Welcome to the High Metabolic Clinic

Recover Strong 

Treatment for Binge Eating Disorder Recovery
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Did you know that Binge Eating Disorder (BED) is the most common Eating Disorder?

BED surpasses both Anorexia and Bulimia nervosa is numbers in North America. And yet, it is under-diagnosed and under-treated.

Most people with Binge Eating Disorder suffer alone, believing they have a character flaw or willpower issue.

In fact, shame is one of the hallmarks of Binge Eating Disorder.

It does not need to be so.

There are effective science-backed interventions for Binge Eating Disorder that have been proven in studies to bring freedom and remission. Binge Eating Disorder treatments include psychotherapy (CBT, IPT and DBT) and sometime medications.


Recover Strong

Recover Strong is based on cognitive behavioural therapy for eating disorders (CBT-T), a 10-week evidence-based psychotherapy intervention proven to reduce binge eating and improve relationship to body, food and self. The goals of treatment for BED are to reduce binges and achieve healthy eating habits. Because shame is a hallmark of BED, along with poor self-esteem and other negative emotions, Recover Strong may also address these issues to help you feel more in control of your eating and have a more empowered relationship with yourself.


What is Binge Eating Disorder?

Binge Eating Disorder is not just overeating or even compulsive overeating. BED is a medical diagnosis that involves eating very large amounts of food over a short period of time, in a way that feels out of control, at least once weekly for 3 months or more. BED is distinct from Bulimia in that there are no compensatory behaviours (no vomiting, no laxative use, no excessive exercise).

BED does not discriminate based on size. BED can occur in individuals with all different body sizes.

¹ Hudson JI, et al. Biol Psychiatry 2007;61(3):348-58.

What causes Binge Eating Disorder?

The exact cause remains unknown. However several risk factors for BED have been identified including family history, chemicals in the brain, certain life experiences, and other mental health disorders (depression, anxiety, ADHD).

How is Binge Eating Disorder diagnosed?

Binge Eating Disorder is diagnosed by a physician, psychiatrist or qualified psychotherapist.

The DSM-5 Diagnostic Criteria for Binge Eating Disorder include

  • Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
    •  Eating, in a discrete period of time (for example, within any two-hour period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances
    • A sense of lack of control over eating during the episode (for example, a feeling that one cannot stop eating or control what or how much one is eating)
  • The binge-eating episodes are associated with three (or more) of the following:
    • Eating much more rapidly than normal
    • Eating until feeling uncomfortably full
    • Eating large amounts of food when not feeling physically hungry
    • Eating alone because of feeling embarrassed by how much one is eating
    • Feeling disgusted with oneself, depressed, or very guilty afterwards
  • Marked distress regarding binge eating is present.
  • The binge eating occurs, on average, at least once a week for three months.
  • The binge eating is not associated with the recurrent use of inappropriate compensatory behavior (for example, purging) and does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, or avoidant/restrictive food intake disorder.
  • Our program also includes CBT to address concerns such as body dissatisfaction, body checking or avoidance, and comparison with others. Our experts will help you work towards body acceptance and an improved relationship with self. The program will conclude with a focus on relapse prevention, as well as follow up sessions to ensure the reduction or elimination of binges.

Weight and appearance are not part of the diagnostic criteria for binge eating disorder.

How is Binge Eating Disorder treated?

BED can be effectively treated with different forms of psychotherapy including cognitive behavioural therapy, interpersonal therapy and dialectical behaviour therapy. There are also medications that can be effective. In Canada, the only approved medication for BED is Lisdexamfetamine, a stimulant medication that should be prescribed under medical supervision only.

CBT-T is the form of psychotherapy with the most evidence of success for Binge Eating Disorder and any non-underweight eating disorder (such as Bulimia nervosa). It is a time-constrained psychotherapy provided over 10 weeks with 2 follow up visits. CBT-T is intensive and requires the full participation of the individual. Therapy happens over the 168 hours of the week, not just in the 1-hour session with the therapist. This is a “doing” therapy, not a talking therapy

How Recover Strong Can Help You

Our Recover Strong program is based on the research of CBT-T. Our BED experts will guide you through the 10 weeks of therapy to ensure that you learn to eat in a way that supports your body and your brain, handle emotional triggers, and face your fear foods.

Our program also includes cognitive-behavioural body image therapy to address concerns such as body dissatisfaction, body checking or avoidance, and comparison with others. Our experts will help you work towards body acceptance and an improved relationship with self. 
The program will conclude with a focus on relapse prevention, as well as follow up sessions to ensure the reduction or elimination of binges.

Recover Strong is a small group based psychotherapy program run by a Psychiatrist and CBT-trained Registered Dietitian.

Requirements of this program:

  • a confirmed diagnosis of Binge Eating Disorder or completed self-assessment
  • attendance at all 10 sessions plus 2 follow ups
  • commitment to safety (no self-harm)
  • commitment to no dieting for weight loss during the 3-month intervention
  • commitment to complete the food diaries and homework exercises

What’s Possible...

“I was anxious everyday, I was living life like I was floating through it. I wasn’t present with myself. I used food to either punish or reward myself. Previously, I was eating only once or twice during the day and then binge daily. I am now learning to accept and love where I am now. I am feeling more strength in my body. My biggest win is that I do not spend every moment of the day with thoughts of hating my body and food. I can go to restaurants without worrying about food or losing control, I used to avoid restaurants. Learning about structured eating and the journal exercise immediately made a difference. It's usually the things we don’t want to do are the things that help the most.”

- C.A., Recover Strong Client 2022


We help women gain freedom and reclaim their life through our Recover Strong Program.

You can be next.


Our next Recover Strong session begins Fall 2022.

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