ARFID Treatment & Nutrition Therapy

ARFID services

You’ve tried everything. We get it — and we’re here to help.

Whether you’re a parent watching your child struggle at every meal, or an adult who has quietly navigated a very limited diet your whole life, you already know that ARFID is so much more than “picky eating.”

You don’t need someone to tell you to “just keep trying new foods.” You need a team that truly understands ARFID — and meets you exactly where you are.

Does any of this sound familiar?

  • You or your child eats fewer than 20 foods and mealtimes feel like a battleground
  • Certain textures, smells, or how a food looks causes a genuine, overwhelming reaction
  • You or your child avoids restaurants, school lunch, or social situations because of food
  • You’ve tried reward charts, exposure strategies, and everything in between — and nothing has stuck
  • You’re an adult who has always eaten this way and wondered if there’s something more going on

If any of this resonates, you’re in the right place.

    We work hard to personalize this process to your specific needs. We help identify your specific motivators to stay engaged, and will work alongside you as barriers and challenges arise.

    How we’ll work with you

    At Courage to Nourish, we specialize in ARFID treatment and nutrition therapy for children as young as three and adults of all ages. Our approach is grounded in responsive feeding principles, which means our sessions are client led, trauma informed and neuroaffirming.

    Here’s what working with us actually looks like:

    We start with a parent consultation. For families with young children, we begin by meeting with parents or caregivers first. This gives us the full picture: your child’s history with food, what mealtimes look like at home, what’s been tried, and what your goals are. It also means your child’s first session with us starts from a place of trust, not anxiety.

    We follow your own pace. We work with our clients to understand what goals are a priority and what feels important to them. We know that pressure makes ARFID worse, not better. Our sessions are low-pressure, curiosity-driven, and always client-led.

    We are neuroaffirming. Many of our ARFID clients are autistic, have ADHD, or experience sensory processing differences. We build approaches that actually fit how your brain and body work.

    We bring the family in. ARFID treatment doesn’t just happen in a session. It happens at the dinner table, at school lunch, and at birthday parties. We work closely with parents and caregivers throughout the process, giving you practical tools you can actually use at home.

    We collaborate with your whole team. If your child works with an occupational therapist, speech therapist, or therapist, we coordinate with them. If you don’t yet have a team, we can help connect you with trusted providers

    What We Can Work Together On

    • Personalized food exposures together in session and goal setting for at home
    • Creating a plan for experiments with new tastes and textures with your input and directions
    • Meal planning, if needed, to support you in adequately nourishing your body
    • Processing around fears and barriers with identified foods
    • Coordination of care between members of the team, like a physician, therapist, or speech therapist
    • Reducing anxiety around food
    • Evaluation of growth charts, when applicable
    • Family sessions, when applicable
    • Sampling food from restaurants together in session, when applicable
    • Discussing small goals to overall improve your relationship with food
    • Email and text support

    For Adults with ARFID

    Many of our adults come to us having navigated a very limited diet their entire lives or a general lack of interest in food. They have eaten a small rotation of foods and noticed they needed to find workarounds for social situations – carrying a quiet sense of shame about something they never quite had words for.

    If that’s you: we see you. ARFID in adults is real, it’s more common than people realize. It’s something we work with regularly. You don’t need to keep managing this alone.

    Not sure if what you’re experiencing is ARFID? Take our free ARFID quiz — it takes just a few minutes and can help you get some clarity. You can also read more about the signs of ARFID on our blog.

    Ready to Take the Next Step?

    You deserve a team that understands ARFID and can work alongside you in your recovery. 

    We offer a free 15-minute consultation so you can ask questions, share what’s been going on, and see if we feel like the right fit. 

    We see clients in person in College Park, MD, Columbia, MD, and Alexandria, VA, and via telehealth across Maryland, Virginia, and nationwide.

    We align ourselves with the Health at Every Size© or HAES© approach and value diversity and inclusion.

    We believe every individual deserves compassionate and adequate care. Not only do we work through a weight inclusive framework, but we also promote anti-racism, gender inclusivity, and are neurodivergent friendly and affirming. We aim to make our nutrition counseling a safer and non-judgmental space for ALL humans.

    If health is something you’d like to work toward, we focus on health promoting behaviors instead of changing body shape and size. We do not provide diet or weight loss services. We welcome and encourage conversations about how various identities our clients hold impact their relationship with food, body and movement. Our team is committed to learning, growing and taking action when it comes to advocating for our clients' wellbeing.

    Read more about HAES by visiting The Association For Size Diversity and Health (ASDAH)'s website.

     

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