The guilt from the overeating and the weight gain leads to depression and low self-esteem. She has difficulty not thinking about her weight and her unhappiness daily but is unable to stop or control these types of behaviors. Binge eating disorder entails depression and is often present with this disorder. Andrea consumes food until she is uncomfortably full, eats when she is not hungry, and does not eat in front of people because she is embarrassed, which are all criteria for binge eating disorder. Andrea is aware of her binge eating and refers to the eating as a “nightmare” as she is constantly trying to fight the urges to eat. I believe Andrea meets all criteria to be diagnosed with binge Eating Disorder.
If I was completing the assessment with the client there would be some biological, family, and cultural considerations that I would consider for this diagnosis. I would seek out more information regarding the relationship with her mother. Andrea talks about arguments between her and her mother