What are the key indicators that a client’s picky eating might be rooted in food allergies?
Answer
Before attributing feeding challenges to behavior or sensory processing, therapists must screen for underlying medical allergy issues through family interviews and symptom monitoring. Vital indicators include physical signs such as rashes, eczema, runny noses, and watery eyes, as well as gastrointestinal symptoms such as stomach aches, vomiting, or diarrhea. Even subtle symptoms, such as a "headband headache" occurring shortly after consumption, can signal a problematic reaction. If traditional sensory interventions are ineffective or these physical signs are present, therapists should assist families in using food diaries to identify triggers and facilitate a medical referral to a pediatrician.
With over 25 years of experience as a school-based occupational therapist in Las Vegas, NV, Kristen has developed a high skill level to navigate this unique and often challenging practice setting. She graduated with her bachelor’s degree in occupational therapy in 1996 from Loma Linda University and worked as a traveling therapist in adult settings for the first 2 ½ years of her career. Ultimately, she settled on school-based practice in Nevada. Throughout her career, she has regularly provided in-service training on various topics that impact therapy outcomes in the school setting. Based on her extensive experience with handwriting development issues, she is the author of the Construct>>Draw>>Write program, and she has also created TALL HOUSE/short mouse Adapted Writing Paper with a supporting flashcard activity to aid students in developing letter sizing and placement skills.
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