feeding therapy swallowing therapy

What to Expect in a Feeding Therapy Evaluation

Many people think of the role of speech therapists as being limited to speech and language. However, we also play a key role in pediatric feeding therapy evaluation and treatment.

Our Fort Myers speech-language pathologists are experts in oral mechanics – all the way down to the esophagus. We’re specially qualified to support individuals with feeding and swallowing difficulties.

Most people don’t put a ton of thought into the process of feeding and swallowing, but but both actually involve dozens of steps and systems working in conjunction. Feeding is what it takes to get food off the plate and into the mouth. Swallowing involves all the steps it takes to chew and then move food down the throat while protecting the airway leading to the lungs.

A child may have a feeding AND swallowing disorder, or just one or the other. For example, a child on the autism spectrum may have a feeding disorder wherein their food intake is extremely limited due to sensory processing difficulties. They may only need feeding therapy. A child with tracheostomy tubes or dysphagia (difficulty swallowing) or odynophagia (pain while swallowing) may only need swallowing therapy.

Fort Myers OT feeding therapy

Fort Myers OT Tips: When Your Child Might Need Feeding Therapy

When does picky eating become a disability? Fort Myers OT (occupational therapy) services for children may be necessary for picky eaters when severe aversions to certain foods morph into “problem feeding,” a significant hindrance to healthy growth and development.

Parents of picky eaters can easily feel consumed by mealtime battles. They aren’t alone.

An 11-year longitudinal study of 120 kids published in the journal Eating Behaviors revealed that at any given time, between 13 and 22 percent of kids were reported by parents to be “picky eaters.” (Other researchers have put the figure as high as 50 percent.) About 40 percent of picky eaters kept it up for 2 years or more. This was different from those who simply went through short-burst phases of strong dislike for one food or another.

Instead, as our Fort Myers OT providers have seen, truly picky “problem” eaters consume an extremely limited variety of foods, even requiring it to be prepared in certain ways. They tend to show much stronger dislike for most foods and throw major tantrums. Some simply refuse to eat.

“What we see is their pickiness is extremely restrictive,” said Fort Myers OT Krystle Hofstetter. “They’ll eat just two or three items – and that’s it.”

The good news is: We can help!

feeding therapy

“Is My Child Just Picky, Or Does She Need Food Therapy?”

Every parent of a toddler at some point has lamented their eating habits – with a common refrain being, “She’s soooo picky!” But how do you know whether this is “just a phase” or if you should seek feeding therapy?

Our FOCUS occupational therapists in Fort Myers can start out by saying, first and foremost, we know how quickly dinner tables can devolve into battlegrounds. Parents may beg, demand, reward, short-order-cook – and it can be physically and emotionally exhausting. The worst part of it is that without strategy, you may pour all this effort in and see no real returns.

So we start by telling parents firstly to stop and look at this – for just a moment – from your child’s perspective. Eating is actually a pretty complicated thing to a fairly new human. You have to use all of your sensory systems. You have to exercise and coordinate so many complex facial and hand muscles. Put something in front of them that’s completely unfamiliar (and maybe a little scary-looking?) and it’s easy to see why a child can get completely overwhelmed.

Here is the good news: It’s not YOUR job to MAKE your child eat. Nope, it’s really not. What we advise to parents of children who take feeding therapy is to think of their role as providing their child with both the opportunity and the skills they need to CHOOSE to eat new foods.