THE SENSORY MADE SIMPLE PODCAST
with Dr. Samantha Goldman
Ep. 56. Is it My Fault My Child is a Fussy Eater?
Well, I’m here to tell you—most of the time, it’s not. But the way forward does matter. In this episode, I’ll share the real reasons kids struggle to eat and how parenting plays a much smaller role than you think. Let’s explore why blaming yourself isn’t the answer and how you can create a positive relationship with food for your child.

"Almost every single evaluation I completed started with a parent telling me, it's probably my fault because"
Ep. 56. Is it My Fault My Child is a Fussy Eater?
The Sensory Made Simple Podcast
with Dr. Samantha Goldman
Highlights from this episode:
🎙️ The real causes of eating struggles (hint: it’s most likely not parenting!).
🎙️ Sensory issues, oral motor challenges, and medical concerns—what you need to know.
🎙️ Practical tips on how to support your child at the table and build lifelong positive food habits.
Links mentioned in this episode & references:
Causes of Picky Eating & Feeding Challenges Handout
Camp Food Explorers
Sam's Instagram
About the Host:
Being a parent of a child with sensory challenges isn’t easy. Some days, it feels like you’re walking on eggshells, unsure of what will set off the next meltdown. You’re doing everything you can, but you can’t help wondering if there’s more you could do—or if you’re missing something important.
I’m Sam Goldman, a pediatric occupational therapist and your guide in this sensory journey. I’ve spent over a decade helping parents like you understand their child’s sensory needs and find real-life strategies that actually work. My goal? To help you feel less overwhelmed, more confident, and ready to support your child in a way that feels manageable for your family.
You’re already an amazing parent, and you know your child better than anyone. This podcast is here to give you the tools to make life just a little easier—for both of you.
Social Media Links:
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The opinions and content of this blog/podcast are unique to the writers/speakers unless otherwise stated. All contents of this episode are based on our personal opinions and experiences. Disclaimers: The information provided by SAMANTHA N. GOLDMAN, LLC (“we,” “us” or “our”) on http://drsamgoldman.com , and http://samantha-goldman.mykajabi.com (the “Site”) is for general informational purposes only. The Site cannot and does not contain medical advice. Any medical information is provided as my/our personal experiences is not a substitute for professional advice. Accordingly, before taking any actions based upon such information, we encourage you to consult with the appropriate professionals. We do not provide any kind of medical advice.THE USE OR RELIANCE OF ANY INFORMATION CONTAINED ON THIS SITE IS SOLELY AT YOUR OWN RISK. Although this blog/podcast contains external links WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR THE ACCURACY OR RELIABILITY OF ANY INFORMATION OFFERED BY THIRD-PARTY WEBSITES LINKED THROUGH THE SITE OR ANY WEBSITE OR FEATURE LINKED IN ANY INFORMATION CONTAINED ON THIS SITE IS SOLELY AT YOUR OWN RISK. ALTHOUGH THIS SITE CONTAINS EXTERNAL LINKS WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR THE ACCURACY OR RELIABILITY OF ANY INFORMATION OFFERED BY THIRD-PARTY WEBSITES LINKED THROUGH THE SITE OR ANY WEBSITE OR FEATURE LINKED IN ANY BANNER OR OTHER ADVERTISING.
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Transcript
If they're hungry enough, they'll eat.
You're the parent, you create picky eaters.
There were no options when I was a kid or with me.
Either you eat or you don't.
You just need to discipline them more.
Cue the eye roll.
As the parent of a child with feeding challenges, you've likely heard some variation of all of these before.
I've heard them again and again from my clients.
And these are actually quotes taken directly from the Facebook mom groups I'm a part of.
Statement like these have you wondering, is it my fault that my child is a picky eater?
In fact, when I was doing one-on-one feeding evaluations, almost every single evaluation I completed started with a parent telling me, it's probably my fault because, because I pressured them to eat when they were little, because I didn't pressure them enough, because I like to be clean.
The reasons are endless, but the common theme is that almost all the parents were putting the entire blame on themselves for their child eating habits, and it was tearing them apart.
And my guess is that you're probably feeling the same way, but the fact that your child is struggling to eat is entirely on your shoulders.
This week, I'm here to tell you that most of the time, that's not the case.
Whoo, you can let out that breath you've been holding now.
Now, I will say, a lot of this episode is based on my personal opinion, based on my personal experiences.
I'll definitely be sharing some of the research with you, but the research is limited and a little all over the place.
Because in studies, you can't really take out the parenting that's happened in the past and separate it from the other reasons.
All of our other past experiences shape who we are.
Okay, so why don't I believe that it's always a parent's fault that a child struggles to eat?
Well, first of all, there's a plethora of reasons that a child might struggle to eat.
Let's explore a few.
Number one, sensory processing.
Of course you knew I would start with this one.
Children with sensory differences often struggle with eating.
Sensory challenges can make eating certain textures, getting dirty, or accepting food based on the look difficult.
