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Answering Your Questions:  on “overfeeding”

Answering Your Questions: on “overfeeding”

by Katja Rowell, MD | Answering Your Questions

This series features questions asked during webinars (that we weren’t able to get to), questions we have been emailed, or questions from social media. The following is intended to offer general information that may be helpful to consider in similar scenarios....
Spotlight on: RFPro’s Jo Cormack PhD, MA MBACP

Spotlight on: RFPro’s Jo Cormack PhD, MA MBACP

by Katja Rowell, MD | Spotlight

Who is Jo? Dr Jo Cormack is both a clinician and researcher, specializing in the perspective of parents of avoidant eaters.  She works extensively with feeding professionals, both through her small group seminar program and clinical supervision. Many of you will know...
Spotlight on: Bonnie Searle, pediatric dietitian and PhD candidate

Spotlight on: Bonnie Searle, pediatric dietitian and PhD candidate

by Katja Rowell, MD | Spotlight, Uncategorized

Who are you? Combining the skills and experience gained in teaching with a passion for food and health I completed a degree in Nutrition and Dietetics with First Class Honours. Areas of special interest include eating behaviours in children. I am combining clinical...
Helping Parents with Holiday Meal Stress with Avoidant Eaters

Helping Parents with Holiday Meal Stress with Avoidant Eaters

by Katja Rowell, MD | Avoidant Eating

Holidays can be hard for parents and children, especially when children are not “typical” eaters. Helping parents anticipate challenges around holiday meals, and brainstorming ways to make things easier can make a big difference in overall stress and even...
Spotlight On: Heidi Moreland MS, CCC-SLP, BCS-S, CLC

Spotlight On: Heidi Moreland MS, CCC-SLP, BCS-S, CLC

by Katja Rowell, MD | Spotlight

Heidi Moreland MS, CCC-SLP, BCS-S, CLC is a speech language pathologist, and certified lactation counselor, and a Board- Certified Specialist in Swallowing and Swallowing Disorders. She specializes in working with families and children who struggle with eating or...
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Recent Posts

  • Answering Your Questions: on “overfeeding”
  • Spotlight on: RFPro’s Jo Cormack PhD, MA MBACP
  • “We tried not persuading him to eat and it didn’t work.”
  • Spotlight on: Bonnie Searle, pediatric dietitian and PhD candidate
  • Helping Parents with Holiday Meal Stress with Avoidant Eaters

