Category Archives: Disorders

10 THINGS PARENTS SHOULD NEVER DO

Parenting

10 THINGS PARENTS SHOULD NEVER DO

Posted: May 2, 2019 8:50 am

If you love your children and want to help them grow into stable, thoughtful, productive, loving adults, here are 10 things you should avoid doing.

1. IGNORE THEIR BRAIN.

Their brain controls everything they do—how they think, how they behave, how they relate to others. When their brain works right, they work right. When they have trouble in their brain, they have trouble in their life. And if they have trouble in their life, you have trouble in your life. Leading edge brain imaging technology called SPECT shows the health of the brain. In the images below, you can see a healthy brain, a brain damaged by trauma (such as falling off a bike), and the brain of someone with ADD/ADHD. Seeing is believing. If you want your child to be their best, you have to take care of their brain and teach them how to do so.

Healthy SPECT Brain Scan: full, symmetrical activity

Head Trauma: damage to right frontal lobe

Classic ADD/ADHD: low activity in prefrontal cortex

2. RARELY SPEND QUALITY TIME WITH THEM.

Relationships require special time. The most effective exercise you can do is spend 20 minutes of quality time a day with your child—listening and doing something they want to do (within reason).

3. BE A POOR LISTENER.

When your kids are trying to talk to you, don’t speak over them. Learn to be an active listener. Let them say their piece and then repeat back what you heard so they know you have heard them.

4. USE NAME CALLING.

Don’t tell your child, “You’re a spoiled brat.” This is not helpful, and they will internalize these negative names and begin to believe them.

5. BE OVERLY PERMISSIVE.

Letting your child do whatever they want may make them “happy” in the moment, but it can be detrimental in the long run. Children need clear boundaries. Kids who have the most psychological problems usually have parents who didn’t set boundaries for them. Be firm and be kind.

6. FAIL TO SUPERVISE THEM.

The human brain’s frontal lobes—which are involved in planning, judgment, and impulse control—are not fully developed until about age 25. You need to be your children’s frontal lobes until theirs develop. This means checking in on what your kids are doing and with whom they are doing it. This doesn’t mean being a helicopter parent, it means you care.

7. DO AS I SAY, NOT AS A I DO.

If you’re a poor role model, your kids will pick up on that and follow your lead. If you say, “eat your vegetables” but you constantly snack on candy or potato chips, they will likely opt for the foods they see you eating.

8. ONLY NOTICE WHAT THEY DO WRONG.

Try to notice when your kids do things you like—cleaning up their room, finishing their homework, or brushing their teeth.

9. IGNORE THEIR MENTAL HEALTH ISSUES.

On average, it takes 11 years from the time kids develop symptoms of a mental health condition to first evaluation. This is just wrong. Struggling with symptoms of ADD/ADHD or anxiety and depression can negatively impact their ability to succeed in school, in their friendships, and in life.

10. IGNORE YOUR OWN MENTAL HEALTH.

If you are suffering from a mental health condition—whether it’s PTSDbipolar disorder, or something else—it can devastate your children. Remember the saying, “Put your own oxygen mask on first.” You need to take care of yourself and be the best version of yourself to be the best parent.

At Amen Clinics, we have helped thousands of parents and children enhance their brain health and improve their performance at work, at school, and in relationships. If you or your child are struggling with a mental health issue or consequences of head trauma, schedule a visit or call 855-972-4857.

Phones and Middle School

Middle School Misfortunes Then and Now, One Teacher’s Take

Middle school 2008 vs 2018.jpg

By: Benjamin Conlon

Let’s imagine a seventh grader. He’s a quiet kid, polite, with a few friends. Just your ordinary, run-of-the-mill twelve-year-old. We’ll call him Brian. Brian’s halfway through seventh grade and for the first time, he’s starting to wonder where he falls in the social hierarchy at school. He’s thinking about his clothes a little bit, his shoes too. He’s conscious of how others perceive him, but he’s not that conscious of it.

He goes home each day and from the hours of 3 p.m. to 7 a.m., he has a break from the social pressures of middle school. Most evenings, he doesn’t have a care in the world. The year is 2008.

