What is ARFID?
Most eating disorders involve a complicated relationship with body image. ARFID does not. The restriction is driven by something more immediate.
Avoidant/Restrictive Food Intake Disorder (ARFID) is an eating disorder characterised by highly restricted food intake not driven by concerns about weight or body image. The restriction is rooted in sensory sensitivity, fear of adverse consequences from eating, or a general lack of interest in food.
How ARFID differs from other eating disorders
Most eating disorders involve a complicated relationship with body image. ARFID does not. The restriction is driven by something more immediate.
Sensory sensitivity — Certain textures, colours, smells, or temperatures trigger intense aversion. The range of acceptable foods may be very narrow.
Fear of adverse consequences — A previous experience of choking, vomiting, or a severe allergic reaction creates conditioned fear around eating.
Lack of interest in food — Some people simply do not experience hunger or interest in eating.
Treatment
Treatment is tailored to the specific presentation. Where sensory sensitivity drives the restriction, gradual supported exposure to new foods is central. Where fear of consequences is primary, trauma-informed work — including EMDR — can be highly effective.
Book a consultation with Philippe Jacquet — psychotherapist and Jungian analyst, London.