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responsivefeedingpro

We could not be happier to welcome Dr. Hazel Wolst We could not be happier to welcome Dr. Hazel Wolstenholme to the RFPro team.
Hazel is an Irish child feeding psychology specialist, working online to support parents globally. She did her psychology degree and PhD at the National University of Ireland, Galway, where she focused her research on family experiences and management of “fussy” eating. Since then, Hazel has trained in responsive, behavioural, and sensory-focused approaches for helping families with feeding challenges. Primarily, her work is underpinned by the principles of responsive feeding therapy (RFT).
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
While not specifically about feeding... This quot While not specifically about feeding...
This quote from Dr. Mona Delahooke's book, Beyond Behaviors: Using Brain Science and Compassion to Understand and Solve Children's Behavioral Challenges, relates to two of the five values of RFT:
Autonomy and Intrinsic Motivation
Respecting the child's autonomy enhances their internal drives including appetite and curiosity. 
And "prioritizing compliance" isn't limited to force or coercion. Compliance can be the goal even with smiles and playful therapies. 
RFT authentically follows the child's lead and sets up the relational and feeding environment for children to succeed and grow in ways that are meaningful to them.
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
On-demand webinars are here! 🥳 Whew, the tech On-demand webinars are here! 🥳
Whew, the tech aspect was harder than anticipated. Thank you for your patience! 
Log-in to see webinars you’ve purchased, check out suggested related webinars, watch when you want to watch. Handouts and links, webinars, and certificates… All in one place!
Stay tuned for a coming feature to print or download your CEU and certificates of attendance on demand. 
To celebrate the launch, for the month of May..
🎉 Get the foundational series for 50% off!
Learn about the history and application of the five values of RFT from RFPro team members and white paper co-authors.
“The foundational webinar series has added so much depth to the way I work. The values are just so helpful for guiding families towards change and for not losing sight of the bigger picture.” 
-Simone Mossop, Paediatric Clinical Nurse Specialist, Early Intervention Feeding Practitioner
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
I (Katja) am delighted with my air fryer and was t I (Katja) am delighted with my air fryer and was thrilled to learn that RFPro team member, Naureen Hunani RD (@naureenhunaninutrition) is too! 
The big win is TEXTURE! I resisted the hype but have not been disappointed. Naureen shared after her webinar last month that many of her young clients with sensory differences enjoy the crispy and crunchy texture. 
🧡 It helps with meal prep. Get crunchy, from-frozen sweet potato fries on the table in under 20 minutes. Roast cauliflower (add cheese at the last minute if you want) in under 15 min. Crispy potatoes from spud to plate in under 25 minutes. Chicken nuggets, tater tots, fish... 
🧡 Easier clean-up. Less mess, smell, and waste vs conventional oil-frying. 
🧡 Supports neurodivergent families with simplified meal prep and planning, and with sensory preferences.
🧡 Folks learning to cook (including tweens and teens) can feel capable starting with simple sides or entrees. 
🧡 Improved accessibility over a conventional oven with less bending, lifting etc. With living arrangements where there is no oven or range, AFs offer options.
Ours also cooks rice, works as a pressure and slow cooker, can sautee, and roast a chicken. It's an almost all-in-one cooking appliance.
With so many models, basket sizes, prices, and ease of use to consider, it’s worth a little research. *Some models have exposed heating coils in the lid and could be avoided for safety reasons 
Do you air fry? (By the way, this is less known in the UK! Folks around the world, are air fryers a thing where you live? They’ve been big in the US for about 2 years.)
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
Drawing from her PhD research findings, case studi Drawing from her PhD research findings, case studies, and her “Bicycle Model” of feeding, Dr. Wolstenholme will provide a deep insight into the parents’ experience of feeding, the child’s side of the story, and how these two worlds can work together (or against each other!). The webinar will cover:
🧡 The Parents’ Perspective: how are parents interpreting their child’s eating behaviors?