Brian has a cell phone, but it’s off most of the time. After all, it doesn’t do much. If friends want to get in touch, they call the house. The only time large groups of seventh graders come together is at school dances. If Brian feels uncomfortable with that, he can skip the dance. He can talk to teachers about day-to-day problems. Teachers have pretty good control over what happens at school.

Now, let’s imagine Brian on a typical weekday. He goes downstairs and has breakfast with his family. His mom is already at work, but his dad and sisters are there. They talk to each other over bowls of cereal. The kids head off to school soon after. Brian has a fine morning in his seventh grade classroom and walks down to the lunchroom at precisely 12 p.m.

There’s a slick of water on the tiled floor near the fountain at the back of the cafeteria. A few eighth graders know about it, and they’re laughing as yet another student slips and tumbles to the ground.

Brian buys a grilled cheese sandwich. It comes with tomato soup that no one ever eats. He polishes off the sandwich and heads to the nearest trashcan to dump the soup. When his sneakers hit the water slick, he slips just like the others. The tomato soup goes up in the air and comes down on his lap.

Nearby, at the table of eighth graders, a boy named Mark laughs. He laughs at Brian the same way the boys around him laugh at Brian. They laugh because they’re older, and they know something the younger kids don’t. They laugh at the slapstick nature of the fall. The spilled tomato soup is a bonus. The fall is a misfortune for Brian. That’s all. It’s not an asset for Mark. A few kids hear the laughter and look over, but Brian gets up quickly and rushes off to the bathroom to change into his gym shorts.

Mark tries to retell the story to a friend later. The friend doesn’t really get it because he wasn’t there. He can’t picture it. In fact, Mark seems a little mean for laughing at all.

After lunch, Brian returns to homeroom in his gym shorts. No one seems to notice the change. He breathes a sigh of relief. The cafeteria fall is behind him. He meets his sisters at the end of the day and they ask why he’s wearing gym shorts. He tells them he spilled some tomato sauce on his pants. They head home and spend the afternoon and evening together, safe and sound, home life completely separate from school life. Brian doesn’t think about the incident again. Only a few people saw it. It’s over.

Now, let’s imagine Brian again. Same kid. Same family. Same school. He’s still in seventh grade, but this time it’s 2018.

When Brian sits down for breakfast, his dad is answering an email at the table. His older sister is texting, and his younger sister is playing a video game. Brian has an iPhone too. He takes it out and opens the Instagram app. The Brian from 2008 was wondering about his position in the social hierarchy. The Brian from 2018 knows. He can see it right there on the screen. He has fewer ‘followers’ than the other kids in his grade. That’s a problem. He wants to ask his father what to do, but there’s that email to be written. Instead, Brian thinks about it all morning at school. While his teacher talks, he slips his phone out and checks to see how many ‘followers’ the other kids in class have. The answer doesn’t help his confidence. At precisely 12 p.m., he heads to the cafeteria. He buys a grilled cheese. It comes with tomato soup that no one ever eats.

At the back of the lunchroom, Mark sits with the other eighth graders. He holds a shiny new iPhone in one hand. Mark has had an iPhone for five years. He’s got all the apps. Twitter, Instagram and Snapchat. He’s got lots of followers too. He doesn’t know all of them, but that’s okay.

A few years ago, Mark made his first Instagram post. It was a picture of his remote control car. Mark used to really enjoy remote control cars. Mark checked Instagram an hour after putting up that first picture. A bright red dot showed at the bottom of the page. He clicked it. Someone had ‘liked’ the picture of the car. Mark felt validated. It was good that he posted the picture. A little bit of dopamine was released into Mark’s brain. He checked the picture an hour later. Sure enough, another ‘like’. More dopamine. He felt even better.

For a while, pictures of the remote control car were sufficient. They generated enough ‘likes’ to keep Mark happy. He no longer got much joy from actually driving the remote control car, but he got plenty from seeing those ‘likes’ pile up.

Then something started to happen. The ‘likes’ stopped coming in. People didn’t seem interested in the pictures of the car anymore. This made Mark unhappy. He missed the ‘likes’ and the dopamine that came with them. He needed them back. He needed more exciting pictures, because exciting pictures would bring more views and more ‘likes’. So, he decided to drive his car right out into the middle of the road. He had his little brother film the whole thing. He filmed the remote control car as it got flattened by a passing truck. Mark didn’t bother to collect it. He just grabbed his phone and posted the video. It was only a few minutes before the ‘likes’ started coming in. He felt better.

