One or more somatic symptoms that are distressing or result in significant

disruption of daily life.

Preoccupation with having or acquiring a serious illness.

One or more symptoms of altered voluntary motor or sensory function.

The individual presents himself or herself to others as ill, impaired, or

injured.

The individual presents another individual (victim) to others as ill, impaired,

or injured.

A 29-year-old woman reports constant fatigue, stomach pain, and nausea that persist for years. Despite multiple medical tests showing no abnormalities, she remains convinced something is seriously wrong. She frequently seeks reassurance but feels temporarily relieved.

A mother repeatedly gives her child substances to make him vomit so she can take him to the hospital and appear as a caring parent.

A 25-year-old male suddenly loses vision after witnessing a traumatic car accident. Medical tests reveal his eyes are structurally normal. He appears surprisingly calm about his condition.

Somatic Symptom Disorder is previously called as

A 35-year-old woman deliberately injects herself with bacteria to develop a fever so she can be hospitalized. She enjoys the attention and sympathy she receives from medical staff.

Illness Anxiety Disorder is formerly known as

Persistent eating of nonnutritive, nonfood substances over a

period of at least 1 month.

Repeated regurgitation of food over a period of at least 1

month. Regurgitated food may be re-chewed, re-swallowed, or spit

out.

An eating or feeding disturbance (e.g., apparent lack of interest in

eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences 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 expected weight gain or faltering growth in children).

2.Significant nutritional deficiency.

3.Dependence on enteral feeding or oral nutritional supplements.

4.Marked interference with psychosocial functioning.

An eating or feeding disturbance (e.g., apparent lack of interest in

eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences 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 expected weight gain or faltering growth in children).

2.Significant nutritional deficiency.

3.Dependence on enteral feeding or oral nutritional supplements.

4.Marked interference with psychosocial functioning.

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

1.Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.

2.A sense of lack of control overeating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).

B. Recurrent in appropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

1.Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances

2.A sense of lack of control overeating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating)

A minimum age of _ years is suggested for a pica

diagnosis to exclude developmentally normal

mouthing of objects by infants that results in

ingestion.

Other term for ARFID or Avoidant/Restrictive Food Intake Disorder that is also been used for such conditions.

Lena, a 17-year-old high school student, has become extremely preoccupied with her weight. She often skips meals, counts calories obsessively, and exercises excessively even when she feels weak. Her parents notice that she wears oversized clothes and avoids eating with others. She reports feeling “fat” even though she is visibly underweight. Her BMI is significantly below normal, and she hasn’t had her period for the last four months.

Jamie, a 19-year-old college student, reports eating unusually large amounts of food late at night, even when she’s not physically hungry. She describes feeling “out of control” during these eating episodes and often eats until she feels uncomfortably full. Unlike her roommate, who sometimes diets, Jamie does not try to vomit or exercise afterward. She feels guilty and ashamed after each episode but continues the behavior several times a week.