What is a food aversion called: The medical term
A food aversion can range from a mild dislike to a severe condition. When this avoidance is persistent and leads to significant nutritional issues or social impairment, it's known clinically as Avoidant/Restrictive Food Intake Disorder (ARFID). Unlike other eating disorders like anorexia, ARFID is not driven by body image concerns but by sensory sensitivities, fear of negative consequences like choking, or a general lack of interest in food.
Causes and triggers of ARFID
ARFID can result from various factors, which often differ between individuals. For more details, see {Link: Bodywhys https://www.bodywhys.ie/understanding-eating-disorders/arfid/}.
ARFID vs. Picky Eating and Food Allergies
Distinguishing ARFID from typical picky eating or a food allergy is essential. ARFID indicates a more severe and persistent issue than general selective eating.
Comparison of ARFID, Picky Eating, and Food Allergies
| Feature | ARFID (Avoidant/Restrictive Food Intake Disorder) | Picky Eating (Selective Eating) | Food Allergy | 
|---|---|---|---|
| Underlying Cause | Often psychological, sensory, or traumatic. Not related to body image. | Typically a normal developmental phase in childhood; preference-driven. | Immune system response to a specific food protein. | 
| Severity & Impact | Significant nutritional deficiency, weight loss, and/or psychosocial impairment. | Minimal impact on nutrition or growth; usually outgrown. | Can cause severe, life-threatening reactions (anaphylaxis). | 
| Reaction to Food | Intense anxiety, gagging, or vomiting at the sight, smell, or taste of food. | Dislike or refusal of a few specific foods. | Symptoms like hives, swelling, difficulty breathing, or vomiting. | 
| Dietary Restriction | Restricts entire food groups, leading to limited variety and poor nutrition. | May exclude a few foods but eats from a broader range; diet remains mostly balanced. | Must completely avoid the allergenic food to prevent an immune reaction. | 
How to address a food aversion
Managing food aversions, especially those related to ARFID, requires a comprehensive and supportive approach, rather than simply forcing consumption of feared foods. Professional intervention is often necessary for diagnosed ARFID, typically involving a team of healthcare providers, as detailed in {Link: Bodywhys https://www.bodywhys.ie/understanding-eating-disorders/arfid/}. For less severe aversions, various practical strategies may be helpful.
Conclusion
The clinical term for a severe and persistent food aversion is Avoidant/Restrictive Food Intake Disorder (ARFID). This condition differs significantly from typical picky eating and is caused by factors such as sensory sensitivities or negative past experiences, not body image concerns. Recognizing the distinction between ARFID, general selective eating, and food allergies is crucial for seeking appropriate support. While serious cases benefit from professional treatments like CBT-AR or Responsive Feeding, less severe aversions can be managed with patient exposure and positive mealtime strategies. If a food aversion impacts health or quality of life, consulting a healthcare professional is vital. For more information on eating disorders, including ARFID, the National Eating Disorders Association (NEDA) website is a valuable resource.