ARFID Treatment for Children and Teens

Does your child have a strikingly small repertory of foods they’re willing to eat? Do they avoid foods due to smell, texture, color, perceived imperfections, brand or any other seemingly arbitrary feature? Does your child have a very low interest in food more generally or an unusually small appetite? Do they avoid certain foods - or eating all together - due to fear of some kind of aversive consequence like choking or vomiting?

If any of these statements seem to ring true for your child, it’s possible that they may meet criteria for Avoidant Restrictive Food Intake Disorder, referred to as “ARFID.”

Columbus Park is passionate about ARFID treatment and offers several care pathways.

Home Eating Program for ARFID, ages 4-18*

For our youngest patients, we typically recommend home-based support and gentle exposure therapy to address food avoidance and rigidity. Sessions are most effective when conducted in the home environment, where your child feels safest and where much of their eating takes place.

Sessions begin with rapport-building and a focus on playfulness, curiosity, trust and safety. Slowly and systematically, the feeding coach will work with your child to create a plan for gradual change – whether it is to expand their food repertory, increase the quantity of food they eat or experiment with food to reassure that they can remain safe.

Caregivers are given guidance and strategies that they may use at home to support progress and keep the work going between eating sessions. The treatment plan and approach are customized for each family and child.

Getting Started

The first step is a parent meeting where we can gain an understanding of your child and your concerns. From this information, we can begin to structure a plan, bringing your child into the mix once we have some clarity about how to best move forward.

CONTACT US

Please contact us for more information and to see if Columbus Park ‘s ARFID-specific services are right for your child and family.

*Based on assessment, if your child is age 10 or older, we may recommend CBT-ARFID as an alternative to our home eating program. There are several factors we consider when selecting the best course. We collaborate with caregivers and patients during this decision-making process.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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