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Eating · Behavior Chain

Binge Episode Chain Analysis

Map one binge link by link to find the earliest changeable step

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Binge episodes feel sudden but they're built from a chain. Map one recent episode link by link. The goal isn't blame — it's finding the links you can change next time.

Date & time of the episode
Where I was
1
Vulnerability factors

Sleep, food intake, mood, conflict, alcohol — what loaded the system in the hours before?

2
Prompting event

The specific moment things shifted. Often small.

3
Thoughts

What ran through your mind — about food, body, the day, yourself.

4
Feelings

Name them. Intensity 0–10.

5
Body sensations

Hunger, fullness, tension, numbness, racing heart.

6
Urges & decisions

The 'screw it' moment. What did you tell yourself just before?

7
The binge

What, how much, how fast, where, alone or with others.

8
Consequences

Short-term (relief, numbing, shame) and longer-term (purge, restriction, hiding).

The earliest link I could change

Upstream beats downstream. What's the smallest move at the earliest link?

References & further reading

Conceptual background and further reading, not validation of this handout. Named instruments and methods belong to their original authors; custom prompts and trackers are not validated versions of those instruments.

  • Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. Guilford Press.
© 2026 TherapistAssist · For clinical use · Not a substitute for assessment
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