Picky eating in children can be treated with the help of therapists and parents.
Causes of picky eating
While picky eating is often due to behavioural and sensory issues, there are instances where it is caused by a medical issue. Sri Devi Mageandran, Senior Speech-Language Therapist at the Rehabilitation Department, KK Women’s and Children’s Hospital (KKH), a member of the SingHealth group, shares more on the medical causes and treatment of picky eating.
Treating picky eating
Picky eating can be treated by an occupational therapist (OT) who can assess and manage the child’s sensory difficulties and help unlearn bad mealtime habits that have been reinforced over the years. A speech-language therapist (SLT) can help a child with oral motor difficulties. Together, the OT and the SLT work on gradually facilitating the child’s acceptance of less preferred foods. Treatment can take weeks.
Through play and other positive means, the child is taught to accept a wider variety of foods and to eat without distractions. For instance, if the child is used to watching TV while eating, TV time can slowly be cut down from 30 to 10 minutes, in five-minute decrements.
“We identify aspects of the mealtime that can be improved and then we work with the parents to slowly make those changes. It’s a shared responsibility,” Ms Mageandran explains.
KK Women’s and Children’s Hospital (KKH) runs a Speech Therapy and Occupational Therapy (SPOT) feeding clinic for children who are fussy eaters. Set up in 2006, the clinic sees 16-20 picky eaters every week.
Therapy includes training the parents to reinforce positive mealtime behaviours. Parents can also expose the child to new foods, by serving the child the dishes they are eating at the dining table.
“Severe picky eating may result in the child not receiving adequate nutrition so they may end up losing weight and having reduced growth,” says Ms Mageandran. That’s why it’s important to treat the condition early, before it affects the child’s growth and development.
Ref: T12
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