Conference paper
MANAGEMENT OF ARFID (AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER) IN A 12-YEAR-OLD ON A PAEDIATRIC WARD IN A GENERAL HOSPITAL: USE OF MIRTAZAPINE, PARTIAL HOSPITALISATION MODEL AND FAMILY BASED THERAPY
Anne-Frédérique Naviaux
; Health Service Executive (HSE), University Hospital Waterford, Wexford General Hospital and Summerhill Mental Health Service, Wexford, Ireland
Abstract
Background: Avoidant Restrictive Food Intake Disorder (ARFID), at the cross roads of eating and feeding disorders, is sometimes
called an "umbrella diagnosis" as it covers a certainly large and rather heterogeneous list of eating symptoms. It came with the
DSM5 (2013) but still, there are no clear guidelines re diagnosis and treatment.
Purpose: Through this case, we aim to report not only a presentation of ARFID, but also how this relatively new and emerging
diagnostic category has been identified and managed on a Pediatric Ward, in a General Hospital.
Subject and methods: This study reports the case of a 12y old girl Irish girl with ARFID treated by a multi-disciplinary team on
a Pediatric Ward in a general hospital. A literature review regarding ARFID was concomitantly carried on, in order to consider the
current therapeutic options recommended.
Results: 3 admissions on a pediatric Ward were necessary for this patient with ARFID, who was successfully managed with a
partial hospitalization model, Family Based Treatment (FBT) and Mirtazapine.
Conclusions: The dynamic around the management of this condition is the occasion to discuss the other therapeutic options
suggested these days, and more specifically the different pharmacological molecules that have also been used in young patients with
ARFID and the importance of involving a multi-disciplinary team.
Keywords
Avoidant Restrictive Food Intake Disorder (ARFID); child psychiatry; Mirtazapine : partial hospitalization model; Family Based Treatment
Hrčak ID:
264129
URI
Publication date:
4.9.2019.
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