🧡 The Child’s Side of the Story: how are children making sense of their parents’ actions at mealtimes?
 🚲 How the parent and child experiences interact & impact eating
Dr. Hazel Wolstenholme’s “Bicycle Model” of feeding bridges the gap between feeding psychology research and clinical practice. Its aim is to give health professionals an accessible and practical framework for understanding parent-child feeding interactions in the context of the family’s unique history, current environment, and anticipated future.
Included is a copy of the “bicycle model” that you can use to frame clinical decision-making. For nutrition professionals, OTs, SLPs, mental health providers, and early intervention practitioners. 
Recording provided day of the live session if you miss it.
Early Bird rate is 10% off through May 10th. Equity, student and group rates available.
#linkinbio
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
Okay... We're being a little silly with this one b Okay... We're being a little silly with this one by turning the famous Simpson's cartoon phrase, "Won't somebody please think of the children!" on its head. Far too often with the focus on the child, parents are told, "eat family dinners," or "serve accepted along with new foods at regular intervals..." without thinking about HOW parents and families make it work for them.
We've done it... Have you?
We're so excited for this webinar which focuses on supporting parents with sensory processing and executive functioning differences. Feeding challenges are more common in neurodivergent children - who are more likely to have neurodivergent parents. 
🧡 Consider the unique needs of all family members.
🧡 Learn simple strategies related to menu adaptations, meal planning and meal preparation.
🧡 Think about accommodations.
🧡 Get an overview of the Neurodiversity-Affirming Model™ and its use when working with neurodivergent families. 
Naureen is a multiply neurodivergent RD with 18 years of experience. She works through a trauma-informed, weight-inclusive, and anti-oppressive approach. Naureen has extensive experience working with autism spectrum, ADHD, sensory processing differences, and other forms of neurodivergencies. Naureen is the founder of @rds_for_neurodiversity 
Early bird, equity, student, and group discounts. #linkinbio
Applying for 1.25 CEUs for RDs.
This course counts towards ASHA and AOTA professional development. Certificate of attendance⁣ for all.
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#neurodiversityaffirming #responsivefeeding #responsivefeedingtherapy #intuitiveeating #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
🤔Feeding relationships are dynamic and multidim 🤔Feeding relationships are dynamic and multidimensional.  What seem like insignificant details may have great clinical relevance. 
This webinar invites clinicians to take a closer look at how to assess feeding relationships. Content includes practical tips, tools, and considerations such as: 
🧡 developmental stages
🧡 family structures
🧡 the family’s food culture etc. 
🧡 and case examples 
Grace is a registered dietitian specializing in feeding and eating disorders. She works with all ages and has extensive experience in pediatrics and mental health nutrition.
Early-bird, equity, student, and group discounts. #linkinbio
Applying for 1.5 CEUs for RDs.
This course counts towards ASHA and AOTA professional development. Certificate of attendance⁣ for all.
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian #neurodiversityaffirming
We've got some great learning opportunities lined We've got some great learning opportunities lined up in the next few months. #linkinbio⁣
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Still time to register for Jo's talk next week on intake/preassessment process. As always if you can’t make it live, you will get a recording.⁣
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Julie Wolman RD shared this, "I now arrive at client sessions feeling much more informed and prepared. I highly recommend Jo's approach to anyone who works with families around child feeding issues."⁣
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Save the date or register now for:⁣
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🧡 March 23, 12-1:15 pm ET: 𝗖𝗼𝗻𝘀𝘁𝗿𝘂𝗰𝘁𝗶𝘃𝗲 𝗖𝗼𝗻𝘃𝗲𝗿𝘀𝗮𝘁𝗶𝗼𝗻𝘀: 𝗰𝗼𝗹𝗹𝗮𝗯𝗼𝗿𝗮𝘁𝗶𝗻𝗴 𝘄𝗶𝘁𝗵 𝘁𝗵𝗲 𝗺𝗲𝗱𝗶𝗰𝗮𝗹 𝘁𝗲𝗮𝗺 with Heidi Liefer-Moreland MS, CCC-SLP, BCS-S and Jennifer Berry MS, OT/L  @thrivewithspectrum⁣
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🧡 April 4th,**10:30 am UK / 7:30 pm Sydney AU: 𝗝𝗼𝘂𝗿𝗻𝗮𝗹 𝗰𝗹𝘂𝗯 𝘄𝗶𝘁𝗵 𝘀𝘁𝘂𝗱𝘆 𝗮𝘂𝘁𝗵𝗼𝗿 𝗕𝗼𝗻𝗻𝗶𝗲 𝗦𝗲𝗮𝗿𝗹𝗲 PhD candidate, and Jo Cormack PhD. 1 hour live Zoom call, no recordings. @jo.cormack⁣
