A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of following.

  1. eating, in a discrete period of time, an amount of food that is definitely larger than what most individuals would eat in similar period of time under similar circumstances
  2. a sense of lack of control over eating during episode

B. the binge eating episodes are associated with 3 or more of following

  1. eating much more rapidly than normal
  2. eating until feeling uncomfortably full
  3. eating large amounts of food when not feeling physically hungry
  4. eating alone because of feeling embarrassed by how much one is eating
  5. feeling disgusted with oneself, depressed or very guilty afterward

C. Marked distress regarding binge eating is present

D. the binge eating occurs, on average, at least once a week for 3 months

E. the binge eating is not associated with anorexia nervosa or bulimia nervosa.