In this episode, Ivory and Joan discuss Avoidant / Restrictive Food Intake Disorder (AFRID) and its distinction from other eating disorders. They acknowledge that ARFID is a relatively new diagnosis and often misunderstood. They highlight the importance of understanding the underlying reasons for food restriction and the impact that undernutrition can have on individuals' lives. They also discuss the different subtypes of ARFID and the challenges faced by both children and adults with the disorder. The conversation emphasizes the need for support and empathy for individuals with ARFID.
ARFID is a relatively new diagnosis and is often misunderstood and under-diagnosed.
Individuals with ARFID do not often have a body image or weight concern, and their food restriction is not rooted in wanting to change their body shape and size.
ARFID can lead to significant nutritional, psychological, and medical consequences if not appropriately addressed and supported.
There are three subtypes of ARFID, each with different reasons for food avoidance: lack of interest in eating or food, avoidance based on sensory characteristics of food, and concern about adverse effects or consequences of eating.
ARFID can persist into adulthood, and early diagnosis and support are crucial for better outcomes.
Parents and loved ones of individuals with ARFID should respect their boundaries and preferences while ensuring they receive the necessary nutritional support.
Restoring adequate nutrition and addressing nutritional deficiencies is the primary goal in treating ARFID, followed by gradually expanding food variety and exposures.
ARFID can intersect with neurodivergence and body image concerns, adding complexity to the condition.00:00 Introduction and Background
06:55 ARFID: Differentiation from Other Eating Disorders
12:34 Subtypes of ARFID: Limited Intake
24:46 Subtypes of ARFID: Limited Variety
35:10 Subtypes of ARFID: Avoidant
37:59 Study on ARFID and GI Disorders
38:48 Lack of Research on ARFID
39:41 Cultural Competence in ARFID Treatment
40:08 Nutritional Rehabilitation as a Priority
42:51 Importance of Autonomy in ARFID Treatment
44:22 Awareness and Language in ARFID Treatment
45:41 Impact of Body Image and Weight Concerns
47:24 Overlap of ARFID and Neurodivergence
48:39 Empathy and Understanding for ARFID
Systematic review of ARFID in children and adolescent mentioned in the episode can be found here.
For research on ARFID (and other eating disorders) by Massachusetts General Hospital, check here!
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Rate, review, and subscribe to our podcast!ARFID, avoidant restrictive food intake disorder, eating disorders, cultural stigma, limited intake, limited variety, enjoyment of food, gastrointestinal disorders, nutrition, nutritional deficiencies, food variety, exposures, neurodivergence, body image concerns
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