Orthorexia, OSFED, and ARFID

Eating Disorder Recovery Specialists offers nationwide outpatient treatment, providing individualized support from your home, school, community, or virtually. Many clients struggle with orthorexia, ARFID, and OSFED.

If you or a loved one are affected by these disorders, we’re here to help. Our expert team designs a customized program, including therapeutic meal support, skills, exposures, coaching, and accountability. We collaborate closely with your existing outpatient healthcare providers for comprehensive care coordination.

While anorexia nervosa, bulimia nervosa, and binge eating disorder may come to mind when thinking about eating disorders, there are several other types with unique health consequences and risk factors, though they may overlap.

What is Orthorexia?

Orthorexia is an eating disorder characterized by an obsession with healthy or “proper” eating. While not officially recognized by the DSM-5, specialists are increasingly aware of it. Individuals with orthorexia become excessively consumed by the idea of healthy eating, which can harm their overall well-being, despite the initial intention to prioritize nutrition.

What is ARFID?

ARFID, or Avoidant Restrictive Food Intake Disorder, is a new diagnosis in the DSM-5, formerly known as “Selective Eating Disorder.” Similar to anorexia nervosa, individuals with ARFID restrict their food intake, but without the fear of being “fat” or body image distress. In adults, ARFID may result in insufficient food intake to maintain bodily functions, while children may experience stunted growth and development due to inadequate food consumption. ARFID can lead to complications at work or school, weight loss in adults, and impaired growth in children.

What is OSFED?

OSFED, or Other Specified Feeding or Eating Disorders, encompasses individuals facing severe eating disorders not meeting strict diagnostic criteria for bulimia nervosa or anorexia nervosa, as per the DSM-5. Formerly termed “Eating Disorder Not Otherwise Specified” (EDNOS), OSFED acknowledges those previously diagnosed with EDNOS. Research indicates that individuals with OSFED are as vulnerable as those with recognized eating disorders.

Warning Signs of an Eating Disorder

Numerous potential indicators warrant attention, signaling potential struggles with an eating disorder among those you care about. Noteworthy physical manifestations may encompass:

• Fainting
• Impaired immunity
• Difficulties concentrating
• Noticeable fluctuations in weight
• Tooth discoloration and cavities from vomiting
• Stomach cramps and gastrointestinal issues
• Abnormal laboratory results
• Yellow skin
• Sleep disturbances
• Persistent cold sensations
• Dry hair and skin
• Fine body hair
• Slow wound healing
• Cold, mottled hands
• Brittle nails
• Dizziness, especially upon standing
• Menstrual irregularities
• Muscle weakness
• Swelling of feet and salivary glands
• Cuts or calluses on finger joints