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

What’s one moment from this year you’re most proud of with your child?👇
Here’s to 2026, may it be the year your kids sleep, eat something that isn’t beige, and let us drink our coffee while it’s still warm. ✨🙃

We’re heading into the new year feeling grateful, hopeful, and honestly just excited for some good change. New routines, new ideas, and a lot more of the “we’re figuring it out together” energy that makes this community so special.

And since we basically feel like your internet OT friends at this point… we want to know:

What do you want to see from us in 2025?
More sensory hacks?
More feeding help?
More mom humor to keep us all alive?
More activities to keep your toddler from climbing the walls?

Tell us in the comments, we genuinely use your ideas.

Here’s to a calmer, funnier, more predictable year (manifesting ✨). Happy New Year, friends. 🥂💛
New Year’s Eve can be a lot: loud noises, bright flashes, and unpredictable moments that turn into sensory overload fast. If your child struggles with fireworks, here are a few easy, at-home things you can use to help tonight feel calmer:

• Headphones soften the volume and give them control.
• Sunglasses help with bright flashes and reduce visual overwhelm.
• A favorite blanket or hoodie adds deep pressure and comfort.
• Crunchy or chewy snacks give grounding oral input before (and during) fireworks.
• Their comfort item creates familiarity when everything else feels chaotic.

And remember: watching from inside the house, from the car, or skipping fireworks altogether is a perfectly valid option. Your child’s comfort always matters more than the tradition. 🤍✨

If you need quick, sensory-friendly ideas for making tonight easier, just DM us, we’re here for you.
We hope you had the sweetest holiday, and if you’re still celebrating this week, we hope it’s been full of cozy moments and just the right amount of calm. ✨

Here are the activities we shared over break plus today’s, all in one place for you to use whenever your kids need something fun, regulating, or simply different to do. As always, DM us for the instructions and we’ll send everything straight to you.

And if your child has tried any of the Advent Calendar activities, we’d love to see!

Send us your photos or tag us, we’ll be featuring your kiddos’ creations and moments on our stories this week. 🤍✨