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

Meet Ms. Tiffany! 💚

Tiffany is our incredible COTA (Certified Occupational Therapy Assistant) and one of the best parts of the Empower Kids team.

Here’s what you should know about her:

✨ She has a gift for connecting with kids who are slow to warm up
✨ She brings calm, steady energy to every session
✨ Her word for 2026 is ROOTED, and you can already see it in her work

Tiffany works alongside me to deliver therapy in homes across Central Florida. She’s trained in our approach (we call it The Empower Method), and families consistently tell us how much their kids love working with her.

If you’re a current family, you already know how lucky we are to have her. If you’re new, you’ll see soon. 🤍

Welcome to the team spotlight, we’ll be introducing more of who we are throughout the year!
Some families leave a bigger mark than they know.

Watching a child grow more confident, curious, and joyful around food is always special, but being trusted inside a family’s routine, their table, and their progress is something we never take lightly.

This work is about so much more than what’s on the plate. It’s about connection, confidence, and giving parents tools they can carry long after therapy ends.

We’re endlessly grateful for the families who invite us in, trust the process, and become part of our hearts along the way. Thank you April 🤍
Hi, I’m Sam! 👋

If you’re new here (or it’s been a while), let me reintroduce myself.

I’m a pediatric occupational therapist with 12+ years of experience. I specialize in sensory processing, feeding therapy, and emotional regulation: basically, helping kids who feel “too much” or “not enough” find their balance.

I started Empower Kids Therapy because I got tired of seeing families not get the support they deserved. 

That’s not how real change happens.

Here’s what I believe:
💚 Therapy should happen in your real life including at home, at school, in the community, or even at Disney.
💚 Parents are the experts on their kids. My job is to give them the tools to see clearer.
💚 Every kid deserves someone who gets on their level and sees their spark. 

I live in Orlando with my husband James, and you’ll probably catch us at Disney more than I’d like to admit. 🏰

If you’re wondering whether OT could help your child, let’s talk. Link in bio for a free consultation.

Now your turn: tell me one thing about you in the comments! 👇