Selective eating in children with autism should not always be viewed as stubbornness or spoiled behavior. The smell, texture, temperature, color, presentation of food, or difficulty chewing may be uncomfortable for the child. Forcing a child who accepts only a few foods can turn mealtimes into a conflict and increase anxiety about trying new foods.
The process of introducing new foods can be divided into small and manageable steps. Accepting the food on the table, touching it, smelling it, and tasting a very small amount can each be treated as separate skills. Based on foods the child already accepts, new options with similar colors, textures, or flavors can be introduced gradually.
Sensory integration therapy and individualized education can help identify the sensory or behavioral factors underlying selective eating. However, if there is growth delay, weight loss, difficulty swallowing, or a serious nutritional problem, behavioral approaches alone should not be used. Evaluation by a pediatrician and relevant healthcare professionals should not be delayed.