Mealtime Management: Supporting Fussy Children with Feeding Difficulties

Mealtime can often be challenging for parents, especially when dealing with children who have feeding difficulties or exhibit picky eating behaviours. Understanding how to navigate these challenges with patience and informed strategies can make a significant difference in promoting healthy eating habits and reducing stress for both
children and parents.

Understanding Feeding Difficulties

Feeding difficulties in children can manifest in various ways, from extreme selectivity in food
choices to refusal of certain textures or types of food. These behaviours are not uncommon and can
stem from sensory sensitivities, oral motor issues, anxiety, or past negative experiences related to
food.

The SOS Approach to Feeding (Sequential Oral Sensory), developed by Dr. Kay Toomey, is a systematic, multidisciplinary approach that addresses the developmental and sensory aspects of feeding difficulties. It aims to help children explore and interact with food in a positive, playful manner, gradually increasing their comfort and acceptance of a wider range of foods. Central to the SOS Approach are the “32 Steps to Eating,” a structured framework designed to gradually desensitize children to food-related sensory experiences and increase their comfort and acceptance of a wider variety of foods.

A chart showing the steps to eating food

Tips for Supporting Your Child’s Mealtimes

  1. Create a Positive Mealtime Environment:
    • Routine and Predictability: Establish regular meal and snack times to create a predictable routine.
    • Relaxed Atmosphere: Avoid pressure or negative comments about eating. Keep mealtimes pleasant and stress-free.
  2. Gradual Exposure and Exploration:
    • Food Play: Encourage exploration through sensory play with food, such as touching, smelling, and eventually tasting.
    • Food Chaining: Introduce new foods that are similar to ones your child already accepts, gradually expanding their palate.
  3. Incorporate the SOS Approach:
    • Step-by-Step Exposure: Introduce new foods in a structured way, starting with foods that are similar in colour, texture, or taste to foods your child already accepts.
    • Playful Interaction: Use playful activities to engage your child with food, such as food-themed crafts or games involving food items.
  4. Respect Food Preferences:
    • Recognize that children may have genuine preferences and sensitivities. Offer a variety of nutritious foods, including ones they prefer, while gently encouraging exploration of new foods over time.
  5. Consult with Professionals:
    • If feeding difficulties persist or if your child’s growth and development are affected, seek guidance from a paediatrician, occupational therapist, or feeding specialist who can provide personalized strategies and support.
An image of young boys eating from bowls

Conclusion

Managing mealtimes with a fussy eater requires patience, understanding, and a proactive approach. By incorporating principles from the SOS Approach to Feeding and adopting strategies that create a positive mealtime environment, you can help your child develop healthier eating habits and reduce mealtime stress for the entire family. Remember, every child is unique, and progress may take time, but with consistency and support, positive changes can be achieved.

An image of a child holding  a cup picking up macaroni

By fostering a relaxed and enjoyable atmosphere around food, you lay the foundation for your child to develop a healthy relationship with eating—one that supports their growth and well-being in the long term.

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