figure of a man made of multi-colour puzzle pieces. Neuro-diversity concept.

Fussy Eating and Neurodiversity: Insights from a Paediatric Dietitian

There’s a lot to talk about when it comes to fussy eating and neurodiversity.

Today, I want to share some essential insights that can benefit parents navigating this often difficult journey. Before I start; I should say that there is a LOT I could talk about here; this is just a tiny starting point.

Having worked extensively with children facing eating challenges, including those with autism and ADHD I see a lot of common themes coming up amongst parents. 

One of the first things I want to emphasize is that just because a child eats differently from what we consider “normal,” it doesn’t necessarily indicate a problem. If a child’s eating habits are interfering with their growth, causing distress, or impacting their daily life, it’s worth exploring. However, the goal isn’t always to change the child’s eating habits but rather to modify the environment and mealtime approach to reduce anxiety around food.

Parents often feel isolated and inadequate when dealing with fussy eaters, but it’s essential to recognize that accommodating a child’s preferences to ensure they are fed, happy, and anxiety-free is a significant achievement. We shouldn’t expect all children to eat the same way. Instead, we can work towards helping them build confidence, explore new foods, and participate in family mealtimes in their own way, without fear.

A common misconception is that if a child is neurodivergent, there’s nothing we can do to address their eating challenges. While it’s true that we should respect their neurodiversity, it’s crucial to understand that multiple factors contribute to a child’s eating behavior.

Most children are born with an innate drive to eat, but various factors can influence their relationship with food over time. These factors include things such as previous illnesses, anxiety, food allergies, constipation, life events, temperament, and personality characteristics. Neurodiversity is just one piece of this complex puzzle.

Rather than resigning to the idea that nothing can be done, it’s important for parents to recognize that there are numerous ways to make mealtimes more comfortable and enjoyable for neuro-divergent children. By addressing sensory sensitivities, routine preferences, and other factors while respecting their neurodiversity, we can help them feel relaxed and confident around food.

There are so many different ways that eating might be affected by neurodivergence; some issues you might be experiencing may include the following: 

  • Leaning towards particular textures
  • Eating a few select foods
  • Needing a strict routine and struggling with any changes to the food, environment or timings
  • Not wanting to eat around other people
  • Being disgusted by the sound or smell of other people’s food
  • Not recognising hunger or fullness
  • Having poor impulse control around food

This list is definitely not exhaustive, but you may see some patterns there that are familiar. It’s important to know that you’re not alone in this; there are many families with shared experiences. 


In summary, understanding the relationship between fussy eating and neurodiversity is crucial for parents facing these challenges. While not all children need their eating habits changed, it’s essential to create a supportive mealtime environment. Additionally, recognizing that neurodiversity is just one aspect of a child’s eating behavior allows us to tailor interventions to their unique needs.

If you’d like more information or personalized guidance, you can reach out to me through my Instagram page (@TheEarlyYearsDietitian) or my website. Remember, you’re not alone on this journey, and there are ways to make mealtimes a positive experience for your child.

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