San Diego Feeding Therapy

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Don’t forget!! We will be live on Instagram MONDAY 12/9 at 6:30 pst to talk about all things Hypotonia! Check out the co...
12/06/2024

Don’t forget!! We will be live on Instagram MONDAY 12/9 at 6:30 pst to talk about all things Hypotonia!

Check out the comment sections for the questions that we were asked a few weeks ago AND be sure to like the questions you definitely want answered because the comments with the most likes will be answered FIRST!

Don’t see your question being asked yet? Add it in the comments!

Can’t wait to see you there…

Ready for step-by-step guidance for confident feeding evaluations? * 1 hour, on demand course * Leave feeling confident ...
12/03/2024

Ready for step-by-step guidance for confident feeding evaluations?

* 1 hour, on demand course
* Leave feeling confident in completing a wholistic feeding evaluation

PLUS Free downloads of
- an oral motor skill checklist
- a roadmap to print and follow DURING your evaluations

Sign up before the new year to get a FREE one on one mentorship call!

What if I told you it was possible for your restrictive eater to enjoy Thanksgiving too? We just need to change our expe...
11/26/2024

What if I told you it was possible for your restrictive eater to enjoy Thanksgiving too?

We just need to change our expectations!

If you are eating away from your home…

1. Have a good meal/snack before you go – Stick to their more preferred foods and mealtime routine because now is not the time to change the brand or the way the food is presented - they will see tons of new foods at Thanksgiving.

2. Bring at least one preferred food item with you - I wouldn’t (happily) go to a new restaurant or eat at a friend’s house if they only served food I didn’t like, so why do we expect our children to? Bring at least one preferred food item with you so they also have a safe food to eat with the group (if they want to)

3. Plan ahead and bring regulating activities with you! - Let your child know what you have with you and that they can access these items whenever they need a break. Better yet, pick a spot in the house you’re going to where they can take a quest break from the group as needed.

If you are eating AT home…

1. Still serve a preferred snack before everyone arrives!

2. Serve food away from the table so that it’s less overwhelming

3. Prep your home with sensory break areas and walk through those options with your child before everyone arrives – try out a coloring station, pillow obstacle course, a pile of blankets to burrow under, a quiet zone with headphones ready, or maybe a food exploration table with some of the mealtime foods available to explore on their own time

ABOVE ALL… be kind to yourself. You are truly doing the best you can and so is your child.

Thanksgiving is about spending time with people you care about and it doesn’t HAVE to be centered around your child or eating new foods.

It’s one day…YOU GOT THIS.

I just can’t stop taking about what I get to do everyday! Thanks  for asking some insightful questions and letting me sh...
11/14/2024

I just can’t stop taking about what I get to do everyday!

Thanks for asking some insightful questions and letting me share my love for feeding therapy with so many more people!

Check out the whole story: https://canvasrebel.com/meet-amy-williams-4


An oldie but a goodie!! If costumes, lots of people, speaking on demand, and nonpreferred candies are going to OVERFILL ...
10/21/2024

An oldie but a goodie!!

If costumes, lots of people, speaking on demand, and nonpreferred candies are going to OVERFILL your child’s sensory cup.

It’s okay to make a NEW HALLOWEEN TRADITION.

Here are a few Halloween activities that aren’t Trick or Treating to get you started:

* Have a movie night

* Make spooky kitchen creations like white chocolate spiderwebs or dry ice fog experiments

*Take away the expectation that your child needs to dress up and have them take full control to give you a costume!

*Go on a scavenger hunt around the house to locate halloween or preferred-interest stickers

*Paint, carve, or add stickers to decorate some pumpkins

Share these activity ideas with a friend who loves spooky season but also feels overwhelmed by Halloween expectations!

Big changes, like putting a new food on their plate, adding a sauce to a preferred food, or changing the mealtime routin...
04/23/2024

Big changes, like putting a new food on their plate, adding a sauce to a preferred food, or changing the mealtime routine can put your child in a dysregulated state.

Small changes for your restrictive eaters might look like:
* Cutting only one piece of a sandwich into a different shape
* Offering a new food from your own plate instead of putting it on theirs
* Using a “learn about it” plate for new foods
* Offering a preferred food at a different time of day or in a new location

When it comes to changes at the table, the smaller the better!

What little change has made the biggest difference for your picky eater?


Bear with me as this caption is long.. I got fired up! If our expectations are too high and/or rooted in ableist beliefs...
04/09/2024

Bear with me as this caption is long.. I got fired up!

If our expectations are too high and/or rooted in ableist beliefs, then changing these beliefs is something you can do RIGHT NOW to improve mealtimes at home.

Even if you are consistently offering new foods and are removing pressure at the table, if our mealtime expectations are unrealistic for our neurodivergent or complex sensory kids then we need to change our OWN expectations to better meet THEIR sensory needs and create a feeling of safety at mealtimes.

This might look like:

*Offering meals in a different location – Instead of having to sit at a table, trying offering meals on the floor, outside, or standing at the counter. A new location with less people, decreased sensory input, and the possibility to move around while eating may be the switch your child needs to feel more comfortable in their own body and in turn around food.

*Sitting isn’t for everyone – Yes 90-90-90 is ideal for SOME wiggly kids who need postural support, but not everyone who is wiggling needs help to sit still. Sometimes kneeling in the chair or standing at the counter can provide more input. Other times, kids may need to sit in a bean bag chair or take breaks on the trampoline between bites to keep the right level of regulation and awareness for their body.

*Limiting safe foods – We may have grown up with needing to eat the “healthy” foods before we got dessert or more of a preferred food BUT this can lead to a lot of anxiety for our restrictive and picky eaters. Oftentimes, if we change our expectations and don’t limit the amount of a preferred food that is accessible, then that food doesn’t become viewed as the most important part of the meal and it creates a safe space to be open to trying some other food too.

