Feeding therapy: when mealtimes are a struggle
Mealtimes should be enjoyable — but for many families, eating is a source of stress, worry, and conflict. If your child refuses foods, gags frequently, has difficulty chewing or swallowing, or is falling behind on nutrition, feeding therapy may help. This page explains what feeding therapy is, how it works, and when to seek support.
What is feeding therapy?
Feeding therapy is a specialized form of therapy that addresses difficulties with eating, drinking, and swallowing in children. It is provided by speech-language pathologists (SLPs) and occupational therapists (OTs) who have advanced training in pediatric feeding. Feeding therapists work with children on the physical, sensory, and behavioral aspects of eating — helping them develop the skills and comfort needed to eat a wider variety of foods safely and enjoyably.
Why both speech therapy and occupational therapy?
Feeding is a complex skill that involves the mouth, throat, sensory system, and behavior — which is why it often requires both an SLP and an OT. Speech-language pathologists focus on the oral motor and swallowing aspects of feeding: how the mouth, tongue, and throat coordinate to chew and swallow safely. Occupational therapists address the sensory and behavioral aspects: how a child tolerates different textures, temperatures, and food presentations, and how they engage with mealtimes as a daily living activity. At Kredo Health, our SLPs and OTs collaborate closely on feeding cases to address the whole picture.
Signs your child may benefit from feeding therapy
This list is for informational purposes only and is not a diagnostic tool. If you have concerns about your child's eating, speak with your pediatrician or contact our team.
What does feeding therapy look like?
Feeding therapy sessions are play-based, low-pressure, and child-led. Therapists use a gradual exposure approach — helping children interact with new foods at their own pace, starting with simply being near a food, then touching it, smelling it, and eventually tasting it. Sessions may include oral motor exercises, sensory desensitization activities, and strategies for making mealtimes calmer and more positive. Parent coaching is a core part of feeding therapy — families learn how to support progress at home between sessions.
Sensory processing and picky eating
Many children with feeding difficulties have an underlying sensory processing difference that makes certain textures, temperatures, smells, or appearances of food overwhelming or aversive. This is not willful defiance — it is a genuine sensory experience that the child cannot simply 'get over.' Occupational therapists with feeding training can help children gradually desensitize to challenging sensory properties of food, making mealtimes less distressing over time.
Frequently asked questions
Last reviewed: September 2026. This page is for informational purposes only and does not constitute medical advice or a diagnosis.
Concerned about your child's eating?
Our speech-language pathologists and occupational therapists work together to support children with feeding difficulties. Contact us to discuss your child's needs and learn about next steps.