SED: Selective Eating Disorder Revisited

Selective Eating Disorder may also be known as SED, picky eating, fussy eating, food phobia, selective eating, or perseverative feeding disorder.
SED is not listed as an official eating disorder in the DSM

SED is common in young people with autistic spectrum disorders, this is likely caused by Sensory Integration Dysfunction. It is also found with other special needs adolescents. It is commonly accompanied with severe refusal behaviors when non-preferred foods are presented. SED can be caused by an extra sensitive taste sensation caused by more Fungiform papilla than average, this is the most common cause of SED. It is also found in people with Obsessive Compulsive Disorder. People with the Autoimmune disorder Coeliac Disease are often picky eaters.
Wikipedia

Selective Eating Disorder affects both children and adults.

The cause of SED is unknown.


Contributing factors may include:

• early negative food association
• negative food experiences (such as; choking, acid reflux, gastrointestinal troubles)
• problem behaviors
• negative behaviors learned at the dinner table
• ASD
• Anxiety Disorder
• OCD (mild form)

One theory suggest that those with SED are 'super tasters,' who taste food more intensely than others.

It is unknown how many adults suffer from SED as most who suffer from this disorder go to great lengths to hide it. You can help by filling out this survey at Duke.

Typically, though food choices vary per person, foods deemed acceptable by many with SED are usually bland, refined foods, high in carbohydrates and, for some, on the salty side. Many with selective eating disorder deem foods such as french fries, cheese pizza, pasta, and often chicken fingers as acceptable.


Symptoms may include:

• an aversion to certain foods
• an aversion to certain food aromas
• an aversion to certain food textures fear of certain foods
• unwillingness to try new foods narrow range of foods deemed acceptable
• restriction is usually to 10 foods or less
• distress when presented with foods deemed unacceptable
• some restrict to allowing only certain food brands
• nausea/vomiting due to odor or texture of certain foods

Most with SED will show no outward physical signs and may appear healthy upon a physical exam.


Health Effects and Concerns include:

• loss of essential nutrients (due to limited food choices)
• malnutrition
• heart problems
• teeth health (if acceptable foods are high in sugar)
• gastrointestinal problems due to lack of fiber
• proper growth in children
• high blood pressure due to diet
• bone health
• obesity

Treatment for SED:

Treatment helps individuals both acquire and practice needed skills or to modify problematic behaviors. An essential aspect of treatment is educating individuals about their bodies: how their sensitivities make sense given their biological inheritance, learning histories, and natural tendencies. In addition, skills can be taught to help manage fears of certain necessary foods. Practice sessions are typically recommended, during which time new foods are tried in the therapy room, restaurants, or other common environments.
DukeHealth.Org

*The intention of The American Psychiatric Association is to make a final decision as to whether Selective Eating Disorders will be included in the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), 2013 

Support Resources for Selective Eating Adults:
Picky Eating Adults
Empowered Parents 
Fussy-Eaters 
Picky Eating Adult Support Videos 


See also: Selective Eating Disorder: SED 
See sidebar menu for more Eating Disorders information and resources.

sources:http://www.livescience.com/10301-adult-picky-eaters-recognized-disorder.html http://www.emaxhealth.com/1506/picky-eating-common-autistic-children-may-be-nutritional-risk.html http://www.livestrong.com/article/496331-selective-eating-disorders-in-children/ http://uktv.co.uk/really/item/aid/614285 http://www.dailymail.co.uk/health/article-1293356/Fussy-eaters-classed-having-eating-disorder.html

picsource:http://www.flickr.com/photos/21560098@N06/4420104834/in/photostream/

Selective Eating Disorder: SED

*see additional and updated information.

Also known as perseverative feeding disorder, or picky/fussy eating, Selective Eating Disorder is expressed in an aversion to certain foods, leaving a narrow range of foods deemed acceptable (usually 10 foods or less), and an extreme refusal to try new foods. Some may not only limit what they'll eat to certain foods or textures but also to certain brands. Nutritional health is a concern.
It is common with, but not limited to, children with autism spectrum disorder (ASD) and children with anxiety disorders. Though typically outgrown as the child matures, it may persist well into adulthood.

"Typically a child or adolescent with selective eating will be within the normal range for both weight and height, and show no abnormality on physical examination. Sometimes selective eating can come on after a period of normal eating, but for many there may be a history of early feeding difficulties or problem with weaning. Eating a highly restricted range of foods is a common feature of toddlers – up to 20 per cent of children below the age of five years are faddy and the problem persists to the age of eight years in about a third of these. However for some young people the problem persists into middle childhood, adolescence and even adulthood. So whilst most children will grow out of it, a small number do need help to change their eating behavior."
SED presenting in adolecence and/or adulthood can put a strain on relationships and social interactions, and be accompanied by anxiety.

"For 28 years Vicki has refused to eat anything except cheddar cheese sandwiches, and cheese and tomato pizza. Her restrictive, bizarre diet is now having a major effect on family life. The Zukiewiczs, who live in Swindon with their three-year-old daughter Ella, cannot go to restaurants or dinner parties. Their social life is non-existent. At her wedding reception, five years ago,Vicki, who runs a successful business selling herbal supplements in Swindon, managed a baked potato… with cheese."

"Jamie Davison, a retail manager from Sheffield, has a diet limited to crisps, Mars Bars and HP brown sauce. When he went snowboarding in Finland last year, he packed 40 packets of Monster Munch (pickled onion flavour) in his suitcase. 'It drives me crazy,' admits Jamie, 27. "I know it's not right."

"Dr Nihara Krause, Consultant Clinical Psychologist and lecturer in eating disorders, says: 'Selective Eating Disorder can be equally as restrictive as having a full blown eating disorder such as bulimia or anorexia. Psychological symptoms include worry, depression and quite significant social impairment, since sufferers can't go out and eat. SED aligns itself more with the obsessive end of eating disorders, showing similarities with Obsessive Compulsive Disorder. There tends to be a huge fear of eating things rather than fear of weight gain itself." "Unlike those with other eating disorders, people with SED don't tend to loathe their bodies. 'The disorder develops when they are too young for 'fat and thin' to be important issues,' says Mr Economakis."



SED Resources and Support:
Picky Eating Adult Support
Fussyeaters.com
Adult Picky Eaters UK

 For additional and updated information: SED: Selective Eating Disorder Revisited

*See sidebar for more ED info, resources, and recovery.

Sources:http://www.ich.ucl.ac.uk/factsheets/families/F050241/index.html http://www.telegraph.co.uk/health/4537701/Food-phobias-are-ruining-our-relationships.html picture:publicdomainpictures.net