Kay Toomey – PESI – ARFID vs Pediatric Feeding Disorder (PFD) vs Picky Eaters: Differential Diagnosis Decision Tree to Guide Intervention

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Kay Toomey – PESI – ARFID vs Pediatric Feeding Disorder (PFD) vs Picky Eaters: Differential Diagnosis Decision Tree to Guide Intervention

With the increased use of the ARFID diagnosis, the field of Feeding Disorders has seen children being incorrectly diagnosed and treated as if they have an Eating Disorder.  Not only has this created situations in which some children did not get the help they needed early enough, in some cases the inaccurate intervention has actually made the child’s feeding problem worse or even resulted in trauma to the child.

It is imperative that physicians, mental health providers and rehabilitation therapists clearly understand how to identify children in need of intervention, as well as being skilled in differentially diagnosing children with feeding, eating and growth difficulties.

A Differential Diagnosis Decision Tree will be a critical tool for Clinicians to use in delineating which children are picky eaters versus those with a Pediatric Feeding Disorder versus children with ARFID.

With an accurate differential diagnosis, Clinicians can then appropriately guide children and their families into the most helpful intervention programs for the child.

Speaker

Kay A. Toomey, PhD
Toomey & Associates, Inc.

Dr. Kay A. Toomey is a pediatric psychologist who has worked with picky eaters and problem feeders for over 35 years. She has developed the SOS Approach to Feeding as a family-centered program for assessing and treating children with feeding problems. Dr. Toomey helped to form The Children’s Hospital – Denver’s Pediatric Oral Feeding Clinic, as well as the Rose Medical Center’s Pediatric Feeding Center.

Speaker Disclosures:
Financial: Kay Toomey is the president of Toomey & Associates, Inc and a clinical consultant for The Feeding Clinic @ Star. She is a member of the PFD Alliance Committee with Feeding Matters. Kay Toomey receives a speaking honorarium and recording royalties from PESI, Inc. All financial relationships with ineligible organizations have been mitigated.
Non-financial: Kay Toomey serves on the education committee for Feeding Matters. She is a member of the American Psychological Association, the Colorado Psychological Association, the Society of Pediatric Psychology, and the Society for Developmental and Behavioral Pediatrics.

Objectives

1. Determine the characteristics of a “picky eater” as different from either PFD or ARFID.
2. Evaluate the validity of the criteria for ARFID.
3. Determine critical components of a Differential Diagnosis Decision Tree for Picky Eaters vs PFD vs ARFID.
4. Delineate which Case Study children meet the criteria for which diagnosis.
5. Discriminate appropriate treatment approach based on accurate differential diagnosis

Outline

Scope of the Problem
Definitions and Prevalence

• Picky Eating
• Problem Feeders

Identifying Who Would Benefit from Intervention Early

• Why is Early Intervention important?

Diagnosis

• Pediatric Feeding Disorder
• ARFID

• Problems with the ARFID diagnosis
• Prevalence

Differential Diagnosis Decision Tree
Treatment Approaches

• Educational
• Clinical

Case Studies – ARFID vs PFD vs Picky Eater?
Recommendations for Intervention

Target Audience

• Psychologists working with Feeding Disorders, Eating Disorders and/or AFRID
• Other mental health providers working with Feeding Disorders, Eating Disorders and/or ARFID (e.g. social workers, counselors)
• Pediatric Occupational Therapists
• Pediatric Speech Pathologists
• Pediatric Feeding Specialists
• Physicians and/or Psychiatrists working with Feeding Disorders, Eating Disorders and/or ARFID
• Registered Dietitians working with Feeding Disorders, Eating Disorders and/or ARFID
• Day care providers
• Teachers/Educators
• Nurses

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