What if this approach is seriously arse about. And we can do better.

#Hypersensitivity to and #avoidance of certain flavours & textures is part of our #sensory profile for many #ActuallyAutistic folks. As with all of our sensory issues, the ways we devise to deal with them come at a cost, socially, emotionally & physically. Being pressured to let go of strategies that have protected us can feel life threatening. Especially if we don’t understand where they’ve come from & how they’ve helped us (hard to do when our various unusual behaviours are examined in isolation from each other & each set pathologised with an unhelpful diagnosis).

In my experience, we can change the habits & routines that protect us only when (i) we feel safe & (ii) it is our choice to do so. In our own ways, at our own speed, on our own terms. This profound need for autonomy gets pathologised as ‘demand avoidance’ but it’s another manifestation of the strategies for survival that we develop & cling to for dear life. Take this from me & I will die.

How about, for kids & adults ‘with #ARFID’, we approached interventions by starting with respect for autonomy. This means learning about how this person experiences sensory pleasures & discomforts around eating & taking them seriously. Then developing options for change that can be chosen by that person, or not. At their own pace.

It worked for me. As in so many areas of my life, this is the only approach that does.

Like so many folx who grew up undiagnosed I learned to be ashamed of my struggles (in denial about them, intolerant of their manifestation in others) & embarrassed about my gifts. Wish I’d understood my #neurodivergence, & that of my family members, when I was parenting kids.

So glad we can do better now. I wish the support systems whose funding rests on adopting pathologising diagnostic categories would catch up!!

@actuallyautistic #AutisticElder #AutisticParent #disability

https://www.abc.net.au/news/2025-01-06/eating-disorder-arfid-picky-eating/104648840?utm_source=abc_news_app&utm_medium=content_shared&utm_campaign=abc_news_app&utm_content=other

ARFID is almost as common as anorexia, but most people don't know it

ARFID is a newly recognised eating disorder, which became an official diagnosis for adults and children in 2013. For 12-year-old Alex*, the diagnosis came as a relief after years bouncing around the medical system.

ABC News
@actuallyautistic
While access to support depends on attribution of diagnostic label (which is what the dsm was invented for - access to insurance) the pathologising will continue. Such a shame for all the kids labelled with & who come to self identify as a whole array of 'comorbid' conditions ❤️‍🩹
@26pglt @actuallyautistic
Yeah, it seems like it is a hard sell to most people, that people deserve accommodations but not for reasons of inherent deficiency. I think we'd need a fundamental paradigm shift in society encompassing the idea that *everyone* deserves their needs taken care of, if not a good life as well. We're still struggling with getting everyone on board with proper care for more traditionally handicapped people, minorities, or even poor people. Given how bad we are at that, I'm actually surprised that there are supports for us ND types at all.
@murdoc @26pglt @actuallyautistic
Certainly, for probably the vast majority of autistics, I certainly wouldn't call this a disorder. It comes from our senses working properly and from the situation we are in. Where a lack of alternatives, often due to a lack of money and a means of experimenting to find them, leads us to have not having the option of developing a healthier array of safe foods, that gives us a more balanced diet and doesn't violate our senses.