It can also cause challenges with sitting at the table, holding utensils, and more.
Now, this can be a podcast episode all of its own.
Check out episode number 41, Sensory Food Aversions.
But I'm not going to delve into this one too much right now.
But we all have sensory preferences that create different feelings around food.
Number two, oral motor challenges.
Some children struggle with the coordination, strength, or endurance of the muscles in their mouth.
This can cause challenges with chewing, getting food to the teeth, clearing food from the mouth, and more.
Often children with oral motor challenges shy away from certain textures drop food from their mouth or swallow food whole.
Number three, aspiration or safety concerns.
Other children have challenges with coordinating the swallowing of foods.
Instead of it going to the belly, it heads in other directions.
These children can begin to refuse to eat certain foods because it doesn't feel very good when it goes the wrong way.
We will also often see children choking, coughing, watery eyes, chest congestion, or wet voices after eating.
If this is the case with your child, talk to your medical provider ASAP.
And number four, medical concerns.
GI issues, allergies, neurological changes, psychological diagnoses, anatomical issues.
There are so many medical reasons that can be a hidden cause of eating challenges, and these do get missed.
I once completed an evaluation with a family who came in because their child was throwing up in the middle of the night after eating, and they were told it was a behavioral issue.
You can bet I sent them back to the GI, and when they spoke to the GI about their concerns, they found an undiagnosed issue that completely changed the course of their eating journey.
Now, we're just touching the tip of the iceberg here.
There's so many more that we could discuss about the hearts, the lungs, past hospitalizations, like NICU admissions, that can drastically change the course of a child's eating.
I did create a super quick free handout for you because I know you'll likely want to go back and remember all of these different causes, so you can grab that in the show notes.
But the point I really want to get across is that there are so many different things that can affect a child's eating.
It's not all about the parenting.
And yet, everyone is so quick to blame the parents.
Before we jump to those conclusions, it's essential that we first rule out any other causes.
If you've been with me a while, you know I am personally a big fan of the SOS approach to feeding, which was developed by Dr.
Kay Toomey, a psychologist.
She's a firm believer that the majority of eating challenges are not caused by parenting.
In her course for feeding therapists, she shares that per her research review, only about 5% to 10% of eating challenges are related to parenting styles.
As said by Dr.
Toomey, my 30 years of clinical experience in assessing and treating feeding disorders has taught me that feeding problems are not all in children's heads.
It's all in their bodies.
When a child doesn't eat, we need to look for the skill deficits, developmental challenges, and physical problems underlying this child's difficulty with eating or feeding well.
We should not be blaming parents or saying that a child has a behavioral feeding problem.
I've personally seen the same when working with families.
So much of the time, there's something going on within their body that is making eating a struggle.
Dr.
Toomey further goes on in her programs to explain that the majority of the time, the way that a parent is acting, by pressuring or not offering foods, et cetera, is in response to their child's eating challenges.
She states that in other studies, when the child's eating improved, so did the parent's perspective and attitude around eating.
Now, is this to say that how parents offer food and respond doesn't matter?
Absolutely not.
There are a variety of studies that found that parenting practices can either promote or hinder their child's progress at the table.
For example, a new study was published in 2020 that completed a systematic review of 80 studies.
FYI, systematic reviews are considered one of the higher forms of research.
In this review, they found that behaviors that tended to increase eating challenges included authoritarian parenting, rewards for eating, and pressuring your child to eat.
Behaviors that decreased the likelihood of eating challenges included family meals, responsive parents, and involving the child in the preparation of food.
How we handle your child's eating challenges does matter.
What we do as therapists and parents does matter in shaping their future interactions with foods.
So while it's likely not your fault that your child is a fussy or picky eater, how you handle it from here is extremely important in shaping your child's relationship with food.
Adopting positive practices that help your child feel confident and comfortable at the table can help them create a lifelong positive relationship with food.
And I can help you get started on that right now.
I'm currently running my free three-day Camp Food Explorers Challenge, where I teach you how to choose a food that actually works for your child's body, introduce it in a fun and positive way, and then focus on connecting with your child at the table.
It's so easy when you join, you get a really quick video to your email for three days with that day's focus, and even if you don't have the time to watch the video, there's a little too long didn't read section where you can quickly discover what to focus on.
Parents who have completed this challenge were delighted to find that their child was actually discussing new foods with them, tasting it, and even found a new food for them to enjoy.
Here's what one parent had to say about it.
The camp videos have been so helpful.
I need to join the membership.
My daughter does feeding therapy for sensory issues, but the therapist always focused on her while working with her, as they should.
But with your videos, I felt seen as a parent, and as if you were actually talking to us moms, dealing with this, and trying to work with our kids on introducing new foods.
So don't miss it.
Head over to drsamgoldman.com forward slash Camp Food Explorers to join us right now, and finally start connecting with your child at the table again.
That's www.drsamgoldman.com forward slash Camp Food Explorers.
I can't wait to see you in the challenge.