Testing & Diagnosis for Binge Eating Disorder in Children

How is binge-eating disorder diagnosed?

It can be hard to diagnose binge-eating disorder, since many adolescents with the disorder try to keep their illness very private and hidden. Parents, teachers, coaches or instructors may be able to identify a child or adolescent with binge-eating disorder, but the diagnosis is usually made by a qualified mental health professional or medical provider.

Since early treatment can often prevent future problems, if you note symptoms of binge-eating disorder in your child, it’s a good idea to seek evaluation and treatment sooner rather than later.

If an eating disorder is suspected, some components of the evaluation may include:

  • a careful patient and family history
  • physical examination
  • laboratory tests, including a complete blood count and a urinalysis
  • mental health and nutritional assessments

To help diagnose binge-eating disorder, your child’s doctor will:

  • assess weight changes
  • inquire about self-perceptions of weight and desired weight
  • ask your child about bingeing and out-of-control eating and purging
  • ask your child about use of laxatives and diet pills
  • ask your child about:
    •  abdominal pain
    •  bloating
    • constipation
    • hair loss or change in hair texture
    • cold intolerance
    • fatigue
    • weakness
    • fainting
    • substance use
    • sexuality
    • depression
    • amount of physical exercise
    •  stress fractures

Your child’s doctor will likely also conduct the following studies:

  • a social history — a review of risk factors focusing on the home, education and activities

  • a family history — information about conditions and disorders within the family, including eating disorders, obesity, alcoholism, depression or other mental illness

  • a physical exam —a clinician will assess and examine your child’s blood pressure, pulse, temperature, weight and height, skin and hair changes, heart function and abdomen.

After we complete all necessary tests, Children’s experts will meet to review and discuss what they have learned. Then we will meet with you and your family to discuss the results and outline the best treatment options for your child.