Autism and Picky Eating: Help Your Child Build Healthy Eating Habits

Does your child only eat one brand of chicken nuggets or refuse anything other than a single fl avor of yogurt? Do you pack the same lunch for your child, day after day after oh-so-tiring and monotonous day?

Whether your child attends school or daycare or stays home during the day, it’s important to keep tabs on their eating habits to see what you can do to make mealtime a success. While picky eating is a common problem among all kids, the issue can especially challenge children on the autism spectrum. Here, I share a few strategies that can help. Keep in mind, though, that if your child’s picking eating interferes with their ability to take in enough calories or nutrients, you should reach out to your pediatrician right away.

Set a Goal

As a family, pinpoint what your goal is when addressing picky eating. What’s something specific you want to address?

Do you want your child to waste less? Do you want them to try new foods? Do you want to try more meals and recipes that all family members can enjoy together? Identify and set a specific goal. That way, you can figure out what strategies and steps you need to take to achieve it.

Think About Solutions

Take time to plan and think critically about the goal. For example, if you want to cut down on your child’s snacking, take a step back to consider what it is about snacking that concerns you. Is it that they won’t eat dinner? Or they fill up on foods that lack nutrition? In either case, consider what’s available as a snack. Is there a food you typically offer at dinner that you could offer as a snack? That way, if your child does “fill up” on the snack, that’s OK.

When evaluating your concerns regarding the behavior, be sure to look at a span of time, instead of just one meal or even one day. Give yourself enough time to establish a broader sense of their caloric intake and nutritional needs.

Consider Your Environment

When we think of picky eating, we often focus on the moments in which food is in front of the child. But many factors that influence behavior actually start before this.

Preparation and activity before a meal have a huge impact on the likelihood of eating, including the quantity and variety of food your child eats. Think carefully about the environment you’ve set up for meals and snacks at home. Variables include where your child sits, how you present the food, how much food you present, and more.

Limit Distractions

Regarding the physical setup, have your child sit at a table where they can focus on eating as the primary activity. Are there distractions?

While allowing screen time during snacks and meals may help your child stay seated, screen time can also detract from their attention to eating and to their own internal cues. These cues are important for your child to notice as they explore new foods and how much food to eat.

Aim to minimize distractions. Doing so will help you notice what scenarios lead to more success at mealtime.

Give Your Child Choices

Are you planning to have your child participate in preparing the food or choosing an aspect of the meal? Allowing your child to participate in the preparation and decision-making that go into the snack or meal can help increase motivation to eat the meal.

Perhaps your child can get out ingredients for the meal or hold the bowl while you stir. Allow your child to make small decisions along the way that build buy-in, without compromising the boundaries that you’ve identified for the meal.

For example, you may have decided that the meal will include some fruit at dinner (a food type that is often involved in picky eating). Allow your child some choice in getting to this outcome by letting them know, “We’re going to have chicken drumsticks with a small bit of fruit. Do you want blueberries or watermelon as the fruit?”

This provides boundaries, while still giving your child an opportunity to choose. It’s likely that having chosen blueberries, for example, will lead to a greater likelihood of eating them.

Let Them Serve Themselves

Another way of promoting choice and control is by allowing your child to serve themselves. Your child may not be ready to prepare the meal from start to finish, but they may be able to sprinkle toppings or help squirt dipping sauce on to their plate.

By allowing your child to make small choices throughout the preparation of the meal, you’re deciding what is served (such as tacos), with room for your child’s opinion and preferences to be considered.

Identify Sensory Issues

Some aspects of preparing and presenting food can tell us more about food selectivity and picky eating, and can provide us with more information for the future. In fact, you may discover that your child outright refuses certain foods or entire food categories.

Take a closer look at which foods are left on the plate or pushed away. Try to identify certain sensory and texture properties of foods that are often refused, such as squishy or tough foods.

As adults, we often forget that certain foods, particularly produce, don’t actually taste the same each time we eat them. A tomato purchased at peak ripeness in-season may taste very different from a similar-looking tomato past its prime off-season. For children, this may lead to refusal, often without a corresponding explanation as to why the food was refused. In the future, this could lead to even more refusal.

Of course, there’s not much we can do to minimize variability in produce, but this knowledge can help us understand some of the shifts in preference. And, just as our own food preferences change over time, so do our children’s. We may never know why hot dogs moved from the favorite list to the repulsive list. But a strategic approach to food goals that involves stopping and observing over a period of time, while limiting distractions and making choice part of your child’s eating routine, can make a real difference—and over time, help make family meals more enjoyable for everyone.

