Evaluating the Feasibility of a Stepped-care Approach to Treating Adolescents With Binge and Loss of Control Eating

Adolescent Inclusion Criteria: * Overweight (BMI ≥85% percentile for age and gender according to the CDC Growth Charts) * Males and females ages 13 to 18 years * Must endorse loss of control (LOC) eating * Adolescent must reside with the primary participating caregiver who is also willing to participate in the study Caregiver Inclusion Criteria: * Participating caregiver must be at least 18 years of age * Participating caregiver must reside with the adolescent * Participating caregiver must be willing to participate in the standard intervention * Participating caregiver may be another relative (i.e., grandparents) or legal guardian as long as he/she resides with the adolescent and has primary responsibility for the child. Adolescent Exclusion Criteria: * Non-English speaking * Medical condition(s) that may be associated with unintentional weight change (e.g., hypothalamic injury, Prader Willi, or malignancy) * Uncontrolled diabetes mellitus diagnosed by history or a fasting glucose ≥126 mg/dl (subjects with glucose intolerance or "prediabetes" will be eligible for study participation) * Use of oral glucocorticoids, atypical antipsychotics, weight loss medications, diuretic medication or an investigational medication within 3 months of study participation * Medical condition(s) that may be negatively impacted by exercise * Psychiatric, cognitive, physical or developmental conditions that would impair the adolescent's ability to complete assessments, participate in a group…