An ARFID case report combining family-based treatment with the unified protocol for Transdiagnostic treatment of emotional disorders in children

J Eat Disord. 2019 Oct 24:7:34. doi: 10.1186/s40337-019-0267-x. eCollection 2019.

Abstract

Background: This case report discusses the presentation and treatment of a nine-year-old female with a history of significant weight loss and food refusal using a combined approach of Family-Based Treatment (FBT) and the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C).

Case presentation: The patient was diagnosed with avoidant/restrictive food intake disorder (ARFID), separation anxiety disorder, and a specific phobia of choking, and subsequently treated with a modified version of FBT, in conjunction with the UP-C. At the end of treatment, improvements were seen in the patient's weight and willingness to eat a full range of foods. Decreases in anxiety regarding eating/choking, fears of food being contaminated with gluten, and fears of eating while being away from parents were also observed.

Conclusions: These findings highlight promising results from this combined treatment approach, referred to as FBT + UP for ARFID. Further research is needed to evaluate the use of this treatment in patients presenting with a variety of ARFID symptoms.

Keywords: Avoidant/restrictive food intake disorder; Emotional disorders; Family-based treatment; Transdiagnostic; Unified protocol.

Publication types

  • Case Reports