ARFID

ARFID: Understanding Avoidant/Restrictive Food Intake Disorder

ARFID (Avoidant/Restrictive Food Intake Disorder) is a less-known eating disorder that requires special attention. Unlike anorexia or bulimia, this disorder is not driven by a fear of gaining weight or dissatisfaction with body image. It manifests mainly as an aversion or avoidance of certain foods or textures, often resulting in significant health and daily life consequences.

Characteristics of ARFID

People with ARFID exhibit extremely restricted eating, but the reasons can vary:

• Sensory aversion: An increased sensitivity to the texture, taste, smell, or appearance of certain foods.

• Lack of interest in food: A low appetite leading to insufficient food intake.

• Fear of consequences: An intense fear of choking, vomiting, or having an allergic reaction, even without actual risks.

These behaviors can lead to:

• Underweight or malnutrition

• Vitamin and mineral deficiencies

• Social impact: Difficulty eating in groups or meal-related anxiety.

Impacts on Health and Quality of Life

ARFID can affect both children and adults. In children, it can slow growth and cause developmental delays. In adults, it can limit the ability to live normally, especially in professional or social contexts involving meals.

The Dietitian's Role in Managing ARFID

Managing ARFID involves a compassionate and gradual approach. As a specialized dietitian, my role includes:

• Assessing nutritional needs: Identifying potential deficiencies and creating a plan to address them.

• Exploring food preferences: Finding alternatives that respect the person’s sensitivities while gradually expanding choices.

• Introducing new foods gradually: Using tailored exposure techniques to encourage discovering new textures and flavors without pressure.

• Collaborating with families: Especially with children, it is crucial to involve parents to create a positive mealtime environment.

A Multidisciplinary Approach

Like other eating disorders, comprehensive care is often required. Working with a psychologist or specialized therapist can help overcome food-related fears and foster a better relationship with food.

Hope for a Diversified Diet

ARFID may seem restrictive, but with an adapted and gradual approach, it is possible to overcome these limitations and improve quality of life. Every step, even small, represents progress toward a more varied and balanced diet.

If you or a loved one is affected by ARFID, I am here to support you with tailored, respectful solutions.

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