Feeding therapy for picky eaters and problem feeders, from infants who struggle with nursing or bottle feeding to children who refuse textures, gag at meals or eat only a few foods. Our feeding-trained occupational and speech-language therapists see families in person at both clinics.
Your child might be a picky eater or problem feeder if your child:
eats less than thirty foods
refuses foods of certain textures, temperatures, or colors
excessive crying or tantrums at mealtime
declines an entire category of food (i.e. veggies)
eats the same food over and over
becomes distraught when new foods are on the plate
has difficulty nursing or bottle feeding or have a history of early feeding difficulties
struggles to maintain a healthy weight
fills up on junk food
gags, coughs, or vomits during meals
Infant Bottle & Breastfeeding
One-on-one breast and bottle feeding lactation support, in person at our clinic or virtually from the comfort of your own home.
Baby’s success on the breast/bottle
Mom’s health and comfort
Family support for mom & baby
Preparing for and maximizing pumping
Reflux, spit-up, vomiting support
Maximizing position and latch
Finding the right bottle
Tummy troubles and gas
Transition to Table Foods
Transition to table foods can be tricky. Whether you are starting purees, baby led weaning, or a combination of the two, we are here to support you and your baby.
Together, you and your BDI therapists will create goals functional to your family by incorporating food you have in your home or food your family eats in the community.
Teach your child to tolerate, interact with, and eat foods of varying textures and consistences from the comfort of their own home.
Increase oral motor strength and coordination
Improve safe swallowing
Decrease length of meals
Eating food at restaurants
Address lunch and snack time challenges at school
Meals with friends
Utilize feeding therapy techniques such as OMT, Food Chaining, SOS, AEIOU, & Beckman Oral Motor Approach to help your child eat the least restrictive diet!
Who provides treatment for my child?
Speech Language Pathologists and Occupational Therapists at BDI Playhouse are licensed and trained to:
turn mealtime into positive experiences
increase oral motor strength and coordination
teach your child to tolerate, interact with, or eat foods of varying textures and consistencies
address cup, straw, and bottle drinking
intake enough calories a day for growth and nutrition
utilize specialized techniques such as Beckman Oral Motor Approach, OMT, Food Chaining & Sequential Oral Sensory (SOS) Approach
target effective use of utensils
coach and provide resources to families so they can help your child overcome these mealtime obstacles
Why should my child get feeding therapy?
Research has shown that difficulties with eating and poor nutrition can cause:
stunted growth correlated with poor academic performance and lowered mental capacity
emotional and psychological development issues
a decrease in a child’s activity level, social interactions, and curiosity
What does an evaluation look like?
The evaluating clinician will discuss with you any concerns you may have for your child, pertinent medical history, and the reason why your child was referred for their evaluation. The rest of the evaluation depends greatly on your child’s age and specific needs. The clinician will assess your child’s current feeding skill level and address any areas of difficulty during this evaluation.
If feeding therapy is recommended, individual therapy sessions may occur on a consultative basis or on a weekly basis. You and the evaluating therapist will decide on goals and location (clinic or virtual) of services.
A parent’s guide to the differences between food allergies, food sensitivities and food intolerances: what is happening in the body, how quickly symptoms appear and how each one is identified. It is background our feeding therapists use every day.
Your child may benefit from feeding therapy if mealtimes are a regular struggle or their diet is very limited. Signs listed by BDI Playhouse's feeding therapists include eating fewer than 30 foods, refusing certain textures, temperatures or colors, avoiding a whole food group, crying or tantrums at meals, gagging, coughing or vomiting while eating, trouble nursing or bottle feeding, and struggling to maintain a healthy weight.
What is the difference between a picky eater and a problem feeder?+
A picky eater has a limited diet but still eats 30 or more foods, while a problem feeder eats 20 foods or fewer. That is how BDI Playhouse's feeding therapists describe it. A problem feeder may accept only certain brands, drop whole food groups, or avoid foods of a certain color or texture, and may gag, cough or choke. Feeding therapy can help with both. Read more in Feeding Fiasco.
What happens at a feeding therapy evaluation?+
At a feeding evaluation, the clinician talks with you about your concerns, your child's medical history and why your child was referred, then assesses your child's current feeding skills. The rest depends on your child's age and needs. If feeding therapy is recommended, sessions may be weekly or on a consultative basis, and you and the therapist decide together on goals. Evaluations and sessions take place in person at our Orland Park or Naperville / Aurora clinic.
What should we bring to a feeding evaluation?+
Bring any feeding-related items you want to show the feeding therapist or need help with, such as the foods, bottles, cups or utensils that are part of your child's mealtimes. If something specific would help for your child, we will ask for it during intake, before your first visit.
Is feeding therapy offered online?+
No. Feeding therapy is in person at both of our clinics, so your therapist can work hands-on with your child and the foods on the table. Speech, occupational and physical therapy can be done by telehealth for families anywhere in Illinois, and lactation support is offered in person or over Zoom.
Can you help my baby with breastfeeding or bottle feeding?+
Yes, BDI Playhouse offers one-on-one lactation support for breastfeeding and bottle feeding. You meet with an International Board Certified Lactation Consultant (IBCLC) or a Certified Breastfeeding Specialist, in person at our clinic or virtually over Zoom. First visits are typically 45 to 60 minutes and include a feeding history, watching your baby feed, a look at latch, suck and positioning, and a plan of care.
Does insurance cover feeding therapy?+
Yes. Feeding therapy and lactation support are covered by insurance, although what your plan pays depends on your policy. BDI Playhouse is in-network with Blue Cross Blue Shield PPO plans and a select number of BCBS HMO plans at both clinics. Some plans limit coverage, so check with your carrier about your policy. If services are limited or not covered, we offer discounted private pay rates, and Illinois' DSCC program or nonprofit grants may help some families. Details and the 2026 rates are on our insurance page.