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Pediatrics
Pediatrics

Can a Nutritionist Help a Picky Eater?

Christina Harris, RDN
Author: 
Medical Reviewer: 
Christina Harris, RDN
|
Author: 
Jennifer Huddy, MS, RD, LD
Published:
September 28, 2023
Updated on
August 15, 2024
#
min read
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Table of Contents

Text Link
Pediatrics
Nutrition

Key Takeaways

  • Picky eating involves rejecting both familiar and new foods, leading to limited dietary variety.
  • Severe picky eating can affect nutrition, weight, and mental health.
  • A dietitian can help by counseling on mealtime strategies, treating nutritional deficiencies, and supporting weight gain if needed.

Updated by: Ashley Petrie

If you or your child have experienced picky eating, you know how stressful and upsetting meal times can be.

Though many children go through a brief picky eating phase, in some cases, it can become severe or extend through adulthood. 

There are healthcare professionals who can help people with picky eating, from registered dietitian nutritionists (RDN) to feeding therapists and psychologists. 

Continue reading to learn more about how an RDN can help with picky eating and when to seek professional support.

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What Is Picky Eating? 

Picky eating, also known as selective eating, is a normal phase many children experience in which the child avoids eating both new and favorite foods.

Picky eating often resolves on its own without intervention.

However, picky eating can sometimes become severe and begin to impact a person’s nutritional status, body weight, relationships, and quality of life.  

Picky eating can also occur in adults who eat a limited variety of foods and struggle to try new foods.

This can negatively impact a person’s social interactions and make it challenging to meet their nutritional needs. 

Common Symptoms of Picky Eating

While picky eating symptoms are on a spectrum ranging from mild to severe, there are some common signs to be aware of:

  • Rejecting familiar or favorite foods.
  • Unwilling to try new foods.
  • Low variety of foods in the diet.
  • Dislike of fruits and vegetables. 
  • Strong preferences around food texture and preparation methods.  
  • Not engaged during meal times.

When picky eating becomes severe, it can start to impact physical and mental health. Picky eating has been linked with the following secondary symptoms: 

  • Inadequate intake of calories and nutrients.
  • Slow growth or delayed development in children.
  • Weight loss.
  • Vitamin and mineral deficiencies. 
  • Chronic constipation. 
  • Increased family stress or social anxiety around eating. 

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Potential Causes

Many risk factors can play a role in the development of picky eating.

In most cases, a combination of factors leads to a child becoming a picky eater. 

Some of these risk factors are “fixed,” meaning they can’t be changed: 

  • Genetic predisposition. 
  • Maternal smoking. 
  • Low birth weight of the infant. 
  • Sensory sensitivity in the child.

Others have to do with the parent-child interaction at meal times.

Often, well-meaning parents pressure their child to eat out of fear they are not eating enough.

However, this behavior is linked with increased picky eating. 

In addition, waiting until after nine months of age to introduce lumpy foods to an infant is a predictor for picky eating.

Prolonged feeding of pureed foods can make a baby more likely to reject foods with texture. 

In some cases, picky eating can be caused by an underlying condition, such as: 

  • Difficulty swallowing or pain while swallowing. 
  • Gastrointestinal conditions. 
  • Eating disorders. 
  • Autism. 
  • Sensory processing disorder. 

How Can A Nutritionist Help a Picky Eater? 

There are many ways a registered dietitian nutritionist can help a picky eater.

If you have concerns about picky eating in yourself or your child, working with an RDN is a great first step towards improving this behavior. 

A dietitian can coach the parent on beneficial mealtime practices and provide ideas for boosting the nutritional content of the child’s diet while decreasing picky eating behaviors, while avoiding any known or potential food allergies.

If you are an adult with picky eating, a dietitian can help you unpack your relationship with food and expand the variety of your diet. 

In addition to this, your dietitian can help screen for the presence of an eating disorder.

If your child is underweight, your dietitian will provide recommendations and tips for safe weight gain.

Get started with an online consultation with a dietitian through Nourish for support with picky eating in adults and children. 

Benefits of Working With a Nutritionist For Picky Eating 

Research shows that persistent picky eating as a child can become a concern that extends into adulthood.

If you have concerns about your child’s picky eating, getting help from a registered dietitian early on can help improve their relationship with food and increase dietary variety as they get older. 

Benefits of working with a dietitian for picky eating include:

Expanding Food Preferences

A dietitian can teach you how to introduce new foods gradually and creatively to expand your food preferences.

For example, they might suggest starting with small amounts of new ingredients blended into “safe foods” or familiar dishes, such as adding finely chopped vegetables to sauces, soups, or pizza.

