This topic is long over due around here. Many parents consider one or more of their kids to be a so called “picky eater”. But what does that really mean? If you scroll the comments on this blog, you will see a whole spectrum of picky eaters, from parents looking for advice for a child that is refusing several vegetables, to one that is gagging at the site of food. Do they all fall into the same category? Hardly. Moreover, a few well-intentioned, but vastly incorrect comments about how parents need to just give their kids some tough love when it comes to eating. That may work for some kids that fall on the picky eating spectrum, but for others it could be disastrous – leading to a feeding tube. That may sound dramatic, and although it is unlikely, it is possible. So how does a parent know when they need to be concerned? When does picky eating go too far?
The SOS Approach to Feeding, by Kay A. Toomey, has clearly defined when a child falls into picky eating and when they are problem feeders. The term, “problem feeders”, is one that few have heard of, but the distinction is important. Generally speaking, picky eating can be a normal part of childhood, albeit annoying and frustrating. Problem feeders are beyond picky eating and usually need the help of a feeding therapist to make progress eating new foods. In these cases, eating is actually a problem for the child and the family, general feeding advice often doesn’t apply to these kids, I’ll elaborate more on that in a minute. I have used these guidelines for years to determine just how serious a child’s picky-ness is.
- Have at least 20 foods in their diet.
- Eats at least a few fruits/vegetables, carbs, and proteins.
- Can be coaxed to occasionally try new foods.
- Usually will eat foods similar to preferred foods. For example, will eat a variety of chicken nuggets or pizza, they will typically not reject different brands or styles.
- Sometimes eats foods different than the rest of the family.
- Will suddenly refuse a food they have preferred, but will eat it again in the future.
- Eats less than 15 foods consistently.
- May gag or vomit at the site or taste of foods.
- May become emotionally upset when a they are encouraged to interact with non preferred foods.
- Refuses large categories of foods (i.e.: vegetables, meat, etc.)
- May insist on foods being preferred in specific ways or will only eat a specific brand/style of food.
- Almost always eats food different than the rest of the family.
- Will suddenly refuse a food they previously preferred and never eat it again.