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Clinical Case Studies in Long-Term Care Psychiatry Binge Eating Disorder
Published online by Cambridge University Press: 31 October 2024
Eating disorders are complex chronic medical conditions that have both psychological and medical consequences. They are characterized by abnormal eating behaviors that can lead to significant morbidity and even mortality. The pathophysiology of binge eating disorder involves both biological and psychological factors. Just as in substance use disorders, dysregulation in neurocircuitry related to reward and emotional processing might contribute to the development and maintenance of binge eating behavior. Pharmacologic treatment options for binge eating disorder have provided disappointing results. Comorbid mood and anxiety disorders are more common in this population and treatment of these conditions may produce related improvements in comorbid eating disorders. Ethical challenges can present themselves when dealing with those with eating disorders in long-term care settings. Patients in long-term care settings have as much right to engage in legal, albeit self-destructive, behaviors as those outside of long-term care.
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