Abstract
There has recently been more recognition of the deficiencies of the diagnostic systems for eating disorders and the importance of the residual category of ‘eating disorder not otherwise specified' (EDNOS). When strictly applied, formal diagnostic criteria, such as those of ICD-10 or DSM-IV, exclude many people who are clearly suffering from clinically significant eating disorders. Such people are described as suffering from atypical eating disorder or ‘eating disorder not otherwise specified' (EDNOS), the preferred term deriving from DSM-IV. EDNOS is a catch-all category with no specified criteria except that the diagnosing clinician must judge the sufferer as having an eating disorder of clinical significance. In some clinics such people may form the biggest single diagnostic group and many may be severely disordered and impaired. Furthermore, EDNOS is the most common eating disorder in the community.
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