- 19/Feb/2011 05:04:51 PM PSTautism behavioral feeding children +
Behavioral Feeding Disorders Presentation: ISHA 2011
Tweets from Pressman's talk on the "Treatment of Behavioral Feeding Disorders."
ISHA Chicago, IL 2011
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ISHA day 2. Session 1: treatment of behavioral feeding disorders presented by Hilda Pressman -
Be sure to rule out GERD when treating feeding. Behaviors often come from unpleasant consequences of eating.
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Once GERD is controlled can then address behavioral issues.
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@sjjsunkelx GERD: gastro-esophageal reflux disorder i.e. heart burn
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Kids with swallowing apraxia drool more while eating due to increased motor demands.
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Mouthing toys moves the gag reflex further back in the mouth. This leads to the ability to tolerate more textures of foods.
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decreased oral sensitivity can look like impaired swallow. problem of "feeling" the food not controlling and manipulating.
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Caregivers don't cause behavioral feeding but exacerbate the problem. Be careful of your reactions.
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Specificity training: practice what you want.
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Specificity training: best therapy for swallowing is swallowing.
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Practice chewing with food NOT chew sticks. Two different skills: like learning to play tennis by learning golf.
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Steps to skill: acquisition, fluency, generalization.
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Critical period for eating behaviors: solid food-8-14 months. If missed it needs to be taught.
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Neural plasticity: damaged areas can change. We can teach "missed" skills. This changes the brain.
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Meal time learning: sit up @ 6mos; tastes @ 6mos; textures @ 7mos; self feed/utensil @ 12mos; social routines on going
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Neophobia: normal fear of new tastes >1 year.
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Tip: remove valve in sippy cup to teach cup drinking. If not it is still a bottle skill of sucking.
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Strategies that increase food acceptance: family modeling, use of neutral food as a reward
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Feedback is critical. Be sure to give feeding adverse kids time checks...won't last forever.
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How can I help? Maintain a calm state when feeding gets tough. Your calm reactions let the child know all is OK.
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Increase success by only changing 1 variable at a time: texture, taste, temp
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Adult attention can maintain unwanted behaviors. Ignoring makes them get worse at first; then they go away.
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@tarlespeechKIDS color is a variable too! Think vanilla yogurt - vanilla pudding.
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@tarlespeechKIDS viscosity is another variable: thick versus thin massed potatoes.
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Texture progression: smooth, grainy, mashed, single piece, multiple pieces.
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