Many parents experience the “picky eater” from time to time. As with most differences on the autism spectrum, the difference in describing the picky eater with autism can be found in the intensity or degree.  Because of this relative understanding, one might be critical of the parent with a child with autism and tell them they just need to make their child eat food that is more nutritionally sound. But the “picky eater” is really just someone with sensory processing issues in regards to taste.

I was in a meeting where the educators and the parents were discussing the narrow food choices of the daughter as being a nutritional and even behavioral concern. At one point, one of the educators told the parents that she, herself, had a picky eater, and that she just had to lay down the rules and “force” the issue. The teacher proceeded to tell the parents that they should do the same thing. The mother became upset very quickly and in a raised voice told the educator, “Don’t you think I’ve tried everything to make her eat healthy?! I’ve had food spit out at me more times than I can count, and I’ve had the kitchen torn apart after a food-related meltdown . . . I’ve done it ALL!!!” 

I am trying to make the point that we are talking about a matter that goes beyond “picky eating”.
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Since feeding involves all sensory systems (sight, smell, sound, touch, and taste), eating is the most difficult sensory task that children face. Feeding issues are especially common in children with autism, including those with Aspergers, because of difficulties with sensory processing. In many cases, this leads to eating challenges at mealtimes.

Little girl eating

“Food chaining,” from the book by the same name, is based on the child’s natural preferences and successful eating experiences—specifically the idea that we eat what we like. Food chaining introduces new foods that have the same flavors or sensory features as foods that are already preferred by the child, increasing the likelihood that the child will like the food.

A food chain consists of four levels that build upon one another. By following the levels of the food chain, the child will be able to build upon success with small changes.

For example, if your child’s accepted food is chicken nuggets, a sample food chain might look like this:

Level I Level II Level III Level IV
Maintain & Expand Current Taste & Texture Vary Taste & Maintain Texture Maintain Taste & Vary Texture Vary Taste & Texture
Other brands and sizes of chicken nuggets (i.e., strips/popcorn/bites, both fast food & home-prepared); fried chicken patties cut into pieces (fast food & home prepared) Different flavored chicken nuggets (barbeque, honey mustard, hickory smoked, etc.) Use sauces/dips to vary tastes. Chicken strips (not breaded); chicken leg/drumstick; chicken breast; ground chicken patties Breaded seafood (scallops, shrimp); breaded fish (fast food & home-prepared); breaded turkey breast; breaded vegetables; breaded baked chicken; crusted/breaded pork tenderloin; ground meats

Here are some other food chaining tips:

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