At Opal Food+Body, we understand that the journey to healing from OSFED is unique for each individual.

Our holistic approach to OSFED treatment combines both community support and personalized therapy to help you uncover the underlying causes of your eating disorder. Together, we work to explore the “whys” behind your behaviors and find healthier ways to cope. With three levels of care available at our Seattle clinic, we’re here to support you every step of the way toward a life of recovery.

What is Otherwise Specified Feeding and Eating Disorders (OSFED)?

A mental health condition that affects eating and feeding, but does not have all the signs and symptoms of any of the other eating disorders. Perhaps someone with OSFED could have some symptoms of Anorexia and Binge Eating, but not be able to fully meet the criteria of either of those two conditions. This used to be called Not Otherwise Specified Eating Disorder. There are five common sub-categories:

    • Purging disorder
    • Binge eating disorder (of low frequency and/or limited duration)
    • Bulimia nervosa (of low frequency and/or limited duration)
    • Night eating syndrome
    • Atypical anorexia

What are the Signs+Symptoms?

The signs and symptoms of OSFED are vast and the list is long. It could be any number of the signs and symptoms of other eating disorders but just not all the symptoms of one particular disorder.  

Although the severity of the eating disorder might be less clear when one is struggling with OSFED this does not mean that the struggle is not an eating disorder or that one is not needing to seek care.  The opposite is true– seeking specialized professional help will help to discern the approach to healing that will lead to recovery.

At Opal, we offer:

  • Individual therapy, nutrition counseling, psychiatry, exercise experientials and family/relationship therapy available at the PHP and IOP levels of care. 
  • Health at Every Size, weight-neutral treatment approach 
  • Non-diet approach to food. Meals and snacks provided offer a wide variety of foods (highly processed, fresh, organic, non-organic, home-cooked, frozen, easy to prepare, etc.) 
  • Eating at meals and snacks are done with other clients and staff, as a community.
  • A belief that adequate food intake is a foundational step in recovery. 
  • Exercise + Sport programming, which addresses exercise bulimia, exercise avoidance, and other exercise concerns
  • Radically Open Dialectical Behavioral Therapy as a foundational treatment 
  • Group therapy including body wisdom group, movement group, self-inquiry, process groups, facing fears and more. 
  • Teaching/Didactic groups including Radically Open Dialectical Therapy, Acceptance and Commitment Therapy, Exercise + Sport Didactic, Health at Every Size Didactic, etc.
  • Non-clinical lodging for PHP clients to use while in treatment is available for a weekly fee, as space available. 
  • Alumni outpatient groups

Check Your Biases

OSFED can be life-threatening for anyone that is experiencing it, regardless of body size, race, ethnicity, socio-economic status, gender, sexual orientation, age, ability, religion.