Health: Battle Of The Binge

Consider medications. There are no FDA-approved treatments for binge-eating disorder. Still, your doctor may prescribe a Prozac-like antidepressant or an antiseizure drug that's sometimes prescribed "off label" because it curbs appetite.

Distract yourself. Bingers often talk about "going into a trance," says psychologist Joyce Nash, author of "Binge No More." So, before breaking open that bag of chips, stop, take a deep breath and wait 10 minutes. Taking a shower can also help break the spell.

Start exercising. Exercise is "non-negotiable," says Nash. Even if a binge eater stops gorging, he doesn't automatically lose weight. The change requires sufferers to turn to a healthy activity--like walking--to manage their emotions and escape unpleasant feelings. It's not easy to do, but examples like Saxen's show that recovery is within everyone's grasp.

GETTING HELP These books and studies can help you decide on the best course of treatment.

"Management of Eating Disorders" Find this free federal report at ahrq.gov

"Intuitive Eating " by Evelyn Tribole and Elyse Resch ($13.95)