Picky Eater or Feeding Disorder?

Ruby Mendoza, a student in the Munroe Elementary School gardening club enjoys a meal she helped prepare by growing and chopping vegetables at the school in Denver

Chatterboxes’ therapists work with children and their families to develop age-appropriate feeding skills and promote positive mealtime behaviors so as to foster healthy feeding habits during the critical early stages of a child’s life. Our feeding therapy program employs motor exercises, oral-motor techniques and/or procedures to optimize mealtime structure, as well as to explore and introduce new food types and textures.

The development of feeding skills is essential to a child’s physical, cognitive, and emotional growth. Children begin acquiring feeding skills as infants and gradually progress to have adult-like skills by the age of three. In these critical first three years of life, children learn to manage a variety of textures, starting with liquids and then advancing to purees and solids. They become increasingly skilled at using utensils and eventually become independent self-feeders.

Many children can be described as “picky eaters” in these early years, but when is it more than just being picky? A feeding disorder can manifest in a variety of ways. For instance, some children have an extremely restricted repertoire of ingested foods. Others do not consume enough volume to maintain a healthy weight. Still others may not be able to progress to age-appropriate textures. Whichever the feeding-related issue, the situation can be extremely stressful for both the child and their family.

Common Referral Criteria for A Feeding Evaluation Include:

  • Delay in feeding milestones
  • Weight loss or lack of weight gain for 2-3 months
  • Persistent gagging or coughing while eating
  • Irritability surrounding meals
  • Severe behavior problems related to feeding
  • Food refusal

Click Here to Read More about Feeding Milestones & When To Expect Particular Skills

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