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Each one of us has our own unique relationship to food, just as we have a unique relationship with each person we encounter in life.",{"type":65,"attrs":229,"content":230},{"textAlign":67},[231,233,239,241,247],{"text":232,"type":71},"It can be confusing to know what “normal” eating is versus what counts as ",{"text":234,"type":71,"marks":235},"disordered eating",[236],{"type":104,"attrs":237},{"href":238,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18643",{"text":240,"type":71},". 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Some individuals may not show symptoms until middle childhood, adolescence or later.\"",{"type":65,"attrs":454},{"textAlign":67},{"type":65,"attrs":456,"content":457},{"textAlign":67},[458,460,466],{"text":459,"type":71},"Hear more from Dr. Jones on ERC's ",{"text":461,"type":71,"marks":462},"ARFID episode of the Mental Note podcast",[463],{"type":104,"attrs":464},{"href":465,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18694",{"text":467,"type":71},".",{"type":250,"attrs":469,"content":470},{"level":252,"textAlign":67},[471],{"text":472,"type":71},"What types of ARFID affect teens?",{"type":65,"attrs":474,"content":475},{"textAlign":67},[476],{"text":477,"type":71},"There are three main types of ARFID:",{"type":479,"attrs":480,"content":482},"ordered_list",{"order":481},1,[483,490,496],{"type":265,"content":484},[485],{"type":65,"attrs":486,"content":487},{"textAlign":67},[488],{"text":489,"type":71},"Sensory sensitivity",{"type":265,"content":491},[492],{"type":65,"attrs":493,"content":494},{"textAlign":67},[495],{"text":309,"type":71},{"type":265,"content":497},[498],{"type":65,"attrs":499,"content":500},{"textAlign":67},[501],{"text":502,"type":71},"Fear of aversive consequences",{"type":65,"attrs":504,"content":505},{"textAlign":67},[506],{"text":507,"type":71,"marks":508},"Type 1: Sensory sensitivity",[509],{"type":417},{"type":65,"attrs":511,"content":512},{"textAlign":67},[513],{"text":514,"type":71},"Teens who have strong sensory sensitivity may limit what they are eating based on the sensory properties of food. 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",{"text":746,"type":71,"marks":747},"How common is ARFID in teens",[748],{"type":104,"attrs":749},{"href":750,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19739",{"text":752,"type":71},"? 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Unlike most other eating disorders, all genders face an equal risk for developing ARFID.",{"type":65,"attrs":780,"content":781},{"textAlign":67},[782,784,790,792,798],{"text":783,"type":71},"When it comes to the ",{"text":785,"type":71,"marks":786},"causes of ARFID",[787],{"type":104,"attrs":788},{"href":789,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19805",{"text":791,"type":71},", multiple factors may be at play, including ",{"text":793,"type":71,"marks":794},"genetic",[795],{"type":104,"attrs":796},{"href":797,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18715",{"text":799,"type":71},", psychological, cultural and more.",{"type":65,"attrs":801,"content":802},{"textAlign":67},[803],{"text":804,"type":71,"marks":805},"How do I know if my teen needs help?",[806],{"type":417},{"type":65,"attrs":808,"content":809},{"textAlign":67},[810],{"text":811,"type":71},"Dr. Jones shares insight regarding ARFID signs to watch for, and when to seek help.",{"type":430,"content":813},[814,819],{"type":65,"attrs":815,"content":816},{"textAlign":67},[817],{"text":818,"type":71},"“With ARFID, teens are not meeting appropriate nutritional needs, due to sensory sensitivity, a lack of interest in eating, or because they fear aversive consequences.",{"type":65,"attrs":820,"content":821},{"textAlign":67},[822],{"text":823,"type":71},"If a caregiver notices the signs listed above and unexpected weight loss, failure to gain weight, malnutrition or other physical and mental health problems, it’s advisable to seek help.\"",{"type":65,"attrs":825},{"textAlign":67},{"type":65,"attrs":827,"content":828},{"textAlign":67},[829],{"text":830,"type":71},"ARFID is a relatively new eating disorder, having been added to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) -- a manual that helps providers make mental health diagnoses -- in 2013.",{"type":65,"attrs":832,"content":833},{"textAlign":67},[834],{"text":835,"type":71},"Because of its relative newness and due to surrounding myths, teens with ARFID symptoms (and their caregivers) may feel powerless or isolated at times.",{"type":65,"attrs":837,"content":838},{"textAlign":67},[839,841,846],{"text":840,"type":71},"If you or a loved one are struggling, we want you to know that ",{"text":842,"type":71,"marks":843},"you are not alone",[844],{"type":845},"italic",{"text":847,"type":71}," and there are many passionate healthcare providers who are here to help you.",{"type":250,"attrs":849,"content":850},{"level":252,"textAlign":67},[851],{"text":852,"type":71},"How does ARFID differ from anorexia?",{"type":65,"attrs":854,"content":855},{"textAlign":67},[856,858,864],{"text":857,"type":71},"While ARFID symptoms, like food restriction and avoidance, may sound like symptoms of ",{"text":859,"type":71,"marks":860},"anorexia nervosa",[861],{"type":104,"attrs":862},{"href":863,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5161",{"text":865,"type":71},", the two diagnoses are quite different. Notably, people with ARFID are not motivated by weight loss or thinness - which is what drives anorexia nervosa. However, due to their restrictive eating habits, people with ARFID suffer from malnutrition and may be at very low body weights, which can produce some of the same physical characteristics as anorexia nervosa.",{"type":65,"attrs":867,"content":868},{"textAlign":67},[869],{"text":870,"type":71},"Many people associate eating disorders with concerns about weight and body image. While that’s true in some cases, ARFID is an eating disorder with unique diagnostic criteria. As a result, there is a chance that ARFID might be misdiagnosed as anorexia nervosa -- or diagnosed later than would be ideal.",{"type":65,"attrs":872,"content":873},{"textAlign":67},[874],{"text":875,"type":71},"Dr. Jones explains the difference between ARFID and anorexia nervosa:",{"type":430,"content":877},[878],{"type":65,"attrs":879,"content":880},{"textAlign":67},[881],{"text":882,"type":71},"“If we think about anorexia nervosa, there is a disturbance in body image or overvaluation of body shape and weight. With ARFID, there is an absence of that. Or -- the body distortions are not driving the restrictive eating habits.”",{"type":65,"attrs":884},{"textAlign":67},{"type":65,"attrs":886,"content":887},{"textAlign":67},[888,890,902],{"text":889,"type":71},"Read more about ",{"text":891,"type":71,"marks":892},"ARFID and anorexia in children with autism",[893],{"type":104,"attrs":894},{"href":895,"uuid":896,"anchor":67,"target":27,"linktype":31,"story":897},"\u002Fresources\u002Fautism-spectrum-eating-disorder","7f608074-4dcc-46d8-a871-710ff77ac034",{"name":898,"id":899,"uuid":896,"slug":900,"url":901,"full_slug":901,"_stopResolving":35},"What to Do When Autism and Eating Disorders Overlap",140670742237893,"autism-spectrum-eating-disorder","resources\u002Fautism-spectrum-eating-disorder",{"text":467,"type":71},{"type":65,"attrs":904,"content":905},{"textAlign":67},[906],{"text":907,"type":71,"marks":908},"Does your loved one have ARFID?",[909],{"type":417},{"type":65,"attrs":911,"content":912},{"textAlign":67},[913,919],{"text":914,"type":71,"marks":915},"Take this ARFID quiz to find out",[916],{"type":104,"attrs":917},{"href":918,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5201",{"text":467,"type":71},{"type":250,"attrs":921,"content":922},{"level":252,"textAlign":67},[923],{"text":924,"type":71},"What does ARFID treatment for teens look like?",{"type":65,"attrs":926,"content":927},{"textAlign":67},[928],{"text":929,"type":71},"ARFID treatment for teens may include some or all of the following:",{"type":262,"content":931},[932,939,946,965,972,979],{"type":265,"content":933},[934],{"type":65,"attrs":935,"content":936},{"textAlign":67},[937],{"text":938,"type":71},"A multidisciplinary team to coordinate and provide treatment",{"type":265,"content":940},[941],{"type":65,"attrs":942,"content":943},{"textAlign":67},[944],{"text":945,"type":71},"Medical and psychiatric stabilization",{"type":265,"content":947},[948],{"type":65,"attrs":949,"content":950},{"textAlign":67},[951,957,959],{"text":952,"type":71,"marks":953},"Nutritional rehabilitation",[954],{"type":104,"attrs":955},{"href":956,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18050",{"text":958,"type":71}," and ",{"text":960,"type":71,"marks":961},"weight restoration",[962],{"type":104,"attrs":963},{"href":964,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19207",{"type":265,"content":966},[967],{"type":65,"attrs":968,"content":969},{"textAlign":67},[970],{"text":971,"type":71},"Individual and group therapy",{"type":265,"content":973},[974],{"type":65,"attrs":975,"content":976},{"textAlign":67},[977],{"text":978,"type":71},"Family therapy, education and support",{"type":265,"content":980},[981],{"type":65,"attrs":982,"content":983},{"textAlign":67},[984],{"text":985,"type":71},"Collaboration with referring providers",{"type":65,"attrs":987,"content":988},{"textAlign":67},[989,991,997],{"text":990,"type":71},"The