First Bite

Not Just Picky: Case Studies in Complex Feeding


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This week on First Bite, Michelle and Erin revisit one of their most-requested topics: real-world feeding case studies.

Earn 0.1 ASHA CEU for this episode: https://www.speechtherapypd.com/courses/not-just-picky


In this episode, they walk through three complex cases involving children with layered challenges, including trauma histories, ARFID, and rare medical diagnoses. Each story highlights the messy, nonlinear nature of feeding therapy and the importance of flexible, family-centered care.


You’ll hear how clinical reasoning, caregiver collaboration, and a bit of trial and error helped guide each child’s progress. But the focus isn’t just on the kids. Michelle and Erin also explore how the entire family system shapes therapy outcomes and mealtime trust.


If you love practical insights and honest conversations about what really happens in feeding therapy, this episode is for you.


Watch First Bite on YouTube: https://youtu.be/ucH8ert84dc

Mentioned in this episode:

Beyond Words with Garrett Oyama

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First BiteBy Michelle Dawson & Erin Forward

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