OBJECTIVE: This article uses three brief case reports to illustrate how family-based treatment (FBT) can be used to treat pre-adolescents with avoidant/restrictive food intake disorder (ARFID). METHOD: We present case material illustrating how FBT can be used in three different clinical presentations of ARFID: (1) low appetite and lack of interest; (2) sensory sensitive eaters; and (3) fear of aversive consequences eaters-all without shape or weight concerns. RESULTS: This case material illustrates that the main principles of FBT-agnosticism as to the cause of the illness, externalization, emphasizing the seriousness of ARFID, parental empowerment, behavioral consultation, and practical behavioral focus-are applicable for a range of ARFID clinical presentations. Common challenges in this patient group include (1) promoting urgency; (2) challenging long term behavioral accommodation; (3) lack of parental alignment, parental fatigue, (4) and co-morbid psychiatric problems in the patients. Strategies to address these problems are described. CONCLUSION: FBT can be adapted for children with ARFID using the main principles of the approach.
OBJECTIVE: This article uses three brief case reports to illustrate how family-based treatment (FBT) can be used to treat pre-adolescents with avoidant/restrictive food intake disorder (ARFID). METHOD: We present case material illustrating how FBT can be used in three different clinical presentations of ARFID: (1) low appetite and lack of interest; (2) sensory sensitive eaters; and (3) fear of aversive consequences eaters-all without shape or weight concerns. RESULTS: This case material illustrates that the main principles of FBT-agnosticism as to the cause of the illness, externalization, emphasizing the seriousness of ARFID, parental empowerment, behavioral consultation, and practical behavioral focus-are applicable for a range of ARFID clinical presentations. Common challenges in this patient group include (1) promoting urgency; (2) challenging long term behavioral accommodation; (3) lack of parental alignment, parental fatigue, (4) and co-morbid psychiatric problems in the patients. Strategies to address these problems are described. CONCLUSION:FBT can be adapted for children with ARFID using the main principles of the approach.
Authors: Young Kyung Kim; J Matías Di Martino; Julia Nicholas; Alannah Rivera-Cancel; Jennifer E Wildes; Marsha D Marcus; Guillermo Sapiro; Nancy Zucker Journal: Int J Eat Disord Date: 2021-11-10 Impact factor: 4.861
Authors: Jennifer J Thomas; Kendra R Becker; Megan C Kuhnle; Jenny H Jo; Stephanie G Harshman; Olivia B Wons; Ani C Keshishian; Kristine Hauser; Lauren Breithaupt; Rachel E Liebman; Madhusmita Misra; Sabine Wilhelm; Elizabeth A Lawson; Kamryn T Eddy Journal: Int J Eat Disord Date: 2020-08-09 Impact factor: 4.861