Bear with me for the long caption into the comments.. I got too fired up about this one!!If our expectations are too hig...
04/09/2024

Bear with me for the long caption into the comments.. I got too fired up about this one!!

If our expectations are too high and/or rooted in ableist beliefs, then changing these beliefs is something you can do RIGHT NOW to improve mealtimes at home.

Even if you are consistently offering new foods and are removing pressure at the table, if our mealtime expectations are unrealistic for our neurodivergent or complex sensory kids then we need to change our OWN expectations to better meet THEIR sensory needs and create a feeling of safety at mealtimes.

This might look like:

*Offering meals in a different location – Instead of having to sit at a table, trying offering meals on the floor, outside, or standing at the counter. A new location with less people, decreased sensory input, and the possibility to move around while eating may be the switch your child needs to feel more comfortable in their own body and in turn around food.

*Sitting isn’t for everyone – Yes 90-90-90 is ideal for SOME wiggly kids who need postural support, but not everyone who is wiggling needs help to sit still. Sometimes kneeling in the chair or standing at the counter can provide more input. Other times, kids may need to sit in a bean bag chair or take breaks on the trampoline between bites to keep the right level of regulation and awareness for their body.

*Limiting safe foods – We may have grown up with needing to eat the “healthy” foods before we got dessert or more of a preferred food BUT this can lead to a lot of anxiety for our restrictive and picky eaters. Oftentimes, if we change our expectations and don’t limit the amount of a preferred food that is accessible, then that food doesn’t become viewed as the most important part of the meal and it creates a safe space to be open to trying some other food too.

More in the comments…

Finding the right kind of support for your family can be tricky! If you’ve tried feeding therapy in a clinic or hospital...
03/26/2024

Finding the right kind of support for your family can be tricky! If you’ve tried feeding therapy in a clinic or hospital setting and felt like it just wasn’t quite working…then same!!

I provided feeding therapy in a clinic for 5 years and while I loved it, I often felt stuck with skills carrying not over to the home, difficulty providing realistic options for parents to incorporate in their daily routines, and slow progress in gaining trust with me and at home.

Switching to in-home therapies has made a huge difference in my feeding therapy kids because the home is where MOST meals are eaten. In-home therapy means real-time suggestions with the tools you already have and in a setting that’s already familiar to your restrictive eater!

I’m still the same therapist from the clinic but I am seeing more progress and more carry over with in-home therapy. Don’t be afraid to seek out in-home support if you think it would benefit your picky eater!

When discussing a neurodiversity-affirming approach to therapies, feeding therapy can be left out of the discussions. Fe...
03/19/2024

When discussing a neurodiversity-affirming approach to therapies, feeding therapy can be left out of the discussions.

Feeding therapy has a reputation of taking a behavior approach to “get” the picky eater to eat more, which has led to some neurodivergent voices denouncing feeding therapy as a harmful practice. But this behavior approach has never sat right with me and so many other therapists in this field because it overrides the child’s autonomy and sensory needs to get to an arbitrary goal of a “healthy diet.”

A neurodiversity-affirming approach to feeding therapy is relationship-based, trauma informed, and responsive to the child’s needs and sensory preferences.

So what does this look like in practice?

Neurodiversity-affirming feeding therapy is:
*Access to safe foods
*Joining in their version of play
*Offering foods that meet sensory needs and preferences
*Helping parents adjust their expectations of “healthy foods”
*Providing sensory accommodations
at mealtimes
*Offering alternatives to sitting
*Unrestricted access to sensory supports

Neurodiversity-affirming feeding therapy is NOT:
*Using systematic desensitization to tolerate new textures, smells, or foods
*Working towards eating only “healthy” foods
*Safe Food as a reward
*Earning time or toys by eating certain foods
*Tricking into touching or interacting with food
*Goals to include every texture of food despite food/texture preferences

Do you work with a neurodiversity-affirming therapist? Tag them below!

As frustrating as it may be to watch your restrictive eater ONLY touch their safe or preferred food, not offering a safe...
01/18/2024

As frustrating as it may be to watch your restrictive eater ONLY touch their safe or preferred food, not offering a safe food at snacks and meals is frustrating, confusing, and a quick way to send your picky eater into fight or flight mode. With adrenaline pumping, the feeling of hunger fades and your hesitant child is more likely to shut down.

By offering at least one familiar food, you show your child that you are hearing them and that they are safe at meal times.

If their safe food is the ONLY thing being eaten at mealtimes, your child is communicating with you.

Maybe they are saying the other foods
*Have too big of smell
*Aren’t the right sensory texture
*Make them feel unsafe to manage in their mouth
*Feel scary and new

If you need help taking the guesswork out of mealtimes, give me a call! As a pediatric occupational therapist and feeding specialist, my job is to help your child communicate their feeding needs while making your lives easier and mealtimes more nutritious and enjoyable.

What if my child doesn’t want to play with their food? No problem!! Food play is ONE tool in my tool box when working wi...
01/04/2024

What if my child doesn’t want to play with their food?

No problem!!

Food play is ONE tool in my tool box when working with restrictive eaters.

To me, food play is providing an invitation to interact with and learn about new food but that looks different for every kid. Your child may enjoy turning vegetables into cars or cheese cubes into castles, but they may not, and that’s okay!

Our goal is to provide opportunities for food interaction in a way that is internally intriguing to them. That might look like pretend play, but that can also look like sorting colors, counting pieces, mixing ingredients, helping cut something up, or following a new recipe.

The point of “playing” with food is not to force or trick into our version of play but to meet your child AT THEIR interest level, which for some is through play and some is not.

Has playing with food worked for your restrictive eater?

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San Diego, CA

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