10 year old barely eats

[toots123]

Our 10yo DD has gone from being fussy to barely eating anything
She used to eat a great variety of food and friends used to comment on this.
Now she has gone from being a little fussy to barely eating anything

She showed an interest in a vegetarian diet so we supported this as it made life easier for everyone but now wont eat anything more than pizza, pasta and soup.

Lunches are hard as she doesn't eat bread, only one brand of wraps etc
Breakfast is the same dry cereal every day.
Can she really life off these foods? Should I be concerned and seeking GP help? Should we continue to introduce new food ideas or do we ignore and let her eat what she likes from her plate? Would appreciate some advice.

Are there other issues? Anxiety, stress, autism, ADHD?

@Oodiks
No autism, adhd or stress. No changes at home or at school.
Anxiety is a tricky one as there's no signs of it but doesn't mean she doesn't feel anxious

Many people will jump in saying it's an eating disorder, which is what it may well be, but definitely also consider emetophobia (fear of vomiting) which is actually more common than EDs. Look up other symptoms to see it might fit, usually fear of illness, contamination, OCD behaviours, perfectionism and a frequent overlap with neurodivergence. Eating very little is also typical, although the obsession is not with losing weight but avoiding foods that could make you sick. Living off carbs, packaged foods, crisps, bananas etc is all typical of emetophobia. Many go vegetarian not because of the lower calories but because cooked vegetables are much less likely to make you sick compared to meat.

Pizza and pasta are two extremely common emetophobic "safe foods" and somewhat less common with eating disorders that revolve around calorie counting.

FWIW if it really turns out to be emetophobia then it's fully possible to survive on a limited selection of foods for years or even decades, provided a few of them are also nutritious (fruit, veg etc). Emetophobes are usually skinny but they'll almost never reach a life threatening stage of starvation since it's not about losing weight. Although many are falsely diagnosed with anorexia and might end up in the wrong treatment.

My daughter was a picky eater, and I blame her father as he had a bunch of eating and food issues he was blithely unaware of and pushed on to her. Her slightly picky eating went into overdrive after a stressful move from London to the West Coast to the point where she was only eating crackers and pasta.

With him out of the picture her eating has opened up and she's now excited to try new things (within an admittedly limited window).

So, it's maybe worth thinking about her general environment around eating in your home and seeing if you can do anything to improve it.