Therapist seeks cure
for picky eating child



E-mail Subject: picky eater

Dear Abbie,

I am an outpatient therapist working with a 9 year-old boy who is an extremely picky eater. He has been this way since infancy. He only likes a few foods and will go days without eating before he will eat something he doesn't like. He does not like touching certain foods and does not like the texture of certain foods in his mouth. He gags as soon as certain foods are near his mouth and needs to wash his hands after touching certain foods. The doctor has found no physical problems which may cause difficulty eating or swallowing. We have been playing with food, having him hold foods in his mouth, alternating foods that he likes with those he does not, and other similar activities. Do you have any ideas or suggestions for helping him and his parents?

Thank you for your time and consideration.

Shelly

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Shelly,

It sounds to me as though you are doing all the right kinds of things and I am interested to know if your efforts have been productive. Are you seeing changes? How is the child responding?

Can this child also work with an occupational therapist, speech therapist and /or Feldenkrais around issues with his mouth?

How about trying the "food chaining" that is described in the feature articles on my site?

Abbie Natenshon

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Dear Abbie

We have reached a point where he can put foods in his mouth and hold them there for a few seconds. He is understandably resistant to these changes; however, he is able to gauge when the goal is doable or too much-so he has some input in his goals for the week. His input seems to help in garnering more cooperation from him.

This week his goal is to put 3 different foods in his mouth and chew; he can then spit them out if he needs to. He and dad were also to pick out five vegetables to play with on a large piece of plastic on the floor-touching them, smelling them, smashing them, etc. I don't know how this week has been for him yet.

I will check out the "food chaining" you mentioned.

Shelly

To be continued..........
 

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