Now it’s eighth grade and Mark has become addicted to social media.  Sure, he needs a lot more ‘likes’ to get the same feeling, but that’s okay. That just means he needs more content. Good content. Content no one else has. That’s the kind that gets a lot of ‘likes’, really, really fast. Mark has learned the best content comes from filming and posting the embarrassing experiences of classmates.

When he notices that water slick at the back of the cafeteria, he’s ready.  Each time someone walks by and falls, their misfortune becomes an asset for Mark. A part of Mark wants them to fall. He hopes they fall.

Brian walks across the cafeteria with his soup, minding his own business. Suddenly, his feet slide out from under him. The tomato soup goes up in the air and comes down on his lap. He’s so embarrassed, that when he stands up and rushes off to the bathroom, he doesn’t notice Mark filming.

Mark’s fingers race over his iPhone screen before Brian is out of sight. That was a great video he just took, and he wants to get it online. Fast. He knows he’s not supposed to have his cell phone out in school, but the teachers really only enforce that rule during class. They all use Twitter and Instagram too. They understand.

Mark doesn’t know who he just filmed, and he doesn’t care. It’s not his fault the kid fell on the floor. He’s just the messenger. The video is a kind of public service announcement. He’s just warning everyone else about the water spot in the cafeteria. That’s what Mark tells himself.

He gets the video uploaded to Snapchat first. No time for a caption. It speaks for itself. He has it up on Instagram seconds later. By then, the ‘likes’ are already coming in. Dopamine floods into Mark’s brain. There’s a comment on Instagram already! “What a loser!” it says. Mark gives the comment a ‘like’. Best to keep the audience happy.

This has been a rewarding lunch. The bell’s going to ring in a few minutes. Mark sits back and refreshes his screen again and again and again until it does.

Meanwhile, Brian heads back from the bathroom, having changed into his gym shorts. He’s still embarrassed about the fall. It happened near the back of the cafeteria, though. He doesn’t think many people saw. He hopes they didn’t. But when he walks into the classroom, a lot of people look at him. One girl holds her phone up at an odd angle. Is she…taking a picture? The phone comes down quickly and she starts typing, so he can’t be sure.

Class begins. Brian is confused because people keep slipping their phones out and glancing back at him. He asks to go to the bathroom. Inside a stall, he opens Instagram. There he is on the screen, covered in tomato sauce. How could this be? Who filmed this? Below the video, a new picture has just appeared. It’s him in his gym shorts. The caption reads, “Outfit change!”

Brian scrolls frantically through the feed trying to find the source of the video. He can’t. It’s been shared and reshared too many times. He notices his follower count has dropped. He doesn’t want to go to class. He just wants it to stop.

He meets his sisters outside at the end of the day. Several students snap pictures as he walks by. Neither sister says a word. Brian knows why.

Home was a safe place for Brian in 2008. Whatever happened in school, stayed in school. Not now. Brian arrives at his house, heart thundering, and heads straight to his bedroom. He’s supposed to be doing homework, but he can’t concentrate. Alone in the dark, he refreshes his iPhone again and again and again and again.

Brian’s family is having his favorite dish for dinner, but he doesn’t care. He wants it to be over so he can get back to his phone. Twice, he goes to the bathroom to check Instagram. His parents don’t mind, they’re checking their own phones.

Brian discovers that two new versions of the video have been released. One is set to music and the other has a nasty narration. Both have lots of comments. He doesn’t know how to fight back, so he just watches as the view counts rise higher and higher. His own follower count, his friend count, keeps going in the opposite direction. Brian doesn’t want to be part of this. He doesn’t like this kind of thing. He can’t skip it though. It’s not like the dance. And he can’t tell a teacher. This isn’t happening at school.

He stays up all night refreshing the feed, hoping the rising view count will start to slow. Mark is doing the same thing at the other side of town. He has lots of new followers. This is his best video ever.

At 3 a.m., they both turn off their lights and stare up at their respective ceilings. Mark smiles. He hopes tomorrow something even more embarrassing happens to a different kid. Then he can film that and get even more ‘likes’. Across town, Brian isn’t smiling, but sadly, he’s hoping for exactly the same thing.