most important step toward starting treatment for a teen with ARFID is having an accurate diagnosis and ",{"text":992,"type":71,"marks":993},"comprehensive assessment",[994],{"type":104,"attrs":995},{"href":996,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fform\u002Fself-assessment-form",{"text":998,"type":71},". There is no “one size fits all” treatment approach. Dr. Bermudez offers his recommendation on how to ensure an accurate diagnosis,",{"type":430,"content":1000},[1001,1006],{"type":65,"attrs":1002,"content":1003},{"textAlign":67},[1004],{"text":1005,"type":71},"“You want to be an informed consumer and ensure the diagnosis is verified by clinicians with experience, usually multidisciplinary.",{"type":65,"attrs":1007,"content":1008},{"textAlign":67},[1009],{"text":1010,"type":71},"If your pediatrician suspects a case of, say, restrictive ARFID, they should make a referral to a therapist and dietitian with the clinical expertise to get a consensus. Then, your child’s doctor can make a recommendation of where to find help.”",{"type":65,"attrs":1012},{"textAlign":67},{"type":65,"attrs":1014,"content":1015},{"textAlign":67},[1016],{"text":1017,"type":71,"marks":1018},"The Eating Recovery Center ARFID treatment approach",[1019],{"type":417},{"type":65,"attrs":1021,"content":1022},{"textAlign":67},[1023,1028],{"text":1024,"type":71,"marks":1025},"The treatment approach at ERC",[1026],{"type":104,"attrs":1027},{"href":246,"uuid":67,"anchor":67,"target":67,"linktype":17},{"text":1029,"type":71}," is tailored for each unique individual, includes all of the treatments listed in the bullet points above, and addresses the following:",{"type":262,"content":1031},[1032,1039,1046,1053],{"type":265,"content":1033},[1034],{"type":65,"attrs":1035,"content":1036},{"textAlign":67},[1037],{"text":1038,"type":71},"The patient's developmental history",{"type":265,"content":1040},[1041],{"type":65,"attrs":1042,"content":1043},{"textAlign":67},[1044],{"text":1045,"type":71},"Internal and external motivators as well as goals and values",{"type":265,"content":1047},[1048],{"type":65,"attrs":1049,"content":1050},{"textAlign":67},[1051],{"text":1052,"type":71},"Areas in the patient’s life that are negatively impacted by ARFID symptoms (e.g., physical health, social functioning, psychological well-being)",{"type":265,"content":1054},[1055],{"type":65,"attrs":1056,"content":1057},{"textAlign":67},[1058],{"text":1059,"type":71},"Family dynamics and family involvement",{"type":65,"attrs":1061,"content":1062},{"textAlign":67},[1063,1065,1076,1078,1084,1086,1098],{"text":1064,"type":71},"A unique component of ARFID treatment at ERC is continuous education of patients and ",{"text":1066,"type":71,"marks":1067},"caregivers",[1068],{"type":104,"attrs":1069},{"href":1070,"uuid":1071,"anchor":67,"target":27,"linktype":31,"story":1072},"\u002Ffamilies","dd2bd6a4-6664-4b89-8294-bb3d4c4b1bdc",{"name":1073,"id":1074,"uuid":1071,"slug":1075,"url":1075,"full_slug":1075,"_stopResolving":35},"Families",133389467289372,"families",{"text":1077,"type":71}," alike on diagnosis, interventions, treatment expectations and treatment goals. Dr. Jones shares some insight into how the providers at ERC work at our ",{"text":1079,"type":71,"marks":1080},"teen residential programs",[1081],{"type":104,"attrs":1082},{"href":1083,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19850",{"text":1085,"type":71}," and other ",{"text":1087,"type":71,"marks":1088},"levels of care",[1089],{"type":104,"attrs":1090},{"href":1091,"uuid":1092,"anchor":67,"target":27,"linktype":31,"story":1093},"\u002Fwhat-we-treat\u002Feating-disorders\u002F","be2ca5b8-6af2-4401-866b-e4340246ef7b",{"name":1094,"id":1095,"uuid":1092,"slug":1096,"url":1097,"full_slug":1097,"_stopResolving":35},"Eating Disorders",145653010838098,"eating-disorders","what-we-treat\u002Feating-disorders\u002F",{"text":467,"type":71},{"type":430,"content":1100},[1101,1106,1111,1116,1121,1126],{"type":65,"attrs":1102,"content":1103},{"textAlign":67},[1104],{"text":1105,"type":71},"“We are not forcing anyone with an ARFID diagnosis into our expectations of recovery.",{"type":65,"attrs":1107,"content":1108},{"textAlign":67},[1109],{"text":1110,"type":71},"This is really about their life and their functioning and how can we help them function in a way that is going to better their life and not cause adverse experiences.",{"type":65,"attrs":1112,"content":1113},{"textAlign":67},[1114],{"text":1115,"type":71},"For teens, we might identify foods they can take to school for lunch, because they won't eat anything in the school cafeteria.",{"type":65,"attrs":1117,"content":1118},{"textAlign":67},[1119],{"text":1120,"type":71},"If