Document ID: chunk:federal_register_of_legislation:F2024L01709:front:0:p3
Version: federal_register_of_legislation:F2024L01709
Segment Type: other
Provision Reference: 
Character Range: 6153–9522

amounts of food when not feeling physically hungry;
         4.          Eating alone because of feeling embarrassed by how much one is eating;
         5.            Feeling disgusted with oneself, depressed, or very guilty afterward;
 2.           Marked distress regarding binge eating is present;
 3.            The binge eating occurs, on average, at least once a week for 3 months; and
 4.            The binge eating is not associated with the recurrent use of inappropriate compensatory behaviour as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.
pica means a disorder of mental health meeting the following diagnostic criteria (derived from DSM-5-TR):
 1.           Persistent eating of non-nutritive, nonfood substances over a period of at least 1 month;
 1.           The eating of nonnutritive, nonfood substances is inappropriate to the developmental level of the individual;
 2.            The eating behaviour is not part of a culturally supported or socially normative practice; and
 3.            If the eating behaviour occurs in the context of another mental disorder (e.g., intellectual developmental disorder [intellectual disability], autism spectrum disorder, schizophrenia) or medical condition (including pregnancy), it is sufficiently severe to warrant additional clinical attention.
rumination disorder means a disorder of mental health meeting the following diagnostic criteria (derived from DSM-5-TR):
 1.            Repeated regurgitation of food over a period of at least 1 month. Regurgitated food may be re-chewed, re-swallowed, or spit out;
 1.            The repeated regurgitation is not attributable to an associated gastrointestinal or other medical condition (e.g., gastroesophageal reflux, pyloric stenosis);
 2.           The eating disturbance does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder; and
 3.            If the symptoms occur in the context of another mental disorder (e.g., intellectual developmental disorder [intellectual disability] or another neurodevelopmental disorder), they are sufficiently severe to warrant additional clinical attention.
avoidant/restrictive food intake disorder means a disorder of mental health meeting the following diagnostic criteria (derived from DSM-5-TR):
 1.            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) 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; and
         4.         Marked interference with psychosocial functioning; and
 1.            The disturbance is not better explained by lack of available food or by an associated culturally sanctioned practice;
 2.            The eating disturbance does not occur exclusively during the course of anorexia nervosa or bulimia nervosa, and there is no evidence of a disturbance in the way in which one's body weight or shape is experienced; and
 3.