From the Author

I started teaching in 2009. At that time, public school was very much the way I remembered it. That’s not the case anymore. Smartphones and social media have transformed students into creatures craving one thing: content. It’s a sad state of affairs.

But there’s hope.

Over the last few years, my students have become increasingly interested in stories from the days before smartphones and social media. In the same way many adults look back fondly on simpler times, kids look back to second and third grade, when no one had a phone. I think a lot of them already miss those days.

Smartphones and social media aren’t going anywhere. Both are powerful tools, with many benefits. But they have fundamentally altered how children interact with the world and not in a good way. We can change that. In addition to the “Wait Until 8th” pledge, consider taking the following steps to help your children reclaim childhood.

  1. Propose that administrators and teachers stop using social media for school related purposes. In many districts teachers are encouraged to employ Twitter and Instagram for classroom updates. This is a bad thing. It normalizes the process of posting content without consent and teaches children that everything exciting is best viewed through a recording iPhone. It also reinforces the notion that ‘likes’ determine value. Rather than reading tweets from your child’s teacher, talk to your children each day. Ask what’s going on in school. They’ll appreciate it.
  2. Insist that technology education include a unit on phone etiquette, the dark sides of social media and the long-term ramifications of posting online. Make sure students hear from individuals who have unwittingly and unwillingly been turned into viral videos.
  3. Tell your children stories from your own childhood. Point out how few of them could have happened if smartphones had been around. Remind your children that they will some day grow up and want stories of their own. An afternoon spent online doesn’t make for very good one.
  4. Teach your children that boredom is important. They should be bored. Leonardo Da Vinci was bored. So was Einstein. Boredom breeds creativity and new ideas and experiences. Cherish boredom.
  5. Remind them that, as the saying goes, adventures don’t come calling like unexpected cousins. They have to be found. Tell them to go outside and explore the real world. Childhood is fleeting. It shouldn’t be spent staring at a screen.

 


Benjamin Conlon is a public school teacher and author of The Slingshot’s Secreta middle school mystery for anyone trying to find old-fashioned adventure in the digital age. Benjamin grew up in New England and spent much of his childhood exploring the woods surrounding his hometown. After college, he began teaching elementary school. He wrote The Slingshot’s Secret as a reminder that even in a world filled with technology, adventure abounds.

 


Please consider delaying the smartphone for your child with the Wait Until 8th pledge. There are so many reasons to wait. Currently the average age a child receives a smartphone is 10 years old despite the many distractions and dangers that comes with this technology. Join more than 15,000 parents by signing the pledge today.

Never miss a Wait Until 8th blog. Sign up today

Share

7 Things You Don’t Know About ADD That Can Hurt You

7 Things You Don’t Know About ADD That Can Hurt You

8x4-addADD is the most common learning and behavior problem in children. But the issue doesn’t end there: It is also one of the most common problems in adults, and has been associated with serious problems in school, relationships, work, and families. Despite its prevalence, many myths and misconceptions about ADD abound in our society. Here are just a few of them:

MYTH: ADD is a flavor-of-the-month illness, a fad diagnosis. It’s just an excuse for bad behavior.

FACT: ADD has been described in the medical literature for about one hundred years. In 1902, pediatrician George Still described a group of children who were hyperactive, impulsive, and inattentive. Unfortunately, he didn’t understand that ADD is a medical disorder and labeled these children as “morally defective.”

 

MYTH #2: ADD is overdiagnosed. Every child who acts up a bit, or adult who is lazy, gets placed on Ritalin or Adderall.

FACT: Less than half of those with ADD are being treated.

 

MYTH#3: ADD is only a disorder of hyperactive boys.

FACT: Many people with ADD are never hyperactive. The non- hyperactive or “inattentive” ADD folks are often ignored because they do not bring enough negative attention to themselves. Many of these children, teenagers, or adults earn the unjust labels “willful,” “lazy,” “unmotivated,” or “not that smart.” Females, in our experience, tend to have inattentive ADD, and it often devastates their lives.

 

MYTH #4: ADD is only a minor problem. People make too much of a fuss over it.

