How a Feeding Therapist Can Help Children with Sensory Feeding Issues

Written By Emma Fitzgerald

Introduction

Mealtimes can be challenging for some children, especially those with sensory feeding issues. Sensory sensitivities can make children avoid certain textures, tastes, or smells, leading to limited diets and stressful mealtimes.

A feeding therapist, often a specialist speech and language therapist with expertise in feeding, can make a significant difference by providing tailored strategies to help children develop safe and enjoyable eating habits.

What Are Sensory Feeding Issues?

Sensory feeding issues occur when a child has an over- or under-sensitivity to the sensory aspects of food, including:

  • Texture: Crunchy, soft, or lumpy foods

  • Taste: Bitter, sour, or strong flavours

  • Smell: Strong-smelling foods can trigger avoidance

  • Temperature: Hot or cold foods can be off-putting

These sensitivities are common in children with autism, developmental delays, or oral motor difficulties, but they can affect any child.

How a Feeding Therapist Helps

1. Assessment

The first step is a comprehensive feeding assessment, which may include:

  • Observing mealtimes and eating patterns

  • Identifying sensory sensitivities

  • Evaluating oral motor skills (chewing, swallowing, drinking)

  • Gathering family and caregiver input

This assessment helps the therapist create a personalised plan that addresses the child’s specific challenges.

2. Sensory-Based Strategies

Feeding therapists use evidence-based sensory approaches to gradually increase a child’s tolerance for different foods. Techniques may include:

  • Gradual exposure to new textures and flavours

  • Food play activities to make foods less intimidating

  • Using sensory integration techniques to reduce anxiety around mealtimes

3. Oral Motor Therapy

Some children struggle with chewing, biting, or swallowing due to oral motor difficulties. Therapists provide exercises and activities to:

  • Strengthen muscles used for chewing and swallowing

  • Improve coordination and control of the tongue and jaw

  • Enhance oral awareness and comfort with new foods

4. Mealtime Coaching for Families

Feeding therapists don’t just work with the child - they guide parents and caregivers. This includes:

  • Setting realistic goals for mealtimes

  • Teaching strategies to reduce stress and pressure around eating

  • Creating structured routines that encourage positive mealtime experiences

Benefits of Working with a Feeding Therapist

  • Reduced mealtime stress for both child and family

  • Expanded food variety and improved nutrition

  • Improved oral motor skills and safety while eating

  • Greater confidence and independence in eating

Conclusion

Children with sensory feeding issues can face significant challenges, but with the support of a feeding therapist, mealtimes can become safer, more enjoyable, and less stressful. Early intervention is key, and a tailored therapy plan can make a lasting difference in your child’s eating habits and overall wellbeing.

If you’re looking for a feeding therapist in the UK, I offer expert, personalised support for children with sensory feeding challenges. Contact me today to learn how I can help your child thrive at mealtimes.

Emma Fitzgerald