Do You Need An ARFID Assessment?

It can be hard to know when selective eating has moved beyond a phase, especially if you've already tried encouragement, routines, or reward systems.

An assessment may be helpful if your child:

  • Eats a very limited range of foods, often linked to texture, taste, smell, appearance, or a fear response
  • Avoid food after a difficult experience such as choking or vomiting
  • Seems to have a very low appetite or little interest in eating
  • Becomes distressed, anxious, or overwhelmed around unfamiliar foods
  • Is struggling to maintain weight or growth, or shows signs of nutritional gaps
  • Relies on supplements or nutritional drinks to get through the day
  • Finds meals affect school, friendships, family life, or social events

It is worth noting that ARFID is not driven by body weight or shape concerns, and so is not associated with Anorexia Nervosa. ARFID can involve food restriction linked to appetite, anxiety, or food texture sensitivity and other sensory factors.

How We Can Help

Our ARFID service is designed to help give you clarity on what may be causing your child's eating challenges and what support is most appropriate next.

Depending on your child's needs, support may include:

  • Assessment for ARFID diagnosis and related concerns
  • Ongoing monitoring of nutrition, growth, and day-to-day impact
  • A structured, child-friendly plan to reduce food restriction safely over time
  • Parent support and guidance, so you're not managing this alone
  • Co-ordinated input from clinicians such as a CAMHS consultant and paediatric dietitians where appropriate

Your first appointment may take up to one hour. In that time, our diet experts will have the chance to get a good feel of your child’s diet and any potential feeding issues, so they can offer you advice and guidance on the next steps you need to take. We’ll also send you a letter summarising what happened during your appointment, so you can keep track of your child’s nutritional treatment and progress. 

Prices

Initial ARFID Appointment

£695

(60 minutes)

Any investigations or treatment recommendations made during your consultation may involve additional costs, which will be discussed with you clearly before anything is arranged.

We are also recognised by a number of major health insurers. If you intend to use private medical insurance, please contact us ahead of your appointment to confirm your cover.

A Tailored Plan, Step By Step

You will not be rushed, and we will take the time to understand how eating is affecting your child's health and your family life.

Your child's appointment may include:

  • A detailed eating and development history, including ARFID symptoms and patterns of avoidance
  • Exploration of possible ARFID causes and maintaining factors, such as anxiety, sensory sensitivities, or past negative experiences
  • Review of growth, energy levels, and daily functioning
  • Consideration of whether medical factors could be contributing to appetite or eating discomfort
  • A clear explanation of findings and a plan, which may include nutritional monitoring and therapy options such as CBT-informed support for ARFID, where suitable

Clinical Team And Expertise

Dr Andrea Biro CAMHS Consultant

Dr Andrea Biro is a Consultant Child and Adolescent Psychiatrist and Clinical Lead with over 20 years of experience in psychiatry across the UK and Hungary. Her specialist interests include neurodevelopmental conditions and eating disorders, particularly avoidant/restrictive food intake disorder (ARFID), autism spectrum conditions, and ADHD.

Andrea takes a neuroaffirmative, trauma-informed approach to assessment and treatment, working collaboratively with young people and their families to understand each individual’s needs and support positive outcomes. Alongside her clinical work, she is a guest lecturer at the University of Birmingham and has contributed to research in autism, eating disorders, and neurodevelopmental assessment tools.

She is a member of the Royal College of Psychiatrists, the British Medical Association, the National Autistic Society, and the Association for Child and Adolescent Mental Health.

Dr Pradeep Naganna Consultant Neurodevelopmental and Community Paediatrician

Dr Pradeep Naganna is a highly experienced Consultant Neurodevelopmental and Community Paediatrician with more than 20 years of experience in children's health and over 15 years specialising in neurodevelopmental conditions. He works closely with children, young people, and families experiencing a wide range of developmental, behavioural, and feeding challenges, including those associated with Avoidant/Restrictive Food Intake Disorder (ARFID).

Having trained and worked in leading children's hospitals across the UK and Australia, including Birmingham Children's Hospital, University Hospital of Wales, University Hospitals of Leicester, Royal Aberdeen Children's Hospital, and Perth Children's Hospital, Dr Naganna brings extensive expertise to the assessment and management of complex paediatric presentations.

