Binge Eating, Depression, and Cognitive Therapy

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Binge-eating disorder is not currently a recognized diagnosis inDSM-IV, but is listed under eating disorder not otherwise specified. Interestingly, DSM-IV lists research criteria for binge-eating disorder, and current research is clarifying clinical features and treatment. Thecriteria include a sense of lack of control over eating and a feeling of being depressed, guilty, or disgusted with oneself after eating. It thereforemakes sense to screen for depression in this population and to considershort-term cognitive therapy to target guilt and behavior control.