The best treatment for binge eating

The medical community does not completely agree on the best treatment for binge eating. Medical specialists are more likely first to treat weight control issues with drugs, diet, and nutrition counseling in order to reduce the health risks of obesity-related diseases.

Although there are no drugs specifically approved by the United States Food and Drug Administration for treating binge-eating disorder, the FDA has approved selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft) for the treatment of bulimia.

Bulimia also involves binge-eating behavior. These medications increase serotonin levels in the brain and are thought to affect the body’s sense of fullness.

They are used whether or not the patient shows signs of depression. SSRIs are often prescribed for people with binge eating disorder.

Appetitive suppressants are also sometimes prescribed to help control binge eating. Treatment is most successful when group therapy occurs in conjunction with psychotherapy (see Therapies below).

People with binge-eating disorder understand that their eating pattern is abnormal and unhealthy. Nutrition counseling and meal planning can help bring weight under control, but they do not address the inability to control the impulse to binge. Nutrition counseling needs to be part of a broader treatment program that includes psychotherapy and possibly drug therapy.

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Therapy  
Prevention