Sensory sensitivities and generalised anxiety are MOST likely to co-occur alongside:

Question

BlackTom AI · Accepted Answer

Sensory sensitivities and generalized anxiety frequently characterize Avoidant/Restrictive Food Intake Disorder (ARFID) because one of ARFID’s core presentations is food avoidance driven by sensory characteristics and fear-based anxiety.

1) Relevant knowledge points and concepts
- ARFID (DSM-5) involves persistent failure to meet nutritional/energy needs because of avoidance or restriction of food intake. Presentations include sensory-based avoidance (sensitivity to taste, texture, smell, appearance), lack of interest in eating, or fear of aversive consequences (e.g., choking, vomiting).
- Anxiety disorders, including generalized anxiety, commonly co-occur with ARFID; heightened anxiety can reinforce avoidance and worry about eating.
- Other eating disorders (e.g., binge eating, muscle dysmorphia) have different core features: binge episodes or body-image driven behaviors rather than sensory-based avoidance.

2) Step-by-step reasoning
- The question describes two features: sensory sensitivities and generalized anxiety.
- Sensory sensitivity to food (e.g., rejecting textures, smells) is one of the hallmark ARFID presentations documented in clinical criteria.
- Generalized anxiety often accompanies ARFID and can maintain restrictive eating through worry about consequences or intolerance of sensory input.
- Therefore the combination of sensory sensitivities plus generalized anxiety maps directly onto ARFID.

3) Intermediate steps (concept linking)
- Sensory avoidance → reduced variety/quantity of intake → ARFID diagnostic criteria.
- Generalized anxiety → increased worry about eating or bodily reactions → reinforces avoidance patterns in ARFID.

4) Why the correct answer is correct
- ARFID explicitly includes sensory-based avoidance as a diagnostic subtype, and anxiety disorders are frequent comorbidities. The described symptom cluster is consistent with ARFID’s clinical picture.

5) Why other options are incorrect
- Binge Eating Disorder: characterized by recurrent binge episodes and loss of control over intake, not sensory-based avoidance or predominant generalized anxiety.
- Muscle Dysmorphia: a body-image disorder focused on perceived insufficient muscularity and compulsive behaviors to increase muscle mass, unrelated to sensory food avoidance.
- Disordered Eating: a broad, non-specific term describing unhealthy eating patterns; it is not a formal diagnosis and does not specifically link sensory sensitivities with generalized anxiety in the way ARFID does.

Conclusion: The correct and clinically consistent choice is Avoidant Restrictive Food Intake Disorder, matching the provided answer.

Sensory sensitivities and generalised anxiety are MOST likely to co-occur alongside:Single choice

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