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Challenging Case January 2025: An Autistic Youth With ARFID During the COVID Pandemic
Tammy Lim1, Alison Cheng2, Elana Bern3
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Summary
A boy with autism spectrum disorder and avoidant restrictive food intake disorder experienced severe feeding refusal during the COVID pandemic. Management involved multidisciplinary care and behavioral strategies for reintroducing oral intake.
Area of Science:
- Pediatric Case Study
- Neurodevelopmental Disorders
- Psychiatric Comorbidities
- Feeding and Nutrition
Background:
- A 12-year-old minimally verbal boy with autism spectrum disorder (ASD) developed severe feeding refusal, including liquids, during the COVID-19 pandemic.
- Symptoms included low mood, anhedonia, loss of appetite, and anxiety around swallowing saliva, leading to insomnia and a diagnosis of avoidant restrictive food intake disorder (ARFID).
- The case highlights the complex interplay of neurodevelopmental and psychiatric conditions exacerbated by a global health crisis.
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