167. Complex Picky Eating: Why Some Kids Struggle With Food (and How to Help)
Description
Dr. Tony Ebel sits down with Shandy Watters, integrative speech-language pathologist and functional nutrition practitioner, to unpack the root causes of complex picky eating in kids with neurodevelopmental challenges. Moving beyond typical feeding advice, Shandy shares her five-domain framework and explains how nervous system regulation plays a central role in feeding struggles.
Parents will learn practical, real-life strategies to reduce mealtime stress, including environmental setup, co-regulation, movement before meals, and supportive positioning. Shandy also highlights hidden food triggers and shares powerful success stories that offer both clarity and hope for families navigating complex picky eating.
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Links & Resources:
Learn more about Shandy's work and access free resources to support your child at speakingofhealthandwellness.com
Grab Shandy’s free guide The Dos and Don’ts for Parents of Complex Picky Eaters: https://www.speakingofhealthandwellness.com/freebies
Follow Shandy on Instagram: @speakingofhealthandwellness
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Key Timestamps:
(00:00 ) What Is Complex Picky Eating? Typical vs. complex feeding challenges
(09:00 ) The Nervous System Connection Why regulation matters for feeding
(16:00 ) The Five-Domain Paradigm Shandy’s framework for complex picky eating
(28:00 ) Beyond Gluten and Dairy Hidden inflammatory food triggers
(37:00 ) Mealtime Setup What actually supports success
(43:00 ) The 90-90-90 Rule Proper positioning for feeding and digestion
(47:00 ) Beyond Obedience Redefining the goal of feeding support
(52:00 ) ARFID and Missed Diagnoses Overlooked PANS and PANDAS connections
(55:00 ) Autism and Feeding Challenges Rethinking the root cause
(58:00 ) Success Story From Goldfish to Salmon
(01:05 ) Resources How to work with Shandy
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