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    Occupational Therapy

    Picky Eating or Something More? Understanding Feeding Challenges

    Monday 12 February 20247 min read
    R

    Rutu Patel

    Founder & Occupational Therapist

    Picky Eating or Something More? Understanding Feeding Challenges

    Is It Just a Phase?

    Most children go through phases of picky eating—it's a normal part of development. But for some children, eating difficulties go beyond typical fussiness and may need professional support.

    Typical Picky Eating

    Normal picky eating usually involves:

    • Preferring certain foods over others
    • Going through phases of food jags
    • Being suspicious of new foods initially
    • Eating better at some meals than others
    • Having about 30+ foods they'll eat

    When It Might Be More

    Signs that feeding challenges may need support:

    • Eating fewer than 20 foods
    • Eliminating entire food groups
    • Gagging or vomiting with certain textures
    • Extreme distress at mealtimes
    • Weight loss or failure to gain weight
    • Meals lasting longer than 30 minutes regularly
    • Only eating specific brands or preparations
    • Anxiety around food and eating

    Possible Underlying Causes

    Sensory Sensitivities

    Some children are highly sensitive to:

    • Food textures (mushy, crunchy, mixed)
    • Tastes (bitter sensitivity is common)
    • Smells
    • Appearance (won't eat foods touching)
    • Temperature

    Oral Motor Difficulties

    Children may struggle with:

    • Chewing efficiently
    • Moving food around the mouth
    • Swallowing safely
    • Coordinating breathing and swallowing

    Medical Factors

    Including:

    • Reflux or digestive issues
    • Food allergies or intolerances
    • Constipation
    • Tonsil or adenoid issues

    Anxiety

    • Fear of choking
    • Traumatic feeding experiences
    • General anxiety affecting appetite

    What NOT to Do

    • Force children to eat
    • Use dessert as a bribe
    • Make separate meals for everyone
    • Create pressure or stress at mealtimes
    • Sneak vegetables into other foods

    Helpful Strategies

    Take the Pressure Off

    Serve meals family-style and let children choose what to eat from what's offered.

    Involve Children in Food Prep

    Children are more likely to try foods they've helped prepare.

    Offer New Foods Alongside Familiar Ones

    Include at least one "safe" food at every meal.

    Model Positive Eating

    Let children see you enjoying a variety of foods.

    Keep Mealtimes Pleasant

    Focus on connection, not consumption.

    Food Play

    Explore foods outside of mealtimes through play—no eating required.

    Stay Consistent

    It can take 10-15 exposures before a child accepts a new food.

    The Role of Feeding Therapy

    Occupational Therapists and Speech Pathologists can help with feeding challenges. At Hop & Learn, we:

    • Assess sensory, motor, and behavioural factors
    • Develop individualised feeding programs
    • Support families with mealtime strategies
    • Use play-based approaches to make food exploration fun
    • Address underlying oral motor or sensory issues

    When to Seek Help

    Don't wait if:

    • You're concerned about your child's nutrition
    • Mealtimes are consistently stressful
    • Your child's food range is shrinking
    • There are signs of aspiration (coughing/choking)
    • Weight or growth is affected

    Early intervention leads to better outcomes.

    From the Blog

    Practical ideas for calmer routines, clearer communication, and confident next steps

    Explore quick reads from founder Rutu Patel on sensory needs, speech and language, school readiness, and the everyday therapy wins that matter most at home.

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    Therapist and child celebrating with high-five
    Child climbing wooden ramp
    Engaging therapy session
    Therapist and child with letter cards
    Child jumping on trampoline
    Fun therapy activity
    Child navigating obstacle course
    Child threading beads for fine motor skills
    Child on therapy ball reaching
    Child smiling on climbing frame during therapy
    Child playing ring toss game
    Child sorting colorful objects

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