Orthorexia, OSFED, and ARFID


Eating Disorder Recovery Specialists is a nationwide outpatient treatment program focused on providing you with the individualized support you need from the comfort of your home, school, community, or virtual setting.

Many of our clients are currently battling issues relating orthorexia, ARFID (Avoidant Restrictive Food Intake Disorder), and OSFED (Other Specified Feeding or Eating Disorders).

If you or are a loved one may be suffering from any of the above disorders, we’re here to help. Our team of expert clinicians and providers can create a customized and individualized program, consisting of therapeutic meal support, therapeutic skills, exposures, coaching, and accountability to help you stay on track. We also closely work with any outpatient healthcare providers you may currently have to ensure that your overall treatment has the highest level of care coordination.

When people think about eating disorders, a set of illnesses that affect tens of millions of Americans, it is likely that what comes to mind are ones such as anorexia nervosa, bulimia nervosa, as well as binge eating disorder. However, there are several other types of eating disorders, each with their own particular set of health consequences and risk factors, though many may overlap. 

What is Orthorexia?
People who become obsessed with healthy or “proper” eating may be suffering from orthorexia, an illness that has yet to be formally recognized by the DSM 5. The term “orthorexia” was first coined in 1998, and specialists are becoming increasingly aware of the disorder. While it is not necessarily a bad thing to be concerned with the nutritional quality of what you’re eating, people who have orthorexia become so consumed by the notion of “healthy eating” that it can actually be detrimental to their health. 


What is ARFID?

ARFID stands for Avoidant Restrictive Food Intake Disorder, and is a new diagnosis found in the DSM 5 that was once called “Selective Eating Disorder.” In some ways, ARFID is similar to anorexia nervosa because someone who suffers from it also limits how much food and what types of it they consume; however, people who have ARFID are not afraid about being “fat” or feel distress about their body size or shape. In adults, ARFID manifests as an inability to eat enough to maintain basic bodily functions, while children with ARFID do not eat enough food to properly develop or grow. ARFID can lead to issues at work or school, weight loss in adults, and slowed vertical growth and weight gain in children. 

What is OSFED?

OSFED is an acronym for Other Specified Feeding or Eating Disorders. This category was developed by the DSM 5 to include people who are struggling with severe eating disorders but do not meet the strict diagnostic criteria for issues such as bulimia nervosa or anorexia nervosa. In previous editions of the DSM 5, OSFED was called “Eating Disorder Not Otherwise Specified,” (EDNOS) and most people who have been diagnosed with an eating disorder were actually diagnosed with OSFED/EDNOS. Research into this disorder has shown that people struggling with OSFED are in as much danger as people struggling with other eating disorders.

Warning Signs of an Eating Disorder

There are many potential warning signs you could look out for that may suggest someone you love is struggling with an eating disorder. Some physical signs might include:

  • Fainting
  • Impaired immunity
  • Difficulties concentrating
  • Noticeable fluctuations (both up and down) of weight
  • The discoloration of teeth as well as the development of cavities, which may result from vomiting
  • Stomach cramps and other non-specific gastrointestinal issues such as constipation and acid reflux
  • Abnormal laboratory results such as low hormone levels, anemia, low white and red blood cell counts, and low potassium
  • Yellow skin (could be in the context of eating large amounts of carrots)
  • Issues with one’s sleep
  • Constantly feeling cold
  • Dry hair and skin
  • Fine hair on one’s body
  • Poor wound healing 
  • Cold, mottled hands
  • Brittle nails
  • Dizziness, particularly when one stands up
  • Menstrual irregularities, such as missed periods or only experiencing a period when on hormonal contraceptives
  • Muscle weakness
  • The Swelling of one’s feet
  • Swelling around the salivary glands
  • Cuts and/or calluses across the top of finger joints, which could suggest inducing vomiting

Eating Disorder Recovery Specialists have had tremendous success with helping clients gain control of their lives and tackling their eating disorder head on. 

Our clinical intake coordinators can confidentially learn more about your respective situation and work with you to assess your needs and the best path forward. To learn more about our customized outpatient treatment plans, please call 866-525-2766 or fill out the contact form here

We look forward to helping you on your path to better health and recovery.