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Did you know that eating disorders such as binge eating disorder (BED) can actually go hand in hand with borderline personality disorder (BPD)? However, until now, larger studies have not been carried out, so that the relationship between the two is not known in more detail. 

In simple terms, binge eating disorder can be explained as a disorder of eating behavior. People with BED often eat large amounts of food and they find it difficult to resist the urge to eat. The eating disorder was officially added to the list of psychiatric disorders in 2013. Those with BED also experience episodes that are often accompanied by feelings of shame or guilt. 

So, what is the relationship between binge eating disorder and borderline personality disorder ? Check out the following review!

Binge Eating Disorder and Threshold Personality Disorder

BPD and eating disorders first appear in adolescence and young adulthood and can occur together. It is estimated that about 54 percent of BPD patients also have a history of eating disorders. BED has been shown to occur in about 25 percent of people with anorexia nervosa. BED also shown to occur in 28 percent of people with bulimia nervosa. The rate of eating disorders in the BPD population is much higher than the general population at 5-10 percent. 

The onset of BPD in adolescence or early adulthood is the inheritance of temperament that is prone to parenting and life stressors. Both BPD and eating disorders are associated with a history of childhood trauma, such as physical, sexual and emotional abuse. Researchers found that BPD develops before eating disorders occur. Therefore understanding and recognizing the relationship between the two disorders in a person is important. This is done to determine the best treatment.

The relationship between BPD and eating disorders is not a cause-and-effect relationship. However, some researchers hypothesize that there may be some causal relationship. Like BPD, the development of eating disorders involves biological, psychological, and environmental factors. Exposure to physical ridicule or criticism can be negatively experienced in childhood when combined with a child’s susceptibility to pressure and media ideals about thin body types can lead to disordered eating behavior. 

Some researchers suggest that the neurobiology in the mind of BPD may shape the types of eating pathologies that are expressed in a person. Eating problems in individuals with BPD can be viewed simultaneously as:

  • Behavior to change diet to then change body shape. 
  • Self-injurious behavior.
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Treatment Steps That Can Be Done

So, how to deal with BPD and eating disorders that occur together? Fortunately there are effective treatments available for both types of conditions. Some research suggests that people with BPD may not respond well to eating disorder treatment. However, there are other studies that have found no difference in treatment responses between people with eating disorders with or without BPD.

It may be that eating disorders and BPD symptoms can be treated at the same time, but this can be decided on a case-by-case basis. For example, some people experience symptoms of an eating disorder that are so severe that they are life-threatening. In these cases, hospitalization for eating disorder symptoms may be necessary before treatment for BPD symptoms can be started. Alternatively, in someone with very severe BPD symptoms that are life-threatening or threaten to reduce their ability to take medication, BPD symptoms can be treated first.