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Two‐year‐old twins refuse to eat: A multidisciplinary approach to diagnosis and treatment
Author(s) -
Chatoor Irene,
Kerzner Benny,
Zorc Lori,
Persinger Melody,
Simenson Randi,
Mrazek David
Publication year - 1992
Publication title -
infant mental health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.693
H-Index - 75
eISSN - 1097-0355
pISSN - 0163-9641
DOI - 10.1002/1097-0355(199223)13:3<252::aid-imhj2280130311>3.0.co;2-9
Subject(s) - failure to thrive , choking , multidisciplinary team , anorexia , medicine , eating disorders , multidisciplinary approach , pediatrics , psychiatry , psychology , nursing , social science , sociology , anatomy
This round table addresses the diagnosis and treatment of feeding disorders and failure to thrive. It describes a family‐centered approach by a multidisciplinary feeding disorders team, beginning with the screening evaluation by the team coordinator at intake, through the evaluations by various team members, the team meeting with the parents, the development of a treatment plan, to a 1‐year follow‐up after treatment. Both twins refused to eat textured food and were found to have a posttraumatic feeding disorder secondary to repeated gagging and choking on cereal and lumpy baby food. However, only one twin was engaged in a battle with the parents over eating and developed infantile anorexia associated with failure to thrive. The differential diagnosis and the specific treatment plans of these two feeding disorders characterized by food refusal are discussed.