Avoidant-Restrictive Food Intake Disorder (ARFID).
Avoidant-Restrictive Food Intake Disorder, commonly known as ARFID is a persistent feeding or eating disturbance manifested by avoidance of food or restrictive food intake that is not caused by food scarcity, cultural or religious practices, or some other psychological or medical disorder. It results in significant weight loss or nutritional deficiency, dependence on tube feeding or nutritional supplements, and/or impairment in psychosocial functioning.
This is quite different from Food Avoidance Emotional Disorder and Selective Eating.
Patients suffering from ARFID may be disinterested in food and eating, or may avoid foods because of a negative response to their color, texture, smell, taste or temperature. Individuals may also excessively fear unpleasant consequences of eating such as choking, gagging, difficulty in swallowing or vomiting or worsening of symptoms arising from acidic stomach content flooding back into the throat. Treatment includes relief of symptoms and a multidisciplinary approach as well.
I am very certain that I’ve caught a good number of you in this net. However just to ensure I rope in as many as possible, we will review one more disorder, which may describe you. Yes, You!
Binge Eating Disorder
1. Eating, in a discrete period of time within any 2-hour period, an amount of food that is definitely larger than what most people would eat in a similar period under similar circumstances
2. A sense of lack of control over eating during the episode, a feeling that one cannot stop eating or control what or how much is eaten, and marked distress associated with the binge-eating episodes; the episodes occur on average at least once a week for at least 3 months.
In addition three or more of the following factors are also present:
-Eating much more rapidly than normal
-Eating until feeling uncomfortably full
-Eating large amounts of food when not feeling physically hungry
-Eating alone because of feeling embarrassed by how much is being eaten
-Feeling disgusted with oneself, depressed, or very guilty afterward.
Treatment involves psychotherapy.
At this point, we would like to thank you for taking the Eating disorder bus. Alas, this is the last stop and you must alight here. If you identified a disorder in yourself, feel free to get in touch. We will do whatever we can to help out.