09/26/2023
If you have a picky eater with autism, know that youâre not alone. Psychologist Emily Kuschner, PhD, of the Childrenâs Hospital of Philadelphia (CHOP) â recommends the following strategies to gently expand the diet of picky eaters with autism:
#1 - Rule Out Medical Problems
If your child is clamping her lips shut when offered a certain food, it may be that she knows it will make her stomach hurt. Gastrointestinal distress is common among children with autism, many of whom canât easily describe their distress. Your childâs doctor can help you figure out if this is the case and how to deal with it.
#2 - Stay Calm
Many children need to taste a food more than a dozen times before theyâre willing to eat it without a fuss. Children with autism-related sensitivities can take longer. Be patient as your child explores and samples new foods. If your child continues to reject a food even after a dozen-plus tries, perhaps he just doesnât like it. Consider trying a different food. Above all, donât let mealtime become a family battleground. Instead, get creative.
#3 - Take Steps Toward Tasting
Many individuals with autism are afraid to try new things. Help your child explore a new food by looking at it, touching it and smelling it. When heâs ready for a taste, he can try giving the food âa kissâ or licking it before putting a whole bite into his mouth. Sometimes, mixing a new food with a favorite one can help.
#4 - Tune into Textures
Autism often comes with hypersensitivity to textures. So remember that it may be how a food feels in the mouth, rather than its flavor, that produces a food aversion. The squishiness of a fresh tomato is a classic example. Try chopping or blending such foods to smooth out the offending texture. That tomato, for example, can be chopped into salsa or blended and cooked into pasta sauce.
#5 Play with New Food
Thatâs right. Playing with a new food is another way to build familiarity and decrease mealtime anxiety. Together, try painting with pasta sauce. Use veggies to make faces on pizza. Use cookie cutters to cut sandwiches into fun shapes. While youâre playing, let your child see you taste â and enjoy â the food.
#6 Offer Choices and Control
Your loved one with autism may need to feel some control over what she puts into her mouth. Itâs also okay to simply not like some foods. So try to offer a broad variety and allow choices within the categories you care about. For example, you might decide that your child needs to have one serving of vegetables and one of protein for dinner. So put five types of these foods on the table and allow your child to choose at least one vegetable and one protein. Along the same lines, if youâre making a favorite dish such as pasta, ask your child to add one mystery ingredient for other family members to discover during the meal. She gets to choose: corn, broccoli or chicken?
#7 Be Careful with Rewards
In the long-run, itâs important to reward and reinforce your childâs flexibility with food and willingness to try to new foods. But blatant bribes can backfire. Your child may eat the food, but wonât learn to enjoy it or understand why itâs important to eat a well-rounded diet â and thatâs the goal. Let dessert and treats be part of meals and snacks, but donât use them as carrots to get your child to eat ⌠carrots.
*Information from autismspeaks.org.