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Binge Eating, Depression, and Cognitive Therapy

Primary Care Companion J Clin Psychiatry 2003;5(1):45-46

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Binge-eating disorder is not currently a recognized diagnosis in DSM-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. The criteria include a sense of lack of control over eating and a feeling of being depressed, guilty, or disgusted with oneself after eating. It therefore makes sense to screen for depression in this population and to consider short-term cognitive therapy to target guilt and behavior control.​