The Big Picture
For many families, picky eating can feel like a normal part of childhood. But when a child’s eating habits begin affecting growth, school, or social development, it may point to something more serious: avoidant/restrictive food intake disorder, or ARFID.
At Center for Change, clinicians are seeing more cases of ARFID and expanding services to help meet that growing need.
What’s Happening
ARFID can look different from person to person, but it often involves food avoidance or restriction that goes beyond typical picky eating. According to Dr. Nicole Hawkins, licensed psychologist, CEDS-C consultant and CEO of Center for Change, the warning signs become more concerning when eating challenges interfere with daily life.
That can include a child not meeting growth milestones, struggling to attend school, or having difficulty socializing because of food-related concerns.
Center for Change treats ARFID through specialized support from dietitians and therapists. As the organization expands and adds 36 beds, it is also planning to open a dedicated ARFID unit.
Why It Matters
Greater awareness of ARFID is helping families and providers recognize when food struggles may require clinical support. Dr. Hawkins noted that ARFID has become more visible in recent years, and research into the disorder is continuing to grow.
That progress matters because earlier recognition can help children and families access treatment sooner, rather than dismissing serious symptoms as simple picky eating.
Center for Change has also been a leader in intuitive eating, becoming the first program in the country to implement the approach. Today, a form of intuitive eating is used with patients across the program, including those receiving support for restrictive eating concerns.
The Bottom Line
ARFID is a real and increasingly recognized disorder that can affect a child’s health, growth and quality of life. As understanding grows, so does the need for specialized treatment.
With expanded services and a dedicated ARFID unit on the way, Center for Change is working to provide more resources for families and the broader community.