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🧡 April 12, 12-1 pm ET: 𝗪𝗼𝗻’𝘁 𝗦𝗼𝗺𝗲𝗯𝗼𝗱𝘆 𝗧𝗵𝗶𝗻𝗸 𝗼𝗳 𝘁𝗵𝗲 𝗣𝗮𝗿𝗲𝗻𝘁𝘀! 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗮𝗹 𝘀𝘂𝗽𝗽𝗼𝗿𝘁 𝗳𝗼𝗿 𝗻𝗲𝘂𝗿𝗼𝗱𝗶𝘃𝗲𝗿𝗴𝗲𝗻𝘁 𝗽𝗮𝗿𝗲𝗻𝘁𝘀 𝗮𝗻𝗱 𝗳𝗮𝗺𝗶𝗹𝗶𝗲𝘀 with Naureen Hunani RD @rds_for_neurodiversity⁣
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian #neurodiversityaffirming
Pediatric feeding and nutrition professionals usin Pediatric feeding and nutrition professionals using a responsive feeding therapy approach often encounter a lack of support, or limited understanding regarding the important role it plays in the development of a lifelong positive relationship with food. 
Without this knowledge, many medical providers unknowingly contribute to increasingly negative mealtime practices or behaviors around food. 
In this course, Heidi and Jennifer of @thrivewithspectrum will discuss the negative impact that a lack of communication can have on families and mealtime progress. More info and register #linkinbio
They include some of their most effective strategies including:
✅ identifying common ground
✅ facilitating meaningful dialogue
✅ developing effective treatment plans 
✅ and share references that have been helpful in discussions regarding weight, growth, feeding refusal, and mealtime anxiety. 
Early bird, equity, student and group discounts available.
Applying for 1.25 CEUs for RDs
This course counts towards ASHA and AOTA professional development requirements. Certificate of attendance⁣ for OTs and SLPs
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
Early bird pricing is available for one more week! Early bird pricing is available for one more week! (We've simplified it so you don't have to enter codes anymore, you just automatically get the EB price...)⁣
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❓What's your intake process? Evolving? Feel like it's missing something? Looking for new ideas? Just starting out with feeding, or doing feeding as part of your early intervention work and looking for more around the feeding dynamics piece?⁣
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Deciding what information to request from caregivers in advance of the first session is not easy. But it makes a huge difference. Jo will share an example of the intake form she uses (co-created with clinician-researcher Hazel Wolstenholme PhD). You can adapt it to your own practice.⁣
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✅ use your precious time with clients more efficiently⁣
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✅ get a roadmap to help you hone in on opportunities for healing⁣
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Information and registration #linkinbio. Discounts for early bird, student, equity, and group rates.⁣
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1 CEU for RDs⁣
certificate of attendance⁣ for OTs and SLPs (more info on web page)⁣
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian⁣
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In this week's blog post, we answer a question (wi In this week's blog post, we answer a question (with permission) from our last webinar on RFT in early intervention. #linkinbio
The question was about "overfeeding" and as usual, leads to more questions than answers.
We consider: is the worry in response to feeding practices, or the child's weight? Is there pressure on the practitioner and parent to get the child to eat less? What about food insecurity and restriction? Is food a way the family can access connection and pleasure in otherwise chaotic times? 
We offer a resource on amounts, as well as responsive feeding support.
And we begin to touch on something we will explore in the coming months. Namely how attempts to GET children to eat less to weigh less backfire and can cause a lot of suffering and negatively impact relationships.
What do you think?
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #earlyintervention #EI #extremepickyeating #feedingtherapy  #RFT #ARFID #PFD #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
Deciding what information to request from clients Deciding what information to request from clients in advance of the first session is not easy. Ask for too much, and parents may feel overwhelmed. Ask for too little, and you may find the bulk of the first sessions are taken up with collecting information that could have been requested in advance.⁣
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In this practical webinar, you will be given a copy of an example intake form to adapt to your practice. Discover the rationale for each section including but not limited to:⁣
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✅ assessing parental anxiety ⁣