Creative presentations can also make new foods more appealing.

Serving fruit as colorful kabobs, arranging vegetables into interesting shapes, or setting up a "build-your-own" taco or sandwich station can make trying new foods more fun and engaging.

Improving Mealtime Dynamics

A dietitian can offer practical tips to make mealtimes more enjoyable and less stressful. 

For instance, involving picky eaters in meal preparation can increase their interest in trying new foods.

Creating a positive eating environment might involve setting a pleasant table, using fun and colorful dishes, or playing soft background music to make mealtime more inviting.

Addressing Underlying Causes

If picky eating stems from an eating disorder or gastrointestinal condition, working with a dietitian specializing in these areas can help address the underlying factors influencing it. 

Managing Nutritional Deficiencies

A registered dietitian can also help identify and manage nutritional deficiencies.

Picky eaters tend to eat less whole grains, vegetables, and meat than other people and, as a result, are more likely to have inadequate intakes of important nutrients, like:

  • Zinc. 
  • Iron.
  • Vitamin D. 
  • Fiber. 
  • Protein.

Supporting Weight Gain

For those needing to gain weight, a dietitian can help by suggesting ways to increase calorie intake with foods the picky eater already enjoys.

They can also help picky eaters expand food preferences to include high-calorie, nutrient-dense options.

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Finding The Right Dietitian Nutritionist 

Finding a nutritionist who can help with picky eating starts with looking for the right credentials.

Registered dietitians (RDs or RDNs) are the most qualified to give nutritional advice due to the education and training required to earn the credential. Keep in mind that there are no standard requirements to become a nutritionist.

Next, consider any specialties you may want your dietitian to have.

For example, if you seek help with picky eating for your child, you’ll want to find a pediatric dietitian. 

If an eating disorder or gastrointestinal (GI) condition is at play, it can be helpful to see an eating disorder dietitian or GI dietitian, respectively. 

Consider booking a consultation with a Nourish registered dietitian for convenient and evidence-based management of picky eating. 

Nutrition Tips For Picky Eaters

For parents of picky eaters, the best thing you can do is to take the pressure off mealtimes.

It’s your job to decide when and what is served, and it’s your child’s job to decide if and how much they eat. 

Consider the following tips as you make changes to your mealtime routine:

  • Sit down to eat with your child and model healthy eating. 
  • Avoid putting pressure on their eating, such as “just one more bite” or “finish your plate”
  • Always include a safe food on the plate you know your child will accept. 
  • Your child may take up to 10 exposures to accept a new food. 

For picky eater-friendly meal and snack ideas for adults and children, try our free seven-day picky eater meal plan. 

5 Tips to Try New Foods

To help picky eaters become more open to trying new foods, consider these practical tips:

  • Start Small: Introduce new foods in small amounts alongside familiar favorites. For instance, mix a small amount of a new vegetable, like grated zucchini, into a favorite dish such as meatloaf.
  • Get Them Involved: Get your child involved in preparing the meal by having them wash vegetables or stir ingredients. This can make them more interested in trying new foods.
  • Make it Fun: Present new foods in creative ways, like cutting fun shapes out of new fruits or vegetables with cookie cutters.
  • Experiment with Textures: Sometimes picky eaters are sensitive to textures. Try preparing new foods in different ways, such as roasted, steamed, pureed, or raw, to see if a different texture is more acceptable.
  • Use Dips or Sauces: Introduce new foods with a favorite dip or sauce. For example, offering new vegetables or meats with a side of ketchup, salad dressing, or hummus can make them more appealing.

When Is Picky Eating a Sign of Something More?

Picky eating can sometimes indicate an underlying medical condition requiring specific treatment.

Talk to your doctor if you have concerns about severe picky eating. 

A condition called ARFID (avoidant restrictive food intake disorder) can occur in cases of severe picky eating.

Though it’s most common in children, ARFID can also happen in adults. This condition results in: 

  • Weight loss or lack of normal growth. 
  • Nutritional deficiencies. 
  • Dependence on oral nutritional supplements. 
  • Impaired psychological and social functioning. 

Symptoms of picky eating can also overlap with eating disorders such as anorexia nervosa, as these individuals restrict certain foods or food groups to lose weight. 

Other underlying conditions may include feeding disorders or digestive conditions, like constipation or food intolerances. 

Takeaway

Picky eating is common during childhood, but in some cases, it can become severe and carry into adulthood.

It’s characterized by a refusal of familiar and unfamiliar foods, an unwillingness to try new foods, and specific food texture preferences. 

