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Updated: Feb 20, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Current Status of the Identification, Differential Diagnosis, and Psychological Treatment of Avoidant/Restrictive
Brianne N Richson1, Courtney E Breiner2, Hana F Zickgraf3
1Department of Behavioral Science, Center for Biobehavioral Research, Sanford Research, 4840 23rd Avenue S, #4820, Fargo, ND 58104, USA; Department of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, University of North Dakota, 4820 23rd Avenue S, Suite 200, Fargo, ND 58104, USA.
Abstract:
Avoidant/restrictive food intake disorder (ARFID) occurs in patients of all ages, with certain populations at increased risk. When diagnosing ARFID, it is important to assess a range of ARFID symptoms that result in diminished dietary variety and/or intake (eg, food selectivity, fears of eating-related physical sensations, low appetite) and associated consequences (eg, psychosocial impairment, malnutrition) as well as symptoms of other disorders that may better account for ARFID symptoms. Although there are currently no "gold-standard" ARFID treatments, existing treatments to date involve regularization of eating, exposure to physical sensations and/or novel/feared foods, and caregiver/familial involvement when appropriate.
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