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Avoidant/restrictive food intake disorder: Treatment and long-term outcomesAAvoidant/restrictive food intake disorder: Treatment and long-term outcomesAvoidant/restrictive food intake disorder: Treatment and long-term outcomesEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00Z10.000000000000058.1000000000000653.000000000000Flat ContentHealth A-Z<h2>How is ARFID treated?</h2><p>The first step in treatment of <a href="/Article?contentid=3789&language=English">avoidant/restrictive food intake disorder (ARFID)</a> is to assess if it is safer for someone to be treated as an inpatient (staying in the hospital) or an outpatient (coming for clinic appointments only). Your doctor will check if there are problems with your heart rate or blood pressure or if your weight is too low. Some people will have to come into hospital for feeding support because they have stopped eating.</p><p>Most children and teens get help for ARFID by coming to an eating disorder clinic once or twice a week as an outpatient. Clinic visits usually involve seeing a therapist, sometimes seeing a doctor or nurse for a medical check and sometimes meeting with a dietitian (with your parent or caregiver) to talk about your nutrition and suggest changes to what you are eating.</p><p>The goal of treatment is to help you to increase your eating so you can eat a wide variety of food and your body gets the nutrition it needs.</p><p>Treatment for ARFID usually also includes family-based treatment (FBT). This is because ARFID affects the whole family and it can sometimes be really hard for someone with an eating disorder to go through treatment on their own. The main treatment involves using methods such as exposure therapy, in which a therapist will work with you and your family to reintroduce foods you fear or have been avoiding.</p><p>If you are experiencing depression or anxiety in addition to ARFID, your health-care team may suggest other therapy for these conditions once the eating disorder is under control.</p><p>Sometimes your health-care team may also suggest medication. Antidepressants can help with depression or anxiety. If your thoughts about food are really strong, your doctor may suggest other medications.</p><h2>At SickKids</h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)<br></p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>References</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.</p>
Trouble d’alimentation sélective et/ou d’évitement : traitement et résultats à long terme TTrouble d’alimentation sélective et/ou d’évitement : traitement et résultats à long terme Avoidant/restrictive food intake disorder: Treatment and long-term outcomesFrenchAdolescent;PsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00ZFlat ContentHealth A-Z<h2>Traitement du trouble d’alimentation sélective et/ou d’évitement</h2><p>La première étape dans le traitement du <a href="/Article?contentid=3789&language=French">trouble d’alimentation sélective et/ou d’évitement</a> consiste à évaluer si la personne devrait être traitée en consultation interne (hospitalisation) ou externe (rendez-vous à la clinique seulement). Ton médecin vérifiera si ta tension artérielle et ta fréquence cardiaque sont normales et que ton poids corporel n’est pas trop faible. Il est nécessaire à certaines personnes d’être hospitalisées pour obtenir le soutien alimentaire voulu étant donné qu’elles ne mangent plus du tout.</p><p>La plupart des enfants et des adolescents se font traiter pour ce trouble dans une clinique pour troubles alimentaires en consultation externe, à raison d’une ou deux visites par semaine. Le personnel traitant se compose ordinairement d’un thérapeute, parfois aussi d’un médecin ou d’une infirmière qui se charge de faire passer un examen médical au patient. Une visite avec une diététicienne (en compagnie du père, de la mère ou d’un fournisseur de soins) peut être utile pour parler de nutrition et proposer des changements à ton régime alimentaire.</p><p>Le traitement vise à t’amener à augmenter tes portions, ce qui te permettra de consommer une variété d’aliments pour combler tes besoins nutritionnels.</p><p>Habituellement, le traitement comprend aussi la thérapie familiale parce que le trouble touche tous les membres de la famille et qu’il est parfois très difficile pour une personne atteinte d’un trouble alimentaire de passer toutes les étapes du traitement toute seule. Le principal traitement comprend des méthodes comme la thérapie d’exposition, où le thérapeute travaille avec toi et ta famille pour réintroduire des aliments que tu as peur de manger ou que tu évites. </p><p>Si tu souffres de dépression ou d’anxiété, l’équipe de soins peut proposer d’autres formes de thérapie pour ces maux, une fois le trouble alimentaire sous contrôle.</p><p>Parfois, l’équipe de soins peut aussi prescrire des médicaments. Les antidépresseurs peuvent t’aider à réduire la dépression et l’anxiété. Si tu as une forte aversion envers la nourriture, ton médecin pourra suggérer d’autres médicaments.</p><h2>À l’hôpital SickKids</h2><p>L’hôpital SickKids offre un programme de traitement pour les enfants et les adolescents souffrant de troubles alimentaires comme l’anorexie, la boulimie et le trouble d’alimentation sélective et/ou d’évitement. Pour plus de renseignements sur ce programme, visite la page : <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">http://www.sickkids.ca/adolescentmedicine/programs/eating-disorders-program.html</a> (disponible uniquement en anglais).</p><h2>Ressources</h2><p>(Disponibles uniquement en anglais)</p><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)<br></p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>Références</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.</p>

