The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

SSRIs and Hydroxyzine for Avoidant Restrictive Food Intake Disorder

Mar 4, 2024
Exploring the complexities of Avoidant Restrictive Food Intake Disorder (ARFID) and its treatment modalities, including SSRIs and hydroxyzine. Discussion on diagnosing ARFID, distinguishing it from other eating disorders, and the importance of comprehensive treatment approaches. Insights from a study on using SSRIs and hydroxyzine in children and adolescents for treating ARFID, with positive outcomes observed. Emphasis on dosage recommendations, side effects, and monitoring anxiety levels in severe cases of ARFID management.
17:21

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Quick takeaways

  • Early identification of ARFID through screening tools and meal exploration is crucial for tailored treatment approach.
  • Combining SSRIs and hydroxyzine may benefit ARFID patients by reducing anxiety, improving weight gain, and managing symptoms effectively.

Deep dives

Understanding avoidant restrictive food intake disorder (ARFID)

Avoidant restrictive food intake disorder is an eating disorder characterized by limited food intake due to sensory sensitivity, fear of adverse consequences from eating, or disinterest in eating. Unlike anorexia or bulimia, it may not involve concerns about body weight or shape. Diagnosis of ARFID can be challenging, especially differentiating it from anorexia. Screening tools and careful exploration of meal habits and preferences are essential to identify ARFID early and tailor treatment.

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