Feeding and Eating Disorders DSM-5 and ICD-10 Overview
Anorexia Nervosa - DSM-5 Criteria Restriction of energy intake → low body weight Intense fear of gaining weight Disturbance in self-perception of weight/shape
Anorexia Nervosa - ICD-10 Criteria Weight at least 15% below expected Self-induced weight loss (avoidance, vomiting, purging, exercise) Distorted body image & dread of fatness Endocrine disorder (amenorrhea, low libido)
Bulimia Nervosa - DSM-5 Criteria Recurrent binge eating (loss of control) Compensatory behaviors (vomiting, laxatives, fasting, exercise) ≥1/week for 3 months Self-evaluation overly influenced by weight/shape
Bulimia Nervosa - ICD-10 Criteria Persistent preoccupation with eating Binge eating episodes Compensatory behaviors to prevent weight gain Morbid fear of fatness & weight within normal range
Binge Eating Disorder - DSM-5 Criteria Recurrent binge eating (loss of control) ≥3 associated features (rapid eating, uncomfortably full, eating alone, guilt) ≥1/week for 3 months No compensatory behaviors
Avoidant/Restrictive Food Intake Disorder (ARFID) Eating disturbance (avoidance, lack of interest, sensory issues) Persistent failure to meet nutritional needs Weight loss, nutritional deficiency, dependence on supplements, psychosocial impairment Not due to body image concerns
Pica Persistent eating of non-nutritive substances ≥1 month Inappropriate to developmental level Not culturally supported
Rumination Disorder Repeated regurgitation of food ≥1 month Not due to another medical condition Not exclusively in AN/BN/BED
OSFED (Other Specified Feeding/Eating Disorder) Symptoms cause distress/impairment but don't meet criteria for full disorder Examples: Atypical AN, Subthreshold BN/BED, Purging disorder, Night eating syndrome
Unspecified Feeding/Eating Disorder Clinically significant distress/impairment Does not meet full criteria for specific disorders Used when insufficient info to make specific diagnosis