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Infant bottle feeding therapy
Toddler picky eater feeding support
pediatric feeding therapy evaluation and treatment


Speech language pathologists have extensive knowledge of the parts and processes involving the mouth and throat, so in addition to speech, we can also help with feeding and swallowing. We have specific training  in pediatric feeding therapy and can support you through infant feeding, transitioning to solid foods, building chewing skills and expanding food repertoires.


What’s the difference? Feeding is the process of taking in any liquid or food for the means of hydration and nutrition. This includes bringing it to your mouth, biting, sucking, chewing and swallowing. Having a feeding disorder means there is a breakdown with any of these areas. 


Swallowing is the process of moving food, liquid, or saliva from your mouth down to your stomach. A swallowing disorder, also known as dysphagia, can also result in aspiration which is where food or liquid goes into the airway instead of toward the stomach. Dysphagia can lead to complications including aspiration pneumonia if not managed. A child with a feeding disorder doesn’t have to have accompanying dysphagia and/or aspirate into their lungs.


A feeding therapist supports difficulty with all aspects of infant feeding. The following are some of the reasons parents have pursued a feeding evaluation:


  • Difficulty with bottle feeding, or bottle feeding in conjunction to breastfeeding.

  • Difficulty during feeding: arching, crying, taking a long time to feed, falling asleep, gagging, losing liquid from mouth

  • Refusal to feed

  • Poor weight gain/weight loss, limited intake of milk/formula, tube feeding dependency

  • Coughing or choking

  • Frequently congested, frequent upper respiratory illnesses

  • Reflux

  • Breastfeeding/lactation concerns (click here for information about our  lactation and breastfeeding services)

  • Baby has complex medical history or diagnosis (e.g. Down Syndrome)


A feeding therapist supports challenges with children as they are transitioning to table foods and continuing to expand their skills to be successful and stress-free eaters. The following are some of the reasons parents have pursued a feeding evaluation:


  • Difficulty transitioning to purees or finger foods

  • Difficulty with straw or open cup drinking 

  • Gagging, choking, coughing or vomiting with eating or drinking 

  • Poor weight gain/weight loss

  • Refusing to eat, spitting food out, crying or tantrums during meals 

  • Refusing to eat certain textures or food groups 

  • Difficulty with chewing 

  • Meals taking longer than 30 minutes on average

  • History of dysphagia or feeding disorder as infant, feeding tube dependent 


Click here to read more about determining if your toddler is more than just a typical picky eater. 


Feeding and swallowing disorders may have a significant medical impact on your child or coincide with other medical disorders. It is essential that the feeding therapist is in communication with other members of the medical team to ensure comprehensive therapy. This can include a pediatrician, gastroenterologist, registered dietitian, occupational or physical therapist, allergy specialist, or lactation consultant. Being the provider virtually in your home with your family during mealtimes gives useful insight for a whole-child treatment approach and we can make referrals for other specialists as needed.

Anita is trained in the SOS Approach to Feeding.

We want to help you make meals a stress-free time to nourish and bond with your child.

Infant Feeding Evaluation


1.5 hours

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  • Virtual evaluation specifically for infants who are breastfeeding and/or bottle feeding only (no solid foods yet). 

  • Comprehensive virtual evaluation; written report and plan of care included.

We support you in feeding your precious baby. We help families who have challenges with breastfeeding, bottle feeding, combination, pumping, weight gain, reflux, and more. We nurture their development and your bond, no matter what that looks like.

Follow-Up Infant Feeding Support


1 hour

  • For families who continue to need follow-up sessions to help feed their babies (must have had previous evaluation).

  • These virtual sessions are scheduled one at a time, as needed, until we have met your feeding goals. 

  • Sessions are typically 1 hour long to leave time to discuss all concerns, observe a full feeding session, and revise the plan of care if needed.

  • Follow-up messaging via secure client portal available for 1 week following session.

Feeding & Swallowing Evaluation


2 hours

  • For children who are 6+ months old. Transitioning to solid foods, eating purees/solid foods, are tube fed (may also be breast/bottle feeding still).

  • Includes a comprehensive evaluation (typically 1.5-2 hours) via teletherapy and a written report. 

  • We get to see a typical feeding or mealtime in your own home and with family foods, this gives us a more complete picture of your child's feeding challenges. 


Feeding Therapy 


45 minutes

  • Ongoing scheduled 1:1 sessions with a speech-language pathologist via teletherapy.

  • A plan of care with personalized goals.

  • Feeding therapy may target oral motor skills, oral sensory concerns, progression from tube dependency, among other aspects of feeding.

  • A progress note will be completed at least every 6 months.

  • Evaluation and progress reports will be faxed to relevant medical providers as needed.

  • Discharge summary at end of services.  


For information about payment options visit our About Our Services page

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