The way I’ve come to understand eating disorders is they’re a form of OCD which is under the umbrella of anxiety. The compulsion being the most important part here. While eating disorders like anorexia and bulimia can have a lot of overlapping compulsive behaviors it boils down to anorexia patients compulsively restrict and bulimia patients compulsively purge. While anorexic person can purge to attain restrictive intake that’s what it’s about, keeping the body at an underweight BMI through reduced caloric intake.
It’s about the rush of anxiety that is associated with being overly full and the need to get rid of that sensation by any means. It’s the same anxiety that says if you don’t flick the light switch 23 times your home will burn down with everyone you love inside.
So, what about BED? It’s the compulsive need to consume food. Followed by intense guilt and shame. You cannot plan a binge. It’s considered a loss of control and wouldn’t have time to get to Cheesecake Factory. Even ignoring that factor more information keeps coming out that the amount eaten and the size of the binge doesn’t matter as the guilt and negativity associated with overeating. We’ve all seen how AL eats. She enjoys every moment of it. Typical BED patients feel out of control and weak. They aren’t giving thumbs up while overeating. The criteria mentions distress and loss of control specifically. Most don’t want to be stuffed, and find it unpleasant.
https://www.eating recovery center.com/blog/2015/06/02/binge-eating-does-the-size-of-a-binge-matter
https://www.eatingdisorderhope.com/...er-vs-basic-overeating-what-is-the-difference
Another telling sign is she’s admitted one of the only medications used to treat binge eating disorder, Prozac doesn’t work for her. If she was really experiencing the anxiety that came with an eating disorder, even a slight improvement would be better nothing.
https://www.edreferral.com/ed-medications
Chances are this wouldn’t lead to the over eating every day either. I haven’t heard of anyone binge eating that frequently either. The compulsions would be difficult, but they aren’t uncontrollable by any stretch. She’s just looking for a boogeyman to point to and blame for her desire to feel full. I know some of this has been touched on, just wanted to add some resources.