Turning Tides

Other Specified Feeding and Eating Disorders (OSFED)

Other Specified Feeding and Eating Disorders (OSFED) is characterized by maladaptive behaviors correlated to eating, food and body image, yet does not meet all diagnostic criteria for another specific diagnosis such as anorexia, bulimia, binge eating disorder. The following is a list of physical and behavior symptoms, however not all may be present, dependent on the accompanied eating disorder.


  • Weight fluctuation
  • Difficulty concentrating
  • Dizziness
  • Gastrointestinal discomfort (cramping)
  • Menstrual irregularities
  • Dry skin
  • Lanugo (the growth of soft, fine body and facial hair)
  • Weakened immune system
  • Discoloration of teeth (if vomiting present)
  • Thinning hair on head
  • Fainting
  • Feeling constantly cold
  • Fatigue
  • Muscle weakness
  • Difficulty concentrating on anything besides food


  • Atypical Anorexia: The diagnosis criteria for anorexia are present, except the individuals weight is within or above the normal range.
  • Bulimia: The diagnosis criteria for bulimia are present, except the binge/purge episodes occur less than once a week on average for less than 3 months.
  • Binge Eating Disorder: The diagnosis criteria for BED are present, except the binge eating episodes occur less than once a week on average for less than 3 months.
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  • Anemia
  • Abnormal labs (electrolytes, thyroid & hormonal levels, low blood cell counts)
  • Dependent on accompanied eating disorder; refer to the other disorders.

Psychiatric conditions commonly co-occurring with OSFED may be combined with:

  • Bipolar Disorder
  • Borderline Personality Disorder
  • Depression
  • Obsessive Compulsive Disorder (OCD)
  • Obsessive Compulsive Personality Disorder (OCPD)
  • Panic/Anxiety disorders

This disorder is often accompanied with other eating disorders, which will determine the increased health risks. Insure a complete evaluation for the eating disorder, to identify any other eating disorders key behaviors.

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