IAEDP -CEDS CERTIFICATION QUESTIONS AND
ANSWERS
Diagnostic Criteria for AN (F50.0) - Answers--restriction of food intake or intentional
starvation, or persistent behavior that interferes with weight gain
-intense fears of getting or being fat
-distortions in body size or weight
-significantly low body weight or refusal to maintain body weight at or above a minimally
normal weight for age and height
-two types (restricting type, binge-eating/purging type)
-Use of severity specifiers: Mild (BMI > or = 17), Moderate (16-16.99), Severe (15-
15.99) and Extreme (< 15)
Diagnostic Criteria for BED (F50.81) - Answers-•Recurrent episodes of binge eating (1
episode weekly for 3 months)
•Report of distress over binge eating
•Associated with 3 or more of the following symptoms:
• Eating rapidly, eating past the point of "feeling full", eating large amounts of food when
not physically hungry, eating alone due to embarrassment, feeling disgusted with
oneself, depressed, or guilty
• May be normal weight or overweight
-Use of Severity Specifiers: Mild (1-3 episodes per week), Moderate (4-7), Severe (8-
13), and Extreme (> or = 14)
*New Dx in DSM-5
Diagnostic Criteria for BN (F50.2) - Answers-Recurrent episodes of binge eating and
compensatory behavior (at least once a week for 3 months)
Experience a lack of control over eating
Engage in recurrent compensatory behaviors
-self-induced vomiting
-misuse of laxatives, diuretics, enemas, or other medications
-fasting or excessive exercise
Pathological focus on shape, weight, or eating
-Use of severity specifiers: mild (1-3 episodes), Moderate (4-7), Severe (8-13), and
Extreme (> or = 14)
Diagnostic Criteria for ARFID (F50.8) - Answers-• Apparent lack of interest in eating
food; avoidance based on the sensory characteristics of food
• Concern about the adverse consequence of eating — as manifested by persistent
failure to meet appropriate nutritional and/or energy needs associated with one (or
more) of the following:
1. Significant weight loss (or failure to achieve weight gain/faltering growth in children)
2. Significant nutritional deficiency
3. Dependence on enteral feeding or oral nutritional supplements
4. Marked interference with psychosocial functioning
, *New Dx in DSM-5
3 Main Types of ARFID - Answers-1. Lack of interest in eating food
•low volume intake
•born w/ predisposition for low homeostatic appetite (physiological hunger) and/or find
food less hedonically rewarding
2. Sensory Sensitivity
•born w/ a predisposition that causes them to experience the sensory properties of food
more intensely
•may be hyper-attuned to bitter or textures
•experience disgust and avoidance
•often fearful of new foods
3. Fearful of Aversive Consequences
•fear of vomiting/choking
•pre-existing anxious temperament and increased sensitivity to bodily sensations
•experiences a food-related trauma and then begins to restrict
•concurrent phobia (e.g. emetophobia)
*PERSON CAN HAVE MIXED PRESENTATION OF ARFID OR ARFID+ AN
Diagnostic Criteria for Rumination Disorder (F98.21) - Answers--Repeated regurgitation
of food over a period of at least 1 month. Food may be re-chewed, re-swallowed, and
spit out.
-Not attributed to GI condition (e.g. gastro esophageal reflux)
-Not during AN, BN, BED or ARFID
-"In Remission" specifier
* New Dx in DSM=5
Diagnostic Criteria for PICA (F98.3, children) (F50.8, adults) - Answers--Persistent
eating of nonnutritive, no food substances over a period of at least 1 month
-Not developmentally appropriate
-Not culturally supported or socially normative
- "In Remission" specifier
Diagnostic Criteria for OSFED (Other Specified Feeding and Eating Disorder) (F50.89) -
Answers-Disturbed eating habits, and/or a distorted body image and overvaluation of
shape and weight and/or intense fear of gaining weight. Eating and compensatory
behaviors are sub clinical and do not meet thresholds for AN, BN, BED, ARFID, etc.
OSFED is the most common eating disorder diagnosis.
Common Presentations of OSFED - Answers-A. Atypical AN (weight stigma puts it here)
-all criteria are met for AN except the individual's weight — despite significant weight
loss — is within or above the normal range
B. Atypical BN
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