetite. Taking antidepressants can increase the levels of these chemicals, potentially reducing binge eating.
• Topiramate: Topiramate is an anticonvulsant that’s typically used to treat seizures. The medication is also associated with improved impulse control, which is why it’s been proposed as a potential BED treatment. While it may be effective at reducing binge eating, it hasn’t been as heavily studied yet and usually isn’t recommended as a first-line treatment.

How to Get a Binge Eating Disorder Diagnosis with Talkspace

Are you concerned that your eating patterns are unhealthy and might qualify for a diagnosis? You can get answers, and a path to healing, quickly and conveniently with Talkspace. We’ll connect with a licensed provider who will evaluate your symptoms, listen to your concerns, and, if appropriate, diagnose you with binge eating disorder or another condition. 

Even if you don’t meet the diagnostic criteria for binge eating disorder, a mental health provider can help you address any destructive eating habits and body image issues. BED can make you feel like you’re out of control, but this condition is treatable. At Talkspace, you can connect with a therapist who knows how to diagnose binge eating disorder and provide you with treatment.

Talkspace makes it affordable to receive diagnosis and treatment for binge eating disorder, with online therapy and psychiatry plans that take insurance. Your specific insurance company and health plan will determine your coverage and copays, but covered members typically have a copay of about $25, often less. If your insurance doesn’t cover Talkspace, check with your employer to see if they pay for our mental health services directly (many do), use an FSA/HSA card, or pay out-of-pocket at a cost that’s less than most in-person providers.

Here’s how it works:

1. Get started any time by answering a few questions on the Talkspace website or app.
2. You’ll be connected with a therapist within about two days or a psychiatric provider within about a week. 
3. If you choose therapy you can message with your therapist as much as you like or schedule live sessions. If you choose psychiatry you’ll schedule a live video session with your psychiatric provider.

Online therapy provides support for managing binge eating disorder through ongoing conversations, while online psychiatry usually involves a prescription for medication and ongoing medication management. Find out how Talkspace can help you get and manage a binge eating disorder diagnosis.