✅ weight, growth and medical history ⁣
✅ parental concerns and goals⁣
✅ the child and the challenge⁣
✅ focusing the intervention, and contracting⁣
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Learn how to interpret it, and explore how to use the information to focus assessment and the intervention as a whole.⁣
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Information and registration #linkinbio. Discounts for early bird, equity, and group rates.⁣
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1 CEU for RDs⁣, applicable for SLPs and OTs, certificate of attendance⁣
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
In this study, researchers looked at growth patter In this study, researchers looked at growth patterns for the first year of life for approximately 9,000 infants. Among other things, they found:
64% - weight decreased at least 1 centile line (like 50th to 15th, not 50 to 49%...)
35% - weight increased or did not change 
41% boys, 34% girls weight decreased at least 2 lines
Increases and decreases in growth may be just fine for a child - an example of discontinuous growth or normal variation. 
But "growth faltering", or "falling off the curve" (defined by the chart) is often what triggers a referral to nutrition or feeding support. And if families aren't supported or are already scared, they often try (or are advised) to GET children to eat. We know that pressure can increase resistance to eating, and so by the time they show up for the evaluation they may really be struggling (if they weren't before). 
➡️ Misperceptions/overreliance on the numbers causes problems. In next week's webinar on growth (linkinbio), this is one study we'll look at, and that background growth chart is one of several we will explore.
We'll also think about:
✅ how kids grow (I promise there's info that will surprise you)
✅ the harm and questionable clinical utility of labels
✅ what might lead to a slowed growth trajectory
✅ how we can support and reassure parents when it's appropriate 
❗️Weight loss ALWAYS demands further attention. (Even in children who are bigger than average.) ⁣
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❗️Low or decelerating weight gain means there needs to be a thorough history and physical and labs if indicated. ⁣
Bennett, WE. (2014). The Natural History of Weight Percentile Changes in the First Year of Life. JAMA Pediatrics, Volume 168, (7)
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
It's been over five years coming! Please join us It's been over five years coming! 
Please join us in congratulating RFPro's Jo Cormack for completing her PhD in psychology. 🎉 
🔦 Check out Jo's spotlight blog post for more about her and her work. #linkinbio
Here's an excerpt:
What one thing would you like ALL professionals working with feeding to know?
"That you need to give it time. It is easy to feel rushed into ‘doing’ by the powerful anxiety many parents experience in relation to their child’s eating behaviors. Many parents would love us to ‘fix’ their child, when so often we need to just be alongside them while they work on the feeding environment and feeding dynamics. 
Of course, in medically complex cases, this work may be happening in tandem with other interventions, referrals, and so on. But if you can give parents permission to reconnect with their child and then step back, watch, and wait… given time, children can blossom like a flower that has been given space, nourishment, sunlight, and water."
🧡 🧡 🧡 
We look forward to seeing Jo's work published in the future, and growing the evidence base supporting a responsive approach to feeding challenges!
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PFD #feedingtherapy  #RFT  #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian #feedingdisorder  #feedingtherapist
The quote continues: "This implies that even those The quote continues: "This implies that even those caregivers who had an income experienced financial concerns in terms of dietary management.” 
In this study of parental experiences in the context of feeding autistic children, money worries were an important consideration. 
As clinicians, it is very important that we don’t make assumptions about what a family can afford, and that we explore experiences and feelings about the cost of food both in food-secure and food-insecure households.
✅ Including a question about food insecurity in your assessment documentation can also be really useful, flagging possible pressures on a family that may not be immediately apparent. This method of screening can also reduce stigma as it is asked of everyone, and is also answered in relative privacy, versus face-to-face.
