Understanding Picky Eating: A Guide for Caregivers

two little girls having breakfast

Today, we’re diving into the world of picky eating and offering you a comprehensive guide to help you navigate this common challenge. As a pediatric occupational therapist, I’ve worked with many families facing picky eating habits, and I’m here to share some valuable insights and strategies.

If you’re ready to make mealtimes a more positive experience for your child, keep reading!

Understanding Picky Eating

Picky eating is a normal phase that many children go through as they explore new foods and assert their preferences. However, for some children, picky eating can become a persistent and distressing issue that affects their nutrition and overall well-being, as well as your stress! As caregivers, it’s important to differentiate between typical picky eating and more significant feeding difficulties that may require professional intervention.

4 Signs of Problematic Picky Eating

Limited Food Variety

If your child consistently avoids entire food groups, such as fruits, vegetables, or proteins, or refuses to try new foods altogether, it may indicate a deeper issue related to their eating habits.

This lack of variety in their diet can lead to nutritional deficiencies and impact their overall health and development.

Extreme Food Preferences

Strong aversions to specific food textures, smells, or tastes can significantly restrict a child’s diet. For example, a child may refuse to eat anything crunchy or slimy, or they may be repelled by the smell of certain foods.

These extreme preferences can make it challenging to provide a balanced diet and ensure they are receiving all the necessary nutrients.

Mealtime Struggles

Frequent tantrums, gagging, or other negative behaviors during mealtimes can be indicators of feeding difficulties. These struggles can turn mealtimes into stressful events for both the child and the family.

It’s important to address these behaviors to ensure that the child is able to eat in a calm and supportive environment.

Insufficient Weight Gain or Growth

If your child consistently fails to meet growth milestones, such as height or weight for their age, or exhibits noticeable weight loss, it’s essential to seek professional help. Insufficient weight gain or growth can be a sign of underlying health issues or feeding disorders that need to be addressed to ensure your child’s healthy development.

How Occupational Therapists Can Help

Pediatric occupational therapists are trained to address picky eating and feeding difficulties using a holistic approach. Occupational therapists can conduct thorough assessments to identify the underlying causes of picky eating.

We consider factors such as sensory processing, oral motor skills, and mealtime routines. With this information, we develop personalized intervention plans tailored to your child’s specific needs. We then use sensory-based techniques to help children expand their food preferences.

By gradually exposing your child to different textures, tastes, and smells in a supportive environment, we can promote more adventurous eating habits.

Understanding picky eating is the first step toward helping your child overcome feeding challenges. Remember, it’s essential to distinguish between typical picky eating and more significant issues that may require professional intervention.

By accessing our free Mealtime Success Guide and considering feeding therapy services, you’re taking proactive steps to support your child’s nutrition and overall well-being.

Samantha Stiles, MS, OTR/L 

CEO, Occupational Therapist

As a pediatric therapist I know what it takes to really address feeding, sensory, and emotional challenges in children. I’m talking the kind of exponential growth that changes the course of lives. But this type of transformation requires time, parent involvement, and extra guidance.

When parents arrive inside the world of Empower Kids Therapy, they find a fresh spark of hope, a different way of thinking, and a sense of being understood.

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Ms.Sam | Pediatric Occupational Therapist

Helping little ones grow through in-home sensory support, feeding help, and infant development care.
📍 Orlando, FL
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Happy Holidays to the families who show up with patience, persistence, and so much love.

We see all the invisible work you do: the preparation, the emotional coaching, the sensory-friendly adjustments, the flexibility, and the advocacy.

Your children are growing in beautiful ways because of the care you pour into them daily.

Today, we hope you get to slow down, savor the little moments, and enjoy the magic in whatever form it arrives.

Thank you for letting us be a part of your child’s journey this year. It’s an honor we hold close.

Wishing you peace, comfort, and a truly joyful holiday. 🎄🤍
Day 3 of our OT Advent Calendar! 🍓✨

Today’s activity is all about building real-life skills in a fun, low-pressure way. When your child slices soft fruit, they’re practicing bilateral coordination, one hand holding steady while the other works the knife, which is the exact foundation they’ll use at mealtimes.

Threading the fruit onto skewers strengthens fine motor precision and hand-eye coordination as they line everything up just right. And if you add a simple pattern to follow, they’re also working on sequencing and visual perception without even realizing it.

Plus, fresh fruit gives tons of tactile sensory input, and presenting it as a “build-your-own skewer” makes exploring new textures a whole lot less intimidating for hesitant eaters.

Want the full Day 3 instructions? DM us “DAY 3.” 🍉✨
Day 2 of our OT Advent Calendar! ❄️

Today’s activity looks cute and simple, but it secretly does so much for your child’s hands and focus. Using a Q-tip to make little paint dots builds the exact finger strength and control kids need for handwriting later on.

Every dot they make strengthens those tiny hand muscles, improves hand-eye coordination, and helps them learn how to press “just enough” (too hard bends the Q-tip, too light won’t leave a mark). That same pressure control is what helps them manage pencil pressure when they write.

And the best part? The repetitive dotting is naturally calming for many kids, it’s organizing, soothing, and gives their nervous system a little reset.

If you want the full instructions for today’s activity, DM us “DAY 2” and we’ll send it right to you.
Welcome to Day 1 of our FREE OT Advent Calendar! 🎄✨
Every morning this holiday season, we’re sharing a simple, therapist-approved activity to help your child stay regulated, engaged, and in a routine, even when the schedule around them goes full holiday chaos.

These activities are easy, playful, and designed to bring a little structure back into days that can feel unpredictable for kids (and honestly, for us too).

If you want today’s instructions sent straight to you, DM us “ADVENT” and we’ll send everything you need.
Let’s make this season calmer, cozier, and a whole lot easier for our sensory kids. 🤍