Cognitive Behavioral Therapy for ARFID (CBT-AR)

Side Quest Psychotherapy | Jenna Stone, LCSW-C

Cognitive Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder (CBT-AR) the most well-researched treatment developed specifically for ARFID. While the research is still emerging, early studies show promising outcomes. At Side Quest Psychotherapy, I apply CBT-AR thoughtfully, blending the evidence base with neurodivergent-affirming, trauma-informed adaptations. is a structured, evidence-based approach that helps people expand their eating in ways that feel safe, supportive, and meaningful.

Instead of focusing on “fixing picky eating,” CBT-AR helps you:
✅ Understand the underlying reasons for food avoidance (like sensory sensitivities, fear of choking, or low appetite)
✅ Gently increase the variety and amount of foods you can eat
✅ Reduce anxiety and fear around food or eating situations
✅ Rebuild confidence and connection in eating, nutrition, and social meals

How CBT-AR Works

At its heart, CBT-AR is about breaking free from stuck patterns around food — without pressure, force, or shame.

We work together through four flexible stages:

Stage 1 – Learn and stabilize
Understand ARFID, track patterns, and make small, supported changes (like increasing preferred foods or regular eating times).
Stage 2 – Set meaningful goals
Collaboratively identify what you want to work on — whether it’s expanding food variety, addressing nutritional gaps, or feeling more at ease socially.
Stage 3 – Practice with support
Gently approach feared or unfamiliar foods using stepwise, consent-based exposures. You are always in charge of what you try and when.
Stage 4 – Maintain progress
Build a personalized plan to keep practicing, prevent relapse, and sustain progress long-term.

Why This Matters

Many people with ARFID, especially those who are autistic, have been misunderstood, dismissed, or pressured around food. At Side Quest Psychotherapy, I honor your autonomy and center your lived experience.

I do not use interoceptive exposures (like intentionally inducing fullness or discomfort), and I do not use food chaining, as I believe it often doesn’t align with neurodivergent sensory profiles or felt experience. My work is deeply informed by the voices of people with lived experience of ARFID and neurodivergence, ensuring that we focus on authentic, curiosity-driven exploration — never pushing or forcing.

Together, we build confidence, flexibility, and a positive relationship with food at a pace that feels right for you.

Who CBT-AR Helps

I offer neuroaffirming CBT-AR for:

  • Sensory-based food avoidance

  • Fear-based avoidance after choking, vomiting, or allergic reactions

  • Low appetite or lack of interest in eating

  • ARFID in the context of autism, ADHD, sensory processing differences, or anxiety

  • Individuals who have been harmed by past treatment approaches and want a gentler, consent-based path

CBT-AR is adaptable — I tailor it to your unique needs, whether you want short-term skills support or longer-term therapy.

✨ Ready to gently expand your eating in a way that respects your needs?

Let’s work together to help you build trust with food — and with yourself.

Get Started Today →