what is OSFED?
Other Specified Feeding or Eating Disorders (OSFED) was previously known as Eating Disorder Not Otherwise Specified (EDNOS) in past editions of the Diagnostic and Statistical Manual. The category was developed to encompass those individuals who did not meet strict diagnostic criteria for the other eating disorders but still had a significant eating disturbances.
The following are some common types of OSFED:
- Atypical Anorexia Nervosa: All criteria are met for anorexia nervosa, except despite significant weight loss, the individual’s weight is within or above the normal range.
- Diabulimia: In diabetic persons, the purposeful restriction of insulin in order to lose weight.
- Orthorexia: An obsession with proper or ‘healthful’ eating.
- Purging Disorder: Recurrent purging behavior to influence weight or shape in the absence of binge eating.
- Night Eating Syndrome: Recurrent episodes of night eating. Eating after awakening from sleep, or by excessive food consumption after the evening meal. The behavior is not better explained by environmental influences, social norms, or another mental health disorder. The behavior causes significant distress/impairment.
- Binge Eating Disorder of low frequency and/or limited duration: All of the criteria for binge eating disorder are met, except at a lower frequency and/or for less than three months.
- Bulimia Nervosa of low frequency and/or limited duration: All of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behavior occurs at a lower frequency and/or for less than three months.
signs of OSFED
health consequences of OSFED
The health consequences of OSFED depend in part on which eating disordered behaviors are being used. It is important to recognize that OSFED is as serious as other eating disorders and should not be trivialized or underestimated. Health consequences of OSFED can be difficult to pinpoint, as it includes a number of conditions. Watch out for all of the signs already listed. The most important thing to look out for is attitudes about food and weight that conflict with a productive, satisfying life.
facts about OSFED
- Children hospitalized for OSFED had just as many medical complications as children hospitalized for anorexia nervosa.
- Adults with ‘atypical’ or ‘subclinical’ anorexia and/or bulimia scored just as high on measures of eating disorder thoughts and behaviors as those with DSM-diagnosed anorexia nervosa and bulimia nervosa.
- People with OSFED were just as likely to die as a result of their eating disorder as people with anorexia or bulimia.
Reach out for help and support
If you think you are or someone you care about is struggling with atypical anorexia, diabulimia, orthorexia, night eating syndrome, or another OSFED condition, contact me here or go ahead and schedule an appointment right away using my online client portal.