Reference
Guide | Reference

81  Binge-Eating Pattern Prototype

81.1 Summary

  • A pattern of recurrent binge episodes with loss of control, without regular compensatory behaviors.

81.2 Prototype Features

  • Binge episodes with distress or loss of control.
  • Eating faster, larger amounts, or beyond comfort.
  • Guilt, shame, or distress after episodes.

81.3 Threshold Guidance

  • Use when binge episodes are recurrent and impairing.

81.4 Expected Domain Profile

  • Eating and Feeding Regulation: moderate to high.
  • Mood and Drive Dysregulation: variable.

81.5 Time-Course and Trajectory

  • Episodic with stress-linked spikes.

81.6 Differential and Red Flags

  • Medication or substance effects on appetite.
  • Medical conditions affecting appetite.
  • Bulimia pattern with compensatory behaviors.

81.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (episodic, fluctuating).
  • Contributors (stress, sleep disruption).
  • Risk modifiers (metabolic risk, distress).

81.8 Measurement Prompts

  • Binge frequency log.
  • Eating pattern tracking.

81.10 Documentation Snippet (1-2 lines)

  • “Recurrent binge episodes with loss of control and distress; Eating/Feeding 3; episodic course.”