Avoidant Restrictive Food Intake Disorder - Oregon
A Community Approach to Avoidant/Restrictive Food Intake Disorder
Darren Janzen, PsyD - Clinical Psychologist Sarah Sahl, RDN, LD - Registered Dietician Julia Farrell, OTR/L, IBCLC - Occupational Therapist
May 25th, 2021
Objectives
? Understand diagnostic criteria for ARFID ? Considerations for the community RD's care for kids with ARFID
? What are the red flags? ? When to suggest a referral for therapy or medical work up? ? What is my role?
? Review of case studies
Diagnostic and Statistical Manual of Mental Disorders
? Published by American psychiatric association ? Gives common language and diagnostic criteria ? DSM-5 published in 2013
? ARFID was defined and added for the first time.
DSM IV: Feeding disorder of infancy or early childhood
? Feeding disturbance manifested by persistent failure to eat adequately with significant failure to gain weight or significant loss of weight over 1 month
? The disturbance is not due to an associated gastrointestinal or other general medical condition
? The disturbance is not better accounted for by another mental disorder or lack of available food
? Onset < 6 years of age
DSM-V Avoidant/Restrictive Food Intake Disorder
? Eating/feeding disturbance as manifested by persistent failure to meet appropriate nutritional needs associated with one (or more) of the following: -Weight loss or unmet growth expectations -Nutritional deficiency -Dependence on nutritional supplements -Marked interference with psychosocial functioning
? Exclusionary criteria:
-Not related to food scarcity or culturally sanctioned practice
-Not related to body image or weight concerns -Not better explained by concurrent medical condition or another mental disorder
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