How do I Know if My Child has a Feeding Disorder?

young asian girl covering her mouth being a picky eater

Feeding disorders are very common. Though it is hard to quantify, “[a]pproximately 20-50% of normally developing children, and 70-89% of children with developmental disabilities” (1) have a feeding disorder. How does this happen so frequently?!

According to Dr. Kay Toomey’s research and reviews of other studies, of children who have feeding disorders, between 65-95% of cases are caused by both behavioral and natural, organic causes (2017) (2). In other words, more often than not, a feeding disorder is not just behavioral! For example, a child that has undiagnosed reflux or allergies has learned to refuse food, because they have learned that food causes them to have an upset stomach. They may continue to refuse food even after receiving treatment for the initial physiological problem. A child that has choked on some solids because of undiagnosed oral dysphagia will begin to only eat liquid and purees to avoid choking. A child that is refusing crunchy foods could have sensory processing disorder and benefit from desensitization. A child that is having a hard time breathing will refuse food in order to get enough oxygen to survive. The examples could go on and on. Every child is different, and needs to be diagnosed and treated holistically.

Some signs that may indicate your child could have a feeding disorder include:

  • If your child eats less than 20 foods
  • If mealtimes take more than 30 minutes
  • If they refuse all of food of a certain texture or color, or are they having difficulty transitioning to solids
  • If they are choking, coughing, or gagging while eating
  • If they are demonstrating a lot of negative behaviors during meal times
  • If they have difficulty with mealtime routines or have a hard time sitting at the table
  • If they have difficulty chewing or swallowing (example: food left in their mouth after they’ve finished eating)

If you think your child could have a feeding disorder, or you feel that you’ve exhausted your options at home and don’t know where else to go, your child could likely benefit from a feeding evaluation and possibly feeding therapy. A pediatric feeding specialist can help you determine the cause, if a cause is present, make appropriate referrals, and plan the best course of treatment. Slowly, your child will become an adventurous and independent eater!

Sources:

  1. 2013. June 13. Banchaun Benjasuwantep, Suthida Chaithirayanon, and  Monchutha Eiamudomkan. Feeding Problems in Healthy Young Children: Prevalence, Related Factors and Feeding Practices. Published online 2013 Jun 13. doi: 10.4081/pr.2013.e10
  2. Toomey, Kay (2017). Top Ten Myths of Mealtime in America. SOS Approach to Feeding. https://sosapproach-conferences.com/resources/top-ten-myths-of-mealtime-in-america/

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April 22, 2024

Helping Picky Eaters: A Look into Pediatric Feeding Therapy with MetroEHS

In today’s hectic world of parenting, where every child seems to come with their unique set of challenges, one common struggle that many families face is dealing with picky eaters. It’s a scenario familiar to almost every parent or guardian out there. But fear not, because MetroEHS Pediatric Therapy is stepping in to offer a solution that not only addresses the needs of the child but also brings relief to the entire family.

During a recent segment on Live in the D, Tati Amare dove into the topic of feeding therapy with two experts from MetroEHS: Dawn Sterling, a Board Certified Behavioral Analyst, and Sam Fitzsimmons, the Director of Occupational Therapy. Their insights shed light on the signs indicating a child could benefit from feeding therapy, how MetroEHS approaches this issue, and invaluable advice for parents navigating feeding challenges.

According to Sam Fitzsimmons, pediatric feeding disorders are more common than we might think, with one in 23 children under the age of five affected. These disorders often accompany developmental disabilities like ADHD and autism, making them even more prevalent. Signs to watch out for include mealtime behaviors that disrupt daily routines, extreme food selectivity, and a reduction in the variety of foods consumed.

MetroEHS takes a holistic approach to feeding therapy, utilizing an interdisciplinary model that incorporates occupational therapy, speech therapy, applied behavior analysis (ABA), and physical therapy. Their goal is to make feeding a positive and enjoyable experience for children, starting with non-food items and gradually progressing to food-based activities through play and sensory exploration.

One of the most significant takeaways from the discussion is that it’s never too early to seek help. Whether it’s addressing difficulties with latching during breastfeeding in newborns or tackling food aversions in older children, MetroEHS is there to support families every step of the way.

When it comes to feeding strategies, Dawn Sterling emphasizes the importance of keeping things light and pressure-free. Rather than engaging in power struggles over food, she advocates for creating a nurturing environment where children feel comfortable exploring new foods at their own pace. The key is to focus on engagement and enjoyment, both for the child and the family.

