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Helping Your Child with Extreme Picky Eating: A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding Disorders, by Katja Rowell M.D.
PDF Download Helping Your Child with Extreme Picky Eating: A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding Disorders, by Katja Rowell M.D.
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Review
“What I appreciate most about Helping Your Child with Extreme Picky Eating is its respectful approach for both parents and children. It offers parents hope, understanding, and practical strategies that really work. Based on sound research and a true understanding of children, it gently but confidently guides families through the steps of building a healthy relationship with food.â€â€•Mary Sheedy Kurcinka, EdD, licensed teacher, parent educator, and author of Raising Your Spirited Child“Finally, an antidote to the infuriating trend of books about tricking children into eating. Rowell and McGlothlin expertly illuminate the complex emotional world of children with extreme picky eating and the caregivers who struggle to feed them. Helping Your Child with Extreme Picky Eating is a masterpiece of practical strategies, compassion, and reassurance that’s perfect for parents, pediatricians, and anyone who remembers hating ‘just one more bite.’â€â€•Jessica Setnick, MS, RD, CEDRD, pediatric eating disorder specialist, cofounder of the International Federation of Eating Disorder Dietitians, and author of The Eating Disorders Clinical Pocket Guide“With the persistent challenge of classification and treatment of feeding problems, eating disorder professionals are increasingly charged with treating children with feeding difficulties, avoidant/restrictive food intake disorder (ARFID) cases, and selective eating. This book is an invaluable resource for eating disorder (ED) professionals in need of a thorough introduction to the spectrum of selective eating issues that may be outside their primary area of expertise, from typical ‘picky’ eating to more pervasive food aversions. The authors’ expert handling of this topic will empower both professionals and parents to better understand and support their selective eaters.â€â€•Katherine Zavodni, MPH, RD, LDN, registered dietitian specializing in outpatient nutrition therapy for eating disorders, family nutrition and childhood feeding, and intuitive eating“Helping Your Child with Extreme Picky Eating is a practical, child-focused, and guilt-free guide to addressing a variety of eating challenges. This book respects and values the parent as an expert. The nonjudgmental approach and easy-to-follow techniques will empower parents to make family mealtime a positive experience. By providing a sound overview of feeding development, Rowell and McGlothlin changed my understanding of typical eating. The suggested scripts and keen insight into the child’s perspective takes the guesswork out of applying the STEPS+. I walked away with a deeper understanding of how children experience feeding and how my own ‘feeding temperament’ affects how I relate to my children around food. Short-order cooking is out the door and dessert is on the table with dinner now. We’re all enjoying a happier mealtime! My only wish is that I’d had this book when my children were babies. I would strongly recommend this book to any parent who is struggling with mealtime.â€â€•Erin Erickson, MPH, MN, RN, founder and cohost of Mom Enough®“Katja Rowell and Jenny McGlothlin get the anxiety and many challenges both children and families feel when children are highly selective eaters! They offer sensitive, thoughtful, and practical suggestions to support families in their journey toward happier and healthier mealtimes.â€â€•Marsha Dunn Klein, MEd, OTR/L, FAOTA, pediatric therapist, educator, author, and co-owner of Mealtime Connections, a pediatric therapy clinic in Tucson, AZ“Lots of books promise to help solve ‘picky eating’ problems, but this one actually does! Rowell and McGlothlin have put together a comprehensive masterpiece.â€â€•Skye Van Zetten, blogger at mealtimehostage.com“Finally! Not just an acknowledgment, but an exploration and even a ‘how-to manual’ on dealing with the long-neglected missing piece of pediatric feeding therapy―the emotional dynamic for both the child and the parent! Let’s face it, eating is not just about nutrition. It’s also about enjoyment and family relationships. This gets lost amidst health and medical concerns when a child severely limits his eating. Katja Rowell and Jenny McGlothlin have given us a map for restoring and healing these components as well. Parents and therapists alike will be profoundly grateful.â€â€•Jennifer Meyer, MA, CCC-SLP, cocreator of care-to-collaborate.com, and popular international speaker in the areas of pediatric dysphagia and neonatal therapy“Finally, there’s a solid resource for families who struggle with extreme picky eating! Rowell and McGlothlin leave no stone unturned as they help parents navigate all aspects of their child’s eating, from the ‘how’ of family dinners to decisions about feeding therapy. I will recommend this book again and again.â€â€•Maryann Jacobsen, MS, RD, author, blogger, speaker, and coauthor of Fearless Feeding“Helping Your Child with Extreme Picky Eating is wonderful! I currently work with a young male client who struggles with eating, and I can honestly say that this information is so crucial for even mental health therapists who are working to help families dealing with feeding issues. I wish all school counselors could have access to this material. The material in this book has assisted me in helping my client’s family in a way that I was struggling to before reading! Thank you for writing this tremendously helpful text!â€â€•Christine J. Schimmel, EdD, NCC, LPC, assistant professor of counseling at West Virginia University and author of numerous texts and articles on impact therapy, a multisensory, creative approach to counseling and group counseling“A wonderful, parent-friendly resource that is easy to read and full of practical suggestions to help your child ‘come to the table!’â€â€•Catherine S. Shaker, MS/CCC-SLP, BCS-S, pediatric speech-language pathologist at the Florida Hospital for Children in Orlando, FL, and coauthor of “The Early Feeding Skills Assessment Tool for NICU Infantsâ€
