I have also realized that my binge eating is emotional and compulsive, and goes hand in hand with depression. I went to see my family doctor to address the depression - I was hoping that would solve my binge-eating. I've started 150mg of Wellbutrin XL - it also suppresses my appetite (some days more than others). I've only been on it for two weeks so far.. but I do feel like I don't have the same urge to overeat. I don't feel like the depression has been completely addressed (I still feel like crawling into bed as soon as I get home from work), and I was hoping to feel more motivation to exercise... Might just need to increase the dosage or wait a bit longer to see those effects, I'm not sure. I really don't know when my last binge was.. I think sometime the first week, but even then it was already less dramatic in terms of calories. I'm also not experiencing that total preoccupation with what I can eat next with no regard for my hunger. I have heard good things about prozac with regards to binge eating but I was concerned with the risk of sexual dysfunction.

For me, one of the side effects of anti-depressants was binge eating. I wasn't even a binge eater until I started taking them. They just ruined me physically.

It sounds like your psychiatrist needs to help you find an ED specialist. I found that CBT and DBT helped, maybe the DBT more than the CBT.

As you can probably tell, I have strong feelings about this and had every side effect known to man, woman and child when I was on them so take my advice with a grain of salt.

I am not against psychiatry or medication - I take klonopin to treat my anxiety. I wish I had done my due diligence before blindly cycling through anti-depressants without stopping and saying "No - these are not working. What else do you have?"