Sensory processing and mealtimes

Mealtimes can be one of the most challenging parts of the day for many families with autistic children. What’s often misunderstood is that these difficulties usually come from sensory processing differences, not fussiness, defiance, or poor behaviour.

Understanding the sensory experience of eating is key to supporting your child.

Texture is one of the most common issues. Some children can only tolerate smooth foods like yoghurts or purees, while others may crave crunchy textures for the sensory feedback they provide. Mixed textures, such as fruit pieces in yoghurt, can be particularly overwhelming and are often rejected entirely.

Temperature sensitivity is another factor. A child might only eat food at room temperature or may insist on it being cold. Hot meals can be off-putting, not just because of the heat but because of the strong smells that often accompany them.

Taste and smell also play a major role. Strong smells can cause nausea or even panic. Some children experience taste more intensely than others, a trait sometimes referred to as being a "super taster", making certain flavours unbearable.

Oral motor differences affect how children chew and swallow. If chewing is physically difficult or tiring, a child might prefer soft foods. Conversely, some children seek out crunchy textures for the sensory input.

Visual presentation matters, too. For some children, having foods touch each other on a plate can be incredibly distressing. Others may only eat if the food is arranged in a specific way.

What Can Help?

• Introduce new foods slowly, and without pressure. Familiar textures in new flavours are often more successful than unfamiliar foods altogether.

• Stick to a routine where possible. Predictable mealtimes can reduce anxiety.

• Involve your child in food preparation, even if they’re not ready to eat what they’re helping with. Exposure helps build confidence over time.

• Avoid punishment or pressure at the table. This only adds to the anxiety and can create long-lasting negative associations with food.

• If you're concerned about nutrition, speak to your GP or dietitian for tailored advice and support.

Every autistic child is different, and what works for one may not work for another. The key is to look beneath the behaviour and recognise what your child is communicating through their choices and reactions.

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