My Other Specified Feeding or Eating Disorder (OSFED) Diary
A private place for thoughts, feelings, difficult moments, support and recovery — without numbers, rules or judgement.
Welcome to your diary
OSFED is a real and potentially serious eating disorder. It does not mean that your difficulties are less important because they do not fit every criterion for another diagnosis.
This diary is a place to explore what you are experiencing, what you need and what might support recovery. It is not a food, weight, calorie or behaviour-counting diary.
What you can do here
Write daily or whenever you want. Notice feelings, situations, coping needs and moments of connection. Save and revisit entries, create a support plan and print selected reflections to share with someone you trust.
A page for today
You can leave anything blank. There is no perfect way to reflect.
How is today feeling?
Select any words that fit, or none at all.
Entries are saved in this browser on this device, where browser storage is available.
My saved diary pages
Revisit your reflections at your own pace. You can edit, print or delete individual entries.
Understanding OSFED
Other Specified Feeding or Eating Disorder is diagnosed when someone has clinically significant eating-disorder symptoms but does not meet every criterion for another specified eating disorder. A clinician identifies the reason the full criteria are not met.
Different presentations
Atypical anorexia nervosa: The features of anorexia can be present despite a person's weight not being below the diagnostic threshold. Serious medical complications can still occur.
Bulimia nervosa of low frequency or limited duration: The pattern is clinically significant even though episodes do not meet the full frequency or duration threshold.
Binge eating disorder of low frequency or limited duration: Distressing binge-eating episodes occur without meeting the full frequency or duration threshold.
Purging disorder: Recurrent purging to influence weight or shape without binge eating.
Night eating syndrome: Recurrent night eating associated with awareness and distress or impairment, not better explained by another condition or context.
Important distinctions
OSFED is not a catch-all for every eating difficulty. ARFID, pica, rumination-regurgitation disorder and other feeding or eating disorders have their own diagnostic considerations. Orthorexia-related symptoms and T1DE/diabulimia may also need specialist assessment; they are not automatically OSFED.
Diagnosis and treatment planning should be carried out by appropriately qualified professionals. Eating disorders can be serious at any body size.
My personal support plan
This plan can be updated as your needs change. It is not a substitute for a clinical treatment or safety plan.
You deserve support
OSFED can have serious physical and psychological effects. If symptoms are worsening, you are engaging in purging, experiencing significant restriction or binge eating, or finding everyday life increasingly difficult, seek an assessment from your GP or specialist eating-disorder service.
When to seek urgent help
Seek urgent medical advice for fainting, marked weakness, dehydration, repeated vomiting or other concerning symptoms. Chest pain, collapse, severe breathing difficulty or other immediate emergencies require emergency help. In the UK call 999 for an emergency, or NHS 111 for urgent advice when appropriate.
A message from Maggie
Your experiences matter even when they do not fit neatly into a category. You do not have to wait until things become worse before asking for support. Recovery can involve uncertainty, setbacks and moments of progress that others may not see.
Use this diary to understand yourself with kindness, not to monitor yourself more harshly. You deserve care that recognises your individual needs.
Maggie · Space to Breathe Therapy
Space to Breathe Therapy · Beat · NHS eating-disorder information · NICE guidance
This educational diary does not replace medical, psychological, dietetic or specialist eating-disorder advice.
Private reflections, compassion and support without numbers or judgement.
