The initial goal of the psychological assessment should be to confirm a diagnosis and ARFID subtype (selective eating, chronic low appetite/interest, or fear of aversive consequences) [1], as well as to ensure that there aren’t also concerns for other eating issues. Sometimes, patients will deny body image issues or intentional restriction of food and claim to have early satiety or fear of abdominal discomfort, nausea, or vomiting, but it becomes clear over time that anorexia nervosa is the more appropriate diagnosis. Individuals might resist weight restoration or may only be willing to conduct food exposures with lower calorie food options. The clear presence of intentionally restrictive eating, desire to lose weight, or compulsive exercise makes the diagnosis of anorexia nervosa more likely, although eating disorder experts do also sometimes see patients with longstanding ARFID symptoms who later develop symptoms more consistent with another eating disorder diagnosis.