Get Permission Approach to Anxious Eaters and Anxious Mealtimes


The focus of this course is on identifying and supporting anxious eaters and their families through the Get Permission Approach. These children may have diagnoses of autism or picky eating, anxiety or sensory eating, or no diagnosis at all.  But they all have very narrow diets and worry about change in food presentation.  The approach to mealtimes and feeding treatment for these children based on the foundation of trust in a feeding relationship.  At its core, it supports child success and parent success. To find success, we look at multiple tiny steps of treatment strategies based on kind systematic desensitization.  We will explore ways to cluster evaluation information together to find a starting place for success.  We will look at ways to Grade our Ask as we sensitively understand stress and worry at mealtimes. The Circle of Sensitivity will be discussed as a way to carefully approach a child’s worry.  Get Permission supports children in finding enjoyment, confidence and internal motivation to eat.  There will be lecture, demonstration, videos, case studies and group discussion.  


Marsha Dunn Klein, MEd, OTR/L, FAOTA
Marsha Dunn Klein, MEd, OTR/L, FAOTA
Occupational Therapist
Marsha Dunn Klein OTR/L, MEd, FAOTA is a pediatric occupational therapist who has spent a career specializing in pediatric feeding challenges. She received her bachelor's degree in occupational therapy from Sargent College of Boston University in 1971. She received a master’s degree in education with emphasis on special education in 1975 from the University of Arizona. Marsha has co-authored Pre-Feeding Skills editions one and two and Mealtime Participation Guide, Homemade Blended Formula Handbook with Suzanne Evans Morris and Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Here newest book is entitled, Anxious Eaters, Anxious Mealtimes. She lives in Tucson, Arizona and travels to present locally, nationally and internationally on pediatric feeding issues.




Angelynn Z.
Occupational Therapist, Inspirations EI, Inc.
Brenna W.
Occupational Therapist, Abrazo
Elizabeth P.
Erika S.
SLP, Abrazos Family Support Services
Hailee J.
Speech and Hearing Science Graduate Student, University of New Mexico
Hillary V.
Early Intervention Specialist, Abrazos
Jackolyn L T.
Occupational Therapist, Abrazos Family Support Services
Julie L.
Developmental Specialist II/Certified Infant Massage Instructor, Inspirations EI
Kat E.
SLPA, Bernalillo Public Schools
Kathryn B.
Occupational Therapist, Inspirations Early Intervention
Kerry R.
Kim W.
PT, Inspirations
Maria I.
Speech Language Pathologist, Aprendamos Intervention Team
Sarah W.
Speech-Language Pathologist, Children's Hospital Colorado
Sherry L.
OTR/L, SLvelace OT
Stacy M.
student, ENMU
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