Understanding ARFID: A Guide for Families

Food refusals are just one part of ARFID

What is ARFID?

Avoidant/Restrictive Food Intake Disorder (ARFID) goes beyond typical picky eating. Children diagnosed with ARFID often experience intense fears around food. They may avoid specific textures, colors, or smells, leading to a very limited food variety. This situation can severely impact their nutrition, growth, and social participation.

Unlike other eating disorders that stem from body image concerns, ARFID focuses on fear, sensory sensitivities, or lack of interest in food. Understanding this difference is crucial for parents and caregivers.

How is ARFID Different from Pediatric Feeding Disorder (PFD)?

ARFID and Pediatric Feeding Disorder (PFD) may appear similar at first glance. However, they are distinct diagnoses.

PFD is a broader term that encompasses difficulties related to oral motor skills, medical issues, nutritional challenges, and behavioral aspects of feeding. In contrast, ARFID is a formal mental health diagnosis centered on avoidance or restriction—often stemming from anxiety, sensory issues, or negative past experiences.

Many children may experience both ARFID and PFD, which requires a comprehensive, multi-disciplinary approach for effective treatment.

Why Do Routines Matter?

Let’s be clear: families today are busier than ever. With the convenience of grocery pickups and fast meal options, juggling daily responsibilities can be overwhelming. There’s no shame in using these modern tools. However, it’s essential to recognize that some lost routines—like taking kids to the grocery store, involving them in food preparation, and sharing meals together—can create powerful opportunities for exposure and food learning.

For kids with ARFID, structured, low-pressure exposure to food can gently help expand their comfort zones.

Importance of Routine in Overcoming ARFID

Routine provides a sense of security and predictability. When children know what to expect, it can help reduce anxiety around meals. Family routines surrounding food can encourage participation and open the door to new experiences. This predictability fosters a nurturing environment that supports their journey toward a healthier relationship with food.

Small Steps That Can Support Kids With ARFID

The good news is you don’t need elaborate recipes or sit-down dinners every night to support your child’s progress. Small, consistent moments can make a significant difference.

Here are a few simple approaches to consider:

• ✔ Take them to the grocery store

Let your child explore, touch, and smell new foods without the expectation of eating them. This exploration can ignite curiosity and reduce anxiety around unfamiliar items.

• ✔ Involve them in meal preparation

Simple tasks—like stirring, washing veggies, or even selecting a plate—can build confidence and familiarity with food. Every little action counts.

• ✔ Sit down together—even if the food is different

Sharing space around food can help decrease anxiety over time. The mere act of being together during a meal can create a sense of safety.

• ✔ Use routine as your secret tool

Creating predictable family meals, grocery trips, and kitchen routines can lower stress and increase your child’s willingness to engage with food. Consistency is critical.

Benefits of Nourishing Family Routines

Establishing nourishing routines can significantly impact your entire family. These practices promote bonding and make mealtimes more enjoyable. Children learn valuable lessons about food, sharing, and communication. As a result, it fosters an environment of understanding and support.

Supporting Families Without Guilt

It’s essential to remember:

Families are doing the best they can with the tools they have. ARFID is not caused by parenting or routines, but healthy routines can support children in small, meaningful ways.

If your family is navigating ARFID, know that you don’t have to do it alone. It can be beneficial to work with a feeding therapist or a team experienced in ARFID and PFD. These professionals can provide you with strategies and support to make mealtimes feel less overwhelming for everyone involved.

Need Support?

If you are located in the East Valley area, I offer feeding therapy support for families dealing with ARFID, PFD, and picky eating. Contact me to schedule a consultation. Together, we can work toward building a positive relationship with food for your child.