Week
Component 1 — Graduated Food Exposure
Component 2 — CBT for ARFID
Component 3 — Nutritional Rehabilitation
Week 1
Building your personal exposure hierarchy. First small, structured exposures to foods just outside your current safe list.
Understanding what maintains your ARFID: sensory sensitivities, fear of choking or vomiting, low appetite, or a mix. Starting to map the thought-behavior cycle.
Comprehensive nutritional assessment. Identifying gaps and building a realistic plan for adequate intake, with and without supplements.
Week 2
Moving up the hierarchy. Repeated, structured exposures to the next step with clinician and dietitian support.
Challenging catastrophic thoughts (choking, vomiting, allergic reaction) and the safety behaviors that keep them in place.
Working into food-group gaps: protein, grains, fruits and vegetables, as your exposure work makes room.
Week 3
Practicing in less-controlled settings. Restaurants, work lunches, and shared meals, with structured preparation and debrief.
Reducing social-eating avoidance. Rebuilding your relationship with eating around other people without extreme anxiety.
Reducing supplement dependence where appropriate. Expanding what you can meet nutritionally through food.
Week 4
Consolidating gains. Identifying your next exposure targets for after IOP and the pacing that works for you.
Relapse-prevention planning. Recognizing early signs of avoidance creeping back and intervening early.
Your long-term nutrition plan. Transitioning to self-directed eating with ongoing dietitian support as appropriate.