What is ARFID?

Aimee Brueck • August 25, 2025

This is a lesser-known eating disorder compared to anorexia or bulimia. It is known by its English acronym ARFID (Avoidant/Restrictive Food Intake Disorder). ARFID is characterized by very limited eating, either due to avoidance of certain tastes, textures, colors, smells, or an intense fear of the consequences of eating (such as choking or vomiting). ARFID is not related to body image or a desire to lose weight. ARFID affects the child’s social life—it’s not simply a phase of being a “picky eater.”

How does it manifest?

Children eat only a few “safe” foods
Completely avoid food groups (fruits, vegetables, proteins)
Have anxiety about specific foods
Interference with social or family functioning (extreme anxiety when eating outside the home or at gatherings)
Show little or no interest in food
Nutritional deficiencies; may sometimes need nutritional supplements

What causes it?

There is no single cause, but some risk factors include:

Sensory processing disorders (common in autism)
Anxiety or food-related phobias
Traumatic food experiences (choking, vomiting, allergies)
Gastrointestinal or medical issues that make eating uncomfortable or painful

What is feeding therapy?

Feeding therapy is a specialized intervention that helps children develop a healthier relationship with food. We find the best approach through occupational therapists and/or speech-language pathologists who also work with children with feeding disorders. We use strategies to reduce anxiety, gradual exposure, sensory desensitization, development of oral-motor skills, and family education and involvement. This process is not fast—it is gradual and requires patience, consistency, and emotional support.

Our Commitment at Progressive Pediatric Therapy

At Progressive Pediatric Therapy, we understand how difficult feeding challenges can be. Our team is trained to support children with ARFID through individualized and compassionate therapy plans. Whether your child needs help with exposure to new foods, oral-motor skills, or sensory support, we are here to support you every step of the way.

Do you think your child could benefit from feeding therapy?

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