Emily McTier, Registered Psychotherapist #17763 is a Registered Psychotherapist (Qualifying) at MyLife Counselling in Guelph. She works with youth and adults through behavioural issues, emotional regulation, self-injury, neurodivergence, ADHD, student issues, anxiety, depression, and  life transitions. Learn more about Emily here.

It’s Not “Just Picky Eating”: Understanding ARFID with Compassion

What if the struggle with food isn’t defiance—but something deeper that deserves understanding?

You’ve heard it before.

“You’re just a picky eater.”
“They’ll grow out of it.”
“Just try a bite—it’s not that hard.”

Or you’ve said these things yourself, out of worry, frustration, or confusion.

But what if the reality is more complex?

For some children, teens, and adults, eating is not simply a matter of preference or stubbornness. It can feel overwhelming, distressing, and even frightening. And when that struggle is dismissed as “picky eating,” it can leave people feeling misunderstood, ashamed, or alone.

If this resonates, there is something important to understand: it might not be “picky eating” at all. It could be ARFID.

What Is ARFID, Really?

Avoidant/Restrictive Food Intake Disorder (ARFID) is an eating disorder—but it often looks vastly different from what people expect.

Unlike other eating disorders, ARFID is not driven by concerns about weight or body image. Instead, it is characterized by an avoidance or restriction of food that can stem from:

  • Sensory sensitivities (taste, texture, smell, temperature)
  • Fear of negative experiences (such as choking, vomiting, or allergic reactions)
  • A general lack of interest in eating or low appetite

For someone with ARFID, eating certain foods—or sometimes eating at all—can trigger intense discomfort or anxiety. This goes far beyond preference.

“Picky Eating” vs. ARFID: What’s the Difference?

Many children go through phases of being selective with food. That is a normal part of development.

But ARFID is different in both intensity and impact.

It might look like:

  • Eating a limited range of “safe” foods
  • Strong emotional reactions (anxiety, panic, distress) around new or unfamiliar foods
  • Avoiding entire food groups or textures
  • Difficulty eating in social settings
  • Nutritional deficiencies, low energy, or growth concerns (in children)
  • Feeling overwhelmed or ashamed about eating habits

The key difference is this: ARFID is not a choice.

It is not about being “difficult,” “defiant,” or “spoiled.” It is a genuine and often distressing experience that the individual cannot simply push through.

For Parents: When It’s Not About Behaviour

If you’re a parent, it can be incredibly hard to watch your child struggle with food.

You may feel worried about their health.
You may feel frustrated at mealtimes.
You may have tried everything—negotiating, encouraging, insisting.

And when nothing seems to work, it can be tempting to interpret the behaviour as oppositional.

But children with ARFID are not trying to be difficult. In many cases, they are doing their best to cope with something that feels overwhelming to their system.

What can help instead?

  • Shift from pressure to curiosity: “What feels hard about this food?”
  • Reduce mealtime stress: Focus on connection over consumption
  • Validate their experience: Even if you don’t fully understand it
  • Avoid power struggles: These often increase anxiety and resistance
  • Seek support early: You don’t have to navigate this alone

When children feel safe and understood, change becomes more possible.

For Young Adults: “I Thought I Was Just Difficult”

If you grew up being labeled a “picky eater,” you might carry more than just food preferences.

You might carry:

  • Shame about eating in front of others
  • Anxiety around trying new foods
  • Frustration with yourself (“Why can’t I just eat normally?”)
  • A sense of being misunderstood

You’ve pushed yourself to “just try harder,” only to feel overwhelmed or discouraged.

If this is your experience, it’s worth saying clearly:
There is nothing wrong with you.

ARFID is not a failure of willpower. It is not immaturity. It is not something you chose.

Understanding your relationship with food through this lens can be a powerful first step—not toward forcing change, but toward approaching yourself with more compassion.

The Emotional Impact That Often Goes Unseen

ARFID is not just about food—it can affect many areas of life.

  • Social situations (avoiding restaurants, gatherings, travel)
  • Family dynamics (stressful mealtimes, conflict)
  • Self-esteem (feeling “different” or judged)
  • Daily functioning (energy levels, focus, health)

Because it doesn’t always “look” like a typical eating disorder, many people struggle in silence—or go years without having their experience recognized.

But the impact is real. And it matters.

How Therapy Can Help with ARFID

If you or your child is struggling with ARFID, therapy can provide a structured, supportive space to begin making sense of what is happening—without pressure, shame, or forced eating.

As a therapist working with ARFID, I help clients move beyond the “picky eater” label and understand what is driving the fear, avoidance, or restriction around food.

In therapy, we can work on:

  • Understanding the root of food avoidance (sensory sensitivity, fear responses, anxiety, or past experiences)
  • Reducing anxiety around food in a gradual and tolerable way
  • Building a sense of safety and predictability around eating
  • Expanding “safe foods” at a pace that feels manageable, not overwhelming
  • Supporting parents in responding in ways that reduce stress and pressure at mealtimes
  • Addressing shame, frustration, or self-criticism that often develops over time

The goal is never to force or rush—but to gently increase flexibility, reduce distress, and make food feel less consuming in daily life.

You do not have to figure this out alone, and you do not have to wait until things feel “severe enough” to seek support.

If ARFID is impacting your life or your child’s wellbeing, therapy can be a place to start making things feel more possible again.

Emily McTier, Registered Psychotherapist  #17763 is a Registered Psychotherapist (Qualifying) at MyLife Counselling in Guelph. She works with youth and adults through behavioural issues, emotional regulation, self-injury, neurodivergence, ADHD, student issues, anxiety, depression, and  life transitions. Learn more about Emily here.

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