Avoidant Restrictive Food Intake Disorder

  • Melissa L. GonzálezEmail author
  • Thomas D. Mulderink
  • Peter A. Girolami


Oral consumption of food and drink is often viewed as a basic behavior that is present immediately following birth with advancements in intake of variety, volume, texture of foods, and overall independence occurring following a developmental trajectory. However, Learning to eat is a complex process, which may be disrupted or delayed by medical complications, structural or anatomical abnormalities, neurodevelopmental disabilities, conditioned aversion or other environmental factors. Difficulties with feeding has the potential to impact the child’s growth and development, opportunities for socialization and community participation, and often contribute to increased caregiver stress. The first stop for caregivers concerned about their child’s mealtime behavior is the primary care physician/provider (PCP). This chapter provides an overview of pediatric feeding problems and Avoidant Restrictive Food Intake Disorder (ARFID), associated conditions, steps to screening for feeding problems in the PCP setting, and evidence-based care coordination and empirically supported treatments learning to eat is a complex process. For many children, this natural progression of feeding development is delayed and/or is disrupted by medical complications, structural or anatomical abnormalities, neurodevelopmental disabilities, conditioned aversion, or other environmental factors (Berlin, Lobato, Pinkos, Cerezo, & LeLeikos, 2011).


Pediatrics Restrictive food intake Collaborative care Team-based care 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Melissa L. González
    • 1
    Email author
  • Thomas D. Mulderink
    • 2
  • Peter A. Girolami
    • 3
  1. 1.Pediatric Development and Therapy CenterOur Lady of the Lake Physicians GroupBaton RougeUSA
  2. 2.Pediatric Feeding Disorders ProgramSt. VincentEvansvilleUSA
  3. 3.Department of Behavior PsychologyKennedy Krieger Institute, Johns Hopkins University School of MedicineBaltimoreUSA

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