ARFID, Picky Eating & Autism Spectrum Nutrition
ARFID, Picky Eating & Autism Spectrum Nutrition Support
Lily Barrett, Registered Dietitian in Vancouver, BC, provides specialized nutrition counselling for Avoidant/Restrictive Food Intake Disorder (ARFID), picky eating, and feeding challenges associated with Autism Spectrum Disorder (ASD). We understand mealtimes can be stressful for both children and families—and we’re here to help you navigate these challenges with compassion and expertise
What is ARFID?
ARFID stands for Avoidant/Restrictive Food Intake Disorder. It was formally recognized in the DSM-5 in 2013, which means it’s a relatively new diagnosis compared to other eating disorders.
People with ARFID may avoid or restrict certain foods because of:
Sensory issues (textures, smells, colors, or appearance of foods).
Fear of negative outcomes (choking, vomiting, stomach pain, food poisoning).
A general lack of interest in eating or food.
Unlike other eating disorders such as anorexia or bulimia, ARFID is not driven by body image concerns. Instead, the restriction is rooted in fear, discomfort, or disinterest in food.
Signs and Symptoms of ARFID
Eating a very limited range of foods, often avoiding entire food groups.
Extreme distress when asked to try new foods.
Significant weight loss or growth concerns.
Nutritional deficiencies (low iron, calcium, or protein intake).
Fear-driven avoidance of food due to choking, vomiting, or strong texture/smell aversions.
ARFID vs Picky Eating
Picky eating is temporary, common in children, and usually doesn’t harm growth or health. ARFID is more persistent and serious — it can cause nutritional deficiencies, slow growth and development, or negatively affect social life (like avoiding eating with friends).
When to seek help
If you or your child:
Are experiencing noticeable weight loss or growth concerns.
Have intense mealtime distress.
Avoid eating in social or school/work settings.
Struggle with fatigue, illness, or symptoms related to poor nutrition
Our Approach: Intuitive Eating & Gentle Nutrition for Picky Eaters
Our work is grounded in intuitive eating principles and gentle nutrition, meeting your child (and your family) where you are right now.
We believe:
Safe, gradual exposure to new foods supports lasting progress.
Forcing or pressuring children to eat can backfire; instead, we build trust and confidence with positive, supportive strategies.
Families deserve guidance that respects sensory preferences, medical needs, and cultural food traditions.
Support for ARFID & Autism-Related Eating Challenges
Our services focus on helping children and families with:
ARFID, including extreme pickiness, food aversions, and restricted eating patterns
Sensory sensitivities that impact eating
Difficulty accepting new foods or food textures
Nutritional gaps or growth concerns related to limited food intake
Family mealtime struggles that cause stress or conflict
Collaborative, Family-Centered Care
You know your child best. That’s why we work closely with you to create individualized strategies that honor your family’s needs, routines, and goals. Together, we can:
Identify patterns and triggers behind picky or avoidant eating
Develop personalized plans for safe, step-by-step food exploration
Reduce mealtime battles and create a more positive eating environment
Safe, Gentle, and Sustainable Changes
Our goal is not to “fix” your child, but to support them in feeling safe and confident around food. We aim to:
Expand food variety without overwhelm or coercion
Ensure nutritional needs are met in ways your child can tolerate
Celebrate every small step forward toward a healthier relationship with food
Get the support you need.
If you’re struggling with ARFID, extreme picky eating, or feeding challenges on the autism spectrum, we’re here to help you and your child build a more peaceful and nourishing relationship with food.
Get started and schedule a free call or your first session with our dietitian specialist below.