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About the Author
Katja Rowell, MD, is a family doctor and childhood feeding specialist on a mission to support parents who worry about feeding and their child’s weight or growth. Known as “the Feeding Doctor,” she is a national expert on children, feeding, and the intersection of health and wellness. Rowell believes that helping children grow up to feel good about food and their bodies is the best preventive medicine there is. Described as “academic, but warm and down to earth,” she presents workshops to parents and professionals across the country. Rowell consults with a range of clients and writes on the importance of a healthy feeding relationship for online and print media. She has shared tips on how to bring peace back to meals through DVDs, TV, and radio, and is author of Love Me, Feed Me. Rowell makes her home in the Twin Cities, where she enjoys reading, camping, cooking (most of the time) for her family, and a husband who does the dishes. Jenny McGlothlin, MS, CCC-SLP, is a certified speech-language pathologist specializing in the evaluation and treatment of feeding disorders for children from birth through the teen years. McGlothlin developed the STEPS feeding program at the Callier Center for Communication Disorders at University of Texas at Dallas, where she works with families on a daily basis to foster feeding skills that will serve a child for a lifetime. Her passion is teaching children how to eat when they just can’t figure it out on their own, and McGlothlin has been inducted into the Texas Speech-Language-Hearing Association’s Hall of Fame for her work in the field. McGlothlin has spent many years teaching graduate-level courses on feeding as well as early child development. She frequently provides feeding workshops for parents and continuing education seminars and webinars for therapists. As a mother of three young children, McGlothlin makes family meals a priority, and enjoys reading and spending time with her friends. Foreword writer Suzanne Evans Morris, PhD, is an internationally recognized speaker and therapist for infants and children with feeding and mealtime challenges. With more than fifty years’ experience as a speech-language pathologist specializing in feeding development and disorders in children, she pioneered the development of feeding and mealtime programs in the United States. Morris is coauthor of three books: Pre-Feeding Skills, the Mealtime Participation Guide, and the Homemade Blended Formula Handbook.
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Product details
Paperback: 240 pages
Publisher: New Harbinger Publications; 1 edition (May 1, 2015)
Language: English
ISBN-10: 162625110X
ISBN-13: 978-1626251106
Product Dimensions:
6 x 0.8 x 9.2 inches
Shipping Weight: 12 ounces (View shipping rates and policies)
Average Customer Review:
4.4 out of 5 stars
87 customer reviews
Amazon Best Sellers Rank:
#14,339 in Books (See Top 100 in Books)
This review is a comparison of the books “Just Take a Bite†(JTaB) by Lori Ernsperger and Tania Stegen-Hanson and “Helping Your Child with Extreme Picky Eating†(HYCEPE) by Katja Rowell and Jenny McGlothlin. Both books are intended to help children who are highly selective eaters, and both take a non-coercive approach to feeding which draws on Ellyn Satter’s division of responsibility. Hopefully this review will help parents decide which book is better for their child’s situation.At the time of writing this review, I have a two-year-old boy in feeding therapy. Contributing to his feeding problems are sensory issues, airway issues, reflux, and an oral motor delay. I read these books looking for support in standing up to doctors who’ve been pressuring me to use methods I’m not comfortable with, and for strategies I can implement at home to improve the carry-over of feeding therapy skills.JTaB is written by a behavioral therapist and an occupational therapist. HYCEPE is by a family doctor and a speech pathologist. All four specialize in pediatric feeding disorders. The books cover much of the same information, share some guidelines, and both have suggested activities in the second part of the book.While HYCEPE is clearly written for parents, JTaB is targeted towards both parents and therapists. It’s a bit more technical, which I like but others might not. There is more detailed information on sensory and oral-motor development. HYCEPE has some of the same information but it’s jumbled up with tidbits like this: “Family meals are a time to pass on family stories, traditions, and culture – and to laugh and spend enjoyable time with your children.†That’s nice, but it has nothing to do with my son’s eating problems. I prefer JTaB’s more to-the-point approach.Both books agree that coercing a child to eat is counterproductive, but HYCEPE takes this to an extreme. They have two full chapters about avoiding even a hint of pressure, as well as constant warnings throughout the rest of a book, and they seem to think that pretty much every attempt to get a child to engage with food is pressure. Here’s an example from the section called “Play with Your Foodâ€: “Playing a game with the agenda of increasing your child’s comfort with food can backfire.†Huh? If increasing my child’s comfort with food is not my “agenda†then why am I even reading this book?They go on to advise, “At the first sign of anxiety or resistance, let it go and move on to an activity she enjoys.