DSM-IV Diagnostic Criteria
1. Recurrent episodes of binge eating characterized by BOTH of the following:
a. Eating in a discrete amount of time (within a 2 hour period), an amount that is definitely larger than most people would eat during a similar time period.
b. Sense of lack of control over eating during an episode.
2. Binge eating episodes are associated with three (or more) of the following:
a. Eating much more rapidly than normal.
b. Eating until uncomfortably full.
c. Eating large amounts of food when not hungry.
d. Eating alone because of being embarrassed by how much one is eating.
e. Feeling disgust with oneself, depressed, or guilty after overeating.
3. Marked distress regarding binge eating is present.
4. The binge eating occurs, on average, at least 2 days a week for 6 months.
5. The binge eating is not associated with the regular use of inappropriate compensatory behaviors (e.g. purging, fasting, compulsive exercising).