ARFID is the "new eating disorder" added to DSM-5 (The Diagnostic and Statistical Manual of Mental Disorders developed by the American Psychiatric Association) to replace Feeding Disorder of Infancy or Early Childhood and to expand the criteria for avoidant eaters to encompass adolescents and adults.1 Individuals with ARFID are commonly picky eaters, but also may show avoidant eating due to a history of negative experiences with food, such as food allergies or choking. They're different from those with anorexia in that they don't restrict themselves because they're concerned about their body image or shape. Moreover, when youth with ARFID have been compared to those with anorexia or bulimia, those with ARFID have a higher likelihood of being male, are typically younger, and have a longer history of disordered eating.2-4


1Bryant-Waugh, R. (2013). Feeding and eating disorders in children. Current Opinion in Psychiatry, 26, 537-542.

2Fisher, M., Rosen, D., Ornstein, R., Mammel, K., Katzman, D., et al. (2014). Characteristics of avoidant/restrictive food intake disorder in children and adolescents: A "New Disorder" in DSM-5. Journal of Adolescent Health, 55, 49-52.

3Forman, S., McKenzie, N., Hehn, R., Monge, M., Kapphahn, C., et al. (2014). Predictors of outcome at 1 year in adolescents with DSM-5 restrictive eating disorders: Report of the national eating disorders quality improvement collaborative. Journal of Adolescent Health.

4Norris, M., Robinson, A., Obeid, N., Harrison, M., Spettigue, W., et al. (2014). Exploring avoidant/restrictive food intake disorder in eating disordered patients: A descriptive study. International Journal of Eating Disorders, 47,495-499.