Picky Eating & ARFID

Food Exposure: Small Steps Up the Ladder

How graded exposure helps a child move from "no" to "taste" without pressure.

New foods can feel genuinely threatening to a sensitive child. Graded exposure breaks the distance between "refuses" and "eats" into small, achievable steps.

A typical ladder

  1. Tolerate the food in the room or on the table.
  2. Interact: help serve it, touch it, smell it.
  3. Bring it close: hold it, touch it to the lips.
  4. Taste: a lick or tiny bite, allowed to spit out.
  5. Eat: a small bite, then gradually more.

Keys to success

  • Move up only when the current step feels easy.
  • Repeat, repeat, repeat. Familiarity is the medicine.
  • Celebrate the step, not swallowing. "You touched it, nice work."
  • Never trick or hide. Trust is what makes the next step possible.

Your clinician may assign specific foods and steps to practice between visits.

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