they don’t eat lunch, they're going all day at school without eating anything at all.",{"type":65,"attrs":1122,"content":1123},{"textAlign":67},[1124],{"text":1125,"type":71},"And that's not good for their health or their growth or their development or socialization or anything like that.",{"type":65,"attrs":1127,"content":1128},{"textAlign":67},[1129],{"text":1130,"type":71},"We may even have them set alarms on their phone every day at certain times to remind them to eat.”",{"type":65,"attrs":1132},{"textAlign":67},{"type":65,"attrs":1134,"content":1135},{"textAlign":67},[1136],{"text":1137,"type":71,"marks":1138},"What are the goals of ARFID treatment?",[1139],{"type":417},{"type":65,"attrs":1141,"content":1142},{"textAlign":67},[1143],{"text":1144,"type":71},"Eating disorder treatment for ARFID works to fill the teen’s nutritional gaps.",{"type":65,"attrs":1146,"content":1147},{"textAlign":67},[1148],{"text":1149,"type":71},"At ERC, registered dietitians work individually with each teen to increase the variety of foods they will eat and help them eat on a routine schedule. The goal is to help them function better with a focus on their physical and emotional health.",{"type":65,"attrs":1151,"content":1152},{"textAlign":67},[1153],{"text":1154,"type":71},"As an example, fast food, prepackaged foods, convenience foods and frozen foods can all be normative for teens with the lack of interest subtype of ARFID.",{"type":65,"attrs":1156,"content":1157},{"textAlign":67},[1158],{"text":1159,"type":71},"These are young people that probably will not stick to an organic, cooked-from-scratch meal plan on a long-term basis.",{"type":65,"attrs":1161,"content":1162},{"textAlign":67},[1163],{"text":1164,"type":71},"Shares Dr. Jones,",{"type":430,"content":1166},[1167],{"type":65,"attrs":1168,"content":1169},{"textAlign":67},[1170],{"text":1171,"type":71},"“Once the teen is eating more regularly in a routine, their body starts to feel better, their brain starts to function better and recovery starts to kick 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But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[3529],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. 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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":3580,"content":3581},{"textAlign":67},[3582],{"text":3583,"type":71},"Slaven advises parents to pay attention to clues.",[3585],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":3622,"content":3623},{"textAlign":67},[3624],{"text":3625,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":3627,"content":3628},{"textAlign":67},[3629],{"text":3630,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[3632],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":3637,"alt":3638,"name":14,"focus":3639,"title":14,"source":14,"filename":3640,"copyright":14,"fieldtype":175,"meta_data":3641,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":3638,"title":14,"source":14,"copyright":14},{"id":3637,"alt":3638,"name":14,"focus":3643,"title":14,"source":14,"filename":3640,"copyright":14,"fieldtype":175,"meta_data":3644,"is_external_url":177},"1017x1667:1018x1668",{"alt":3638,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":3653,"created_at":3654,"published_at":3655,"updated_at":3656,"id":3657,"uuid":3658,"content":3659,"slug":3705,"full_slug":3706,"sort_by_date":67,"position":3707,"tag_list":3708,"is_startpage":177,"parent_id":3018,"meta_data":67,"group_id":3709,"first_published_at":3710,"release_id":67,"lang":201,"path":67,"alternates":3711,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":3660,"body":3661,"authors":3693,"excerpt":14,"summary":3694,"component":3000,"categories":3695,"article_type":3002,"external_link":3696,"featured_image":3697,"external_link_text":3010,"listing_thumbnail_image":3703},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":3662},[3663,3668,3673,3678,3683,3688],{"type":65,"attrs":3664,"content":3665},{"textAlign":67},[3666],{"text":3667,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":3669,"content":3670},{"textAlign":67},[3671],{"text":3672,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":3674,"content":3675},{"textAlign":67},[3676],{"text":3677,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":3679,"content":3680},{"textAlign":67},[3681],{"text":3682,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":3684,"content":3685},{"textAlign":67},[3686],{"text":3687,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":3689,"content":3690},{"textAlign":67},[3691],{"text":3692,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. 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