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Session 4

Selective Eating vs ARFID

Session 4

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Specific

What is your desired result? What exactly do you want to accomplish? Think about WHO, WHAT, WHERE, WHY WHEN.

Measurable

How will you track your progress and outcome? Can you quantify or put numbers to your outcome?

Achievable

Is this goal realistic? Have you got the resources to achieve this goal? What factors may prevent you from achieving your goal?

Relevant

Why is this goal significant to you? What effect will achieving this goal have on your life and on others?

Timely

When will you achieve this goal? If your goal is large, try breaking it down into smaller goals with incremental deadlines.

SMART Goals

Goal:
Benefits of Achieving Goal?
How will you know where you are there?

5 Step Model

Explore
Understand
Accept
Challenge
Change

Explore

What exactly are your child’s eating difficulties? Are there difficulties with the amount of food or the range of foods or both? Are these long standing difficulties or more recent? Is your child having any additional Supplements; if so how much, via what method and when is this given? Are the difficulties experienced across all environments; school, home, friends, relatives, restaurants?

Understand

What are the main drivers for avoidance and restrictive patterns of eating? Low interest in food? Sensory sensitivities? Concern about adverse consequences? Why might these be present; disrupted appetite; low desire to eat due to mood, stress, concentration, over arousal? Is restriction a side effect of medication? Are any concurrent illness or conditions affecting avoidance or restrictive eating such as oral-motor difficulties? Is your child a supertaster? Are their feelings of disgust or anxiety related to past negative experiences or worries picked up from others? Other difficulties such as ADHD, ASD, Intellectual Disabilities, family with restrictive eating difficulties?

Accept

Accepting this is how things are at present. Accepting it is okay to worry and it is likely your child’s eating is a result of normal fear related responses. Understanding and accepting why your child might be responding this way at present. Understanding that this does not have to be how things will be for ever but change can be a slow process.

Challenge

Identify what needs to change and whether there is real potential for change? What needs exploring first? How might this be achieved? What are the current consequences of eat difficulties and how might this affect what is changed first?

Change

To start making changes following this 5 step model sequence. Keep a record of changes, things that you try, what works and what doesn't. Appreciate the small changes and realistic about your expectations. Be as clear and consistent as you can minimising confrontation as much as possible.

Progress Review

What has been going well?

What have been the challenges?

What has helped overcome these challenges?

What do you need continued support with?

Are you on target for your goals?

What are my next steps?

Take Away Lessons

Step 1 - Explore what type of difficulties are present

Step 2 - Get help if needed

Step 3 - Choose the approach together

Step 4 - Consider a different intervention if the first one doesn´t work

Step 5 - Be consistent and set manageable expectations

Everyone is unique

“ Change will take place over
time, but I know I have
begun my journey “

Acknowledgements: Selective Eating vs ARFID

Created by:

  • (Module Lead): Dr Paola Falcoski, Advanced Specialist Eating Disorder Dietitian
  • Bedfordshire and Luton Mental Health and Wellbeing Services

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My Notes

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