For more suggestions on preparing for an assessment that makes space for the socio-environmental context, enroll in our upcoming webinar on developing your pre-assessment paperwork. Link in bio. 
Adams, S. N., Verachia, R., & Coutts, K. (2020). 'A blender without the lid on': Mealtime experiences of caregivers with a child with autism spectrum disorder in South Africa. South African Journal of Communication Disorders, 67(1), 1-9.
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PFD #feedingtherapy  #RFT  #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian #feedingdisorder  #feedingtherapist
Join us for an informative chat with Dr. Zeina Mak Join us for an informative chat with Dr. Zeina Makhoul on measuring growth, nutrition and feeding, and an intro to SPOON's amazing work!⁣
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"𝗡𝘂𝘁𝗿𝗶𝘁𝗶𝗼𝗻 𝗽𝗼𝘄𝗲𝗿𝘀 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝘁𝗼 𝗴𝗿𝗼𝘄, 𝗱𝗲𝘃𝗲𝗹𝗼𝗽, 𝗮𝗻𝗱 𝗿𝗲𝗮𝗰𝗵 𝘁𝗵𝗲𝗶𝗿 𝗽𝗼𝘁𝗲𝗻𝘁𝗶𝗮𝗹. 𝗖𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝘄𝗶𝘁𝗵 𝗱𝗶𝘀𝗮𝗯𝗶𝗹𝗶𝘁𝗶𝗲𝘀 𝗮𝗻𝗱 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝘄𝗶𝘁𝗵𝗼𝘂𝘁 𝗳𝗮𝗺𝗶𝗹𝘆 𝗰𝗮𝗿𝗲 𝗮𝗿𝗲 𝗽𝗮𝗿𝘁𝗶𝗰𝘂𝗹𝗮𝗿𝗹𝘆 𝘃𝘂𝗹𝗻𝗲𝗿𝗮𝗯𝗹𝗲 𝘁𝗼 𝗺𝗮𝗹𝗻𝘂𝘁𝗿𝗶𝘁𝗶𝗼𝗻, 𝗯𝘂𝘁 𝗴𝗼𝗼𝗱 𝗳𝗲𝗲𝗱𝗶𝗻𝗴 𝗮𝗻𝗱 𝗻𝘂𝘁𝗿𝗶𝘁𝗶𝗼𝗻 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲𝘀 𝗰𝗮𝗻 𝗰𝗵𝗮𝗻𝗴𝗲 𝘁𝗵𝗶𝘀. 𝗚𝗼𝗼𝗱 𝗻𝘂𝘁𝗿𝗶𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗔𝗟𝗟 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝗺𝗮𝗸𝗲𝘀 𝗳𝗮𝗺𝗶𝗹𝗶𝗲𝘀 𝗮𝗻𝗱 𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝘁𝗶𝗲𝘀 𝘀𝘁𝗿𝗼𝗻𝗴𝗲𝗿."⁣
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Join @spoonfoundation Zeina Makhoul PhD, RDN and Katja Rowell MD (HI! It's me!) for an IG live event touching on the importance of measuring growth correctly and so much more.⁣
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🧡 Learn about the app and international SPOON program "Count Me In" that is measurably reducing anemia, stunting, and wasting in vulnerable children.⁣
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See how it guides healthcare professionals and caregivers to accurately measure and interpret growth. (A training I noted that anyone measuring children in a medical or nutritional setting could benefit from.)⁣
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disclaimer: Katja Rowell MD has been an unpaid member of the SPOON advisory board for over a decade⁣
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learn more about @spoonfoundation #linkinbio⁣
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#adoptionnutrition #responsivefeeding #responsivefeedingtherapy malnutrition #familycare #babyhome #orphanage  #underweight ⁣
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Growth measures are only a piece of the puzzle whe Growth measures are only a piece of the puzzle when assessing children with feeding differences and challenges. Far too often critical diagnostic and treatment decisions are made based only on growth charts and arbitrary cutoffs. (With often inaccurate measurements to boot!)
🧡 When parents come to us with intake and weight worries, we need a framework of understanding, and know when we can reassure. 
Worry about weight gain is/was likely a concern for the parents and referring provider. 
✅ It's critical that feeding and nutrition professionals understand some basics around how growth charts were made, and their limitations.
✅ Misperceptions around weight contribute to feeding challenges. Understanding how and why this happens is important with a responsive approach.
❓How do you see weight worries impact feeding and therapy? Have you seen inaccurate measurements? How are you able to reassure around growth?
Sg up for our February 8th webinar on growth. #linkinbio
Discounts for early bird, equity, and group rates.
#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian
The Nutrition and Gastroenterology Committee of th The Nutrition and Gastroenterology Committee of the Canadian Paediatric Society published this paper advising clinicians to explore possible unrealistic expectations that parents may have, regarding appetite in toddlerhood. 
✅ This is a really useful quote to share with clinicians and parents alike; if parents expect children’s food intake to be consistent, they may worry when it isn’t. This may contribute to non-responsive feeding practices. 
The decrease in appetite that Leung and colleagues highlight can come as a surprise to parents, who may assume that children gradually eat larger and larger portions as they get older. 
