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28.06.2014 admin
According to the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders), there is a classification of disordered eating that falls outside of the criteria for Anorexia, Binge Eating and Bulimia. Because of the wide range of eating behaviors that exist outside of anorexia, bulimia and now binge eating disorder (which is becoming more formally recognized by the professional community), EDNOS does not have a comprehensive list of technical criteria at this time. All of the criteria for Anorexia Nervosa are met except the individual has regular menses (periods).
All of the criteria for Anorexia Nervosa are met except that, despite substantial weight loss, the individual’s current weight is in the normal range. All of the criteria for Bulimia Nervosa are met except binges occur at a frequency of less than twice a week or for a duration of less than 3 months. An individual of normal body weight who regularly engages in inappropriate compensatory behavior after eating small amounts of food (eg, self-induced vomiting after the consumption of two cookies). An individual who repeatedly chews and spits out, but does not swallow, large amounts of food. Binge eating disorder; recurrent episodes of binge eating in the absence of the regular use of inappropriate compensatory behaviors characteristic of bulimia nervosa.
Based on the limited technical criteria above, following are some additional examples of the behaviors associated with persons struggling with EDNOS.
You’re always on a diet, always coming off a diet, or always getting ready to go on one again (chronic dieting).
You skip social occasions because you feel fat, or because you are afraid of what’s being served, yet your weight is normal. As you might imagine from the lists above, which are not comprehensive in scope, EDNOS is a widespread problem.
Because eating issues appear as on a continuum, ranging from healthy to life threatening, it is common for some individuals to swing from one end of the continuum to the other. Thus it is important to be aware of the ways in which an individual feels about food, so that the seriousness of their issues are clear, in order for that individual to begin making intentional steps toward the healthy end of the continuum. Finding someone to talk to who can offer objective and balanced advice, addressing the physical, emotional, intellectual and spiritual aspects of your issues. FINDINGbalance is the leading Christian resource for DAILY help with eating and body image issues.

With our "Nightline" report on EDNOS, or "eating disorder not otherwise specified," a term used for eating disorder sufferers who don't meet the criteria for anorexia, bulimia or binge eating, we wanted to offer a few resources to help those suffering from EDNOS or other eating disorders find information, treatment and support. The Renfrew Center Foundation: The nation's first residential eating disorder facility, the Renfrew Center has helped more than 60,000 women suffering from eating disorders and other behavioral issues, including anorexia nervosa, bulimia nervosa, binge eating disorder and EDNOS.
National Association of Anorexia Nervosa and Associated Disorders (ANAD): A national organization that provides education and support groups for people whose lives have been touched by eating disorders -- especially anorexia nervosa and bulimia.
Change The Message: Ali, one of the patients "Nightline" profiled, is now working with the Change the Message Campaign as a result of her eating disorder. National Eating Disorders Association: A national organization that serves those who are battling eating disorders. The Alliance for Eating Disorders Awareness: A non-profit organization that works to prevent eating disorders and promote a positive body image among men and women.
Sarah Blake, Social Worker and Outreach Coordinator at the Center for Eating Disorders at Sheppard Pratt, offers insight on EDNOS, Eating Disorder Not Otherwise Specified. What is important to note here is that just because a person does not fit the exact criteria for Anorexia or Bulimia, does not mean they do not have a serious illness that requires attention.  Countless individuals who are diagnosed with EDNOS are at risk for the same medical complications as those individuals who are diagnosed with Anorexia and Bulimia. No matter how extreme your eating issues are, they are taking away from the fullness of life you could be experiencing. In fact, our discussions with respected professionals in the field of eating disorders suggest that as many as four out of five people might qualify for some type of disordered eating. For example, a person who frequently diets might suddenly discover quicker weight loss through the use of purging. This process is a difficult but worthwhile one, requiring the individual’s desire to change, the therapeutic involvement of others (doctors, nutritionists, counselors, friends) and, most importantly, God. If you or someone you care about struggles with EDNOS, we suggest you spend some more time checking out the videos featured on our site. It took a while to get to where you are – you need to allow yourself to slowly find your way back to balance. It promises happiness, control, acceptance, affirmation, and security, but these promises are false. It is a local campaign started by two practitioners who focus on changing the way women and young girls talk about their bodies and think about themselves.

NEDA also provides support for the families and loved ones whose lives have been touched by the disorders. Department of Health and Human Services, Medline Plus: Provides medical information about anorexia nervosa, bulimia and binge eating, including causes, symptoms and treatment options for the disorders. FEAST is an international organization that was created for family members who want to help their loved ones recover from eating disorders. It can mean you meet the criteria for Anorexia Nervosa, but you have maintained a menstrual cycle. These include (but are not limited to) dehydration, electrolyte imbalance, heart attack, and death.
According to Eating Disorders: The Journal of Treatment and Prevention, EDNOS develops in 4-6% of the general population, and 50% of the individuals who come in for treatment for an eating disorder are given the diagnoses of EDNOS. But they can still struggle as seriously as an anorexic or underweight bulimic. In fact, many who struggle in the EDNOS category are at risk for the same dangers as those who meet criteria for other disorders, including the risk of heart attacks, dehydration, electrolyte imbalance and even death. If this number is accurate (which is difficult to say given the lack of research on EDNOS), it would suggest that only one out of five people have a truly healthy relationship with food – eating for physical, not psychic, reasons, not obsessing about weight, not worrying about calories, fat grams, and so on. The more they engage in this behavior, the farther down the continuum they get from healthy eating. There are many that address EDNOS specifically, as well as several offering insight into how to break free from this and other patterns of disordered eating. The goal is to stop jumping from one extreme to the next, so that you can find the peace of balance. It could mean that you struggle with severely restricting your food intake and have lost significant weight, but are currently at a fairly normal weight for your height. On the other hand, a person who once struggled with anorexia may now be at a healthier weight, and be having regular periods (females) but still be afraid of eating certain foods, which could place them into the EDNOS category, still making their way back to healthy eating. It could mean that you meet the criteria for Bulimia Nervosa but binges occur less then twice a week or that the cycles have occurred for less then a duration of 3 months.

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