His specialist interests include Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), developmental delay, learning difficulties, sensory processing differences, sleep disorders, and behavioural concerns. With a strong understanding of the relationship between neurodevelopmental conditions and feeding difficulties, Dr Naganna plays a key role in the comprehensive assessment of children presenting with restrictive eating, sensory food aversions, and ARFID-related concerns.

Dr Naganna is committed to delivering holistic, family-centred care, working collaboratively with multidisciplinary teams to provide tailored assessments, diagnoses, and treatment plans that support each child's long-term health and wellbeing.

The wider children's mental health and dietetic team you see at Midland Health may include:

  • Dr Modupe Imasogie: Consultant Child & Adolescent Psychiatrist
  • Dr Minnie Joseph: Consultant Child & Adolescent Psychiatrist
  • Lucy Upton: Paediatric Dietitian
  • Joanne Scott: Paediatric Dietitian
  • Leanne Leary: CBT/EMDR Practitioner
  • Raj Bassi: CBT Therapist

Is This The Right Service For Your Child?

This service can be a good fit if you're seeing persistent selective eating that is affecting nutrition, growth, energy, or everyday life, and you want specialist support.

It may be especially relevant if eating difficulties sit alongside anxiety, autism-related sensory needs, or a strong fear response around food, as these can overlap with a food sensory disorder and patterns of avoidance.

What To Expect From Your Child's Appointment

We will listen carefully to both you and your child, and during the appointment, we may:

  • Ask about foods your child can eat, foods avoided, and what happens at mealtimes
  • Discuss sensory triggers, anxiety, routines, and any previous support tried
  • Review height and weight where appropriate, and talk through any concerns about nutrition
  • Agree next steps with you, including whether dietetic input or therapy support is recommended

Helpful things to bring

  • A simple 3 to 7 day food diary, including drinks and supplements
  • Any recent growth measurements or relevant letters
  • A list of current medications and supplements

If a follow-up is appropriate, we will agree a plan that feels manageable, with clear goals and review points.

Follow-up support may include:

  • Monitoring of progress and nutrition over time
  • Adjusting strategies based on what your child can tolerate
  • Co-ordinating care across relevant clinicians
  • Written summary

Why Families Choose Midland Health

You should be able to access specialist help without unnecessary barriers, especially when eating problems are affecting daily life.

With Midland Health, you have:

  • No GP referral required
  • No waiting lists, with same-day or next-day appointments where available
  • A private clinic in Birmingham, based at our Francis Road clinic
  • A team used to supporting children and parents with sensitive, complex concerns
  • Clear pricing and a pay-as-you-go approach

Our Clinic

Appointments for this service are held at our Francis Road Clinic in Edgbaston, Birmingham.

The clinic is easy to reach from across Birmingham and the wider Midlands, with public transport links via Five Ways and parking options nearby.

Next Steps And Booking

If you would like support from ARFID specialists, our team can help you choose the right appointment type for your child.

To enquire, call our team on 0121 769 0999 or fill in our enquiry form.

FAQs

  • Is ARFID the same as picky eating?

    ARFID is usually more persistent and has a bigger impact on health, growth, nutrition, or daily life than typical picky eating. An assessment can help clarify what is going on and what support is most appropriate.

  • Can ARFID be linked to autism or sensory sensitivities?

    Yes, ARFID can overlap with sensory needs, including strong reactions to food texture sensitivity, smell or appearance. We consider neurodevelopmental and anxiety-related factors as part of the assessment.

  • Will my child need CBT for ARFID?

    Not always, and therapy is never a one-size-fits-all decision. If CBT-informed support for ARFID is suitable, we will explain what it involves and how it would look for your child. Our paediatric CBT clinic supports children and adolescents with a wide range of challenges, including ARFID.

  • Do you involce dietitians?

    Dietetic input can be helpful where nutrition, growth, or dietary range are concerns. If it’s appropriate, we can recommend dietetic support and help co-ordinate this

  • When might this service not be enough on its own?

    If your child may be medically unstable, needs urgent physical health support, or is currently under a crisis team, we can help you understand what level of care is safer and what to do next.

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Dr Rupa Parmar

Medically Verified

This content has been medically reviewed and verified by Dr Rupa Parmar.

Medical note: This page provides general information and is not a substitute for urgent medical care. If you have severe symptoms, seek urgent help.

Last updated: Jun 2026