When it comes to fussy eating, most people think of toddlers refusing broccoli or kids pushing peas to the side of the plate. But what if food avoidance goes beyond the typical picky phase and starts to impact someone’s health, growth, or quality of life?
That’s where Avoidant/Restrictive Food Intake Disorder (ARFID) comes in — a type of eating disorder that’s much more complex and distressing for both the individual and their loved ones.
What Does ARFID Look Like?
ARFID can present in different ways, often falling into one or more of these categories:
- Low appetite or disinterest in eating
- Sensory sensitivities – strong aversions to specific textures, smells, colours or tastes
- Fear-based avoidance – concerns about negative experiences like choking, vomiting, or nausea
Unlike other eating disorders, ARFID is not related to body image concerns.
Health Impacts of ARFID
The consequences of ARFID can significantly affect overall health and wellbeing, including:
- Malnutrition – weight loss or stunted growth, particularly in children
- Nutritional deficiencies – increased risk of conditions such as anaemia, osteopenia (low bone density), and hypoglycaemia (low blood sugar) due to limited food intake
- Social impacts – avoiding events with food, school camps, or family dinners, which can reduce quality of life
- Reliance on oral nutrition supplements (ONS) – which may not be sustainable long term
- Psychosocial effects – high anxiety around food and mealtimes, rigid routines, and family distress
How Can Dietitians Help?
Dietitians play a key role in supporting individuals with ARFID through a gentle, personalised, and non-judgemental approach. Here’s how we can help:
- Support Energy and Supplement Requirements
We’ll help identify your individual energy needs and provide practical strategies to gradually increase intake, whether through food or supplements. - Support Mealtimes and Sensory-Friendly Environments
Predictability helps reduce anxiety. We work to establish consistent meal routines and environments that feel secure and comfortable. - Expand Food Variety
Gradual exposure is essential. We guide clients through safe, step-by-step strategies to broaden food choices and acceptance over time. - Collaborate with a Multidisciplinary Team
We work alongside Psychologists, General Practitioners, and Paediatricians to create a team-based approach that supports the whole family. This includes managing anxiety, developing meal strategies, and building a more positive food environment.
Managing ARFID requires understanding the complex relationship between emotional responses, sensory preferences, and nutrition. With patience, structure, and the right support, individuals can move towards a more balanced and nourishing diet.
If you or a loved one is navigating ARFID and needs help with nutrition, book an initial consultation at Lane Cove, Hunters Hill, Rozelle or online. Together, we can create a tailored, compassionate plan to help you or your child feel their best — every day.
