There is no one size fits all treatment for ARFID.
Since ARFID is a fairly new diagnosis, little is known about best possible treatment. There is no evidence-based psychological treatment suitable for all forms of ARFID at this time (there is limited research on the best treatment approach) but that’s not to say that nothing can be done.
Current treatment approaches are primarily focused on psychotherapy, nutritional rehabilitation, and multidisciplinary care. These include CBT-AR, which is CBT specifically adapted for ARFID, which is one of the most well supported approaches. It focuses on addressing the underlying cognitive, emotional, and behavioural factors that contribute to restrictive eating patterns. This includes exposure therapy and cognitive restructuring - helping the individual identify and challenge distorted thoughts around food, eating, and their body image. I have personally studied and used the CBT-AR manual approach with my clients and adapted for neurodiversity needs, I also see a clinical supervisor who specialises and has knowledge in this area. I use EMDR for the trauma based components for ARFID, so we will explore the underlying memories, images and incidents related to the fears around avoidance and restriction, particularly if there is a specific incident. This has worked really well with my ARFID clients and I'll shortly be writing up a couple of case studies around this (so do make a note to return to the blog!).
Nutritional rehabilitation focuses on restoring healthy eating habits and addressing any nutritional deficiencies resulting from restrictive food intake. A registered dietitian works with the individual to increase variety and quantity of food in a controlled, supportive manner. The dietitian may work closely with the person to ensure they receive adequate calories and nutrients. For children or adolescents with ARFID, it's essential to track physical development (growth charts, weight gain, etc.) to ensure nutritional needs are being met. Structured meals and snacks are often recommended to ensure regular intake and reduce avoidance behaviors.
Family-Based Therapy (FBT), also known as the Maudsley Approach, is commonly used for children and adolescents with eating disorders, including ARFID because the family plays a central role in the treatment process, especially in encouraging regular eating habits.
Sensory Integration Therapy (SIT) is particularly helpful for individuals with sensory sensitivities to food, which is common in ARFID. This therapy helps individuals gradually tolerate different textures, smells, and tastes of food. Techniques might include: Desensitization and therapeutic play.
I will refer you on to these types of approaches with suitable clinicians or professionals who are qualified in this area. I have a directory of clinicians who I reach out to support should it be needed and this is discussed directly with you.
Medical intervention may be necessary for individuals with ARFID who have significant nutritional deficiencies, weight loss, or health complications due to insufficient food intake.
ARFID often requires a team-based approach that includes a combination of specialists, such as therapists, dietitians, doctors, and psychologists creating a treatment plan. If I feel you need a step up in support, this will be discussed with you and a suitable plan will be made to refer you to appropriate support.
Hi, I’m Becky Grace Irwing, I’m a BABCP Accredited CBT & EMDR qualified Therapist and qualified Mental Health Nurse. I spent 8 years as a Mental Health Nurse and 3 years as a CBT Therapist. I have worked across many mental health services for 14 years including acute, forensic and CAMHS services as well as University Mental Health and Disability Services and a London talking therapies service. I have a background history as a Fitness and Yoga Instructor of 10 years, and worked in the fitness industry from the age of 17 to 35.
I specialise in Eating Disorders, Neurodiversity and complex trauma issues and the link between those. I have a lived experience of binge eating for nearly 30 years, recovered for 7 years. I have ADHD and self diagnosed with Autism.
I’m also a dog Mum of two sausage dogs, human first, like to knit and I’m sustainability conscious.
My career highlights are being nominated for student nurse of the year for the Nursing Times and working in University Mental Health Services for 4 years; I loved working with students who were neurodivergent with a complex background of mental health and disability difficulties the most.
I'd love to hear from you for a free 20 minute introduction call to see how I can help you.
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