Thank you for this. We are in the thick of it with our 7 year old now and I related so much to what you wrote about your DH coming from a "clean plate" household and really struggling with the hands off approach. We follow Satter with some modifications (one thing we've discovered is that some recommendations for picky eaters are harder to implement in a family with one child because of how meals work and because you can't lean on consistency across siblings to normalize certain behaviors around food) but it's still hard and consumes a lot of my energy. It's crazy how much effort I still have to put into being chill about what my child chooses to eat or not eat at a meal! But it's really good to hear that it got better for your kids and that they have normal food preferences now. My number one fear is that my kid will struggle in life and as an adult because limited food preferences will limit her in other ways. I am always relieved to hear about kids with severe picky eating who out grow it even if it doesn't happen until the tween or teen years. |
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I want to ask a specific question for the BTDT parents regarding the more extreme versions of picky eating.
How do you handle a child who is being served foods you know they will eat and have eaten recently (like for us we always have bread and butter and fruit on the table for meals) but they say they are not hungry, and then 30 minutes later ask for a snack food or dessert? To give a very specific example: last night we had chicken tacos. Our picky eater won't eat combined foods and doesn't eat meat but will eat tortillas and shredded cheese so we made sure those were on the table separately. We also had apple slices and peanut butter on the table, which we often do when we know DC won't touch the protein we are eating. DC ate maybe 3 bites of a tortilla, two bites of shredded cheese, and wouldn't touch the apples or peanut butter, and then said she wasn't really hungry. We said okay and excused her from the table. Then an hour later she asked if she could have one of the holiday cookies our friends had brought over yesterday. I said no, I couldn't give her a cookie because she ate so little for dinner and I didn't want her to just have a cookie for dinner. I said if she was hungry she could have bread or a tortilla with some butter on it (something she is normally fine with). She declined that but asked if she could have crackers. Part of me wanted to relent just because she was hungry and I just want her to eat. But DH cut in and said no, we were offering several more healthy and filling options than crackers, which she normally eats, and we can't give her crackers instead because they aren't as healthy and won't fill her tummy up the same way. It's really hard. I don't want her to be hungry. But DH is right if we give in and give her snack foods after a meal that was designed to meet her pickiness halfway, it just reinforces the idea that she can fill up on crackers instead of making the effort to eat the more healthy, higher variety foods we're serving. Any advice on handling this specific situation? I have no trouble saying no to the cookie but it's hard to hold a firm line when you have a kid saying they are hungry and asking for food but refusing all the options you are offering which are already an accommodation from what was actually served for dinner (like we know she's not going to actually eat a chicken taco). |
For me, if she is asking for one holiday cookie when other children at home are having one, I’d say that’s fine. One small evening snack like a cookie or a few crackers is fine, to me. I would not let that child eat MORE dessert or evening snack than the rest of the family though. I’d do what you did, and offer more dinner or some fruit. Some kids are grazers or are not hungry at the family’s dinner time and that’s fine. I am starving at 4pm and have just started eating my own dinner at 4pm as opposed to eating tons of snack food and then finally dinner at 7 when I’m not hungry anymore. As a bonus I’ve lost like 10lb with this approach. |
I would never say no. Our kids eating isnt a behavior problem. And when they do eat, it isn’t easy a lot of the time. Things surrounding food are so miserable for them that if eating a food, any food, would bring them joy, I’d give it to them. |
PP here - I don't think any teen/adult WANTS to be limited by their eating so as they get older and are eating more out of the house with friends they will naturally become more motivated to try different things. If they still struggle with taste/texture but want to improve they may be open to eating therapy that they might have resisted as a child. I know when I was a kid I was picky and had a lot of anxiety about new foods. I only tried Chinese food when I was doing a college internship and we went out to a team lunch at a Chinese restaurant. I didn't want to be the weird person so I tried it and it was fine. I didn't like everything and I still hate spicy food but I managed. Several years later on a business trip to Taiwan I had to eat a sea urchin because my host ordered it. I thought it was gross but I still managed to eat it and be polite. Talking about these experiences with my kids helped them know that I understood the challenge and also that they could grow in their eating and sometimes you will survive eating something you don't like and sometimes it's necessary to do that to be polite. |
+1 IMO the picky child doesn't get punished for their eating. If the kids are all having a cookie, she gets one too. Beyond that and being "hungry" I think that's a judgement call. In preschool, we'd let them have more of the dinner food (bread, milk etc.) that they didn't eat. But eventually we moved to a "kitchen is closed" policy, starting about an hour after dinner. But also for my two picky kids it really wasn't an issue. I learned over time that they really weren't hungry at dinner time and waiting for breakfast was fine. |
Fair enough. I think I just have trouble getting over her not eating foods that we know she does eat sometimes (and that have been served specifically to ensure that there are foods on the table she can eat) and then letting her have a cookie essentially in lieu of an actual dinner. Do you not worry about it becoming habit -- refusing the served food knowing they can have a cooking or some crackers later? This is my fear. That I'm giving her a way to get out of eating dinner and just eat dessert or snacks instead, thus making an end run around our careful efforts to try and encourage her to eat a varied, balanced diet. |
During the picky years we got around this by just not routinely having dessert. If they didn't eat dinner, there wasn't something more interesting afterwards. We still had sweets occasionally but reserved those for afterschool snack (served at the table, in a limited amount, at a set time, no all-afternoon grazing). They still sometimes wouldn't eat anything at dinner, even if I was serving something I knew they were ok with. If they aren't eating the things they usually will eat at dinner, it really is possible that they just aren't hungry. Don't you have days when you aren't that hungry? |
We've done Satter DOR with a variety of kids, including one who is on the extreme end of picky eating, one with medical and trauma related feeding issues, and other with varying degrees of pickiness. For all of them, except the medical kid, we would serve a meal that was deconstructed and contained something they aren't afraid to eat. With your menu I'd have the deconstructed taco ingredients out, for people to chose from in unlimited quantities, and then I'd give each person a single serving of dessert (e.g. one cookie) that wasn't connected in any way to what they ate at that meal. I wouldn't include a replacement protein. Cheese has protein, and the point is that they're invited to the meal you're sharing. When they finished the meal, which might mean they ate nothing, or that they ate a ton, or that they ate a few bites, I'd excuse them from the table. 2-3 hours later, I'd serve a snack at the table. If they asked for food in the meantime, I'd tell them "we'll have snack at X time". I would make sure the snack included multiple food groups, it might be apples and peanut butter. If the picky kid was under 6, or we were in early stages of Satter, then I'd pick the snack. If they were in elementary school and reasonably competent eater (this doesn't mean not picky), I would let them choose a snack from the fridge that had a couple food groups in it. I'd put it on the table and sit with them and eat together, but I wouldn't offer a replacement if they didn't eat it, or pressure them to eat. I'd want to convey confidence that they'd listen to their bodies and meet their own needs. |
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Adding to my post above, for my medical kid, I'd do pretty much the same thing, except that I would have calculated what he needed to eat, and anything that didn't get eaten, I would have blended up and fed him through his feeding tube.
