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Not Just Picky Eating: Recognizing and Treating ARFID

CE Hours 1.5

About this course

While symptoms of Avoidant Restrictive Food Intake Disorder (ARFID) frequently begin early in childhood, patients often present to eating disorders treatment during latency, adolescence, or adulthood. The resulting gap between onset and specialty care results in significant medical and nutritional co-morbidity and risk. ARFID also substantially impacts quality of life. Rigid eating patterns can negatively influence social and cultural development and experience. Patients and their families have frequently been working for significant periods of time to identify a diagnosis and obtain care. They often report that their concerns have not been validated or addressed. This workshop will provide current conceptualization for ARFID identification, along with the most current recommendations for treatment intervention across the continuum of care.

Learning Objectives

  • Describe at least 2 differences between ARFID and Anorexia Nervosa.
  • List the 3 proposed subcategories for ARFID and understand where they may overlap.
  • Identify at least one strategy for treatment for each subtype of ARFID that can be applied within the participant’s scope of care.

Learning Levels

  • Beginner

Course Instructor(s)

  • Merode "Mem" Wood, MS, LCMHCS, CEDS-C

    Mérode “Mem” Wood, MS, LCMHS, CEDS-C (she/her) Mem Wood is Regional Clinical Director for North Carolina at The Emily Program and a clinical leader within its Center of Excellence for adults with ARFID. She holds a master’s degree in clinical mental health counseling from Florida International University and began her career at The Renfrew Center in South Florida. Over the past eight years at The Emily Program, she has held multiple leadership roles, specializing in multidisciplinary care and complex eating disorder presentations across levels of care.

  • Elysse Miller MPH, RDN, LDN, CEDS-C

    Elysse Thebner Miller (she/her) is the Regional Nutrition Manager at The Emily Program’s North Carolina Treatment Centers. Elysse attended Ithaca College, where she completed her Bachelor of Science degree in health sciences/pre-medical studies with an emphasis in nutrition, and minors in anthropology and art. Elysse earned her master’s in public health (with a nutrition focus) from the University of North Carolina at Chapel Hill Gillings School of Global Public Health. She completed her dietetic internship at UNC Center for Excellence for Eating Disorders (CEED) and Duke University. Before joining The Emily Program (formerly Veritas Collaborative), Elysse worked as a Registered Dietitian (RD) at the UNC CEED clinic, working with individuals in inpatient, partial hospitalization, and outpatient levels of care. She also served as a research dietitian in trials for anorexia nervosa, bulimia nervosa, and binge eating disorder.

  • Joseph Crozier, MD, PhD, CEDS-C

    Joe is a board-certified psychiatrist and licensed clinical psychologist who has experience working with children, adolescents, and adults. He completed his medical school, general psychiatry residency, child psychiatry fellowship, and clinical psychology internship at Duke University Medical Center. Since then he has held faculty positions at Duke University Medical Center and University of North Carolina Hospitals before leaving academic medicine to join the team at The Emily Program (formerly Veritas Collaborative) team in 2017. Joe is the regional medical director for the Emily Program’s sites in North Carolina which provide treatment for individuals of any age with eating disorders at all levels of care from outpatient through inpatient.

References

  • Norris ML, Spettigue W, Hammond NG, et al. Building evidence for the use of descriptive subtypes in youth with avoidant restrictive food intake disorder. Int J Eat Disord. 2018;51:170–173. https://doi.org/10.1002/eat.22814
  • Harris AA, Romer AL, Hanna EK, et al. The central role of disgust in disorders of food avoidance. Int J Eat Disord. 2019;52:543–553. https://doi.org/10.1002/eat.23047
  • Zucker NL, LaVia MC, Craske MG, et al. Feeling and body investigators(FBI): ARFID division—An acceptance-based interoceptive exposure treatment for children with ARFID. Int J Eat Disord. 2019;52:466-472. https://doi.org/10.1002/eat.22996
  • Thomas J and Eddy K. Cognitive-behavioral Therapy for Avoidant/Restrictive Food Intake Disorder. Cambridge University Press. 2019.
  • Menzel, JE et al. 2019. Conceptualizing the role of disgust in avoidant/restrictive food intake disorder: Implications for the etiology and treatment of selective eating. IJED 52: 462-465.
  • Lock, JD. Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder. Routledge. 2022.
  • Fonseca, N.K.O., Curtarelli, V.D., Bertoletti, J. et al. Avoidant restrictive food intake disorder: recent advances in neurobiology and treatment. J Eat Disord 12, 74 (2024). https://doi.org/10.1186/s40337-024-01021-z
  • Van Buuren, L., Fleming, C.A.K., Hay, P. et al. The prevalence and burden of avoidant/restrictive food intake disorder (ARFID) in a general adolescent population. J Eat Disord 11, 104 (2023). https://doi.org/10.1186/s40337-023-00831-x
  • Bourne L, Brayant-Waugh R, Cook J, et al. Avoidant/restrictive food intake disorder: A systematic scoping review of the current literature. Psychiatry Research 288 (2020). https://doi.org/10.1016/j.psychres.2020.112961
  • Ramirez Z, Gunturu S. Avoidant Restrictive Food Intake Disorder. [Updated 2024 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK603710/

CE Process Info

Content

  • Materials
    1 parts
    • Not Just Picky Eating: Recognizing and Treating ARFID
  • Recordings
    1 parts
    • Shared Screen With Speaker View
Not Just Picky Eating: Recognizing and Treating ARFID
You Have Completed This course
Free
You are enrolled
  • CE Hours
    1.5
  • Type
    Self-Paced
  • Publication Date
    Jul 8th, 2026

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