In their own words, both Dawn and Sam emphasize MetroEHS’s commitment to holistic care, not just for the child but for the entire family. By adopting a whole-child approach and empowering families, MetroEHS aims to foster growth and success in every aspect of a child’s development.

As the conversation drew to a close, Tati Amare reiterated the accessibility of MetroEHS’s services, with 14 locations already established in Metro Detroit and three more on the horizon. Whether it’s ABA, speech, occupational, feeding, or physical therapies, MetroEHS stands ready to lend a helping hand to families in need.

In conclusion, dealing with picky eaters can be a daunting challenge, but with the right support and guidance from experts like those at MetroEHS Pediatric Therapy, families can overcome these obstacles and ensure that every child thrives. If you’re facing feeding difficulties with your child, don’t hesitate to reach out and discover the transformative power of pediatric feeding therapy.

September 17, 2023

Metrotherapy In Detroit, Michigan

Our therapists and educators have a passion for extending their clinical abilities to those who are in need of Special Education, Child Education or Pediatric Therapy in Metropolitan Detroit.

May 28, 2025

The Importance of Reading and Speech Development

Unleashing the Superpower of Words: The Importance of Reading and Speech Development with MetroEHS Pediatric Therapy

Greetings, heroes of child development! At MetroEHS Pediatric Therapy, we believe every child has a SUPER spark waiting to shine, and there’s no greater way to ignite that spark than encouraging a love of reading. Like a trusty cape, developing reading skills empowers children to soar through life with confidence, connection, and success. Let’s dive into why nurturing these abilities is a game-changer for your little hero’s growth, all while embracing the compassionate, play-based approach that defines MetroEHS!

The Superpower of Reading: Building a Foundation for Success

Reading is more than just decoding words on a page—it’s a superpower that unlocks imagination, knowledge, and communication. For young children, reading acts as a catalyst for cognitive and emotional growth, especially during the critical early years when the brain’s neuroplasticity is at its peak. According to our MetroEHS mission, early intervention is key to leveraging this neuroplasticity, helping kids develop essential skills like speech, comprehension, and social interaction.

When children engage with stories, they’re not just following along—they’re building vocabulary, learning sentence structure, and developing critical thinking. Picture your little one giggling at a silly rhyme or pointing excitedly at a colorful picture book. These moments are more than just fun; they’re wiring their brains for language mastery! Reading exposes children to new words and concepts, fostering a love for learning that sets them up for success in the classroom and beyond.

Speech Development: Giving Voice to Their Inner Hero

Speech development is the megaphone that amplifies a child’s thoughts, feelings, and ideas. At MetroEHS, we know that clear communication is vital for connection and engagement, two pillars of life which enhance quality of life. Through play-based therapy, our therapists create a joyful environment where children feel safe to express themselves, whether through words, sounds, or even playful gestures.

Speech isn’t just about pronouncing words correctly—it’s about building confidence and social skills. When children struggle with speech delays, it can impact their ability to connect with peers or express their needs. That’s where MetroEHS swoops in with intensive, evidence-based interventions. By focusing on consistent, tailored support (think five times a week for maximum impact!), we help children overcome challenges and unlock their ability to communicate effectively.

Reading Fuels Speech Development

Reading and speech development are like two sidekicks working together to save the day. When children listen to stories or read aloud, they practice articulation, rhythm, and intonation. Storytime becomes a playground for language, where kids mimic sounds, learn new phrases, and build the confidence to share their own stories. Our play-based approach at MetroEHS harnesses this magic, using activities like storytelling and role-playing to make speech practice feel like an adventure.

For example, a child might act out a scene from their favorite book, practicing words like “roar” or “zoom” with a therapist’s guidance. These playful interactions not only improve speech clarity but also boost emotional well-being by creating a safe space for self-expression. Plus, reading together with parents or caregivers strengthens family bonds, aligning with our collaborative care model to empower families for long-term success.

Here’s the superhero secret: timing is everything.

The earlier we nurture reading and speech development, the greater the impact. MetroEHS emphasizes intensive early intervention because young brains are wired to learn and adapt. Parents swoop in heroically and read to their little superheroes daily. Therapists address any speech delays or reading challenges, mitigate developmental delays and set children on a path to achieve their full potential. Think of it as giving your child a head-start in their heroic journey!

Unleash Your Child’s Superpowers Today!

Ready to help your little hero soar? At MetroEHS Pediatric Therapy, we’re passionate about revealing the SUPER in every child through compassionate, play-based care. Learn how our evidence-based therapies can empower your child’s reading and speech development. Contact us today to schedule a consultation and join our mission to foster connection, engagement, and success!