Other Specified Feeding or Eating Disorders (OSFED) was previously known as Eating Disorder Not Otherwise Specified (EDNOS) in past editions of the ...FacebookInstagramTwitterPinterestYouarehereHome/Learn/WhatareEatingDisorders?/InformationbyEatingDisorderOtherSpecifiedFeedingorEatingDisorderOtherSpecifiedFeedingorEatingDisorders(OSFED)waspreviouslyknownasEatingDisorderNotOtherwiseSpecified(EDNOS)inpasteditionsoftheDiagnosticandStatisticalManual.Despitebeingconsidereda‘catch-all’classificationthatwassometimesdeniedinsurancecoveragefortreatmentasitwasseenaslessserious,OSFED/EDNOSisaserious,life-threatening,andtreatableeatingdisorder.Thecategorywasdevelopedtoencompassthoseindividualswhodidnotmeetstrictdiagnosticcriteriaforanorexianervosaorbulimianervosabutstillhadasignificanteatingdisorder.Incommunityclinics,themajorityofindividualswerehistoricallydiagnosedwithEDNOS.ResearchintotheseverityofEDNOS/OSFEDshowsthatthedisorderisjustassevereasothereatingdisordersbasedonthefollowing:ChildrenhospitalizedforEDNOShadjustasmanymedicalcomplicationsaschildrenhospitalizedforanorexianervosaAdultswith‘atypical’or‘subclinical’anorexiaand/orbulimiascoredjustashighonmeasuresofeatingdisorderthoughtsandbehaviorsasthosewithDSM-diagnosedanorexianervosaandbulimianervosaPeoplewithEDNOSwerejustaslikelytodieasaresultoftheireatingdisorderaspeoplewithanorexiaorbulimiaEVALUATION&DIAGNOSISChangestothelatesteditionoftheDSMweremeanttoclarifydefinitionsofanorexia,bulimia,andbingeeatingdisordertomoreaccuratelydiagnoseeatingdisorders.AlthoughthisreducedthenumberofOSFEDdiagnoses,itremainsacommondiagnosis.IntheDSM-5,apersonmustpresentwithfeedingoreatingbehaviorsthatcauseclinicallysignificantdistressandimpairment,butdonotmeetthefullcriteriaforanyoftheotherdisorders.Adiagnosismightthenbeassignedthataddressesthespecificreasonwhythepresentationdoesnotmeetthespecificsofanotherdisorder(e.g.,bulimianervosa-lowfrequency).ThefollowingarefurtherexamplesforOSFED: AtypicalAnorexiaNervosa:Allcriteriaaremet,exceptdespi