My Dietitian: Your body actually requires food to function and keep you alive.
Me: Okay...that sounds fake but okay.
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@arfidteen
My Dietitian: Your body actually requires food to function and keep you alive.
Me: Okay...that sounds fake but okay.
[enters kitchen]
[sees other ppl cooking, dirty counters, old washingmachine leaves little food stains on dishes, dad trying to get me to āreuseā dishes, literally unsafe food everywhere]
[leaves kitchen]
°Ėā§*⢠ Shop, Patreon, Commission Me Ā *ā¢. ā§Ė°`
I found a new food I might want to try and to also introduce an old food with it
literally how to get the nastiest comments ever: have ARFID
Shout out to all my avoidant/restrictive people who struggle through lunch every day
To people who can barely piece together a meal from the options at their schools
To people who can feel people staring at them when they put together a plate of mismatched, monochromatic foods
To people who avoid friendsā houses like the plague so they wonāt be forced to go through the agony that is a ānormalā mealāor worse, have to insist on only eating their safe foods and offend the host
We are all incredibly strong and brave, even if society mocks us. We are not burdens. We are worthwhile.
So last night I posted a fannish thing about a character having sensory issues with food suspiiiciously almost identical to mine (shh) and someone reblogged it with the tag #arfid life, so I googledĀ āarfidā and found Avoidant/restrictive food intake disorder and oh man I just want to cryyyy. Ā āThe most common type of treatment for ARFID is some form of cognitive-behavioral therapy.ā
What motherfucking numbskull thought that was a good idea? Ā (I know, I know, I know, I completely understand the thought process that went into it, Iām a therapist, I know how it works.) Ā Like clearly this was someone WHO DOESNāT KNOW WHAT ITāS LIKE. Ā Who doesnāt understand the qualitatively different feeling of gagging and nausea. Ā Like, how do you CBT around that? Ā āThis is going to taste gross.ā Ā āThatās a cognitive distortion.ā Ā Maybe itās the therapist equivalent of, āYou havenāt even tried it! Just take one bite.ā At best you end up talking people into eating a lot of things that are, to them, disgusting and aversive.
Oh my god we need better standardized treatments. Ā We need better. We need better.
#actually ARFID
So what is ARFID?
It stands for Avoidant/Restrictive Food Intake Disorder, which is a disorder previously known as Selective Eating Disorder (SED).
This is a disorder that makes most food repulsive to me, and the reason I only eat a few foods. Itās the reason I can walk into a restaurant and find NOTHING on the menu to eat. Itās the reason basically every food-related situation in my life is a nightmare.
Iām so glad this a tumblr hashtag now, so people like me who are #actually ARFID can find each other.
The diagnostic criteria for rumination disorder, avoidant/restrictive food intake disorder, anorexia nervosa, bulimia nervosa, and binge-eating disorder result in a classification scheme that is mutually exclusive, so that during a single episode, only one of these diagnoses can be assigned. The rationale for this approach is that, despite a number of common psychological and behavioral features, the disorders differ substantially in clinical course, outcome, and treatment needs. A diagnosis of pica, however, may be assigned in the presence of any other feeding and eating disorder.
Part of the introductory paragraph for the āFeeding and Eating Disordersā section in the DSM-V (via fuck-thinner-eat-dinner)
That ARFID feeling when your body's telling you to eat but your brain doesn't want you too, so you're stuck in limbo hell.
Someone: Omg you're so thin!! How do you keep such a slim figure?? | My ARFID ass: [sweats nervously]
that AFRID feel when you go to eat one of your safe foods but it doesnāt taste the same and it no longer feels Safeā¢
Food Training Breakdown
Iāve gotten a few questions about food-training, so I decided to make a post for you all.
Food Training is basically just exposure therapy. (The thing used to help people with phobias.)
Disclaimer: Keep in mind that everyone is different, and no oneās limits are the same. What might work for one person might not work for another. Iāve only successfully managed to food-train a handful of foods, and I am definitely no dietitian.
The first step is finding a food to train on.
(You can do more than one if you feel up to it, but I prefer to stick to one at a time.)
For me, picking a compatible food is the most important part of this, and boils down to a few key components: Necessity, Availability, Timing, and Food-Hierarchy.
