Avoidant/Restrictive Food Intake Disorder
DEFINITION
- Avoidant/restrictive food intake disorder (ARFID) encompasses atypical patterns of food intake or avoidance. These patterns are not motivated by weight change or body image; cannot be explained by a medical illness, a culturally sanctioned practice, or another eating disorder; and result in weight/nutritional disturbances or functional impairment. If a medical condition is present, the eating disturbance exceeds what is expected.
- Avoidant/restrictive food intake disorder may lead to significant weight loss or lack of appropriate weight gain, nutritional deficiencies, dependence on enteral feedings or oral nutritional supplements, and/or impairment in psychosocial functioning.
- Common reasons for inadequate food intake may include fear of choking or vomiting, disinterest in eating, and issues with how food looks, feels, or tastes[1].
- DSM-5-TR diagnosis requires one (or more) of the following: (1) significant weight loss/failure to gain; (2) nutritional deficiency; (3) dependence on enteral feeding or supplements; (4) marked interference with psychosocial functioning
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Last updated: May 11, 2026
Citation
Gary, Joseph, et al. "Avoidant/Restrictive Food Intake Disorder." Johns Hopkins Psychiatry Guide, The Johns Hopkins University, 2026. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787077/all/Avoidant_Restrictive_Food_Intake_Disorder.
Gary J, M, Walsh AL. Avoidant/Restrictive Food Intake Disorder. Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2026. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787077/all/Avoidant_Restrictive_Food_Intake_Disorder. Accessed May 25, 2026.
Gary, J., , M., & Walsh, A. L. (2026). Avoidant/Restrictive Food Intake Disorder. In Johns Hopkins Psychiatry Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787077/all/Avoidant_Restrictive_Food_Intake_Disorder
Gary J, M, Walsh AL. Avoidant/Restrictive Food Intake Disorder [Internet]. In: Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2026. [cited 2026 May 25]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787077/all/Avoidant_Restrictive_Food_Intake_Disorder.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Avoidant/Restrictive Food Intake Disorder
ID - 787077
A1 - Gary,Joseph,M.D.
AU - ,Meher Kalkat,
AU - Walsh,Anne,M.D.
Y1 - 2026/05/11/
BT - Johns Hopkins Psychiatry Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787077/all/Avoidant_Restrictive_Food_Intake_Disorder
PB - The Johns Hopkins University
DB - Johns Hopkins Guides
DP - Unbound Medicine
ER -

Johns Hopkins Psychiatry Guide

