NES: The signs
1 The person has little or no appetite for breakfast. Delays first meal for several hours after waking up. Is not hungry or is upset about how much was eaten the night before. 2 Eats more food after dinner than during that meal. 3 Eats more than half of daily food intake during and after dinner but before breakfast. May leave the bed to snack at night. 4 This pattern has persisted for at least two months. 5 Person feels tense, anxious, upset, or guilty while eating. 6 NES is thought to be stress-related and is often accompanied by depression. Especially at night, the person may be moody, tense, anxious, nervous, agitated. Has trouble falling asleep or staying 7 asleep. Wakes frequently and often eats. 8 Foods ingested are often carbohydrates: sugars and starch. 9 Behaviour is not like binge-eating, which is done in relatively short episodes. Night-eating syndrome involves continual eating throughout evening hours. 10 This eating produces guilt and shame, not enjoyment.