Paeds Vivas · mental-behavioural-and-psychosomatic
Avoidant restrictive food intake disorder — branching viva
Branching viva on holding the ARFID versus anorexia nervosa boundary, classifying the driver pattern, protecting medical safety and refeeding risk, delivering evidence-based CBT-AR or FBT, and stopping coercion.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in a general paediatric clinic. The examiner will move from a first presentation of adolescent food refusal, to the ARFID versus anorexia nervosa boundary, to a low-weight safety challenge, to evidence-based therapy, and to a coercion and autism scenario.
Stem
The examiner will test whether you can hold the ARFID versus anorexia nervosa boundary under pressure, keep the child medically safe, choose pattern-matched evidence-based therapy, and refuse both coercion and dismissal. [3] [2]
References8ShowHide
- [1]Katzman DK, Spettigue W, Agostino H, et al. Incidence and Age- and Sex-Specific Differences in the Clinical Presentation of Children and Adolescents With Avoidant Restrictive Food Intake Disorder. JAMA pediatrics, 2021.PMID 34633419
- [2]Katzman DK, Guimond T, Spettigue W, et al. Classification of Children and Adolescents With Avoidant/Restrictive Food Intake Disorder. Pediatrics, 2022.PMID 35945342
- [3]Kambanis PE, Thomas JJ Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder. Current psychiatry reports, 2023.PMID 36640211
- [4]Thomas JJ, Becker KR, Kuhnle MC, et al. Cognitive-behavioral therapy for avoidant/restrictive food intake disorder: Feasibility, acceptability and preliminary effects. The International journal of eating disorders, 2020.PMID 32776570
- [5]Spettigue W, Norris ML, Santos A, et al. Treatment of children and adolescents with avoidant/restrictive food intake disorder: a case series examining the feasibility of family therapy and adjunctive treatments. Journal of eating disorders, 2018.PMID 30123505
- [6]Couturier J, Isserlin L, Norris M, et al. Canadian practice guidelines for the treatment of children and adolescents with eating disorders. Journal of eating disorders, 2020.PMID 32021688
- [7]Bryson AE, Scipioni AM, Essayli JH, et al. Outcomes of low-weight patients with avoidant/restrictive food intake disorder after medical hospitalization. The International journal of eating disorders, 2018.PMID 29493804
- [8]Kambanis PE, Tabri N, McPherson I, et al. Prospective 2-Year Course and Predictors of Outcome in Avoidant/Restrictive Food Intake Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 2025.PMID 38718975