Prenatal alcohol exposure results in changes in the brain, but it is also important to consider the impact on the whole body as it relates to feeding. As a pediatric speech-language pathologist (SLP) and responsive feeding therapist, I often support individuals and their families with feeding disorders and difficulties.
A Closer Look into Feeding Challenges
The research indicates the incidence of feeding difficulties is increased among individuals with an FASD. Therefore, feeding difficulties at birth and early in childhood are often not supported with the knowledge of prenatal exposure or understanding of the potential impact of FASD on feeding skills and growth development later in life. For example coordination of oral motor skills, digestion, nutritional absorption, growth, and executive functioning skills could all be impacted.
Unfortunately, nervous system responses to mealtime routines are not well understood in traditional feeding programs. Another often overlooked aspect is the neurotypical bias, expecting all individuals to eat and engage in meals in neurotypical ways. All of these issues can contribute to continual feeding challenges and how one is able to participate in mealtimes.
How to Support Feeding & Eating in FASD
To address the needs of the community, I value the client-family relationship and individualized care. Felt-safety and nervous system regulation are prioritized as the foundation for supporting feeding needs. Skill acquisition is only achieved through connection and individual autonomy. Strategies such as predictable routines, fostering intrinsic motivation, and developing consistent repetition can create positive outcomes for individuals with an FASD during meals. Most importantly, relationships are the context for growth and connection is the catalyst for change.
Christian Hancock, M.S., SLP
Heart & Soul Speech
McKinney, Texas
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