Search Here

While picky eating involves a preference for certain foods and may cause mild disruptions in mealtime, ARFID goes beyond simple preference issues. 

Avoidant/Restrictive Food Intake Disorder or ARFID is a psychological condition marked by an extreme aversion to certain foods or food groups, leading to significant nutritional deficiencies and impaired functioning. Individuals with ARFID experience intense anxiety or disgust when faced with specific foods, often leading to avoidance or restriction of entire food groups. 

This can result in severe malnutrition and impact overall well-being. Unlike picky eating, which is common in children, ARFID persists into adulthood and can have serious health consequences if left untreated.

Types and symptoms

ARFID presents in various forms, including sensory sensitivity, fear of choking or vomiting and lack of interest in eating. Sensory issues may involve aversion to specific textures, tastes, or smells, while fear-based ARFID is characterized by anxiety surrounding food consumption. Symptoms can range from weight loss and fatigue to gastrointestinal problems and developmental delays. 

Aside from sensory and fear-based, the third type of ARFID is lack of interest/selective eating ARFID, where the disinterest in food or reluctance to eat certain food types leads to nutritional deficiencies and impaired functioning.

Diagnosis and treatment

Diagnosing ARFID involves a comprehensive assessment by a qualified mental health professional. This typically includes a review of medical history, dietary habits and psychological evaluations. Treatment strategies may include cognitive behavioral therapy or CBT to address fear and anxiety related to food, exposure therapy to gradually reintroduce avoided foods, and nutritional counseling to ensure adequate dietary intake.

What to do if you suspect your child has ARFID

If parents suspect their child may have ARFID, it is recommended to seek guidance from a pediatrician or mental health specialist. Early intervention is crucial for improving outcomes and preventing long-term complications. Encouraging open communication with their child about their food preferences and fears and working together can help gradually expand their dietary variety. It is also recommended to consult with a registered dietitian to develop a nutritionally balanced meal plan tailored to your child's needs.