FACT: Left untreated or ineffectively treated, ADD is a very serious societal problem! Although previous research has demonstrated that ADD is associated with problems like job failures, relationship breakups, drug abuse, and obesity, recently published research in the Journal of the American Academy of Child and Adolescent Psychiatryconducted a systematic review of all the available evidence and confirmed the link between ADD and a wide range of health and psychosocial problems. The study demonstrates the importance of properly treating ADD early in life in order to potentially prevent these future adverse outcomes.

 

MYTH #5: ADD is an American invention, made up by a society seeking simple solutions to complex social problems.

FACT: ADD is found in every country where it has been studied. I once had a patient from Ethiopia who had been expelled from his tribe for being so easily distracted and impulsive.

 

MYTH #6: People with ADD should just try harder.

FACT: Often the harder people with ADD try, the worse things get for them. Brain-imaging studies show that when people with ADD try to concentrate, the parts of their brains involved with concentration, focus, and follow-through (prefrontal cortex and cerebellum) actually shuts down—just when they need them to turn on.

 

MYTH #7: Everyone who has ADD will get better if they just take stimulant medication.

FACT: ADD, like many other conditions, is not just a single and simple disorder; therefore, treatment is not a one-size-fits-all solution. With more than 120,000 brain scans in our database, we have identified 7 types of ADD. And each type requires a different treatment plan because of the diverse brain systems involved.

Amen Clinics has helped tens of thousands of people with ADD from all over the world and can help you, too. To learn more or schedule a comprehensive evaluation, contact the Amen Clinics Care Center today at 855-698-5108 orhttps://www.amenclinics.com/schedule-visit/.

Homelessness Increasing!

As we move across the USA on our trip, we are noticing a large number of homeless. So many men, women, and children laying on the street.  After researching, Mental Health Cuts seem to be the main culprit though the list below shares other reasons for homelessness. Check out the increase in children that are homeless. Also, look at the cuts by each state!  How many students not being educated in any format?  ~Sandy

“In 2004 the United States Conference of Mayors… surveyed the mayors of major cities on the extent and causes of urban homelessness and most of the mayors named the lack of affordable housing as a cause of homelessness…. The next three causes identified by mayors, in rank order, were mental illness or the lack of needed services, substance abuse and lack of needed services, and low-paying jobs. The lowest ranking cause, cited by five mayors, was prisoner reentry. Other causes cited were unemployment, domestic violence, and poverty.”

The major causes of homelessness include:

  • The failure of urban housing projects to provide safe, secure, and affordable housing to the poor.
  • The deinstitutionalization movement from the 1950s onwards in state mental health systems, to shift towards ‘community-based’ treatment of the mentally ill, as opposed to long-term commitment in institutions. There is disproportionally higher prevalence of mental disorders relative to other disease groups within homeless patient populations at both inpatient hospitals and hospital-based emergency departments.
  • The failure of the U.S. Department of Veterans Affairs to provide effective mental health care and meaningful job training for many homeless veterans, particularly those of the Vietnam War.
  • Deprived of normal childhoods, nearly half of foster children in the United States become homeless when they are released from foster care at age 18.
  • Natural disasters that destroy homes: hurricanes, floods, earthquakes, etc. Places of employment are often destroyed too, causing unemployment and transience.
  • People who have served time in prison, have abused drugs and alcohol, or have a history of mental illness find it difficult to impossible to find employment for years at a time because of the use of computer background checks by potential employers.
  • According to the Institution of Housing in 2005, the U.S. Government has focused 42% more on foreign countries rather than homeless Americans, including homeless veterans.
  • People who are hiding in order to evade law enforcement.
  • Adults and children who flee domestic violence.
  • Teenagers who flee or are thrown out by parents who disapprove of their child’s sexual orientation or gender identity.
  • Overly complex building code that makes it difficult for most people to build. Traditional huts, cars, and tents are illegal, classified as substandard and may be removed by government, even though the occupant may own the land. Land owner cannot live on the land cheaply, and so sells the land and becomes homeless.
  • Foreclosures of homes, including foreclosure of apartment complexes which displaces tenants renting there.
  • Evictions from rented property.
  • Individuals who prefer homelessness and wish to remain off the grid for political and ideological purposes. Often self-identified as Gutter Punks or Urban Survivalists. The Department of Housing and Urban Development rarely reports on this counter-cultural movement since Gutter Punks and similar individuals often refuse to participate in governmental studies and do not seek governmental assistance for ideological or political purposes.
  • Neoliberal reforms to the welfare state and the retrenchment of the social safety net.