 

 

 

 

Avoidant/restrictive food intake disorder: Treatment and long-term outcomes3790.00000000000Avoidant/restrictive food intake disorder: Treatment and long-term outcomesAvoidant/restrictive food intake disorder: Treatment and long-term outcomesAEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00Z10.000000000000058.1000000000000653.000000000000Flat ContentHealth A-Z<h2>How is ARFID treated?</h2><p>The first step in treatment of <a href="/Article?contentid=3789&language=English">avoidant/restrictive food intake disorder (ARFID)</a> is to assess if it is safer for someone to be treated as an inpatient (staying in the hospital) or an outpatient (coming for clinic appointments only). Your doctor will check if there are problems with your heart rate or blood pressure or if your weight is too low. Some people will have to come into hospital for feeding support because they have stopped eating.</p><p>Most children and teens get help for ARFID by coming to an eating disorder clinic once or twice a week as an outpatient. Clinic visits usually involve seeing a therapist, sometimes seeing a doctor or nurse for a medical check and sometimes meeting with a dietitian (with your parent or caregiver) to talk about your nutrition and suggest changes to what you are eating.</p><p>The goal of treatment is to help you to increase your eating so you can eat a wide variety of food and your body gets the nutrition it needs.</p><p>Treatment for ARFID usually also includes family-based treatment (FBT). This is because ARFID affects the whole family and it can sometimes be really hard for someone with an eating disorder to go through treatment on their own. The main treatment involves using methods such as exposure therapy, in which a therapist will work with you and your family to reintroduce foods you fear or have been avoiding.</p><p>If you are experiencing depression or anxiety in addition to ARFID, your health-care team may suggest other therapy for these conditions once the eating disorder is under control.</p><p>Sometimes your health-care team may also suggest medication. Antidepressants can help with depression or anxiety. If your thoughts about food are really strong, your doctor may suggest other medications.</p><h2>How to help yourself as you receive treatment for ARFID</h2><h3>Talk to others</h3><p>It can be really difficult to share your worries about your eating or concerns about your body, but talking to a trusted adult is the first step in helping yourself.</p><h3>Gradually change your eating patterns</h3><p>Unfortunately, there is no short-cut to recovery from an eating disorder. Getting better requires you to nourish your body with regular meals and snacks from a variety of food types. It may be really hard to think about this, so when your eating disorder is ‘telling’ you to eat less or avoid certain foods, it can help to eat meals with someone who is supportive.</p><p>The time after eating is when eating disorder thoughts can get really loud for some people. Try to distract yourself by doing something you enjoy or spending time with others. It can help to focus on activities that have nothing to do with food, such as watching a funny movie or playing a board game with family.</p><h3>Learn and practise coping skills</h3><p>As part of your treatment, your therapist may suggest that you try to learn some relaxation methods or <a href="/Article?contentid=3778&language=English">mindfulness</a> to help you cope with your emotions. As overwhelmed as you may feel when eating, do make time to try to practise new coping skills.</p><h2>What can I expect in the future?</h2><p>ARFID can be a very serious condition if someone stops eating to the point that their body is malnourished. You may need treatment both as an inpatient and an outpatient, although some people can get better from outpatient treatment alone.</p><p>Treatment will usually involve regular appointments over one year for you and your family. You will see a therapist at these appointments and sometimes you may see a doctor or nurse practitioner for a medical check. Remember the sooner you get help, the sooner you can start to recover.</p><h2>At SickKids</h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)<br></p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>References</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.</p>