Picky eaters have some foods they don't like, but it doesn't affect their life in any real way. For selective eaters, there are so few things that we can stomach that going to restaurants or other social events where food is served can actually be stressful. Usually, there are fewer than 20 things in the whole world we can eat. If those things aren't available, we will stay hungry, rather than eat something new. If necessary, we'll pretend to have an upset stomach or a food allergy to get out of it. Anything to avoid having to put something we don't want to into our mouths.
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Unlike your mom. BAM.
The societal pressure put on us to eat like normal people, and our inability to do so, can lead to big problems. Some people even reported marriages ending because their spouse couldn't watch them eat French fries for dinner AGAIN.
Nobody's sure how many of us are out there right now, since the diagnosis is so new. However, one online survey by Duke University expected just a few hundred people to participate. The researchers were shocked when over 18,000 did in the course of just a few months, and most of them fell under the selective eating diagnosis. While we're a minority, there may be a lot more people with severely picky eating habits than you would think.