Reply to How to teach table manners over the summer

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[quote=Anonymous]My son who has had all sorts of feeding issues since infancy is 15 and still struggling to hold a fork and chew with his mouth closed.  He has ADHD and hypotonia and some other issues that have caused malnutrition for years.  Working with a nutritionist I’ve gotten the malnutrition basically under control and he has been able to eat more foods in a more reasonable amount of time (it used to be dinner was 2.5 hours.  It’s now a lot shorter).  A feeding therapist said it was time to teach him table manners, and summer was the time to do it. The problem is I don’t know what to try.  In the past I’ve tried everything I can think of (rewards charts, stickers, constant reminders, etc). The PT gave him exercises to strengthen all of the muscles involved in holding a fork.  The OT had him eat in front of a mirror.  Nothing has made a difference.  One therapist just recommended that I sit alone with him at every meal and monitor each bite.  I don’t think that’s feasible while also trying to take care of my SN daughter.  Does anyone have any recommendations?[/quote]

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