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.

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We know you are searching for answers and ready to do things differently to see results for your child and family.

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We know the stress and overwhelm of trying to expand what your child eats, or get them to just try something new.

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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.

little girl eating a bowl of something at the table

Does your picky eater make mealtime stressful?

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The Empower Kids Therapy approach combines sensory experiences matched with proven therapy strategies to provide a safe, fun, and explorative mealtime.

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Ms.Sam - Pediatric Occupational Therapist

In-home occupational therapy services focused on sensory processing, feeding & infant development
📍 Orlando, FL

The reminder that you NEED this week 👆🏻

Parenting and caregiving are some of the most rewarding yet challenging roles we take on. As we move into 2025, it’s important to remind ourselves of the tools and truths that make a lasting difference in how we help children grow, learn, and thrive.

💚One of the most powerful strategies we have is co-regulation. When we model calm, supportive behavior, we’re not just managing a situation — we’re teaching kids how to manage their own emotions. This skill becomes a lifelong tool they’ll use beyond childhood.

🧡It’s also important to remember that compliance doesn’t equal learning. If a child follows directions, it doesn’t necessarily mean they’ve internalized what we want to teach. True learning happens when they feel safe, curious, and engaged.

🩵Play isn’t just fun — it’s essential for brain development. Kids explore, problem-solve, and process the world through play. Encouraging more unstructured playtime can be one of the simplest ways to boost a child’s learning.

❤️When it comes to therapy or any kind of intervention, there’s no one-size-fits-all solution. Every child is unique, and the way we support them should be just as individualized. Trust your instincts and advocate for approaches that meet your child’s specific needs.

🤎Finally, never forget — you know your child better than anyone else. Your insight, love, and care are irreplaceable. Don’t let anyone make you doubt that.

Which one of these are you riding with this week?

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