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Feeding Therapy

There are many types of feeding disorders: Picky eating, muscle-based, medically-involved, dysphagia, and sensory-based.

Feeding Disorders

There are many types of feeding disorders: Picky eating, muscle-based, medically-involved, dysphagia, and sensory-based. You can learn more about these disorders below. If your child suffers from one of these feeding disorders, Heidi Miller Speech & Associates can help you.

Heidi is the author and creator of the HMS Feeding Protocol. After decades of specialized training and experience, she has become one of the foremost pediatric feeding specialists in northern New Jersey. If you are an SLP or OT and are interested in this protocol, all of her expertise is available for you at www.helppickyeaters.com.

Types of Feeding Problems

Picky Eating – When a child has a very narrow repertoire of foods they will eat

Muscle-Based – When oral musculature (hypotonia or hypertonia) impacts feeding

Medically-Involved – Feeding problems as a result of medical conditions and history

Dysphagia – (medical term for swallowing dysfunction) can occur in the oral phase of the swallow or in the paryngeal phase both types may require intervention.

Sensory-Based – When a child’s sensory system impacts feeding

Sensory Food Aversion – Sensory feeding program not solely based on a medical condition

ARFID – Avoidant/restrictive Food Intake Disorder, Heidi specializes in treatment of children diagnosed with ARFID

Red Flags for Sensory Food Aversion

  • Consistent food refusal for at least 1 month
  • Onset at time of food/drink transition
  • Refusal after 1 episode-generalization
  • Reluctance with new foods but no difficulty with preferred foods
  • Dietary deficiencies
  • Not related to trauma, food allergies, or other medical illness.
  • Defined by Chatoor, 2009

HMS Feeding Protocol

HMS Feeding Protocol For Expanding Repetoire 

A Feeding Protocol that Works! Are you a Pediatric Speech Pathologist or Occupational Therapist who treats picky eaters and children with oral phase dysphagia? The HMS Feeding Protocol will help you create a safe environment so they can learn to eat new foods with confidence.

Home-based Feeding Therapy Program Available

This intensive feeding program is highly customized to your child and family. It is about resetting expectations for the WHOLE family regarding food and how your child reacts to it.