Will They Ever Grow Out of It? Understanding ARFID in Kids

Will My Child Grow Out Of This?

It’s a question many parents ask. Will they grow out of this?

In the beginning, it can look like typical picky eating. A child prefers a small range of foods, avoids certain textures, or resists trying anything new. You may be told it’s a phase, that kids expand their diets over time, that they’ll eat when they’re hungry enough, or that it’s best not to make it a battle.

And sometimes, that’s true.

But sometimes, instead of broadening, things start to narrow. The list of accepted foods stays the same or slowly shrinks. Meals become more stressful, not less. Your child may become anxious, rigid, or overwhelmed when faced with unfamiliar foods, and you may find yourself working harder and harder to accommodate it just to keep things calm.

At a certain point, many parents begin to sense that something isn’t shifting the way it should.

This isn’t something they’re growing out of. This is something else.

When It’s More Than Picky Eating

Avoidant Restrictive Food Intake Disorder is an eating disorder that goes beyond typical picky eating. It is not about defiance, stubbornness, or parenting, and it is not driven by concerns about weight or body image.

Instead, ARFID is usually rooted in a child’s experience of food itself. For some children, certain textures, smells, or appearances feel overwhelming or intolerable. For others, there is a genuine fear of negative consequences like choking, gagging, or vomiting. And for some, eating simply does not feel rewarding or motivating in the way it does for most people.

In all of these cases, avoidance becomes the solution. If a food feels overwhelming or unsafe, avoiding it reduces distress in the moment. Over time, though, that avoidance becomes more ingrained, and the range of foods continues to shrink.

Why ARFID Doesn’t Just Go Away

One of the most difficult realizations for parents is that this pattern often does not resolve on its own.

In typical development, children gradually expand their diets through repeated exposure, curiosity, and increasing flexibility. With ARFID, the pattern tends to move in the opposite direction. Avoidance becomes more practiced, anxiety around new foods grows, and the gap between what a child eats and what they need nutritionally can widen.

What starts as a manageable pattern can become more entrenched over time, which is why waiting for a child to “grow out of it” can unintentionally allow the problem to deepen.

So What Do We Do?

The good news is that ARFID is treatable, but it usually does not resolve on its own.

Once patterns of avoidance, anxiety, or sensory sensitivity become established, children tend to get more practiced at staying within a narrow range of foods. What often changes over time is not the eating, but the level of stress around it. Families become more accommodating, more careful, more exhausted. Meals can start to feel tense, repetitive, or even isolating.

Treatment works by gently interrupting that pattern.

There are several evidence-based approaches for ARFID, and the right fit depends on the child, their age, and what is driving the restriction. Some treatments focus on gradual exposure to new foods, helping a child build tolerance step by step. Others incorporate cognitive and behavioral strategies to reduce fear and increase flexibility. In many cases, especially with younger children, parents are actively involved, helping to create structure, support, and consistency around meals.

Across approaches, the goal is not to force a child to eat, but to help them have a different experience with food.

Over time, treatment begins to shift the entire energy around eating. What once felt tense and high-stakes can start to feel more predictable, more manageable, and at times even a little lighter. There is often more room for curiosity, small experiments, and a sense of forward movement. Parents feel less like they are walking on eggshells, and children begin to build confidence in their ability to handle foods that once felt overwhelming.

This does not happen all at once, and it is rarely linear, but it is very possible.

Signs of Progress

Progress often looks subtle at first. A child may tolerate a new food on their plate without distress, take a small bite of something unfamiliar, or show a little more flexibility in situations that used to feel impossible. Over time, those moments begin to add up. Meals become less of a battleground, and daily life starts to feel less organized around food.

There are challenges along the way. Children may resist, and parents often feel unsure about how much to push or how to respond in difficult moments. That uncertainty is part of the process. The goal is not to eliminate discomfort entirely, but to move through it in a way that feels supported and sustainable.

If you have been wondering whether your child will grow out of their eating challenges, and something in you suspects that they won’t, it is worth paying attention to that instinct.

ARFID is not a phase, but it is something that can be treated.

At Columbus Park, we help families understand what is driving the pattern and find an approach that allows both the child and the family to move forward with more clarity and less stress.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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Parent-Led Treatment for ARFID: What Actually Helps Kids Expand Their Eating

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