First Bite #154 – June 29, 2021

Anxious Eaters, Anxious Mealtimes: An Institute for Change

(.1 ASHA and AOTA CEUs) For more info, click here.

Course Description

In this episode, Michelle is joined once again by Marsha Dunn Klein, OTR/L, MEd, FAOTA, who was previously on First Bite episode # 126 “Food Freedom with the Get Permission Approach”. If you didn’t get enough of the “Get Permission Approach” last time, don’t worry, because in this episode Marsha takes us from the top! Beginning with the fundamentals of the “Get Permission Approach”, she then segues into signs and symptoms of “over-therapizing” our patients, with strategies to combat that therapeutic approach. The hour then wraps with two case studies for children with pediatric feeding disorder and how the “Get Permission Approach” was implemented to reach functional and safe PO intake goals. If you’re still hungry for more, never fear because Marsha also just kicked off the “Get Permission Institute” and she highlights that too! With Michelle and Marsha both on mics, this is a delightfully joyful power hour of learning y’all!


By the end of this PodCourse, participants will be able to identify and describe:

  • Fundamentals of “Get Permission Approach”.
  • Signs and symptoms of “over-therapizing” our patients and strategies to avoid that therapeutic approach.
  • 2 case studies and how “Get Permission Approach” was implemented to reach functional and safe PO intake goals.


Marsha Dunn Klein, OTR/L Med, FAOTA

Marsha Dunn Klein is a pediatric occupational therapist who has spent an almost five decade career specializing in feeding infants and young children. She received her bachelor’s degree in Occupational Therapy from Boston University Sargent College and Masters of Education from the University of Arizona. She has co-authored Pre-feeding Skills, FIrst and Second Editions, Homemade Blended Formula Handbook and Mealtime Participation Guide with Suzanne Evans Morris and Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Her most recent book, Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace was published last year. Having sold her share in her pediatric feeding clinic, Mealtime Connections, Marsha spends her time presenting and writing and consulting, nationally, internationally, though since the pandemic, that has been by virtually and by webinar. She started and is still active in a nonprofit that supports families whose children struggle to eat. Marsha is a food celebrator and when not feeding children and supporting their families, she loves to garden, quilt, cook and dream about traveling again.