Autism and Picky Eating

Children with Autism Spectrum Disorder often exhibit rigidity in their eating habits. This could come in the form of aversions to certain foods, a very limited number of safe foods, needing food to be prepared a particular way, or having to have a specific plate or other ritual. They often experience sensory sensitivities to texture or smell. These challenges can lead to restrictive diets with fewer nutrients, outbursts at mealtime, and more complications for a family just trying to go out to eat at a restaurant. Understanding the reason for the outbursts, aversions, and general rigidity common in those with ASD is the first step to help.

Offer a Variety of Foods

One way to help your child work towards more food flexibility is to offer a variety in limited amounts at one time. Consider starting with some foods that your child once ate readily but now rejects. Stick to small portions. Get creative, and change up the presentation. Use choices like, “Which bite do you want to take first?”

Continue Exposure to Food Aversions

Another thing to remember when supporting your child is that it is not your job to save them from being uncomfortable. If there are foods that they cannot even stand to be around, repeated exposure and increased familiarity are so important. They should witness you and other familiar members eating foods they are averse to. If they cannot tolerate it on their plate alongside food they do like, you can place it in its own dish. Above all, help your child learn about and become a little more comfortable with new foods, and in time, their diet may grow to become more well-rounded.

Involve Children in Food Preparation

Finally, as much as development will allow, let your child be part of some or all of the intricacies of meal planning and preparation. They might help make the week’s menu and grocery list, tag along grocery shopping, or even be part of the cooking process. Gardening is another fun way to get your child engaged in and starting to understanding exactly how food makes it to their plate each day.

Frequently Asked Questions

What’s the big deal with choice? Does offering choices really help anything?

Giving a child a choice between two things is a powerful tool in so many ways! When it comes to picky eating, offering just two choices reduces stress and gives the child a sense of control. This can build self–esteem and help cut down on meal-time drama. If you aren’t already in the habit of giving your child choices throughout the day, start today!

At what point do I need to speak with a doctor about my child’s picky eating?

Anytime you have a concern about the health of your child with autism, you should feel comfortable speaking with their pediatrician or other member of their medical team. In particular, a visit with a professional is warranted if your child is losing weight, excluding an entire food group, or exhibiting extreme reactions like vomiting or running away when an offending food is offered.

Expanding your child’s diet and reducing mealtime stress often requires consistent support in the environment where it matters most: your home. Positive Reinforcement provides in-home ABA therapy throughout Northern Virginia and Richmond, serving families in Ashburn, Purcellville, Leesburg, Sterling, Winchester, Woodbridge, and neighboring communities.