†I understand where they’re coming from if working with a neurotypical picky child with a sensitive temperament (one of the authors has a child like this). However, their strategy would not work for my son, who is predominantly *under*sensitive and whose food aversion has more to do with feeling unsafe with food than feeling pressured by adults. I spent months making different foods available on his tray, day after day, with no pressure to touch or eat them. He made no progress during that time.The approach in JTaB is more compatible with the SOS (Sequential Oral Sensory) approach which my son’s feeding therapist uses. Although HYCEPE apparently considers it too coercive (they don’t name SOS but they describe the process), the child is never punished, bribed, or forced to do anything. He is taken to the edge of his comfort zone to look around, but is not pushed past the edge. HYCEPE would prefer to leave a child in the middle of their comfort zone and wait for them to venture out. Again, that may work with a typical child, but those who’ve had their feeding development stalled by medical problems or disabilities need a more hands-on approach.Although as I said JTaB is more on the technical side, the authors acknowledge parents’ emotions around their children’s eating in a very validating way. I felt supported in my choice to keep mealtimes a positive experience. The book helped me create a more structured and supportive mealtime schedule/routine which really seemed to help my son. I also realized that some of his issues I thought were motor-based are actually proprioceptive.A final note on layout. HYCEPE is a standard sized book with standard type. JTaB is textbook sized with double spaced lines and lots of white space on each page, which makes it easy to highlight or take notes in the margins. The information in JTaB is clearly organized and easy to refer to, with charts and tables.If you have an older child whose pickiness is behavioral/temperamental and not complicated by developmental or medical problems, HYCEPE will probably be more helpful. If your child has developmental delays, sensory or oral-motor issues, or GI problems, you’ll probably get more from JTaB. I fall into the latter category.
Full disclosure: My son was a patient of Jenny McGlothlin in her feeding program when he was a toddler. Using her system, he went from only eating smooth purees to eating a regular diet in 3 months. I have seen her work miracles with many many kids and families. She knows what she is talking about and she has proven herself with kids and parents who hold her accountable.It seems that most people who give advice on feeding picky eaters have never had to care for one themselves. Too many pediatricians, grandparents, friends, etc. just have the same advice..."if the kid is hungry enough he will eat what you serve," or "cut out the junk food and he will get hungry for healthy food." Unfortunately, that doesn't usually work with true picky eaters. These authors have been in the trenches with parents and have found a system that works. The best part is that their advice doesn't make you feel like a horrible parent who just didn't try hard enough. I cannot say enough about how helpful this advice is.
As a parent of a child with extreme picky eating, I have been looking for as many resources as possible to help me help my son. This was the first book of its type that I have read post-therapy (and have read a couple more since). My son is 3 and overall, I did find the approach Ms. Rowell takes to be a breath of fresh air in a lot of ways. The "no pressure" method has certainly made mealtimes more pleasant, and by starting to eat dinner "family style" with all of the options on the table, my son has started at least putting foods on his plate that he would otherwise throw a fit about being there.What I didn't love about the book was the organization of information, or lack thereof. I did not find it to be a "step-by-step guide" as the subtitle suggests, and the chapter headings made it difficult for me to locate information later on that I wanted to revisit.I also felt that the author could have and should have tackled some frequently asked questions about her suggested process, as I have run into many situations since changing to her style that have left me completely stumped. In my house, tortilla chips is one of the very few foods my son eats consistently, so when we have Mexican for dinner (which is a lot), that is all he goes for. I would love the opportunity to ask Ms. Rowell if I should limit the amount of tortilla chips he consumes at dinner in order to encourage him to possibly try something else on the table? Is it appropriate to require him to dip it in something, such as guacamole, if he wants more? And what should I do when he asks for seconds of something that has run out on the table (but we have more of in the pantry/fridge)? Do I tell him sorry and let him go hungry since likely he won't eat anything else on the table? I know there are hundreds of different scenarios for different kiddos out there, but I feel like those questions are pretty universal when we're talking about picky eaters and changing to a new "family style" dinner.One of the most helpful things I got from the book was a URL to a blog called "Mealtime Hostage" which is ran by a mother of a child with EPE. I highly recommend her blog if you haven't come across it. She even has an online support group on Facebook that the website directs you to, but it is chock full of so much information about her own journey, and she has compiled resources from several experts which saved me a lot of leg work. Heck, just knowing I was not alone in this struggle gave me so much hope and encouragement.Overall, I would still recommend the book if you have a child that suffers from ARFID/selective eating/extreme picky eating, because even if you only glean a few helpful tips from it, every new perspective and piece of advice helps if you ask me!
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November 06, 2014