Looking for more tips on raising kids with autism? Dr. Temple Grandin shares some of what worked for her as a child in her latest conversation with us on All Autism Talk. Listen to the podcast.

5 Sensory-Friendly Activities in Cary, NC, for Kids on the Autism Spectrum 

Finding activities that work for kids with autism isn’t always easy. Many children on the autism spectrum experience sensory sensitivities, meaning certain sounds, lights, textures, or crowded spaces can feel overwhelming. That’s where sensory-friendly activities come in. 

Across North Carolina, families can find inclusive spaces designed with sensory needs in mind. From serene nature trails to thoughtfully designed play areas, these environments create opportunities for enjoyable, stress-free outings. 

The Cary community has taken significant steps to create welcome places such as quiet spaces in parks, sensory-friendly events, and recreational programs specifically adapted to support children with sensory sensitivities. These efforts go beyond standard accessibility features, focusing instead on fostering environments where kids can feel at ease and families can connect. 

For families, the availability of such spaces can transform outings, offering opportunities for children to engage, explore, and play in settings designed with their needs in mind. Cary’s focus on inclusivity and accessibility has made it a leader in creating sensory-friendly opportunities, providing families with spaces they can truly enjoy together.  

Here are five sensory-friendly activities in Cary that you and your family can try. 

1. Explore Hemlock Bluffs Nature Preserve 

Hemlock Bluffs Nature Preserve features gentle walking trails, shaded areas, and a peaceful environment filled with natural sounds. The scenic setting allows children to explore at their own pace without the overstimulation of busy parks. 

The Stevens Nature Center at Hemlock Bluffs offers interactive exhibits and educational programs, with staff members trained to create a welcoming atmosphere for children with different sensory needs. 

Tip for Families: Visit on weekday mornings for the quietest experience. Bring noise-canceling headphones if your child is sensitive to natural sounds like birds and rustling leaves. 

2. Visit the Sensory-Friendly Play Area at Marla Dorrel Park 

Marla Dorrel Park is home to Kids Together Playground, an inclusive play space designed for children of all abilities. The playground features wide, accessible pathways, shaded play structures, and sensory-friendly elements such as textured surfaces and quiet areas for breaks. 

Kids Together Playground was designed with input from parents of children with disabilities, making it one of the most inclusive play spaces in the region. 

Tip for Families: Visit early in the day or later in the afternoon to avoid peak crowds. Bring a picnic and enjoy the surrounding green space for a relaxing family outing. 

3. Visit Cary’s YMCAs for Adaptive Sports Programs 

Cary’s YMCAs offer adaptive sports programs for children with special needs, including sensory sensitivities. From day camps to summer camps, private swim lessons, and inclusive lacrosse leagues, there are a variety of offerings at different YMCA locations. 

Tip for Families: Contact your neighborhood YMCA to learn about specific programs and schedules that cater to sensory-friendly needs. 

4. Swim at Triangle Aquatic Center’s Adaptive Swim Program  

The Triangle Aquatic Center in Cary offers adaptive swim programs for children with sensory sensitivities. The pool environment is calm, and instructors are trained to work with kids on the autism spectrum, making it a great way to build confidence in the water. 

Tip for Families: Bring your child’s favorite swim gear or toys to help them feel more at ease. 

5. Read and Relax at the Cary Regional Library 

The Cary Regional Library provides a welcoming environment for children who enjoy books and quiet spaces. The library offers designated sensory-friendly story times, where children can listen to stories in a low-stimulation setting with soft lighting and limited background noise. The library also has cozy reading nooks and calming areas where kids can take a break. 

Tip for Families: Ask library staff about quieter times or sensory-friendly events. Bring a favorite book or fidget toy to help your child feel more comfortable. 

Check out our LEARN Behavioral blog on 5 simple play ideas for more sensory-friendly ideas. 

Looking for additional support for your child in Cary, NC? At Priorities ABA, we use science and data to deliver contemporary applied behavior analysis (ABA) therapy, tailored exclusively to your child’s unique needs, behavior, and personality. Learn more about our services in the Cary area and contact us today!   

Autism and Picky Eating: Help Your Child Build Healthy Eating Habits

By Ashley Williams, Ph.D., LABA, BCBA
Senior Clinical Director, BCI

Does your child only eat one brand of chicken nuggets or refuse anything other than a single flavor of yogurt? Do you pack the same lunch for your child, day after day after oh-so-tiring and monotonous day?

