Managing Avoidant/Restrictive Food Intake Disorder (ARFID)

ARFID Treatment and Therapy in Toronto

What is ARFID?

ARFID is an eating disorder characterized by significant struggles with eating and food, resulting in the individual receiving insufficient nutrition through their diet. It is not related to body image nor fear of gaining weight. Fortunately, there are virtual and in-person treatments and therapies in Toronto that can help children manage the challenges faced with ARFID.

What are Common Symptoms of ARFID?

Children with ARFID tend to have an eating disturbance, such as:

  • Difficulty digesting certain food

  • A lack of interest in eating or food

  • Eat small portions or have no appetite

  • Avoid certain colours or textures of food

  • Fear eating after an incident with choking or throwing up

As a result, children with ARFID do not receive enough nutrition and may show the following symptoms:

  • Significant weight loss

  • Abdominal pain, constipation, upset stomach

  • Cold intolerance

  • Irregular periods

  • Difficulty concentrating

  • Hair loss

  • Muscle weakness

  • Dizziness

  • Sleep problems

  • Social isolation

How to Support Children with ARFID?

  • For instructions:

    • Provide verbal or nonverbal prompts to redirect the child’s focus

    • Prearrange a space where the child can go if they do not want to eat in front of others

  • For social skills:

    • Use role-playing to teach the child conversation skills

  • For emotional regulation:

    • Teach the child self-regulation strategies to help calm down anxiety around food (i.e. deep breathing, muscle relaxation)

ARFID Support for Families

For individuals and families in Toronto struggling with ARFID, there are a variety of in-person and virtual treatments that may be beneficial, including:

  • ARFID or eating disorder programs and groups for kids

  • Cognitive behavioural therapy

  • Exposure therapy

  • Dialectical behavioural therapy

  • Emotional regulation training

  • Social skills training

  • Family therapy

  • ARFID or eating disorder parent training

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