Necessity: Donāt food-train on something you picked out of a hat. Find something that you NEED for one reason or another. Whether thatās a nutritional requirement, a food thatās a common restaurant menu-item, a staple food near you, or something that your family/friends/household/etc have a vested interest in (like if your parents were pumpkin farmers and everything in your house had pumpkin in it but you donāt eat pumpkin). If you train on delicacies only eaten in the Himalayas with no intention ofā¦ever going to the Himalayas, thatās not a great plan. Find something that would make DIFFERENCE IN YOUR LIFE if you were able to eat it.
Availability: If you decide to food-train on a $300 wheel of cheese, youāre probably going about this the wrong way. Food training takes a long time. Sometimes YEARS. Itās important that you can have something readily available in stores near you or relatively easy to make and that you can afford.
Timing:Ā Sometimes whatever voodoo magic controlling my interest in food differs depending on the day. I donāt know what it is, but there are certain days where the idea of eating soup makes me want to gag, and yet other times (like every third Sunday under a waxing moon when the wind blows in an Easterly direction) I can look at it and say āā¦maybeā¦ā¦justā¦..maybeā¦ā¦ā This is the time to food-train. This way you can associate the food with a better reaction. Some foods have more rigid feels, but others are kind of wishy washy. And some days they look more possible than others.
This ties into my final component
Position of the Food on the Food-Hierarchy: If you asked someone ((in the western world, at least)) without ARFID to choose between eating a brown, mushy banana and eating a banana slug, they would most likely choose the banana. They would think BOTH were a nasty option, but thereās one that a lot LESS disgusting than the other. This is what I personally think of as the Food-Hierarchy. It is different for every person, constantly in flux, and sometimes nigh-indistinguishable, but itās a cornerstone for me in choosing foods. Trying to food-train on one of your āvomit-inducingā foods is going to be a lot harder and emotionally draining than some of your more āmoderate disgustā foods.
When I decided to train with soup (which Iām currently doing now), I did so because itās nutritious (which I need), a staple food where I live, cheap and easy to make, and relatively flexible on the Food-Hierarchy for me.
I will probably never food-train with casseroles. Because while they are all of the former things, they are MUCH more rigidly set into the āgag, disgusting, vomitā category of the Food-Hierarchy. Itās just not going to happen.
I probably wonāt train with berries either. Because while they ARE more appealing on the Food-Hierarchy, it justā¦doesnāt seem like thereās an urgent need for me to eat berries? I can obtain their nutritional value from juices, and unless Iām going to be just eating them raw, they would probably come with more training than I really want to do (pie, cobbler, tarts, shortcake, etc). Also, they can get kinda pricey for good ones. And if theyāre out of season when Iām in a better headspace for food-training, Iām gonna be kinda out of luck.
See how they all tie in?
The second step is figuring out if the food is modular.
Soup is very modular. Start with broth. When thatās tolerable, add one ingredient. When thatās tolerable, add another.
If youāre trying to eat spaghetti sauce, you can start by eating spaghetti while smelling the sauce. When thatās tolerable, put a little sauce on. Then more, then more, etc.
If you want to start eating crackersā¦thatās going to be a lot harder, because it isnāt as modular. Thatās not to say itās impossible, itās just harder to piece it into little baby steps.
The third step is breaking those steps (if there are any) down even further.
First, try smelling it and holding it near your open mouth. (And make sure to actually breathe in through your open mouth. Donāt hold your breath)
When thatās tolerable, try putting it on your tongue and then removing it
When thatās tolerable, try holding it in your mouth for a while before removing it
Then chewing and spitting out
Then chewing and swallowing
And most importantly: Donāt Get Discouraged!
One of the biggest struggles is realizing how long this all takes. It will probably take me years to train one very specific recipe of soup. On the other hand, I have another food that only took a month or two. Thatās just the way this cookie crumbles.
Even so, Iāll be honest with you: there are quite a few foods that I have started to train on and never been able to successfully train myself to eat.
However, the few foods this has worked for have helped make my life a lot easier, and I definitely recommend it.
I believe in you all <3
me: im an extremely picky eater neurotypical: omg me too(: me: noā¦. you dont understandā¦.
when you donāt eat one of your safe foods for a while and then you start eating it literally everyday until you get tired of it eventually and the cycle continues and continues
[]: i mean you're always eating junk food!!!!!,,,
my arfid ass: yeah...your point?
Thanksgiving: The day I get to eat the least bc the only plain things available are turkey, dinner rolls, and MAYBE some corn.
and then everyone sits around u saying things likeĀ āyouāre not gonna eat?ā and my favoriteĀ āyou dont know what youāre missingā.