Castlewood Eating Disorder Treatment Center Blog

Binge Eating Disorder- DSM- V

The Diagnostic and Statistical Manual of Mental Disorders Version 5 is set for publication in the spring of 2013. This new version plans to have many changes that affect those that treat clients with eating disorders. One of the biggest changes is the addition of Binge Eating Disorder as a separate category of eating disorder. This change could allow those who struggle with BED to obtain treatment with insurance coverage. In the past, without specific criteria for this disorder insurance has been reluctant to cover treatment. Our hope is that with classification comes access to insurance coverage and treatment. We also hope that with proper diagnosis comes research, and thus better treatment protocols and interventions. Castlewood is proud to be on the cutting edge of treatment and offer comprehensive treatment for those suffering from Binge Eating Disorder According to Psychiatric News the following other changes are proposed for the DSM-V.

Proposed Changes to Criteria for Feeding and Eating Disorders

  • Addition of Binge Eating Disorder
    • Criteria include frequent overeating—at least once a week for three months— combined with lack of control, marked feelings of distress, and are associated with three or more of the following:
      • eating much more rapidly than normal
      • eating until feeling uncomfortably full
      • eating large amounts of food when not feeling physically hungry
      • eating alone because of feeling embarrassed by how much one is eating
      • feeling disgusted with oneself, depressed, or very guilty afterward
  • Addition of Avoidant/Restrictive Food Intake Disorder Defined as an “eating or feeding disturbance (including but not limited to apparent lack of interest in eating or food, avoidance based on the sensory characteristics of food, or concern about aversive consequences of eating), as manifested by persistent failure to meet appropriate nutritional and/or energy needs.
  • Anorexia Nervosa 
    • Elimination of amenorrhea as a requirement for diagnosis
    • Clarification of criteria related to body weight:
      • Elimination of the words “refusal to maintain minimal body weight” to be replaced by the following: “Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.”
      • Significantly low weight is defined as a weight that is less than minimally normal, or for children and adolescents, less than that minimally expected.
    • Clarification of criteria related to “fear” of becoming fat to account for patients who do not admit to such fear. The newly proposed criteria read as follows: “Intense fear of gaining weight or becoming fat or persistent behavior that interferes with weight gain, even though at a significantly low weight.”
  • Bulimia Criteria for frequency of bulimic episodes changed from twice a week for three months (as in DSM-IV)  to once a month for three months.
  • Incorporation of Disorders Now Listed Elsewhere in DSM-IV  Pica and rumination disorder, formerly included in disorders of childhood and adolescence, are proposed for inclusion under the chapter on feeding and eating disorders. inline-graphic-1.gif