Feeding Specialist Vs. OT
My son (22 months) has been diagnosed with SPD by and OT therapist but prior to seeing this OT we were seen by a feeding specialist at our local hospital.
My question is that the OT has requested that we stop the feeding sessions until my son has had time to work with an OT therapist on his SPD issues; however when I spoke to the feeding specailist she insists that isn't his problem and he is just a behavior issue, not on a schedule, and is allowed to graze.
Here is my question, can SPD cause my son to eat only 5 to 10 items (bananas, chips, fish sticks, donuts, yogurt, and pizza - that is truly it - he refuses to even put other foods up to his mouth and if done will violently throw things and lerch back and forth). I am having a hard time understanding why the feeding specailist wouldn't at least want to wait until the OT has started to see if there is a problem caused by the SPD. Thanks for your input. The SPD Help Line Answers...
Ah, I agree with YOU and your OT on this one, for sure! Given the fact that your son has in fact been diagnosed with SPD, and that his OT is knowledgable about how his SPD may be affecting his eating issues, and that she can work on this with him, I would stick with her. And, YES, it is definitely possible that the SPD is affecting
him to the point where he has such limited food choices. Texture, smells, tastes, could be influenced by tactile/oral defensiveness. The OT can help you further understand this (and you will find more information on my site about it).
Is it possible the feeding specialist can help solve this? It's possible, but her "behavioral" approach will NOT work if it is related to sensory defensiveness. It may work some, but your child will basically be eating things out of "fear" and not addressing the underlying issues, improving them for good and making him more comfortable. If this were my child, I would stick with the OT for now, and if this doesn't work, go back to the feeding specialist. It is your child and your decision. You can tell her honestly, you want to try the OT's sensory approach first. Additionally, you can acknowledge that it may be "behavioral" as she says, but the OT will need to work on the true underlying sensory issues that are causing the behavior.
Make sense? Just my humble opinion. Does anyone else have any input for mom?? Let us know!
Also, the book I would DEFINITELY get your hands on, as it is written for picky and resistant eaters and done by an OT and an SLP is...
Lastly, make sure you have read my newsletter regarding this topic to find out more about how and why this happens, signs of oral defensiveness and treatment ideas...Picky And Resistant Eaters
Hope this helps!