Is Avoidant/Restrictive Food Intake Disorder (ARFID) Common in Autism and ADHD?

PostedSeptember 18, 2025

UpdatedSeptember 18, 2025

ByMy Patient Advice

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, Avoidant/Restrictive Food Intake Disorder (ARFID) is more common in individuals with autism (ASD) and attention deficit hyperactivity disorder (ADHD). Both of these neurodivergent conditions can contribute to challenges with food intake, whether due to sensory sensitivities, repetitive behaviours, or difficulties with focus and impulse control. As a result, individuals with ARFID,autism ADHDmay develop restricted eating patterns, limited food preferences, or an aversion to certain textures or types of food.

Eating disorders, particularly ARFID, are frequently seen in those with autism and ADHD overlap, as the sensory sensitivities and behavioural traits linked to both conditions can make eating a stressful or overwhelming experience. Understanding the connection between ARFID and autism or ADHD is important for providing effective support and treatment.

How ARFID Presents in Autism and ADHD

Here are some ways ARFID can manifest in individuals with autism and ADHD:

Sensory Sensitivities to Food

For individuals with autism, ARFID often stems from heightened sensory sensitivities to the texture, taste, or smell of certain foods. This can lead to a very limited food range and a strong aversion to trying new foods. People with ADHD may also have difficulties staying focused on eating, often skipping meals or not paying attention to their body’s hunger cues, which can exacerbate ARFID symptoms. Sensory integration therapy or structured eating routines can help individuals become more comfortable with food, while ADHD-specific strategies, such as reminders or a consistent eating schedule, can encourage better nutrition.

Repetitive Behaviours and Routines

For those with autism, ARFID may involve a preference for eating the same foods repeatedly, sometimes due to the need for predictability and routine. In ADHD, impulsive eating habits or the inability to focus on meal times can also contribute to restricted eating. Behavioural therapy, particularly Cognitive Behavioural Therapy (CBT), can help individuals expand their food choices and challenge restrictive eating habits in a controlled, gradual way.

If you are concerned about ARFID about autism ADHD, visiting providers like ADHD Certify can offer tailored support to help manage eating habits and improve overall nutrition.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Autism Spectrum Disorder.

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.