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Session 3

Selective Eating vs ARFID

Session 3

Strategies

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Food Traffic Light

This is a helpful tool to help you planning which foods are more willing to give it a go but also it helps you to see which foods you don’t feel prepared to have

Foods my parents/other people would like me to try…

Food Chaining

Food chaining is a way of taking a food that you like and slowly adding subtle variations to this food until you can tolerate new ones.

This can be done in different ways and step by step.

It is important that you think about food that might be similar or get help if needed.

Some examples are in the next slide...

Food chaining

• Teenagers and adults usually bring their own motivation to add a new food
– despite their sensory issues (i.e. – teenager that wants to be able to go
out with friends and eat pizza)

How could we work with that?

Food chaining

Fries to carrots

Learning to eat new colour

French fries

Sweet potato fries new colour

Butternut squash fries same shape & colour

Steamed carrots new texture

Roasted carrots same shape & colour

Roasted b.squash new shape

Food chaining involves gradually and systematically diversifying the foods a person will eat.

For example:
You begin with a food that is currently accepted. You then consider what can be tolerated in relation to change i.e. colour, brand, texture, shape.You then identify a new food to try based on what can be tolerated. This new food is then introduced. This then restarts the process.

Potato chips to banana

Learning to enjoy fruit

Potato chips

Plantain chips

Banana chips

Banana

Frozen banana
slices

Freeze-dried
banana

BREAD TO PIZZA

Ways to support children in working towards goals they would like to achieve.

For example:
If you have a child who would like to eat pizza but cannot tolerate this at the moment, food chaining can support breaking this down into manageable steps.

@Feedingpickyeaters

Chicken to fish

Learning to enjoy more protein

Fave nuggets

Fish nuggets

Fish sticks

Baked white fish

Fried white fish

Fish patty

6 Steps to eating

1

Visual

What does it look like?

- What is the colour

- What size is it?

- What is the appearance?

2

Touch

What does it feel like?

- Is it wet or dry?

- Does it feel cold or hot?

- Does it feel bumpy or rough?

3

Smell

What does it smell like?

- Is it weak or strong smell?

- Is it a nice smell?

4

Taste

What does it taste like?

- Does it have a strong taste?

- Is it sweet or salty?

- Is it spicy?

5

Texture/sound

What is the texture like?
What sound does it make
in your mouth?

- Does it feel loud when you chew it?

- Is it crunchy?

- Does it get soft quickly?
*Not expected to eat, it is ok to spit it out

6

Swallow

Any other sensation?

- Any other sensation?

* Small mouthful is ok and gradually increase quantity

Exposure isn’t expected to work straight away, it takes time and repeated experiences.
Start with the foods that cause less anxiety (so at the bottom of the hierarchy/ladder).
Remember, avoidance just causes more anxiety where as, exposure reduces anxiety over time.

Exposure Ladder

Food Exposure

Anxiety (100%)

%

%

%

%

%

%

%

Other Strategies

Remember change can take time! There is no right/wrong way OR specific steps to get 'there'. New foods should not be expected to be eaten straight away, sometimes it is just about exposure.

FADE IN

Start with high
proportion of preferred
food.

Gradually add in
novel food.

Gradually reduce the
amount of preferred
food and increase the novel.

Change it up

If you don't succeed at first, change it up! Try:

Raw
VS
Cooked
Salted
VS
Non-salted

X

spice

Adding in preferred spices, sauces and condiments can be a great way for introducing novel foods. For example:

add
add

Sensation Exposure

Increased tolerance to full sensations can help you to eat enough.

Spinning on a chair
Gulping water

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References or Creators Credit

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My Notes

Supporting Videos

The Fight, Flight, Freeze Response

If you could change one thing about your body, what would it be?

Mindful Eating