The Feeding Disorders Team

Patient Rachel

The Feeding Disorders Team (FDT) specialises in Avoidant/Restrictive Food Intake Disorder (ARFID) and related presentations. The Team is led by Dr Rachel Bryant-Waugh, Consultant Clinical Psychologist and Joint Head of the Trust’s Feeding and Eating Disorders Service (FEDS).

Within the Team, the following disciplines are represented: psychology, nursing, dietetics, family therapy, play specialism, speech and language therapy, occupational therapy, and psychiatry (see Meet the Team). We also have access to one of the Trust’s consultant General Paediatricians and a Gastroenterology Fellow, who provide advice and might see individual patients for assessment and an opinion as needed.

We mostly see children and young people who are refusing or avoiding food for a variety of reasons. These include:
  • feeding/eating aversions or phobias
  • extreme selectivity
  • tube feed or nutritional supplement dependency 
  • lack of interest in food and/or eating
  • halted feeding development (e.g. remaining on foods/textures no longer developmentally appropriate)
 
We also see children and young people who:
  • Regularly or habitually bring food back up into their mouth in the absence of any current gastrointestinal disorder other medical condition to account for this
  • Regularly or habitually ingest non-food substances
 
There may be concern about one or more of the following:
  • Weight and/or physical growth and development
  • The age appropriateness and/or nutritional adequacy of the individual’s intake
  • Health implications related to poor intake
  • Impact on social and emotional development
  • Impact on family functioning
What the Feeding Disorders Team offer at Great Ormond Street Hospital.
Who's who in the GOSH Feeding Disorders Team.
How to send a referral to the Feeding Disorders Team.
Clinical outcomes from the Feeding Disorders Team within FEDS.
Research from the Feeding Disorders Team is carried out with the support of UCL Institute of Child Health.