Understanding ARFID: When “Picky Eating” Is Something More

Avoidant Restrictive Food Intake Disorder (ARFID) has been recognized for some time but is only recently getting the attention it deserves in the field of eating disorder treatment. ARFID is characterized by an intense avoidance of certain foods — either due to sensory sensitivities (like texture, smell, or taste) or a fear of negative consequences (such as choking, vomiting, or pain).

This eating disorder often begins in early childhood and can be mistaken for typical picky eating. However, ARFID is more extreme and can interfere with physical health, emotional well-being, and daily functioning. In some cases, it goes undiagnosed for years, becoming more disruptive in adolescence or young adulthood.

There is a notable correlation between ARFID and autism spectrum disorder, though not all individuals with ARFID are autistic. Research suggests that approximately one-third of individuals with ARFID are also on the spectrum.

Unlike other eating disorders such as anorexia nervosa, ARFID does not typically involve concerns about weight, shape, or body image. However, long-term restrictive eating can still result in nutritional deficiencies, weight loss, or even the development of other eating disorders.

Many parents try everything to accommodate their child’s limited food preferences — from sourcing specific brands of chicken nuggets in bulk to bringing preferred foods to restaurants. These efforts are made out of love and concern, but sometimes the issue requires professional support.

If you're in Boca Raton or the surrounding areas of South Florida and you're concerned that your child may be struggling with ARFID, it's important to seek help from providers who specialize in eating disorders and pediatric feeding issues.

At The Collaborative Palm Beach, our licensed therapists and registered dietitians are specially trained in treating ARFID. We take a collaborative and compassionate approach, often working alongside pediatricians and other specialists to ensure that your child is receiving comprehensive care. Medical monitoring may also be necessary to assess for any nutritional deficiencies or health complications.

In some cases, ARFID may also be linked to anxiety, obsessive-compulsive disorder (OCD), or a history of choking or throat trauma. A thorough intake assessment can help determine any underlying causes and guide appropriate treatment planning.

If your child is showing signs of extreme food avoidance or selective eating that interferes with their growth, health, or quality of life, we’re here to help. Contact us today at The Collaborative Palm Beach to speak with a trained professional who understands the complexities of ARFID and can guide your family toward healing.