"It's hard to diagnose because most people think that they can cope with it themselves," she says. "And there's a lot of shame and embarrassment connected to it. So a lot of people aren't forthcoming."
In Saxen's case, he would have spurts of manic exercise and near starvation. He ballooned up to 280 pounds by binging at times on 15,000 calories. But as a male model, Ron ate less than 1,000 calories a day and dropped more than 100 pounds within months.
"You need to be thin in order to be a model," says Kotcher. "And if you have to be thinner than your normal size, weight and shape, then that would put a lot of pressure on you to keep it up."
Saxen couldn't handle that pressure. Just six months into his modeling contract, he gained 70 pounds, which cost him his career. He had hit rock bottom.
"I just decided for me, BED was a coping mechanism," Saxen said. "Instead of using food to cope, I coped with it by finding out what I need to do to make things right, which is the healthy way."
So far, Saxen's "cold turkey" approach is working.
These days, the 40-something leads a happy and healthy life. He is married and a successful author. In fact, his latest book "The Good Eater," tells the story of one man's battle with food and how he overcomes the overwhelming desire to binge.
The book is done, but the story itself is a work in progress.
"Do I think I'm going to go back to those dark days?" Saxen asks. "Absolutely not. It's a safe bet. Put your money on it. I'm not going back."