EDNOS (Eating Disorder Not Otherwise Specified)

Castlewood Treatment Center is proud of the extensive education and experience we have in treating individuals with EDNOS (eating disorders not otherwise specified), now referred to as OSFED (other specified feeding or eating disorders). Clients with OSFED struggle with a wide variety and combination of eating disorder behaviors. Some OSFED clients may have symptoms that are very much like anorexia, bulimia, or binge eating disorder, but don’t meet the strict criteria necessary for a diagnosis. OSFED is viewed as a distinct medical disorder, even though symptoms may vary widely from person to person. During the intake and treatment process, a client’s primary therapy team creates and modifies a treatment plan based on the individual’s unique and personal constellation of issues. Clients with OSFED have a true and significant problem that requires professional help. In fact, the highest percentage of individuals with an eating disorder have OSFED.

Recognizing Eating Disorder NOS

Someone with OSFED (other specified feeding or eating disorders) is preoccupied with feelings, thoughts, and behaviors that are related to food and eating behaviors. They share a fear of gaining weight. This preoccupation is so prevalent that it negatively impacts daily life. Signs and symptoms that are seen in OSFED are what helps the individual cope with (or suppress) painful or distressing emotions or feelings. Unique underlying issues are driving or supporting the eating behaviors. This is important to remember, because no eating disorder is strictly about food or weight. These are just symptoms of deeper problems with which clients are ineffectively struggling. Some common symptoms that may be seen in someone with OSFED include:
  • Constant concern about food and weight
  • Restricting food, or use varying methods to compensate for eating (exercise, vomiting)
  • May eat large amounts of food in private, but normal amounts when eating with others
  • Have rules about food, such as what is a “good food” or “bad food”
  • Eating most of their calories at abnormal times of the day, such as night-binging
  • Eating to the point of feeling pain
  • May be overweight, normal weight, or underweight
  • Denial of hunger
  • Avoid situations that involve food
Most clients with eating disorders have a co-occurring disorder. A co-occurring disorder is a mental health issue that is present along with the eating disorder. Substance abuse or other addictions are also seen with co-occurring mental health problems. Having a co-occurring disorder, combined with an eating disorder, requires specialized care. The highest chance for recovery takes place when all issues are treated simultaneously, and Castlewood excels at this delicate balancing of multifocal therapy.   Some common mental health issues seen with OSFED are:   Castlewood also works with OSFED clients who have compulsive eating problems and night-eating syndrome.

OSFED (Other Specified Feeding or Eating Disorders)

OSFED clients often feel confused, and desperately want help for the problems they know they have, but don’t have a name for. We understand this confusion at Castlewood, and can help provide the customized, compassionate care needed for OSFED. Clients sometimes feel ashamed for receiving help, or  fear  “not being” as sick as other clients in treatment. We provide reassurance, and the empathic guidance that helps them stop comparing. We are dedicated to helping clients focus on personal healing, with a personalized approach. Treatment at Castlewood for clients with OSFED includes group and individualized treatment components. Family education and treatment are also integrated where appropriate. Each client receives collaborative care from our staff psychiatrist, licensed clinicians, and certified dietitians. Empathic, caring guidance is core to each of our therapies. We use evidence-based treatment combined with expressive therapy techniques, providing an extremely effective suite of modalities. Clients will receive a fully personalized treatment care plan. Among the many components that may be included are:
  • Nutrition stabilization
  • Cognitive Behavior Therapy (multiple modalities)
  • Dialectical Behavior Therapy
  • Acceptance and Commitment Therapy
  • Family Systems Therapy
  • Expressive therapies (including psychodrama)
  • Movement therapies (including dance, yoga, and Nia)
  • Nutrition education
  • Cautious use of medications
  • Identifying and developing healthy coping skills
  • Learn and implement real-life eating behavior skills
Our skilled clinicians help clients understand what they are feeling and thinking, and then harness this insight into productive, healthy action. Learning tools and skills is intrinsic to each program, and then reinforced during skills practice both on-site and in local restaurants or grocery stores. As clients progress through treatment, their self-confidence and autonomy increases. A personal intake evaluation for OSFED (other specified feeding or eating disorders) ensures that clients are in the appropriate level of care at the appropriate time, and that supported transition takes place throughout the continuum of care.
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