BINGE EATING DISORDER

Question 1

A psychiatric eating disorder charactenized by:
·Recurrent episodes of binge eating,
consuming large amounts of food in a discrete
period,often more than most people would
under similar circumstances.
·Lack of control over-ealing during the
episodes.
·No regular use of compensatory behaviors
(e.g.,vomiting,laxatives,or excessive exercise
unlike in bulimia nervosa.

Answer 1

BINGE EATING DISORDER

Question 2

Risk factors of binge eating disorder

Answer 2

·Family history
·Hormonal irregulanties
·Brain reward pathway dystuncton
·Depression and anxiety
·Low self-esteem
·History of trauma or abuse
·Poor coping skms
·Dieting or restnctive eating pattem
·Social pressure for ideal body image or size
·Negative body image
·Weight stigma or bullying

Question 3

Signs and symptoms of bi ge eating disorder?

Answer 3

·Frequent episodes of eating large quantities of food in a short time
·Eating rapidly,often until uncomfortably full
·Eating alone due to embarrassment
·Eating when not physically hungry
·Feeling out of control during the binge episodes
·Feeling of shame,guilt or distress after overeating
·Depression and anxiety
·Low self-worth and dissatisfaction with body
·Fluctuating or consistent weight gain
·Obesity and related complications
·Gastrointestinal discomfort
·Fatigue and poor energy

Question 4

Nursing interventions for binge eating disorder?

Answer 4

·Establish trust and rappon
·Approach client with empathy and sensitvity
·Normallzed discussion around eating behaviors
·Collaborate with nutritionist dietitian to establish healthy eating
patterns
·Encourage structured meals and avoid skipping of meals
·Promote journaling to track food intake and emotional tiggers
·Teach healthy coping mechanism for stress,boredom or negative
emotion
·Encourage parlicipation in support groups or therapy
·Educats the patient about the nature of BED
·Discuss the impact of dleting and restriction on binge eating cydles
·Track weight,vital signs and metabolic parameters
·Screen and manage comorbid conditions

Question 5

Nursing priorities for binge eating disorder

Answer 5

Address co occuring mood disorders
Explore suicidal ideation
Support regular balanced snack
Use motivational interviewing technique

Question 6

Medical management for binge eating disorder

Answer 6

●Cognitive Behavioral Therapy(CBT):
First-line,helps identity and alter
dysfunctional thoughts and behaviors.
●Interpersonal Therapy (PT);Focuses on
relationship issues contributing to binge
behaviors.
●Dialectical Behavior Therapy (DBT):
Usefnl for emotional regulation and
impulsivity.
●Mindfulness-Based Eating Awareness
●Training (MB-EAT):Teaches intuitive
eating and emotional awareness.

Question 7

Pharmacologic management

Answer 7

Lisdexamfetamine (Wyvanse)-FDA-approved for moderate to severe BED
Topiramate-Anticonvulsant reduces binge episodes
SSRls (e.g..Fluoxetine,Sertraline)-Treat comorbid depression/anxiety
Bupropion-Antidepressant,helps with mood
Naltrexone+Bupropion(Contrave)-Off-label for weight management