With the school year underway, now is the time to take a look at your little one’s eating habits to see what you can do to make mealtime a success. While picky eating is a common problem among all kids, the issue can especially challenge children on the autism spectrum. Here, I share a few strategies that can help. Keep in mind, though, that if your child’s picking eating interferes with their ability to take in enough calories or nutrients, you should reach out to your pediatrician right away.

Set a Goal

As a family, pinpoint what your goal is when addressing picky eating. What’s something specific you want to address?

Do you want your child to waste less? Do you want them to try new foods? Do you want to try more meals and recipes that all family members can enjoy together? Identify and set a specific goal. That way, you can figure out what strategies and steps you need to take to achieve it.

Think About Solutions

Take time to plan and think critically about the goal. For example, if you want to cut down on your child’s snacking, take a step back to consider what it is about snacking that concerns you. Is it that they won’t eat dinner? Or they fill up on foods that lack nutrition? In either case, consider what’s available as a snack. Is there a food you typically offer at dinner that you could offer as a snack? That way, if your child does “fill up” on the snack, that’s OK.

When evaluating your concerns regarding the behavior, be sure to look at a span of time, instead of just one meal or even one day. Give yourself enough time to establish a broader sense of their caloric intake and nutritional needs.

Consider Your Environment

When we think of picky eating, we often focus on the moments in which food is in front of the child. But many factors that influence behavior actually start before this.

Preparation and activity before a meal have a huge impact on the likelihood of eating, including the quantity and variety of food your child eats. Think carefully about the environment you’ve set up for meals and snacks at home. Variables include where your child sits, how you present the food, how much food you present, and more.

Limit Distractions

Regarding the physical setup, have your child sit at a table where they can focus on eating as the primary activity. Are there distractions?

While allowing screen time during snacks and meals may help your child stay seated, screen time can also detract from their attention to eating and to their own internal cues. These cues are important for your child to notice as they explore new foods and how much food to eat.

Aim to minimize distractions. Doing so will help you notice what scenarios lead to more success at mealtime.

Give Your Child Choices

Are you planning to have your child participate in preparing the food or choosing an aspect of the meal? Allowing your child to participate in the preparation and decision-making that go into the snack or meal can help increase motivation to eat the meal.

Perhaps your child can get out ingredients for the meal or hold the bowl while you stir. Allow your child to make small decisions along the way that build buy-in, without compromising the boundaries that you’ve identified for the meal.

For example, you may have decided that the meal will include some fruit at dinner (a food type that is often involved in picky eating). Allow your child some choice in getting to this outcome by letting them know, “We’re going to have chicken drumsticks with a small bit of fruit. Do you want blueberries or watermelon as the fruit?”

This provides boundaries, while still giving your child an opportunity to choose. It’s likely that having chosen blueberries, for example, will lead to a greater likelihood of eating them.

Let Them Serve Themselves

Another way of promoting choice and control is by allowing your child to serve themselves. Your child may not be ready to prepare the meal from start to finish, but they may be able to sprinkle toppings or help squirt dipping sauce on to their plate.

By allowing your child to make small choices throughout the preparation of the meal, you’re deciding what is served (such as tacos), with room for your child’s opinion and preferences to be considered.

Identify Sensory Issues

Some aspects of preparing and presenting food can tell us more about food selectivity and picky eating, and can provide us with more information for the future. In fact, you may discover that your child outright refuses certain foods or entire food categories.

Take a closer look at which foods are left on the plate or pushed away. Try to identify certain sensory and texture properties of foods that are often refused, such as squishy or tough foods.

As adults, we often forget that certain foods, particularly produce, don’t actually taste the same each time we eat them. A tomato purchased at peak ripeness in-season may taste very different from a similar-looking tomato past its prime off-season. For children, this may lead to refusal, often without a corresponding explanation as to why the food was refused. In the future, this could lead to even more refusal.

Of course, there’s not much we can do to minimize variability in produce, but this knowledge can help us understand some of the shifts in preference. And, just as our own food preferences change over time, so do our children’s. We may never know why hot dogs moved from the favorite list to the repulsive list. But a strategic approach to food goals that involves stopping and observing over a period of time, while limiting distractions and making choice part of your child’s eating routine, can make a real difference—and over time, help make family meals more enjoyable for everyone.

Looking for more tips on raising kids with autism? Dr. Temple Grandin shares some of what worked for her as a child in her latest conversation with us on All Autism Talk. Listen to the podcast.