New avenues for the treatment of binge eating based on implicit processes

Current treatments for individuals with binge eating, including binge-eating disorder (BED) and bulimia nervosa (BN), are successful for about 50 and 30%, respectively. Thus, it is essential to explore novel treatments that may be successful for more individuals with binge eating including those resistant to current treatments. As our understanding of the neurobiology of binge eating has improved, additional mechanisms to target in treatments have been identified. This chapter summarizes the research to date on several newer models of treatment, largely based on mechanisms identified from the current research on the neurobiology of binge-eating disorder and overeating. Models explored include neuromodulation, neurocognitive training, a model based on the behavioral susceptibility model, and ecological momentary intervention. Taken together, these novel treatments show initial promise, but most require significantly more research before they are widely adapted as evidence-based treatments for binge eating.