NW Pediatric & Family Nutrition helps children, teens, and adults struggling with ARFID (Avoidant/Restrictive Food Intake Disorder) in Portland, OR. We offer individualized nutrition counseling that builds trust in food, supports safe exploration, and helps you or your child meet nutritional needs without pressure or shame.

We Offer Support To Those With ARFID
ARFID is a complex eating disorder marked by extreme food avoidance that’s not related to body image. Clients often struggle with texture aversions, fear of choking, or past negative food experiences that make eating difficult. It can impact growth, energy, social interactions, and emotional well-being.
Living with ARFID can make everyday situations involving food feel overwhelming. School lunches, family meals, birthday parties, restaurants, and holiday gatherings can become sources of anxiety instead of enjoyment. Our experienced registered dietitians understand that ARFID is much more than “picky eating.” Every client has a unique story, and we take time to understand the underlying factors contributing to food avoidance before creating a personalized nutrition plan. Our goal is to help clients make meaningful progress while respecting their comfort level. Rather than forcing new foods or creating stressful mealtime experiences, we use compassionate, evidence-based strategies that encourage confidence and long-term success. Whether your child eats only a handful of foods or you’re an adult who has struggled with food avoidance for years, we’re here to provide practical guidance and ongoing support.
At NW Pediatric & Family Nutrition, we help ARFID clients gradually rebuild a relationship with food in a safe, non-judgmental space. Our approach combines meal planning, nutrition education, and gentle exposure work that aligns with your or your child’s comfort level. Every plan is customized and paced carefully, supporting real progress without overwhelming the client. Our nutrition counseling focuses on building sustainable habits over time. Small victories matter, and we celebrate every step toward increased food variety, improved nutrition, and greater confidence around eating. We work collaboratively with physicians, therapists, speech-language pathologists, and other healthcare providers whenever appropriate to ensure coordinated care. Whether we’re working with a young child or an adult, our goal is to improve quality of life and remove the stress around food.
Melody’s Experience With ARFID Support
“ After some bad (eating-disorder-fueling) experiences with dietitians and nutritionists in the past, I was extremely wary about seeing Andrea. But I needed food exposure therapy, not just talk therapy, to break through my ARFID struggles, and I’m happy to report that Andrea gave me exactly what I needed. Telehealth exposure therapy over the course of several months meant she regularly watched me on a screen and talked me through what I was experiencing as I struggled to eat things in the comfort of home. She miraculously avoided the minefields of my orthorexia and Crohn’s disease too. It was a very gentle but extremely liberating experience.”
Read more here.
We Proudly Serve People In Portland With ARFID Support
Located in the heart of Multnomah County, Portland is known for its welcoming neighborhoods, strong healthcare community, and family-focused resources, making it an excellent place for individuals seeking specialized nutrition care for ARFID. Families throughout neighborhoods such as Hillsdale, Raleigh Hills, Cedar Hills, Southwest Portland, Beaverton, and Tigard trust NW Pediatric & Family Nutrition for compassionate, evidence-based nutrition counseling that helps children, teens, and adults expand their food choices at a pace that feels safe. Our office on SW Skyline Boulevard is conveniently located for clients traveling from across the Portland metropolitan area using major routes like U.S. Highway 26, Interstate 5, and Oregon Highway 217. Whether you’re bringing your child to an after-school appointment or scheduling support for yourself during the workday, our location makes it easier to access consistent care close to home. We understand that living with ARFID can make everyday activities from school lunches and family dinners to social gatherings and travel feel overwhelming. Our goal is to provide individualized guidance that helps clients build confidence around food while improving nutritional intake and reducing anxiety surrounding meals. Learn more about our ARFID nutrition counseling services. Portland’s commitment to wellness, education, and community support creates an encouraging environment where families can focus on long-term progress while receiving personalized nutrition care.
Many of the families we serve enjoy spending time at local destinations like Washington Park, the Oregon Zoo, Pittock Mansion, and the scenic trails of Forest Park, yet outings can sometimes become stressful when food concerns limit participation or create anxiety around eating away from home. Our registered dietitians work closely with each client to develop practical strategies that make everyday life more manageable, whether that means preparing for birthday parties, school events, vacations, or dining at local restaurants. We recognize that every ARFID journey is different, which is why treatment plans are built around each person’s unique sensory preferences, nutritional needs, and comfort level. Rather than forcing unfamiliar foods, we focus on gradual progress, helping clients build trust in the eating process while supporting healthy growth, development, and overall well-being. Families appreciate having a local nutrition practice that understands the challenges of ARFID and offers compassionate care without judgment. For those living throughout Portland and neighboring communities, our office provides an accessible destination where expert nutrition guidance is paired with patience, encouragement, and realistic goals that fit everyday life.
As part of the greater Portland region, our practice proudly supports residents throughout Multnomah County as well as nearby communities in Washington County and Clackamas County, making specialized ARFID nutrition counseling more accessible for families across the metro area. Whether you live near downtown Portland, in Southwest Portland, or in neighboring communities like Beaverton, Lake Oswego, Tigard, or Hillsboro, reaching our office is convenient thanks to Portland’s well-connected transportation network and nearby public transit options. We know that regular appointments are an important part of successful nutrition therapy, so we strive to provide a welcoming environment where clients feel comfortable returning as they make steady progress. From helping young children increase food variety to supporting teens and adults who experience anxiety around eating, our team is committed to providing practical nutrition strategies that fit real life. Every recommendation is tailored to the individual, helping families develop sustainable habits that improve health without creating unnecessary pressure. If you’re searching for experienced ARFID nutrition support near Portland, NW Pediatric & Family Nutrition is ready to partner with you and your family as you work toward healthier eating patterns and greater confidence with food.
Contact Us Today For Support With ARFID
If you or your child is struggling with ARFID, we’re here to help. NW Pediatric & Family Nutrition offers free phone consultations to discuss your concerns and determine if we’re the right fit for your family. Reach out today to get started. Nutrition in Portland, OR, today. We will help you book a consultation so you can get started today.
Frequently Asked Questions About ARFID Support
Choosing support for ARFID often comes with many questions, whether you're seeking help for yourself or your child. Below are answers to some of the most common questions we receive.
How do I know if my child or I have ARFID?
While only a licensed professional can make an official diagnosis, signs of ARFID include extreme pickiness, fear-based avoidance (like choking or vomiting), and nutritional deficiencies or weight loss. If eating is causing distress or interfering with daily life, it’s worth exploring support options.
Do you use a specific approach to treat ARFID?
Yes, our dietitians are trained in evidence-based approaches like Family-Based Treatment (FBT) and exposure therapy techniques tailored to the client’s age and needs. We focus on building trust, not using pressure, and involving parents when working with children.
Can ARFID improve with nutrition counseling alone?
ARFID treatment often involves a team approach, including medical providers and therapists, but nutrition counseling plays a central role. We work on broadening food choices, building tolerance, and helping clients meet nutritional needs in a manageable way.