We work with babies, toddlers, and kids, from birth to age 18 on feeding goals in your home or in your child’s preschool classroom. Whether your little one is a newborn having trouble breastfeeding, was born premature and needs some help getting started, is on a feeding tube, eats 5 specific foods, is coughing or choking when eating, is taking 10 minutes to swallow one bite, or if you’re just not sure if they are a picky eater or may have something else going on, we are here to help.
Comprehensive Evaluation- This includes a parent interview and evaluation. You will be provided with a complete evaluation report within 7 days of your child’s evaluation. If therapy is recommended, a custom treatment plan will also be given to you.
Therapy Session- This includes direct therapy with your child as well as parent education to discuss any questions you have or strategies that can be used throughout the week. Therapy sessions are typically at a consistent time and place each week in either your home or preschool setting, which allows for maximum carry-over for skills and strategies learned during sessions.
We work with newborns, babies, toddlers, and school aged kids to meet their feeding goals. With infant feeding, we are supportive of bottle-feeding and breastfeeding, and can help you on your journey to feed your child in the way that you want.
Frequently Asked Questions for babies ages 0-6 months
How can a Speech-Language Pathologist provide feeding therapy to newborns?
When eating, infants require coordination, endurance, and efficiency to get proper nutrition and hydration. In situations where babies need a little help with these skills, a speech-language pathologist who targets infant feeding can be a game-changer for you and your baby to meet your feeding goals.
I’ve seen a lactation consultant for help with breastfeeding or bottle feeding. How is this different?
Lactation consultants can be so helpful for questions and strategies regarding milk supply, positioning, painful nursing. There is some overlap in the scope of practice of speech-language pathologists and lactation consultants, including environmental feeding factors and latching difficulties. A speech-language pathologist is recommended if any oral motor concerns arise for the infant. When the infant is struggling with coordination, endurance, or efficiency, it is recommended that a speech-language pathologist is contacted.
What do feeding therapy sessions look like with a baby?
Your speech-language pathologist will be present for your baby’s mealtime and will help you troubleshoot if needed. We may introduce a warm-up routine or oral motor exercises to prepare for the meal. Strategies and a home program will be demonstrated and practiced so that you as the parent or caregiver are comfortable implementing these when the therapist is not present.
My baby has a tongue tie or lip tie. I’ve already seen a pediatrician and a lactation consultant. What can a speech-language pathologist do for me and my baby? Do I need to schedule a revision procedure?
Tongue and lip ties are a hot topic right now. While many babies have some degree of a tongue or lip tie, this does not necessarily need to be revised in all cases. While a revision procedure can initiate significant positive changes in some families’ feeding journeys, it is not always required or recommended. Our philosophy is to work with the parent/caregiver and infant to first try a variety of exercises and strategies to maximize comfort, efficiency, and effectiveness in the movements of oral structures to make sure the infant is getting adequate nutrition and hydration.
“Karen is awesome! Our infant was having a hard time with tongue coordination in nursing. She was not able to get enough milk without having a bottle supplement. Karen helped us by showing us exercises to do with our daughter as part of her feeding therapy services. After a few weeks our daughter had improved and the supplement was no longer needed. She succeeded where pediatricians, lactation consultants, ENTs, and chiropractors couldn't. We're so grateful!”
-Google Review from client
“Karen was amazing! I am so grateful to her for helping with a feeding issue my daughter had. Until we saw Karen, giving my daughter a bottle ended up with both of us crying out of frustration! We turned to Karen for help and she immediately found the issue. She took her time explaining the issue and gave clear instructions and hands on help for how to help my daughter take a bottle successfully. I can’t thank her enough for her consultation and expertise. I highly recommend her!”
- Google Review from client
Frequently Asked Questions for kids ages 6 Months-18 years
How do I know if my child has a feeding delay, or if they are just a picky eater?
For an answer to this question, an evaluation is recommended to gather all information and make a clinical decision. Generally, if frequent gagging, unwanted behaviors, or anxiety surrounding mealtimes are starting to impact your child and your feelings towards mealtimes, an evaluation is recommended. Remember that babies who are just learning to eat may gag occasionally when trying new foods in the first few months.
I have no concerns with my child’s weight gain, but I’m not sure if they are getting a balanced diet.
While all kids have their preferred foods, some have a more rigid, short list of foods they can tolerate. If you are concerned with their nutrition because your child is struggling to tolerate a variety of tastes and textures, a feeding evaluation is recommended. If your child is tolerating a variety of tastes and temperatures, it is recommended to consult with a registered dietician or pediatrician regarding these concerns.
I am concerned with the volume my child gets when eating their meals. They seem to take a few bites and be done.
For an answer to this question, an evaluation is recommended to gather all information and make a clinical decision. Generally, kids are eating enough if they seem satiated and content after eating, and are sleeping well at night. This is not always the case though, especially in children who were born premature or have other medical diagnosis’s. If you are concerned that your child is fatiguing or has low endurance when eating that cause them to not be able to consume a full meal, a feeding evaluation is recommended. Reflux can also be a factor in this situation, though it is impossible to say unless meeting with a professional. There are benefits to having a meal and snack routine, which a speech-language pathologist can customize and implement by working with your family in your home.
My child prefers certain textures. Is this a feeding disorder or delay?
Speech-language pathologists who target feeding goals can be a great resource in this situation. If you are noticing gagging, patterns of discomfort when eating, or unwanted behaviors around mealtimes, a feeding evaluation is recommended.
My child takes a while to chew. Is this a feeding disorder or delay?
Efficiency is important when eating. Struggling with a variety of oral motor skills can cause some kids to be using more energy to chew than they need to, and can cause them to fatigue earlier in meals, impacting nutrition. A feeding evaluation is recommended in this case to customize strategies for your child to eat efficiently and comfortably.
Go to our ‘Classes’ page to learn more about ‘The Kid’s Table’, which is our course offered for parents who are about to start or have recently started solids with your little one.