Background
Binge eating disorder, guilt, binges, DSM-5
DISORDERS
Binge eating disorder (BED), recently included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), is characterized by recurrent episodes of binge eating. The binges are accompanied by a sense of lack of control and feelings of shame, guilt, and disgust. However, the binges are not followed by inadequate compensatory behavior [Cognitive behavioral therapy–enhanced (CBT-E) is a recommended treatment for BED [Owing to the lack of specialized therapists in the Netherlands, as in many parts of the world, there is a gap between treatment supply and demand [Guided self-help CBT-E has advantages for the patient, such as the removal of geographical barriers and reduced travel costs and time, as communication with the therapist is enabled regardless of location [