“In 2013, a Central Florida Commission on Homelessness study indicated that the region spends $31,000 a year per homeless person to cover “salaries of law-enforcement officers to arrest and transport homeless individuals — largely for nonviolent offenses such as trespassing, public intoxication or sleeping in parks — as well as the cost of jail stays, emergency-room visits and hospitalization for medical and psychiatric issues. This did not include “money spent by nonprofit agencies to feed, clothe and sometimes shelter these individuals”. In contrast, the report estimated the cost of permanent supportive housing at “$10,051 per person per year” and concluded that “[housing even half of the region’s chronically homeless population would save taxpayers $149 million during the next decade — even allowing for 10 percent to end up back on the streets again.” This particular study followed 107 long-term-homeless residents living in Orange, Osceola or Seminole Counties. There are similar studies showing large financial savings in Charlotte and Southeastern Colorado from focusing on simply housing the homeless.”

Screen Shot 2016-05-16 at 12.05.27 PM

Screen Shot 2016-05-16 at 10.50.43 AM

Screen Shot 2016-05-16 at 12.14.15 PMScreen Shot 2016-05-16 at 12.15.23 PM

https://en.wikipedia.org/wiki/Homelessness_in_the_United_States

Binge Eating Disorder – BED

Several eating disorders exist.  Learning about them is important when dealing with children.  A student may not be functioning well in a classroom to do a disorder.  Staying informed helps you help them. ~Sandy

Binge Eating Disorder

Binge eating disorder (BED) is an eating disorder characterized by recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; experiencing shame, distress or guilt afterwards; and not regularly using unhealthy compensatory measures (e.g., purging) to counter the binge eating. Binge eating disorder is a severe, life-threatening and treatable eating disorder. Common aspects of BED include functional impairment, suicide risk and a high frequency of co-occurring psychiatric disorders.

Binge eating disorder is the most common eating disorder in the United States, affecting 3.5% of women, 2% of men,1 and up to 1.6% of adolescents.2

The DSM-5, released in May 2013, lists binge eating disorder as a diagnosable eating disorder. Binge eating disorder had previously been listed as a subcategory of Eating Disorder Not Otherwise Specified (EDNOS) in the DSM-IV, released in 1994. Full recognition of BED as an eating disorder diagnosis is significant, as some insurance companies will not cover an individual’s eating disorder treatment without a DSM diagnosis.

BED Symptoms and Diagnostic Criteria
The DSM-5, published in 2013, lists the diagnostic criteria for binge eating disorder:

  1. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
    • Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
    • 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).
  2. The binge eating episodes are associated with three (or more) of the following:
    • Eating much more rapidly than normal.
    • Eating until feeling uncomfortably full.
    • Eating large amounts of food when not feeling physically hungry.
    • Eating alone because of feeling embarrassed by how much one is eating.
    • Feeling disgusted with oneself, depressed, or very guilty afterward.
  3. Marked distress regarding binge eating is present.
  4. The binge eating occurs, on average, at least once a week for 3 months.
  5. The binge eating is not associated with the recurrent use of inappropriate compensatory behaviors (e.g., purging) as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.

Characteristics of BED
In addition to the diagnostic criteria for binge eating disorder, individuals with BED may display some of the behavioral, emotional and physical characteristics below. Not every person suffering from BED will display all of the associated characteristics, and not every person displaying these characteristics is suffering from BED, but these can be used as a reference point to understand BED predispositions and behaviors.

Behavioral Characteristics

  • Evidence of binge eating, including the disappearance of large amounts of food in short periods of time or lots of empty wrappers and containers indicating consumption of large amounts of food.
  • Secretive food behaviors, including eating secretly (e.g., eating alone or in the car, hiding wrappers) and stealing, hiding, or hoarding food.
  • Disruption in normal eating behaviors, including eating throughout the day with no planned mealtimes; skipping meals or taking small portions of food at regular meals; engaging in sporadic fasting or repetitive dieting; and developing food rituals (e.g., eating only a particular food or food group [e.g., condiments], excessive chewing, not allowing foods to touch).
  • Can involve extreme restriction and rigidity with food and periodic dieting and/or fasting.
  • Has periods of uncontrolled, impulsive, or continuous eating beyond the point of feeling uncomfortably full, but does not purge.
  • Creating lifestyle schedules or rituals to make time for binge sessions.

