At Opal: Food+Body Wisdom, we understand that the journey to healing from ARFID is unique for each individual.

Our holistic approach to ARFID treatment combines both community support and personalized therapy to help you uncover the underlying causes of your eating disorder. Together, we work to explore the “whys” behind your behaviors and find healthier ways to cope. With three levels of care available at our Seattle clinic, we’re here to support you every step of the way toward a life of recovery.

What is Avoidant/Restrictive Food Intake Disorder (ARFID)?

  • Eating or feeding disturbances that lead to inability to meet appropriate nutritional needs.
  • Causes weight loss, nutritional deficiency, and psychosocial functioning declines.  
  • There are not body image concerns 
  • There three common categories:  
    • Selective eating/sensory selectivity (aka “picky eating”)
    • Fear of aversive consequences (ie, vomiting, choking, etc)
    • Poor appetite/lack of interest in food+eating

What are the Signs+Symptoms?

Adults struggling with ARFID could have long standing difficulties with eating and food, even from childhood or it could begin after an acute event like physical sickness or mental health struggles. Some things to look for include:

  • Change in body weight, energy level, digestive distress
  • Complaints of no appetite 
  • Increase in selectiveness of foods based on textures and other sensory characteristics
  • Decrease in foods one is willing to eat 
  • Fear of what could happen after eating like vomiting or choking.

    At Opal, we offer:

    • Individual therapy, nutrition counseling, psychiatry, exercise experientials and family/relationship therapy available at the PHP and IOP levels of care. 
    • Health at Every Size, weight-neutral treatment approach 
    • Non-diet approach to food. Meals and snacks provided offer a wide variety of foods (highly processed, fresh, organic, non-organic, home-cooked, frozen, easy to prepare, etc.) 
    • Eating at meals and snacks are done with other clients and staff, as a community.
    • A belief that adequate food intake is a foundational step in recovery. 
    • Exercise + Sport programming, which addresses exercise bulimia, exercise avoidance, and other exercise concerns
    • Radically Open Dialectical Behavioral Therapy as a foundational treatment 
    • Group therapy including body wisdom group, movement group, self-inquiry, process groups, facing fears and more. 
    • Teaching/Didactic groups including Radically Open Dialectical Therapy, Acceptance and Commitment Therapy, Exercise + Sport Didactic, Health at Every Size Didactic, etc.
    • Non-clinical lodging for PHP clients to use while in treatment is available for a weekly fee, as space available. 
    • Alumni outpatient groups

    Check Your Biases

    ARFID can be life-threatening for anyone that is experiencing it, regardless of body size, race, ethnicity, socio-economic status, gender, sexual orientation, age, ability, religion.