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The ‘‘Not Otherwise Specified’’ (NOS) category within DSM-IV is designed for disorders of clinical
severity that are not specified within broad diagnostic classes. ‘‘NOS’’ diagnoses are intended to be residual
categories and they tend to be neglected by researchers. This can be inappropriate. The problems associated
with certain NOS diagnoses are well illustrated by ‘‘Eating Disorder NOS’’ (sometimes termed EDNOS),
which is the most common category of eating disorder encountered in routine clinical practice yet it has
barely been studied. Indeed, there has been no research on its treatment. Interim and longer-term
conceptual and practical solutions to the anomalous status of eatingdisorder NOS are proposed including
the creation of a new diagnosis termed ‘‘mixed eating disorder’’. Several of these solutions are of relevance
to NOS categories in general. All the solutions should fulfil criteria for clinical utility.

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