🧡 By reassuring parents that toddlers’ and pre-schoolers’ eating can be about as predictable as the weather (I’m in the UK!) - while screening for any underlying issues, of course - feeding professionals can help parents feel confident and relaxed about their childrens’ eating. 
For a deeper dive into working with parental misperceptions about child weight and growth, enroll in our upcoming webinar on growth charts with Katja Rowell MD. Link in bio. 
Leung, A. K., Marchand, V., Sauve, R. S., Canadian Paediatric Society, & Nutrition and Gastroenterology Committee. (2012). The ‘picky eater’: The toddler or preschooler who does not eat. Paediatrics & child health, 17(8), 455-457.
"If parents followed the calorie charts we give th "If parents followed the calorie charts we give them, the children would be 50th%.” (GI doctor in US.)⁣
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“He’s growing fine! Don’t worry!” Pediatrician to parents of a child eating fewer than 10 foods and panicking eating anywhere but home...⁣
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Low, and slowed weight gain are primary reasons for referral to feeding and nutrition support. ⁣
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❗️Understanding growth, growth charts, and misperceptions is critical for feeding and nutrition professionals. ⁣
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Both parents and doctors (and feeding professionals) often have misperceptions around growth. (I certainly did when I was in primary care. This is all stuff I wish I had known!) ⁣
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𝗧𝗵𝗲𝘀𝗲 𝗺𝗶𝘀𝗽𝗲𝗿𝗰𝗲𝗽𝘁𝗶𝗼𝗻𝘀 𝗮𝗻𝗱 𝗿𝗲𝘀𝘂𝗹𝘁𝗶𝗻𝗴 𝗶𝗻𝘁𝗲𝗿𝘃𝗲𝗻𝘁𝗶𝗼𝗻𝘀 𝗰𝗮𝗻 𝘄𝗼𝗿𝘀𝗲𝗻 𝗮𝗻𝗱 𝗲𝘃𝗲𝗻 𝗶𝗻 𝘀𝗼𝗺𝗲 𝗰𝗮𝘀𝗲𝘀 𝗰𝗮𝘂𝘀𝗲 𝗳𝗲𝗲𝗱𝗶𝗻𝗴 𝗽𝗿𝗼𝗯𝗹𝗲𝗺𝘀.⁣
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🚨 A significant portion of clients you work with have likely experienced challenges that were dismissed because growth was "normal." 
🚨 A significant portion of children you work with were impacted by inappropriate worry and intervention with actually unproblematic growth. ⁣
⁣Feb 8th webinar! 
✅ We will explore how growth charts were made, their uses and limitations.⁣
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✅ How low, but healthy growth, and discontinuous growth are mislabeled.⁣
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✅ Potential causes for growth divergence and when we can reassure (ourselves and the parents we work with).⁣
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✅ How we can support parents  and children and communicate with the medical team.⁣
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And more! ⁣
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Information and registration #linkinbio. Discounts for early bird, equity, and group rates.⁣
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1.5 CEUs for RDs⁣
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❗️Weight loss ALWAYS demands further attention. (Even in children who are bigger than average.) ⁣
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❗️Low or decelerating weight gain means there needs to be a thorough history and physical and labs if indicated. ⁣
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian⁣
Katja here. I'm blushing! "Flawless" is a huge com Katja here. I'm blushing! "Flawless" is a huge compliment! This interview I did, with two skilled clinicians and educators, was one of my all-time favorites!⁣
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#linkinbio to the episode and @sunnysideupnutritionists wonderful website full of all kinds of resources!⁣
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I chatted with @annalutzrd and @elizabethdavenportrd about many things related to RF and RFT, including:⁣
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☀ Responsive feeding and responsive feeding therapy⁣
☀ Differences between responsive feeding and Ellyn Satter’s Division of Responsibility⁣
☀ Issues with mainstream advice on feeding and what makes these messages confusing⁣
☀ What pressure looks like and how a parent knows if they are creating pressure in the feeding relationship⁣
☀ Advice for parents of teenagers who are selective eaters⁣
☀ Felt safety and connection amidst traumatic experiences for children⁣
☀ Eating and feeding accommodations for neurodiverse children⁣
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Tell us what you think. ⁣
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#responsivefeeding #responsivefeedingtherapy #intuitiveeating #haes #extremepickyeating #arfid #pediatricfeedingdisorder #PDF #feedingtherapy  #RFT #ARFID #PFD #pediatricfeedingtherapy #feedingtherapy #OTfeedingtherapy #STfeedingtherapy  #pediRD #pediatricdietitian ⁣
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