Emotional and Mental Characteristics

  • Experiencing feelings of anger, anxiety, worthlessness, or shame preceding binges. Initiating the binge is a means of relieving tension or numbing negative feelings.
  • Co-occurring conditions such as depression may be present. Those with BED may also experience social isolation, moodiness, and irritability.
  • Feeling disgust about one’s body size. Those with BED may have been teased about their body while growing up.
  • Avoiding conflict; trying to “keep the peace.”
  • Certain thought patterns and personality types are associated with binge eating disorder. These include:
    • Rigid and inflexible “all or nothing” thinking
    • A strong need to be in control
    • Difficulty expressing feelings and needs
    • Perfectionistic tendencies
    • Working hard to please others

Physical Characteristics

  • Body weight varies from normal to mild, moderate, or severe obesity.
  • Weight gain may or may not be associated with BED. It is important to note that while there is a correlation between BED and weight gain, not everyone who is overweight binges or has BED.

BED Population and Demographics
Binge eating disorder is the most common eating disorder in the United States; it is estimated to affect 1-5% of the general population.1 BED affects 3.5% of women, 2% of men,1 and up to 1.6% of adolescents.2

Demographic Information

  • Binge eating disorder affects women slightly more often than men—estimates indicate that about 60% of people struggling with binge eating disorder are female and 40% are male.
  • In women, binge eating disorder is most common in early adulthood. In men, binge eating disorder is more common in midlife.
  • Binge eating disorder affects people of all demographics across cultures.

Physical and Psychological Effects of BED
Binge eating disorder has strong associations with depression, anxiety, guilt and shame. Those suffering from BED may also experience comorbid conditions, either due to the effects of the disorder or due to another root cause. Comorbid conditions can be both physical and/or psychological.

Physical Effects

  • Most obese people do not have binge eating disorder. However, of individuals with BED, up to two-thirds are obese; people who struggle with binge eating disorder tend to be of normal or heavier-than-average weight.
  • The health risks of BED are most commonly those associated with clinical obesity. Some of the potential health consequences of binge eating disorder include:
    • High blood pressure
    • High cholesterol levels
    • Heart disease
    • Type II diabetes
    • Gallbladder disease
    • Fatigue
    • Joint pain
    • Sleep apnea

Psychological Effects

  • People struggling with binge eating disorder often express distress, shame and guilt over their eating behaviors.
  • People with binge eating disorder report a lower quality of life than those without binge eating disorder.
  • Binge eating disorder is often associated with symptoms of depression.
  • Compared with normal weight or obese control groups, people with BED have higher levels of anxiety and both current and lifetime major depression.

BED Treatment
Effective evidence-based treatments are available for binge eating disorder, including specific forms of cognitive behavioral therapy (CBT), interpersonal therapy (IPT), dialectical behavioral therapy (DBT), and pharmacotherapy.

All treatments should be evaluated in the matrix of risks, benefits, and alternatives. Decisions regarding treatments should be made after consulting with a trained medical professional and eating disorder specialist.

To find a treatment provider who specializes in binge eating disorder, please visit NEDA’s Treatment Options database.

Social Stigma of BED
Many people suffering from binge eating disorder report that it is a stigmatized and frequently misunderstood disease. Greater public awareness that BED is a real diagnosis—and should not be conflated with occasional overeating—is needed in order to ensure that every person suffering from BED has the opportunity to access resources, treatment, and support for recovery.

NEDA’s shareable binge eating disorder infographic offers an easy way to spread the word about BED. It is important to underscore that BED is not a choice; it’s an illness that requires recognition and treatment.

Sources
1. Hudson, J.I., Hiripi, E., Pope, H.G. et al. (2007)The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol.Psychiatry, 61, 348–358.
2. Swanson SA, Crow SJ, Le Grange D, Swendsen J, Merikangas KR. Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry. 2011;68(7):714–723

https://www.nationaleatingdisorders.org/binge-eating-disorder