Picky Eating or ARFID?

Picky Eating or ARFID?

Author: Children's Hospital Colorado May 5, 2026 Duration: 32:12

"Picky eater" is one of the most common labels in pediatrics and one of the easiest to overlook. But when a child's diet is shrinking instead of expanding, when meals are a source of stress instead of routine, or when growth and nutrition start to feel like a question mark, it's worth taking a second look. In this episode, we're discussing ARFID: what it looks like in clinic, how to spot the difference from typical picky eating, and how to approach these patients with a sharper clinical lens.

In this episode, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the Clinical Director of Pediatric Mental Health Institute (PMHI) day programs, and the Associate Training Director for Psychology Training. 

Some highlights from this episode include:

  • Specific growth or nutrition patterns that should raise suspicion of ARFID
  • Treatment options pediatricians can manage in clinic 
  • Overlap between ARFID and neurodiversity  
  • Patterns to look for in certain age groups 

This episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent is Colorado's largest credit union serving more than 550,000 members at 60 service centers across the Front Range. Ent generously responded to Children's Colorado's State of Emergency for pediatric mental health in 2021 and is pleased to support this episode. Visit ent.com, insured by NCUA. 

For more information on Children's Colorado, visit: childrenscolorado.org. 


For those dedicated to the health of children, Charting Pediatrics serves as a vital, ongoing conversation directly from the front lines of pediatric care. Produced by the multidisciplinary experts at Children's Hospital Colorado, this weekly podcast delves into the nuanced realities of modern medicine for young patients. Each episode moves beyond textbook summaries to explore the practical application of groundbreaking research, emerging innovations, and essential educational resources. The discussions are candid, often tackling the complex challenges that clinicians face daily, from evolving treatment protocols to systemic issues within the healthcare community. Now in its eighth season, the program has established itself as a trusted source for physicians, nurses, and allied health professionals seeking to deepen their knowledge and refine their practice. Listening to this podcast feels like gaining direct access to a roundtable of specialists, all focused on a single goal: empowering medical providers with the context and confidence needed to make the best decisions for their patients. The tone is collegial and insightful, transforming the latest evidence and clinical experience into actionable understanding. It’s where the science of pediatrics meets the art of its application, fostering a supportive dialogue for anyone committed to advancing child health.
Author: Language: English Episodes: 100

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