Cognitive-Behavioral Therapy vs Nutrition Counseling for ARFID

(COUNTERACT-2 Trial)

This trial tests two different treatments for children and teens with avoidant/restrictive food intake disorder (ARFID). One group receives cognitive-behavioral therapy (CBT-AR), which focuses on changing thought patterns to improve eating habits. The other group receives nutrition counseling to help them make healthier food choices. Children and teens aged 10 to 18, diagnosed with ARFID and without conditions like thyroid disease or celiac disease, are suitable candidates for this study. The goal is to determine which approach is more effective for treating ARFID. As an unphased trial, this study allows participants to contribute to important research that could enhance treatment options for ARFID.

Earlier studies have shown that cognitive-behavioral therapy for avoidant/restrictive food intake disorder (ARFID) is well-received by children and teens. Research indicates that this therapy helps them try more types of food and gain weight, with no major side effects reported.

Similarly, nutrition counseling, another treatment for ARFID, has demonstrated good results. Participants reported improved eating habits and food choices. No major negative side effects have been reported from this treatment either.

Researchers are excited about these treatments for Avoidance Restrictive Food Intake Disorder (ARFID) because they offer new approaches beyond traditional options like exposure therapy or medications. Cognitive-Behavioral Therapy for ARFID (CBT-AR) is unique because it specifically targets the thought patterns and behaviors that contribute to restrictive eating, helping patients develop healthier relationships with food. On the other hand, Nutrition Counseling focuses on personalized dietary education, aiming to address nutritional deficiencies and promote balanced eating habits. These treatments provide a more tailored approach, addressing both psychological and nutritional aspects of ARFID, which could lead to more comprehensive and lasting solutions for patients.

This trial will compare Cognitive-Behavioral Therapy for ARFID (CBT-AR) with Nutrition Counseling for individuals with Avoidant/Restrictive Food Intake Disorder. Research has shown that CBT-AR can help children and teens improve their eating habits, with early findings suggesting that participants often start eating a wider variety of foods. This therapy reduces food avoidance and increases the range of foods eaten. Meanwhile, Nutrition Counseling has benefited many people with ARFID by focusing on improving nutritional health and encouraging a more varied diet, which can address immediate health issues related to ARFID. Both treatments target different aspects of the disorder and offer potential benefits for those affected.¹²³⁶⁷