Episode 121: ARFID: Meaning, Autism, and Building Trust Around Food

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In this episode, I sit down with Polina Shkadron, a speech-language pathologist who specializes in autism, ADHD, and ARFID. We dive into her journey into feeding therapy and explore what’s really going on beneath the surface when kids struggle with eating. Polina shares how trust, autonomy, and regulation play a huge role in building positive food experiences.

We talk about the impact of fear and anxiety on eating, the importance of honoring a child’s identity and sensory needs, and how small, playful routines can make a big difference. If you’ve ever wondered how to support a child beyond the “just take a bite” approach, this conversation is for you.

Bio

Today on the podcast, I’m thrilled to be joined by Polina Shkadron. Polina is a trauma-certified speech-language pathologist and an expert in communication and feeding, with a specialization in autism, ADHD, and ARFID. Her therapeutic approach is grounded in compassion and brain-based research, which gives her a unique and powerful perspective on language, learning, and behavior.

With over 15 years of experience supporting neurodivergent children, Polina helps families understand the why behind their struggles and gently guides them toward more connected, trusting relationships. She brings play into her sessions not just as an activity, but as a meaningful tool for emotional regulation, communication, and healing. I can’t wait for you to hear her insights in this conversation.

Takeaways

  • Polina Shkadron specializes in autism, ADHD, and ARFID.
  • ARFID is more than picky eating.
  • Trust and autonomy are crucial in helping children with feeding differences.
  • Children may choose hunger over discomfort from food.
  • Language around food can impact children’s willingness to try new things.
  • Therapy should focus on building trust and understanding individual needs.
  • Self-regulation plays a significant role in eating behaviors.
  • Parents’ anxieties can affect children’s eating experiences.
  • Recognizing readiness is key to successful feeding interventions. 
  • Fear impacts our digestive system and hunger.
  • Shame should be removed from eating habits.
  • Neutral reactions from parents can foster a positive environment.
  • Mealtime should not solely focus on food challenges.
  • Introducing new foods can be done through play.
  • Building trust is essential in food experiences.
  • The experience of food preparation can enhance curiosity.

Free Social Story Library: Support Predictability and Communication

Social stories can be a powerful tool for helping children understand what to expect, build confidence, and navigate everyday moments with more clarity and calm. Yet finding clear, ready-to-use social stories that are respectful, developmentally appropriate, and focused on connection—not compliance—can be time-consuming.

That’s why we created the Free Social Story Library.

This library offers a collection of social stories you can download and use right away—stories that support children in:

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Each social story is designed to put the learner first, using language and visuals that make expectations clearer while honoring neurodiversity and authentic experience.

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