A Multidisciplinary Approach to Severe Avoidant Restrictive Food Intake Disorder: Two Cases Report

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A Multidisciplinary Approach to Severe Avoidant Restrictive Food Intake Disorder: Two Cases Report

Case Report

Mariana Falcão

Departamento de Pedopsiquiatria e Saúde Mental da Infância e da Adolescência, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

Ana Filipa Lopes

Departamento de Pedopsiquiatria e Saúde Mental da Infância e da Adolescência, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

Helena Mansilha

Serviço de Pediatria, Unidade de Alterações Nutricionais, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
https://orcid.org/0000-0001-8688-5169

Margarida Pinto Coelho

Serviço de Pediatria, Unidade de Doenças Metabólicas, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto

Fernando Pereira

Serviço de Gastroenterologia Pediátrica, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
https://orcid.org/0000-0002-8977-2626

Vânia Martins

Departamento de Pedopsiquiatria e Saúde Mental da Infância e da Adolescência, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
https://orcid.org/0000-0002-2389-0144

Maria do Carmo Santos

Departamento de Pedopsiquiatria e Saúde Mental da Infância e da Adolescência, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto
https://orcid.org/0000-0001-8646-3994

DOI: https://doi.org/10.25754/pjp.2022.23728

Abstract

Avoidant/restrictive food intake disorder is an eating disturbance that causes many challenges for both parents and clinicians. This study describes the cases of two children with early onset of severe feeding problems related to sensory dysfunction and the need for enteral nutrition. A multimodal intervention was required with the involvement of pediatricians, gastroenterologists, and child psychiatrists. Some interventions included sensory integration and speech therapies, and individual and family-oriented psychotherapy. Moreover, avoidant/restrictive food intake disorder can develop at a very early age, with great severity, and may have a huge impact on children and their families. It requires a multidisciplinary, longstanding, and individually tailored treatment approach.