Hello, You have history of suffering from B. E.D since 5 years. You are worried about this disorder that leads to overeating and weight gain. Your symptoms may be triggered by stress, boredom, availability of food. Keep yourself busy and engaged, stay way from negative feelings, do regular exercises to maintain your weight and body shape. Feeding and eating disorders are not about food alone, psychological conditions like anxiety and depression commonly cause it. It can be recognized as a psychiatric disorders. Eat as much as required by your body. Avoid over eating. Eat slowly taking the taste of every bite & chew food properly so that you don t eat a lot of food in a short amount of time so that you are not ashamed of the loss of control. . Avoid eating when you are not hungry. Emotional stress or distress often plays a role and might trigger a period of binge eating. Stay away from stress (emotional or physical). Patients suffering from BED psychological disorder like post-traumatic stress disorder (PTSD), bipolar disorder, phobias, anxiety, or substance abuse, depression, etc. Stressful life events like car accident, abuse, death, separation from a family member. Childhood bullying due to weight may also contribute to binge eating. Yes, Vyvanse helps to treat moderate to severe B.E.D in adults. However, it is not to be used for obesity or weight loss, it is addictive and habit forming so avoid its use when not needed, do not get dependent on it. Discipline yourself, control your heightened response to food. Self-control and exercises, keeping yourself busy, switching to healthy lifestyle will help you. You should get connected to a Physical therapist get CBT, cognitive behavioral therapies. CBT will help you to focus on analyzing negative thoughts and feelings, and behaviors related to eating, body shape, and weight. Stay away from addictions if any. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician