8 Tips for Addressing the Picky Eater
Food selectivity, more commonly called “picky eating”, is a common problem in children with autism spectrum disorder (ASD). It is estimated that 46% to 89% of children with ASD have some form of feeding problems including unusual eating patterns, rituals, and food selectivity [2]. Although often frustrating to parents, this should not be too surprising because one of the criteria for ASD includes restricted, repetitive patterns of behavior, interests, or activities. Therefore, eating the same foods meets the criteria of restrictive or repetitive behavior [3].

Food selectivity, or picky eating, encompasses various behaviors, including rejecting certain foods; aversion to specific flavors, colors, textures, or temperatures, and sticking to a diet limited to specific food categories. These restrictions can result in a diet in which a child will eat fewer than 8 to 20 dishes, which is a display of strong rigidity and refusal to accept new foods. Even the way foods are packaged and presented can play a role in food refusal. Such behaviors are frequently accompanied by crying, yelling, running away, aggression, spitting, throwing food, and chewing without swallowing [1].
What’s a parent to do? Try these 8 tips for reducing picky eating.
1. Rule out medical issues.
Before addressing food selectivity, ensure that your child’s pickiness is not being caused by a health problem. Consider factors such as intolerances, allergies, dental issues, and acid reflux, constipation, eosinophilic esophagitis (EoE), among other things which can trigger negative associations towards food causing discomfort or pain.
2. Provide repeated exposure to different foods.
Present small crumb- or pea-sized tastes of new foods over the course of several days or weeks starting with those similar in taste and texture to the ones your child already eats. If your child does not have an aversion to them, it may be easier to start with foods that don’t require them to chew (e.g., yogurt), as they reduce their ability to spit the food out. Offering a sip of a favorite drink or another favorite food immediately after eating the new food could also help [3].
3. Gradually increase the bite size of new foods being introduced
(e.g. from crumb- or pea-size to half-spoonful, to a full-spoonful, etc.)
It is recommended to increase bite sizes when your child has accepted at least three consecutive bites of the new food within 30 seconds without gagging and engaging in disruptive behavior such as crying or screaming [3].
4. Have a meal schedule.
Avoid allowing your child to snack all day. This includes filling up on liquids (e.g., milk or juice). You want them to arrive at mealtime hungry [3].
5. Ignore inappropriate mealtime behavior (i.e., planned ignoring).
This means provide as little attention as possible to their disruptive or unwanted behavior during mealtimes. Planned ignoring allows you, not your child, to set the tone. It can be difficult to implement when your child is yelling, throwing a tantrum, and/or is refusing to eat; however, ignoring their inappropriate behaviors will result in the behaviors eventually decreasing. When your child does exhibit these problem behaviors, do not remove the new food. Have him or her accept at least one bite before leaving the area [3].
6. Provide positive reinforcement.
Give verbal praise for eating new foods as well as allow access to preferred foods, toys, or activities (i.e., reinforcers). Reserve these items for only when the child accepts new foods by restricting access to them outside of mealtime [3].
7. Be consistent.
The greatest threat to any behavioral change effort is lack of consistency. Behaviors that are intermittently reinforced are difficult to extinguish. In other words, your child will show resistance to eating new foods if they have learned that in the past persistence pays off and sometimes you will let them leave the meal area without eating.
8. Be patient.
Decreasing food selectivity is a process that will not occur in just a matter of a few days. With that stated, accept that there may be some foods that your child may never willingly eat. This does not mean that they should not be expected to try them. Just as you have preferences for certain foods, so do they.
References:
- Alibrandi, A., Zirilli, A., Loschiavo, F., Cristina Gangemi, M., Sindoni, A., Tribulato, G., Lo Giudice, R., & Famà, F. (2023). Food Selectivity in Children with Autism Spectrum Disorder: A Statistical Analysis in Southern Italy. Children, 14;10(9):1553.
- Bandini, L., Curtin, C., Phillips, S., Anderson, S. E., Maslin, M., & Must, A. Changes in food selectivity in children with autism spectrum disorder. (2017). Journal of Autism Developmental Disorders, 47(2):439–446.
- Seiverling, L., & Williams, K. (2016). Clinical Corner: Improving food selectivity of children with autism.
Science in Autism Treatment, 13(4), 16-20.







