Feeding Difficulties and ARFID

Feeding difficulties, particularly those stemming from Avoidant/Restrictive Food Intake Disorder (ARFID) can severely disrupt a child's physical, cognitive, and emotional development. 

Our licensed and experienced paediatric occupational therapists are here to guide your child towards healthier nutrition.
play and social skills training - children
social skills training - making friends

When should I seek help for my child's feeding difficulties? 

Many children go through phases of picky eating, or reluctance to try new foods, or even just have specific foods that they refuse to eat. So how do you know if your child's restrictive eating habits go beyond simple picky eating, and should be cause for concern? 

Consider consulting with a medical professional if your child: 

  • Eats fewer than 20 types of food 
  • Is unwilling to eat certain food groups entirely (e.g., vegetables) 
  • Shows signs of physical distress (e.g., choking or gagging while eating)
  • Is losing weight and falling behind on their growth charts
  • Is showing signs of fatigue or low energy due to being undernourished 
  • Displays frequent or severe emotional distress around mealtimes

Only a qualified medical professional can diagnose whether your child's eating habits counts as a disorder and requires medical intervention, so it's best to seek professional advice if you are concerned.

What causes feeding difficulties in children?

Feeding difficulties and ARFID can stem from a wide variety of causes, including: 

  • Physical: Chewing or swallowing difficulties, reflux or pain
  • Cognitive: Developmental delays, difficulty learning new eating skills
  • Emotional: Anxiety around eating, trauma 
  • Environmental: Mealtime distractions, changes to routine

Feeding difficulties and ARFID are also frequently co-morbid with neurodevelopmental disorders such as ADHD and autism. 

As every case is individual, it's important for the occupational therapist to first identify that root cause in order to effectively address the feeding difficulty. 

A child washing his face. Self-care is a crucial life skill that some children struggle with.

Should I consult a medical professional right away if my child has feeding difficulties?

You should consult a medical professional, such as your child's paediatrician or your family GP, immediately if you suspect that they have feeding difficulties beyond normal picky eating. Early intervention is crucial. 

This is because lack of proper nutrition can have adverse effects on your child's physical health and development. Eating a limited and unbalanced diet can lead to severe underweight, nutrient deficiencies, and anemia, among other things. 

Furthermore, the longer your child's restrictive eating habits persist, the more entrenched and difficult they can be to correct.

An occupational therapist can help address the root cause of your child's feeding difficulties, and create a tailored plan to gently help them overcome their aversions.

Our paediatric occupational therapist team is mobile, meaning the therapy sessions are in the comfort of your home. This allows the OT to observe and guide your child in their usual feeding environment, which can make treatment more effective. 

Book Your Appointment Today

Our paediatric occupational therapists are here to help your child thrive. Call 02 8808 4000 or send us a message through the form below.