Reference
Guide | Reference

82  ARFID Pattern Prototype

82.1 Summary

  • A pattern of restrictive or avoidant eating driven by sensory sensitivity, fear of adverse consequences, or low interest in eating, without body image concern.

82.2 Prototype Features

  • Limited intake or narrow food range.
  • Sensory-based avoidance or fear of choking/vomiting.
  • Nutritional compromise or growth concerns.

82.3 Threshold Guidance

  • Use when avoidant eating is persistent and impairing, not explained by body image concern.

82.4 Expected Domain Profile

  • Eating and Feeding Regulation: moderate.
  • Cognitive Control and Executive Function: variable.

82.5 Time-Course and Trajectory

  • Early onset with chronic course.

82.6 Differential and Red Flags

  • Medical or GI conditions affecting intake.
  • Food insecurity or limited access.
  • Body image-driven restriction.

82.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (early-onset, chronic).
  • Contributors (sensory sensitivity, anxiety).
  • Risk modifiers (nutritional risk, growth impact).

82.8 Measurement Prompts

  • Dietary range and intake tracking.
  • Nutritional status monitoring.

82.10 Documentation Snippet (1-2 lines)

  • “Avoidant eating with sensory sensitivity and low intake; Eating/Feeding 3; chronic course.”