Though picky eating may feel challenging to overcome, there are strategies that parents can use to take the pressure off of eating and bring some fun to the table again. 

However, in some cases, picky eating stems from an underlying condition such as ARFID, or avoidant restrictive food intake disorder. 

How Nourish Can Help

You don’t need to live with picky eating forever.

Professional support from a registered dietitian can help you or your child recover from picky eating and learn to enjoy mealtimes again.

Find a dietitian near you who accepts insurance through Nourish.  

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Frequently Asked Questions

How can I fix being a severely picky eater?

If you are an adult with picky eating, it can feel overwhelming to try new foods and expand the variety of your diet. Start small by including a new food in a meal alongside “safe foods” or foods you know you like. 

Try serving new foods in different ways, like with dips, sauces, seasonings, or different preparation methods to make it interesting and taste better. Lastly, consider working with a registered dietitian for personalized advice for overcoming picky eating.

How do picky eaters get nutrition?

Many picky eaters do not eat enough whole grains, vegetables, and protein, making it hard for them to get all the necessary nutrients. In a severe form of picky eating called ARFID (avoidant restrictive food intake disorder), individuals rely on oral nutrition supplements to meet their nutritional needs. 

Working with a registered dietitian can help people struggling with picky eating expand their food preferences to ensure they meet their nutritional requirements. 

Where can I get help for a picky eater?

If your infant, toddler, or child is a picky eater, healthcare professionals like pediatric feeding therapists and registered dietitians can help support you and your family as you work through picky eating concerns.

Registered dietitians can also help adults with picky eating by teaching them strategies for expanding their dietary variety and correcting any nutritional deficiencies.

References

View all references
  1. Taylor, C. M., & Emmett, P. M. Picky eating in children: Causes and consequences. The Proceedings of the Nutrition Society, 1.

‍

  1. Ellis, J. M., Schenk, R. R., Galloway, A. T., Zickgraf, H. F., Webb, R. M., & Martz, D. M. (2018). A multidimensional approach to understanding the potential risk factors and covariates of adult picky eating. Appetite, 125, 1–9.

‍

  1. Ong, C., Phuah, K. Y., Salazar, E., & How, C. H. (2014). Managing the ‘picky eater’ dilemma. Singapore Medical Journal, 55(4), 184-190.

‍

  1. Ellis, J. M., Zickgraf, H. F., Galloway, A. T., Essayli, J. H., & Whited, M. C. (2018). A functional description of adult picky eating using latent profile analysis. The International Journal of Behavioral Nutrition and Physical Activity, 15.

‍

  1. Baraskewich, J., McCrimmon, A., & McMorris, C. A. (2021). Feeding and eating problems in children and adolescents with autism: A scoping review. Autism, 25(6), 1505-1519.

‍

  1. Cunliffe, L., Coulthard, H., & Williamson, I. R. (2022). The lived experience of parenting a child with sensory sensitivity and picky eating. Maternal & Child Nutrition, 18(3).

‍

  1. Dietitian vs. Nutritionist: Degree and Careers Comparison. (2021, September). Public Health Degrees. 

‍

  1. Raise a healthy child who is a joy to feed. (n.d.) Ellyn Satter Institute. 

‍

  1. Avoidant Restrictive Food Intake Disorder (ARFID). (n.d.) National Eating Disorder Association. 

‍

  1. Warning Signs and Symptoms. (n.d.) National Eating Disorder Association. 
Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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Utah
40.760780, -111.891045
Corona
, 
CA
California
33.875670, -117.568840
Madison
, 
WI
Wisconsin
43.073051, -89.401230
Huntsville
, 
AL
Alabama
34.7014286, -86.6597495
Kansas City
, 
MO
Missouri
39.099728, -94.578568
Irvine
, 
CA
California
33.684566, -117.826508
Chula Vista
, 
CA
California
32.640072, -117.084038
Denton
, 
TX
Texas
33.215530, -97.132446
Aurora
, 
IL
Illinois
41.7571701, -88.3147539
Baton Rouge
, 
LA
Louisiana
30.4494155, -91.1869659
Columbus
, 
OH
Ohio
39.961178, -82.998795
Baltimore
, 
MD
Maryland
39.2908816, -76.610759
Detroit
, 
MI
Michigan
42.331429, -83.045753
Chesapeake
, 
VA
Virginia
36.7183708, -76.2466798
Birmingham
, 
AL
Alabama
33.5206824, -86.8024326
Scottsdale
, 
AZ
Arizona
33.501324, -111.925278
Cincinnati
, 
OH
Ohio
39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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