User:Tiger Daisy/Avoidant/restrictive food intake disorder

Obsessive-Compulsive and Related Disorder Due to Pediatric acute-onset neuropsychiatric syndrome (PANS)

An assessment of symptoms and onset of these symptoms must be completed in order to determine if someone has obsessive-compulsive and related disorder. This can be caused by pediatric acute-onset neuropsychiatric syndrome (PANS) that is characterized by a sudden onset of obsessive-compulsive symptoms or severely restricted food intake. These conditions together can lead to additional neuropsychiatric symptoms.

Obsessive Compulsive Disorder:

Those with obsessive-compulsive disorder may enhibit symptoms of avoidant-restrictive food intake disorder, however these behaviors may or not be clinically significant and require an ARFID diagnosis along with a diagnosis of oessive compulsive disorder (DSM5tr).

Autism Spectrum Disorder:

Children with autism spectrum disorder are more likely than other children to have atypical eating behaviors. Although this is a common symptom of autism and in some cases certain eating behaviors are attributes to autism, autism spectrum disorder and avoidant-restrictive food intake disorder are not mutually exclusive. The most common symptom seen in patients with both autism and avoidant-restrictive food intake disorder is sensory-based avoidance, however fear-based restriction and lack of interest in food are prevalent in this population as well If eating behaviors are clinically significant and severly impacting consumption, a person will be diagnosed with avoidant-restrictive food intake disorder in addition to autism spectrum disorder.

Major Depressive Disorder:

Major depressive disorder often makes it difficult for patients to be interested in food, which is a common sign of avoidant-restrictive food intake disorder. Often, food intake is resolved with improvement of mood problems. A disgnosis of avoidant-restrictive food intake disorder should be given in addition to major depressive disorder if full criteria for both diagnoses are met and specifically if food interest or intake does not improve with improvements in mood. Also, if it seems as though the lack of interest in food needs to be specifically focused on in treatment,the ARFID diagnosis should be given (DSM5tr)

Developmentally Normal Behavior
Avoidant-restrictive food intake disorder may look similar to "picky eating" that is commonly seen in toddlers and young children, however the key difference between a normal narrow range of acceptable foods versus ARFID is that "picky eating" tends to resolve on its own without intervention whereas ARFID will not resolve unless the person struggling has access to support and treatment (DSM5tr). Typically with ARFID, the behaviors are so severe that they lead to nutritional deficiencies. Developmentally normal restructive eating can actually be ARFID, however for the diagnosis the behaviors have to be clinically significant and meet the criteria set out by the DSM (DSM5tr).