DR MARIANNE MILLER

CARING EATING DISORDER TREATMENT IN SAN DIEGO AND THROUGHOUT CALIFORNIA, TEXAS, AND WASHINGTON D.C. FOR ADULTS & TEENS

The Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works
neurodiversity, neuroaffirming, neurodivergent-affirming care, sensory sensitivities, sensory-attuned care, trauma-informed care, trauma Marianne Miller neurodiversity, neuroaffirming, neurodivergent-affirming care, sensory sensitivities, sensory-attuned care, trauma-informed care, trauma Marianne Miller

The Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works

Avoidant/Restrictive Food Intake Disorder (ARFID) is one of the most misunderstood and often mischaracterized eating disorders, particularly when it presents in neurodivergent individuals. As a neurodivergent therapist specializing in ARFID treatment for both teens and adults in San Diego, Los Angeles, San Francisco, and elsewhere, I’ve seen firsthand how standard treatment approaches often fall short. Models that rely on compliance, exposure, and fixed food goals frequently miss the root causes of food avoidance.

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Living With Adult ARFID: The Relationship Challenges No One Talks About
ARFID, ARFID in adults, relationships, masking, sensory sensitivities, food aversions Marianne Miller ARFID, ARFID in adults, relationships, masking, sensory sensitivities, food aversions Marianne Miller

Living With Adult ARFID: The Relationship Challenges No One Talks About

When most people hear the term ARFID, or Avoidant/Restrictive Food Intake Disorder, they often imagine children. ARFID is commonly misunderstood as a temporary phase of picky eating. In reality, many adults live with ARFID as a long-term, serious eating disorder that affects far more than just food. It shapes how people relate to their bodies, their emotions, and their relationships.

Adult ARFID can affect every area of life, including dating, long-term partnerships, parenting, friendships, and professional settings. Such relationship challenges are rarely discussed, even though they are often a source of chronic stress and grief. In this blog post, I explore how adult ARFID intersects with connection, autonomy, and sensory food issues, especially from a neurodivergent-affirming and trauma-informed perspective.

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