Treatment of binge eating disorder is challenging, because most people feel ashamed of their disorder and try to hide their problem. Often, they are so successful that close family members and friends don't know they binge eat.
Eating disorders require a comprehensive treatment plan that is adjusted to meet the needs of each patient. The goal of treatment for binge eating disorder is to help the person gain control over his or her eating behavior. Treatment most often involves a combination of the...
Kessler stops short of calling Americans' love for sugary, fatty foods a "food addiction." But he believes there are similarities between why some people abuse drugs and why some of us can't resist every last deep-fried chip on a heaped plate of cheese-smothered nachos.
Knowing what's driving our overeating behavior is the first step to changing it, he says.
"For some, it's alcohol," Kessler tells WebMD. "For some, it's drugs. For some, it's gambling. For many of us, it's food."
Kessler, a Harvard-trained pediatrician and medical school professor at the University of California, San Francisco, started researching what would become The End of Overeating after watching an overweight woman talk about obsessive eating habits on The Oprah Winfrey Show. It sounded familiar. Kessler's own weight has zoomed up and down over the years, leaving him with suits of every size.
"For much of my life, sugar, fat, and salt held remarkable sway over my behavior," he writes.
And so the man who tackled tobacco companies while leading the FDA started researching why he couldn't turn down a chocolate chip cookie. He pored over studies on taste preferences, eating habits, and brain activity, conducted studies, and talked to food industry insiders, scientists, and people who struggled with overeating.
His theory: "Hyperpalatable" foods -- those loaded with fat, sugar, and salt -- stimulate the senses and provide a reward that leads many people to eat more to repeat the experience.
"I think the evidence is emerging, and the body of evidence is pretty significant," Kessler says.
He calls it conditioned hypereating, and here's how he says it works. When someone consumes a sugary, fatty food they enjoy, it stimulates endorphins, chemicals in the brain that signal a pleasurable experience. Those chemicals stimulate us to eat more of that type of food -- and also calm us down and make us feel good.
The brain also releases dopamine, which motivates us to pursue more of that food. And cues steer us back to it, too: the sight of the food, a road lined with familiar restaurants, perhaps a vending machine that sells a favorite candy bar. The food becomes a habit. We don't realize why we're eating it and why we can't control our appetite for it.
Once the food becomes a habit, it may not offer the same satisfaction. We look for foods higher in fat and sugar to bring back the thrill.
Kessler points to these factors as the cause of a dramatic spike in the number of overweight Americans in the past three decades.