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Avoidant Restrictive Food Intake Disorder (ARFID)
What is ARFID?
• Restrictive eating not due to medical or psychiatric co-morbidity
• Not attributable to perception of weight or shape
• 3 common presentations:
• No interest in food, blunted hunger response
• Dislike smell, taste, texture, appearance of food and only eat a narrow range (selective eating)
• Restriction as a reaction to previous trauma,
usually choking
• Replaces & expands scope of Feeding Disorder of Infancy & Early Childhood
A: Eating or feeding disturbance, including but not limited to
1. Avoidance based on the sensory characteristics of food;
or concern about aversive consequences of eating, OR 2. Restriction due to apparent lack of interest in eating or food; manifested by
3. Persistent failure to meet appropriate nutritional and/or energy needs associated
with one or more of the following:
i. Significant weight loss, failure to gain weight, or faltering growth
ii. Significant nutritional deficiency
iii. Dependence on enteral feeding or nutritional supplements
iv. Marked interference with psychosocial functioning
• B: There is no evidence that lack of available food or an associated culturally sanctioned practice is sufficient to account for the disorder.
• C: 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.
• D: The eating disturbance is not better accounted for by a concurrent medical condition or another mental disorder. When occurring in the context of another condition or disorder, the severity of the eating disturbance exceeds that routinely associated with the condition or disorder and warrants additional clinical attention.
