Avoidant/restrictive food intake disorder

Autism and Parenting Podcast

Avoidant/restrictive food intake disorder (ARFID) is a fairly new eating disorder. Children with ARFID are extremely selective eaters and sometimes have little interest in eating food. They may eat a limited variety of preferred foods, which can lead to poor growth and poor nutrition.
ARFID usually starts at younger ages than other eating disorders and is more common in boys.
Kids with ARFID fall within three main categories:
1. Some kids are very selective eaters who may have strong negative reactions to smells, tastes, textures, or colors of foods. They may be highly fearful of new foods, called “neophobia,” and scared of negative experiences related to unfamiliar foods.
2. Some kids may have an overall lack of interest in eating and have a very low appetite or find eating minimally rewarding or not at all. These kids often deny feeling hungry.
3. Other kids are afraid of what might happen when they eat; for example, experiencing pain, choking, or vomiting.
ARFID is linked to strong emotions and worries around food. Be supportive and encourage positive attitudes about exercise and nutrition at home. Try these tips:
Be a role model. Serve and eat a variety of foods.
Schedule regular meals and snacks.
Have regular family meals. Keep the mood at the table pleasant and avoid struggles during mealtimes.
Encourage your child to try new foods, but do not force them to eat.
Reward positive eating behaviors.
Find ways to manage anxiety and stress around food. Taking a couple of deep breaths can help your child relax. Yoga, meditation, music, art, dance, writing, or talking to a friend can help manage stress.
Stay calm and avoid blaming or criticizing your child for their eating struggles.

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