Eating Disorders Not Otherwise Specified

Eating disorders occur along a spectrum. Besides AN and BN there are several variants of these disorders that may not meet full diagnostic criteria yet are associated with significant clinical impairment. Some of these may be sub-threshold cases of AN or BN, whereas others may represent atypical eating disorders. All are subsumed under the diagnosis Eating Disorder Not Otherwise Specified (EDNOS). Atypical eating disorders are ones in which overvalued concern with fear of fatness is absent yet the patient develops significant eating behavior pathology. Examples include globus hystericus (phobia of swallowing or choking resulting in food refusal), rumination, or psychogenic vomiting syndromes. Binge eating disorder (BED) is also considered an EDNOS. BED is characterized by frequent binges not associated with compensatory purging behavior and is usually associated with obesity. Though treatment of EDNOS will not be covered in detail, the primary modality of treatment is behavioral and has much in common with the treatment of AN and BN.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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