Overcoming Feeding Challenges in Children and Infants: How Occupational and Speech Therapy Can Help
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Feeding challenges can arise at any stage, from infant bottle feeding to transitioning to table foods, and even in older children who face oral-motor difficulties or strong feeding aversions. These challenges not only affect a child's nutrition and development but can also lead to stress during mealtimes. Occupational therapy (OT) and speech therapy provide comprehensive support tailored to each stage of feeding development, helping children and families achieve positive mealtime experiences.

Understanding Feeding Challenges: A Lifespan Approach


Feeding challenges manifest differently at various ages, requiring customized strategies to address them effectively.

Infant Feeding Challenges


  • Bottle Refusal

    Difficulty latching, fussiness during feeds, or rejecting the bottle entirely.

  • Transition to Purees

    Resistance to new textures or gagging on smooth foods.

A purple and green cartoon character is flying in the air.
A purple and green cartoon character is flying in the air.

Toddler and Preschool Feeding Challenges


  • From Purees to Table Foods

    Hesitation or difficulty with chewing and swallowing solids.

  • Picky Eating

    Narrow food preferences or aversion to certain textures, tastes, or colors. PPT offers parent tips for picky eaters.

Feeding Challenges in Older Children


  • Oral-Motor Difficulties

    Weakness or poor coordination in chewing and swallowing muscles, leading to gagging or choking.

  • Feeding Aversions

    Anxiety or refusal to eat specific foods or entire food groups due to sensory sensitivities or past negative experiences.

  • Behavioral Concerns

    Mealtime avoidance, prolonged feeding times, or disruptive behavior.

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Early intervention at any age is essential to prevent long-term effects on growth, nutrition, and family dynamics.

Some Feeding Challenges May Be a Sign of ARFID


If your child eats only a few “safe” foods, avoids entire food groups, or shows intense fear around eating, it may be more than picky eating. These behaviors can be signs of Avoidant/Restrictive Food Intake Disorder (ARFID).

ARFID is not related to body image. It’s often connected to sensory sensitivities, fear of choking or vomiting, or past negative experiences with food.

Learn how feeding therapy can help your child develop a healthier relationship with food.

Read more about ARFID

How Feeding Therapy (FT) with Occupational and Speech Therapists Supports Feeding Development


Occupational therapists provide holistic solutions to address the sensory, motor, and behavioral aspects of feeding. Speech-language pathologists bring expertise in oral-motor skills and swallowing function, making them a key part of the feeding therapy team.

  • Sensory Processing Support

    Helping children manage sensitivities to smells, textures, and tastes through gradual exposure and sensory integration techniques.

  • Oral-Motor Skill Building

    Developing the strength and coordination needed for effective chewing, swallowing, and self-feeding. Using exercises and tools to strengthen muscles and improve food manipulation and swallowing.

  • Behavioral Strategies

    Teaching families mealtime routines and positive reinforcement techniques to reduce stress.

  • Infant Bottle Feeding

    Addressing coordination issues between sucking, swallowing, and breathing.

  • Transition to Solids

    Teaching strategies for safely introducing table foods, including pacing and modified textures.

  • Feeding Aversion Therapy

    Helping children overcome anxiety or discomfort related to specific foods through gradual desensitization and confidence-building.

Benefits for Families at All Stages


Feeding challenges affect the whole family, and therapy offers tools and strategies to support everyone involved:

  • Practical Solutions

    Step-by-step plans to address specific feeding concerns, tailored to your child’s age and needs.

  • Parent Education

    Insights into feeding development and ways to encourage progress at home.

  • Team Collaboration

    A multidisciplinary approach that may involve dietitians, medical professionals, and therapists.

When to Seek Professional Help


If your child is experiencing any of the following, it may be time to consult an occupational or speech therapist:

Difficulty latching, swallowing, or transitioning to solids as an infant.

Resistance to textures or chewing challenges in toddlers.

Ongoing feeding aversions or oral-motor difficulties in older children.


Feeding struggles can feel overwhelming, but you don’t have to face them alone.

Download our free e-book, Helping Hands at Mealtime, and get expert-backed tools for:

  • Understanding feeding development and red flags
  • Creating a calmer, more positive mealtime environment
  • Handling picky eating and food refusal
  • Knowing when and how to seek therapy

From bottle feeding to self-feeding, this guide walks with you every step of the way.

Download our FREE E-Book
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Your Partner in Feeding Success


Feeding challenges can be daunting, but with the right support, your child can achieve meaningful progress at any stage of development. Occupational and speech therapy provide individualized strategies to help children master feeding skills and create a more positive mealtime environment for the whole family.

Contact Us Today
to learn how we can support your child’s feeding journey, from infancy to childhood and beyond!