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Digital Seminar

Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Disorder (ARFID)


Speaker:
Kay A. Toomey, PhD
Duration:
7 Hours
Format:
Audio and Video
Copyright:
Feb 12, 2026
Product Code:
POS063505
Media Type:
Digital Seminar

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Description

A challenge faced by all pediatric practitioners is determining when a family can be reassured about their child's feeding, eating and/or growth issues, if a child should be flagged for close monitoring, or if that child needs to be referred for in-depth evaluation and intervention.  It is imperative that all professionals have the tools to identify which children would benefit from a feeding and/or eating assessment. This Workshop will define Picky Eaters,  and cover the criteria for Pediatric Feeding Disorder and Avoidant Restrictive Food Intake Disorder, in order to create a Differential Diagnosis Decision Tree to guide accurate assessment and assist with identifying the appropriate course of treatment.  Practical, evidence based strategies to improve family mealtimes will be given for all children, with or without feeding/eating difficulties.
 

Credit

Handouts/Brochure

Speaker

Kay A. Toomey, PhD's Profile

Kay A. Toomey, PhD Related seminars and products

Toomey & Associates, Inc.


Dr. Kay A. Toomey is a pediatric psychologist who has worked with picky eaters and problem feeders for over 35 years. She has developed the SOS Approach to Feeding as a family-centered program for assessing and treating children with feeding problems. Dr. Toomey helped to form The Children’s Hospital – Denver’s Pediatric Oral Feeding Clinic, as well as the Rose Medical Center’s Pediatric Feeding Center.

 

Speaker Disclosures:
Financial: Kay Toomey is the President of Toomey & Associates and a researcher with the Sensory Processing Disorders Foundation. She receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kay Toomey has a professional relationship with Feeding Matters and The Feeding Trust.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Objectives

  1. Contrast the characteristics of a “picky eater”, a child with Pediatric Feeding Disorder (PFD) and a client with Avoidant Restrictive Food Intake Disorder (ARFID).
  2. Analyze at least 3 critical components of a Differential Decision Tree for Picky Eaters vs PFD vs ARFID.
  3. Evaluate the validity of the criteria for ARFID.
  4. Identify physical, motor, sensory, oral-motor, environmental, nutritional and behavior factors necessary to consider to accurately assess feeding/eating problems.
  5. Choose appropriate treatment approaches for the distinct types of feeding/eating problems.
  6. Utilize practical treatment strategies to advance children’s feeding skills and improve intake of more nutritious foods.
  7. Analyze clinical strategies to address family meal routines.

Outline

Definitions, Prevalence, Research, Risks & Limitations

  • Picky Eaters
  • Pediatric Feeding Disorder (PFD)
  • Avoidant Restrictive Food Intake Disorder (ARFID)
  • Differential Decision Tree
  • Validity Issues with ARFID

Completing a Comprehensive Feeding Assessment

  • Medical/organ systems
  • Muscle systems (posture, gross and fine motor,  oral motor)
  • Sensory systems
  • Learning/cognition
  • Development
  • Nutrition
  • Environment

Treatment Approaches & Risks – Align Intervention with Assessment and Diagnosis

  • Acute Medical 
  • Parent Education
  • Eating Disorders/ARFID & Cognitive Behavior Therapy
  • Operant Conditioning (escape extinction, object reinforcement)
  • Classical Conditioning (systematic desensitization, flooding)
  • Case Studies: Differential Diagnosis 

Practical, Evidence Based  Feeding Strategies

  • Routines and Environmental Supports
  • Matching Foods to a Child’s Skill Set
  • Reinforcement
  • Management of Challenging Behaviors

When to Refer

  • Red Flags

Target Audience

  • Physicians,  Psychiatrists , Nurses working with picky eaters, children with Feeding Disorders, Eating Disorders and/or ARFID
  • Registered Dietitians working with picky eaters, children with Feeding Disorders, Eating Disorders and/or ARFID
  • Psychologists working with children with developmental challenges, Feeding Disorders, Eating Disorders and/or ARFID 
  • Other mental health providers working with children with developmental challenges, Feeding Disorders, Eating Disorders and/or ARFID (e.g. social workers, counselors)
  • Pediatric Occupational Therapists
  • Pediatric Speech Pathologists
  • Pediatric Feeding Specialists
  • Autism Specialists 
  • Teachers/Educators, including Special Education service providers
  • Day care providers

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Reviews

5
4
3
2
1

Overall:      4.8

Total Reviews: 15

Comments

Sharla H

"Excellent course loaded with relevant content. "

Laura T

"I am a special needs preschool teacher who now has a better understanding of what my families are working through and how I can support during school."

Kim M

"Excellent course! Information provided related to growth and nutrition was especially helpful"

Wendy S

"great job imformative"

Dianne Downing M

"Excellent presenter. Would like to learn more from her. Amazing!"

Courtney K

"Thank you for sharing your knowledge and expertise, Dr. Toomey. I preferred if the course focused more on strategies, but I'm sure it's a lot of content to navigate, as well as it being a burden to speak for 8 hours to a live group of people as well as through a webcast."

Lindsey M

"Great evidence based presentation with knowledgeable presenter"

Erika P

"Great course. Hoping for more courses targeting feeding challenges."

Rebecca E

"great course! happy I participated! "

Carrie W

"Finally happy to take a course regarding feeding. I am an Occupational Therapist and I am seeing more of these children in my practice. "

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