DSM 5 Diagnostic Criteria for Eating Disorders

Thank you for your interest in eating disorder diagnostic criteria. Download the PDF below for a card with the DSM 5 Diagnostic Criteria for Eating Disorders. This card includes signs and symptoms of eating disorders such as anorexia nervosa, bulimia nervosa, binge eating disorder, AFRID and feeding and eating disorder not elsewhere classified.

This diagnostic tool also includes screening questions, preadmission data and more. For more information about when to refer patients, please contact the McCallum Place office at (314) 968-1900.

Anorexia Nervosa

  • Restriction of energy intake leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health
  • Intense fear of gaining weight, even though underweight
  • Body image disturbance, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight

Bulimia Nervosa

Recurring binge eating episodes characterized by the following:

  • Eating large amounts of food within a 2-hour period and sense of lack of control
  • Recurring inappropriate compensatory behavior (vomiting, laxatives, exercise, diet pills)
  • Binge eating and compensatory behaviors occur, on average, at least once a week for three months
  • Self-evaluation is unduly influenced by body shape and weight

Binge Eating Disorder

  • Recurring episodes of eating large amounts of food, more than most people would eat in similar circumstances in a short period of time
  • Eating rapidly, eating beyond fullness and secret eating marked with distress around binges
  • Sense of lack of control over eating during the episode (for example, a felling that one cannot stop eating or control what or how much one is eating)
  • Binge episodes average at least once a week for three months

ARFID

  • An eating or feeding disturbance so pervasive that the person is unable to meet appropriate nutritional needs, resulting in one (or more) of the following: significant weight loss, nutritional deficiency, dependency on nutritional supplements, or interference in social functioning
  • This problem with eating is not explained by a lack of food being available
  • This is different from both anorexia nervosa and bulimia nervosa in that the problems with eating are in no way related to what the person believes about his/her size, weight, and/or shape
  • This disturbance is not caused by a medical condition or another mental disorder

Feeding and Eating Disorder Not Elsewhere Classified

  • Purging Disorder: Recurrent purging behavior (e.g., self-induced vomiting, misuse of laxatives, diuretics, or other medications in the absence of binge eating
  • Night eating syndrome: Recurring episodes of night eating (e.g., eating after awakening from sleep or excessive food consumption after the evening meal). There is awareness and recall of the eating. The night eating cannot be explained by external influences or by local social norms and causes significant distress and/or impairment in functioning.

Signs & Symptoms to Look For

  • Amenorrhea
  • Reflux/regurgitation
  • Chronic constipation
  • Elevated Creatinine
  • Metabolic disturbance
  • Lanugo
  • Elevated Amylase
  • Bradycardia
  • Syncope
  • Dehydration
  • Hypoglycemia
  • Acrocyanosis

Preadmission Data

  • Labs
  1. Comprehensive metabolic panel
  2. CBC
  3. Amylase
  4. Magnesium
  5. Phosphorus
  6. TSH
  7. UA
  • EKG
  • Physical exam including:
    • Height
    • Weight
    • Postural vital signs
    • Growth curves
  • List of Medications
  • Medical History

Psychiatric Screen

Anxiety/depression, OCD, substance abuse, PTSD, increased risk of suicide and self injury

Evidence-based Comprehensive Psychological Nutritional and Medical Care

What We Treat

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge Eating
  • Compulsive Unbalanced Exercise
  • Disordered Eating in High Weight Patients
  • Avoidant, Restrictive Food Intake Disorder
  • Medically Complex Eating Disorders: ie, diabetes, ulcerative colitis, pregnancy

Who We Treat

  • Males and Females
  • Adolescents, Preteens, Adults
  • Athletes & Dancers

Levels of Care

  • Residential
  • PHP
  • IOP
  • Transitional Living

Clinical Outcomes Data

  • Significant improvement in eating disorder symptoms, reduced binge eating, purging, restriction, anxiety, depression, and improved mindset upon discharge. Average BMIs greater than 20 upon discharge for patients with Anorexia Nervosa
  • Patients maintain significant improvements at one year follow up

Come in with an open mind and remember your goals, the person you want to be. It’s a second chance at life!

– A Former Resident
Marks of Quality Care
  • Eating Disorder Coalition of Iowa
  • International Association Of Eating Disorders Professionals (IAEDP)
  • National Association of Anorexia Nervosa and Associated Disorders (ANAD)
  • National Eating Disorders Association (NEDA)
  • RenewED, Eating Disorders Support
  • Washington University in St. Louis