Fussy/Picky Eater

Feeding & Swallowing Assessment

Many children go through phases of fussy eating, but for some, feeding challenges go beyond typical picky behaviour. If your child consistently refuses foods, eats a very limited variety, or struggles with mealtimes, they may be a problem feeder—a term used when feeding difficulties affect nutrition, growth, or family life.

Our team is experienced in supporting children with feeding challenges using a combination of evidence-based approaches that focus on both skill-building and relationship-building.


Our approach – Whole-Child Feeding Therapy

We are trained in the SOS Approach to Feeding (Sequential Oral Sensory Approach)—a globally recognised, multidisciplinary framework that considers:

  • Sensory responses to taste, smell, texture, and temperature
  • Motor and oral-motor development (e.g. chewing, tongue coordination)
  • Learning and behavioural patterns
  • Medical history and feeding experiences
  • Nutritional intake and growth

This structured and play-based approach helps children become more comfortable with food through step-by-step exposure and exploration—without pressure.


Responsive Feeding: Trust-Based Mealtime Support

We also incorporate Responsive Feeding Therapy, which focuses on the parent-child relationship at mealtimes. This approach helps children:

  • Develop internal cues for hunger and fullness
  • Build trust in food and in caregivers
  • Feel safe, respected, and in control of their eating journey

Responsive feeding strategies may include:

  • Creating positive, pressure-free mealtimes
  • Following the child’s cues while providing structure and support
  • Encouraging autonomy (e.g. self-feeding, choosing from a variety of foods)
  • Supporting emotional regulation and reducing anxiety at mealtimes

Together, these approaches allow us to meet children where they are—respecting their pace while gently expanding their skills and confidence with food.


Team-based Support: Dietitians and Beyond

Children with restricted diets, poor growth, or nutritional concerns may benefit from input from a Paediatric Dietitian. Our collaborative model ensures:

  • Nutritional needs are carefully assessed and supported
  • Mealtime routines and feeding schedules are optimised
  • Families are equipped with realistic, sustainable meal planning advice

We may also collaborate with occupational therapists, physiotherapists, and psychologists if needed.


Signs Your Child May Need Feeding Therapy

Consider seeking support if your child:

  • Eats fewer than 20 foods, with little variety
  • Refuses entire textures (e.g. crunchy, chewy, mixed foods)
  • Gags, vomits, or becomes distressed around new foods
  • Has difficulty chewing or swallowing
  • Is not growing or gaining weight appropriately
  • Experiences frequent mealtime battles or anxiety


Our Goal: Happy, Confident Eaters

Feeding therapy is not about forcing bites or bribing your child to eat —it’s about building comfort, safety, and skills in a way that respects your child’s pace. We support children and families through structured, personalised plans and compassionate guidance, both in sessions and at home.

If mealtimes have become a source of stress, you’re not alone—and support is available.
Let’s work together to turn frustration into progress, and help your child develop a lifelong positive relationship with food.