Massachusetts General Hospital
This study is a randomized controlled trial assessing the efficacy of cognitive- behavioral therapy (CBT-AR) and nutrition counseling for avoidant/restrictive food intake disorder (ARFID) for children and adolescents (ages 10-18 years).
Inclusion Criteria: * Males and Females ages 10-18 years old * Current ARFID assessed via Feeding and Eating Disorders Model from the "Enhanced" Structured Interview for DSM-5 (SCID-5) * Normal TSH or free T4 levels to rule out thyroid disease as cause of symptoms inclusionary for randomization * Negative celiac screening panel indicating no active celiac disease as cause of symptoms inclusionary for randomization * Fluency and literacy in English Exclusion Criteria: * Patient requires weight restoration treatment (e.g., \< 5th percentile of BMI, height, or weight for sex and age; patient h…
CBT-AR is a four-stage modular treatment for ARFID delivered by a mental health clinician. The four stages include: 1) Psychoeducation and early change; 2) Treatment planning; 3) Addressing maintaining mechanisms; and 4) Relapse prevention. For participants ages 10-15 years, patients/guardians attend the sessions. For patients ages 16 and up, the therapy is individual.
Nutrition counseling will be provided by skilled registered dietitians at the MGH Translational and Clinical Research Center (TCRC). Sessions focus on the foods necessary for a healthy diet, how to meet nutritional needs, how to incorporate healthy exercise, and support for making these changes. For participants ages 10-15 years, patients/guardians attend the sessions. For patients ages 16 and up, the therapy is individual.
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