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The DSM-5 criteria for the diagnosis of BED are as follows:
- Experiences a lack of control during an episode (can’t stop eating or control what or how much they are eating)
- Eats more rapidly than normal
- Eats large amounts of food when not hungry
- Eats till uncomfortably full
- Experiences emotional pain or distress in regard to eating (such as disgust with oneself, depression over eating, or desire to eat alone due to embarrassment)
- Does not generally participate in compensatory purging behaviors such as fasting, exercising, or using laxatives or diuretics after binge eating episodes
- Experiences binge eating episodes at least once a week for three months or more