I've suffered from BED for years, and i've done lots of psych work which has all been aimed at normalising my attitude to food and stopping binging / abusing food.
The problem for me has been that 'normalising' doesn't make me lose weight, and if i want to lose wight, i need to diet, and that used to set off the BED behaviours.
out of desparation, i tried a vlcd - and that has worked in terms of losing weight, because the food packs mean that it's almost like abstaining from eating altogether... like a holiday from the guilt and the food issues.
but i don't kid myself, i'm going to have a whole mess of psych problems to deal with when i get to goal, and who knows what more harm this seven or eight months of ultra-weirdness will have done.
I wouldn't recommend a vlcd, btw - because i think it was a high-risk strategy and it could have made things much worse.