Clarification: DSM-V Proposed Diagnostic Criteria For Binge Eating Disorder
There is a distinction between ‘Binge Eating’ and ‘Binge Eating Disorder’, which I feel should be considered when seeking a diagnosis, or considering self-diagnosis (which is never recommended).
Binge eating is not a common occurence, however, what most may consider ‘overeating’, when they become ‘too full’ may occur with a majority of us.
As with any diagnosed eating disorder, there are many components and diagnostic criteria that contribute. The behaviors related to food are truly only the symptoms of the problems that must be dealt with.
Below you will find the proposed diagnostic criteria just released today, for Binge Eating Disorder, as it may appear in the DSM-V.
DSM-5 Proposed Diagnostic Criteria for Binge Eating Disorder
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 (e.g., within any 2-hour period), an amount of food that is definitely larger than 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 (e.g., a feeling that one cannot stop eating or control what or how much one is eating)
B. The binge-eating episodes are associated with three (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 being embarrassed by how much one is eating
5. feeling disgusted with oneself, depressed, or very guilty after overeating
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 behavior (i.e., purging) and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.