ARFID (Avoidant/Restrictive Food Intake Disorder)
What It Is
ARFID is characterized by restricted eating based on sensory properties (texture, smell, appearance, temperature), fear of adverse events (choking, vomiting), or low interest in eating — not body image concerns. It is distinct from other eating disorders.
How It Presents in Autistic People
In autistic people, ARFID typically presents with highly selective eating based on sensory characteristics, strong preference for specific brands or preparation methods, significant distress around new foods, and nutritional limitations that may affect health. Mealtimes can be a significant source of family stress.
Treatment and Support
Sensory-based feeding therapy by trained occupational therapists or feeding specialists is most appropriate. Pressure-based approaches (hiding foods, forcing exposure) consistently worsen ARFID. Nutritional support (supplements, fortified foods) addresses immediate health needs while therapy addresses the underlying avoidance.