18/02/2026
Understanding OSFED: Why "Other" Doesn't Mean "Less"
When we talk about eating disorders, names like Anorexia or Bulimia often come to mind first. However, the most frequently diagnosed eating disorder in both adults and adolescents is actually OSFED (Other Specified Feeding or Eating Disorder).
At the Irish Eating Disorders Centre, we want to clear up a common misconception: OSFED is not a "mild" version of an eating disorder. It is a serious, complex, and potentially life-threatening mental illness that requires professional support and early intervention.
OSFED in Ireland: The Current Landscape
Recent data highlights that OSFED is a significant and growing concern within the Irish healthcare system:
Prevalence: OSFED (formerly known as EDNOS) accounts for approximately 19% of diagnosed cases in recent HSE data.
A Rising Trend: OSFED cases are part of a rising trend in Ireland, affecting people of all genders and ages.
Gender Neutrality: While historically thought to primarily affect young women, men now account for roughly 25% of all eating disorder cases in Ireland, with OSFED being a common diagnosis among them.
What Exactly is OSFED?
OSFED is a diagnosis given when a person presents with many symptoms of other eating disorders, such as restrictive eating, purging, or bingeing, but does not meet every technical requirement for those specific clinical labels.
The Reality: The medical complications, psychological distress, and "eating disorder thoughts" associated with OSFED are as severe and dangerous as any other diagnosis.
The Different Faces of OSFED
To help target the right treatment, OSFED may be further specified as:
🔴Atypical Anorexia Nervosa: All criteria for Anorexia are met, but despite significant weight loss, the individual’s weight remains within or above the normal range.
🔴Bulimia or Binge Eating Disorder (Low Frequency): Symptoms occur, but less than once a week or for less than three months.
🔴Purging Disorder: Recurrent purging behaviours used to influence weight or shape in the absence of binge eating.
🔴Night Eating Syndrome: Recurrent episodes of eating after awakening from sleep or excessive consumption after the evening meal, causing significant distress.
Early Intervention is Key- A diagnosis is a tool to help us understand your symptoms and find the right path to recovery. Whether you fit a specific category or your experience feels "somewhere in between," your struggle is valid and you deserve care. Early intervention is the most effective way to prevent long-term health risks and worsening symptoms.
Reach Out for Support If you or a loved one are struggling with disordered eating or body image, you don't have to face it alone.
Visit us at https://irisheatingdisorderscentre.ie/ to learn more about our specialised support and how we can help you on the journey toward healing.