Otherwise Specified Eating or Feeding Disorder

Other specified feeding or eating disorder or OSFED is the DSM-5 category that replaces the category formerly called Eating Disorder Not Otherwise Specified (EDNOS) in DSM-IV.

A person with Other Specified Feeding and Eating Disorders (OSFED) may present with many of the symptoms of other eating disorders such as Anorexia Nervosa, Bulimia Nervosa or Binge Eating Disorder but will not meet the full criteria for diagnosis of these disorders.

Eating Disorder Treatment

Even though a woman or girl does not meet the criteria for other eating disorder, it does not mean that the person has a less serious eating disorder. OSFED is a serious mental illness that occurs in adults, adolescents and children. Around 30% of people who seek treatment for an eating disorder have an other specified feeding or eating disorder.

OSFED has five subtypes:

  • Atypical Anorexia Nervosa - Restrictive behaviors and features without meeting the low weight criteria.

  • Bulimia Nervosa - Meets the criteria for Bulimia Nervosa but at a lower frequency and/or limited duration. Episodes of eating in a discrete period of time an amount of food that is larger than what most individuals would eat with a feeling of lack of control. This is followed by inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, excessive exercising and fasting.

  • Binge Eating Disorder - Meets the criteria for Binge Eating Disorder but at a lower frequency and/or limited duration. Episodes of eating, in a discrete period of time an amount of food that is larger than what most individuals would eat with a feeling of lack of control.

  • Purging Disorder - Recurrent purging of calories by self induced vomiting, misuse of laxatives and diuretics and excessive exercising. This subtype does not include binge eating.

  • Night Eating Syndrome - Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal. There is awareness and recall of the eating.

The risks associated with OSFED are severe. Individuals with an otherwise specified eating or feeding disorder will experience risks similar to those of the other eating disorders. 

Having awareness about eating disorders and the warning signs and symptoms can make a marked difference to the severity and duration of the illness. Seeking help at the first warning sign is much more effective than waiting until the illness is in full swing. Many of the signs that indicate a person may have an otherwise specified eating or feeding disorder are very similar to those of the other eating disorders.

Eating Disorder Help

We have treated eating disorders for more than 25 years. We know recovery from an eating disorder is absolutely possible. It's happening every day at Remuda Ranch at The Meadows. Based on feedback from patients, families and professionals, the vast majority of our patients remain committed to a life of health, balance and purpose.

For additional information about the treatment of eating disorders, please call to speak to an Intake Coordinator at 866-390-5100 or complete the form below and we will contact you with the information you need.

Our staff have an expert understanding in both in-network and out-of-network benefits:


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