I say that, in part, because I get the fear that your kid won't eat enough and will be hungry. Not, "it's time for dinner" hungry but malnourished. I want to say that first of all, that's pretty rare. If you aren't seeing signs of trouble, like failure to grow, then I would try really hard to let go of the idea that the kid being hungry is either a bad thing, or your problem to solve. Your job is to provide healthy food within a structure, and their job is to problem solve their own hunger within that structure. It's really OK for a kid to go a few hours without food because they are pushing against the structure. Over time, the more consistent you are with the structure, the more they'll learn to anticipate their own hunger and eat accordingly, and the less often they'll be significantly hungry. |
The younger they are, the harder to enforce, for sure. If my 3 year old was sobbing and gagging, I wouldn’t push it. I would never make her stay at the table for a long time if she refused. There were several nights where it felt like a fight, and I just gave up, letting her eat blueberries and a roll. But other nights, especially as she got older, my kid politely tried 3 or 4 or 5 bites of something without fuss. Some of those “just try” foods shifted into the “safe” category after months or a year, which I consider a huge win. We have slowly, slowly expanded what she’ll eat. It’s a hard fought war. I do think the consistency of “we always try something!” paid off, though. My kid has not fought with me about that in a year or so. She knows she won’t be forced to finish it if she doesn’t like it, so she’s okay trying. I’m sure this won’t work with every kid, as there are so many reasons and kinds of picky eating. |
| I’m another parent of a child with ARFID. My child used to vomit before she could even get the taste of a non preferred food in her mouth. Sometimes she vomited just from looking at food. We did many years of feeding therapy and now she can pass for a regular picky eater in many situations. The thing that continues to break my heart is how ashamed she is about her eating. She has another diagnosis she is very open about but she’s heard people rail against picky eaters her entire life. All she wants is to pass for normal. I promise you she is SO motivated to eat more. I am constantly trying to walk the line between protecting her privacy and making sure she can eat. |
I am a PP and I just want to send virtual hugs on this and say I understand. My DD sometimes tells me "I feel so embarrassed about my picky eating." I also am certain that our own challenges with trying to give her what she needs have contributed to this despite her best efforts (we do our very best never to shame her and to meet her where she is at but we've had our days where were are just frustrated and not at our best). I have always been a picky-ish eater and have lived with people drawing broad conclusions about my intelligence, social class, and income level based on my eating habits my whole life. I really, really wish food wasn't such a source of judgment in our culture but it is. I do my best to make DD feel accepted and loved regardless of where she is at with her eating but yes, it breaks my heart when she still gets the message that there is something wrong with her because she cannot physically force herself to eat a lot of foods that other people think she should eat. |
I am the PP and I just want to thank you for this and your last post -- really helpful. Admittedly we struggle with consistency at times especially on sort of the auxiliary issues of snacks and dessert (so much effort goes into being consistent and adopting the right attitude with regards to meals). But this is a good guide -- I really appreciate you taking the time to write it out. |
Thank you! I'm really glad it was helpful. I came back because after I wrote my posts I saw what someone else had posted about dessert and other kids, and I realized I hadn't addressed it. I don't give or withhold food as a punishment or reward ever. In my house, kids would get those cookies one of three ways. One is that they would get one, or maybe two, as a dessert with a meal. We don't have dessert every meal, but we have it pretty often. If that was what we were doing, then every member of the household would get offered one or two cookies, and it would have nothing to do with whether or not they ate anything at dinner. Satter suggest simply putting the servings of dessert at their place at the beginning of the meal, for them to eat at any time during the meal. Or I'd put one or two in their lunch box. The second is that sometimes we have cookies for snack, usually with milk or something else, and in that case they can have as much as they like. I don't usually do that for an evening/bedtime snack, more likely an afterschool snack or a mid afternoon snack on the weekend, but if the cookies arrived today and they seemed like they might go stale, then I might offer them in the evening, but usually our evening snacks when they were younger were bland easy things like a bowl of cereal with milk, or a banana and a glass of milk. Again, it wouldn't be related to whether they had eaten dinner. I think of balancing nutrition as something that happens over the course of a week, not a few hours. The third would have been if the neighbor brought them over and we decided to try one then and there, maybe inviting the neighbor to sit with us. Whatever we did, we'd all do it, unless it was some kind of cookie one of us didn't like. |