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Feeding and Swallowing

Feeding and Swallowing
Feeding and Swallowing Therapy:

When children are picky eaters or have difficulty controlling, coordinating, and/or swallowing foods and liquids, they may have underlying sensory, oral-motor, or medical issues that are contributing to their eating difficulties. Look out for any of these “red flags” while your child is learning how to eat and expand their diet:

  • Narrow food selection (ie. They only eat certain types of food such as fruit and chicken nuggets)
  • Aversion to certain types of food
  • Poor weight gain
  • Breathing difficulty while feeding
  • Difficulty controlling their saliva
  • Feeding times that last longer than 30 minutes
  • Refusing foods of specific textures or consistencies
  • Pocketing foods in sides of mouth
  • Dehydration
  • Crying/fussing during mealtimes
  • Frequent coughing and/or wet vocal quality after swallowing
  • Loss of food/liquid from front of mouth while chewing
  • Frequent gagging

If your child is exhibiting any of these “red flags,” call today for a comprehensive feeding and swallowing evaluation! The evaluation consists of looking at which types of foods your child prefers and is able to eat, creating a starting point for therapy. After establishing a treatment plan, our team utilizes a play-based approach to feeding that gradually expands their diet and strengthens their facial muscles. We emphasize the importance of parent education to ensure they are implementing new strategies at home during mealtimes.

Depending on your child’s specific needs, the speech-language pathologist will incorporate both oral motor exercises and/or sensory techniques. An oral motor approach will focus on strengthening and coordinating the muscles of the face, tongue, lips, and/or jaw to improve overall swallow functioning. On the other hand, a sensory approach works on expanding a child’s diet due to preferring foods of particular textures, tastes, colors, and/or temperatures. This approach involves introducing new foods through the systematic process of exposing, exploring, and expanding various foods.



My husband and I are grateful to Cobblestone for everything they have done for our daughter Scarlett. We have had the pleasure of working with Lynn and it has been a life changing experience for our whole family. Scarlett has gained so much confidence in her abilities and we feel fortunate to have had this opportunity to work with them on her speech goals. We know that with their tools she will have a different level of learning than that of her peers. In addition, Jodie has been a delight to work with from getting us started to answering any questions we have in a timely manner. They treat you like part of the family and they truly care about your child.
Alana Kelly – 8 year-old daughter

We moved here last year and found Cobblestone to continue my then 4 year olds Apraxia therapy with Miss Samantha. Last week he had his last session. It’s been a wonderful year working with Samantha and Lynn and we are going to miss them so much. Samantha was a great therapist and worked so well with my son. Lynn is such a wonderful, kind, and caring woman and I truely enjoyed our afternoon chats. She runs her business so professionally, yet when you walk in the door, you feel like family. We had some issues with our insurance company and she worked so hard to get things fixed so that we didn’t have to deal with them ourselves.
Stacy Cote – 4 year-old son

We love Cobblestone! We have worked with several therapists over the past 3 years at Cobblestone. Each one has been easy to work with and adaptable to my sons needs. Due to Covid restrictions, we are seeing Kimberly remotely every week. I wasn't sure if remote therapy would be a great fit for my son, but she has made the transition extremely easy and engaging. He continues to work on and gain skills with every session. Kimberly is able to hold his attention for most of the session. Way to adapt Cobblestone! Thank you.
Jenn Grey –5 year-old son



What To Expect: Parents

First visit: Your first visit is an opportunity for the therapist, child and yourself to meet prior to an evaluation or intervention. You are welcome to bring siblings and other family members to this visit. The therapist will take this opportunity to informally observe your child's communication and play skills ... Learn more »

What To Expect: Kids

First visit: You will be coming to visit me soon at my office. When you arrive I will greet you and we will have some time to play and get to know each other. I will show you where the games and toys are and you will be able to pick out a couple that we can play with together ... Learn more »