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

Sarah Eckhardt, Carolyn Martell, Kristina Duncombe Lowe, Daniel Le Grange, Jill Ehrenreich-May

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Article number34
JournalJournal of Eating Disorders
Issue number1
StatePublished - Oct 24 2019



  • Avoidant/restrictive food intake disorder
  • Emotional disorders
  • Family-based treatment
  • Transdiagnostic
  • Unified protocol

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Psychiatry and Mental health
  • Behavioral Neuroscience

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