Growth and Feeding Dynamics Clinic

The Growth and Feeding Dynamics Clinic supports children ages 1 through 4 who are not growing quickly enough or who have a hard time feeding. We evaluate your child, provide short-term treatment and connect you with care and resources in the community.

Why choose Seattle Children’s Growth and Feeding Dynamics Clinic?

Seattle Children’s Clinical Nutrition and Occupational Therapy specialists work together to help your child and family in the Growth and Feeding Dynamics Clinic. Registered dietitian nutritionists (RDNs) and occupational therapists (OTs) provide care as a team.

    • Our RDNs and OTs specialize in caring for your growing child. We are experts in growth and development and how to feed children who have growth or feeding concerns.
    • RDNs and OTs evaluate your child during the same visit. Together, we have the training and experience to assess your child’s and family’s needs.
    • You are part of your child’s team as well. We ask you to fill out a questionnaire (PDF) (Spanish) and food intake record (PDF) (Spanish) before your visit to help us learn all we can about your child’s growth and feeding. You know your child best, and your point of view is important.
    • At the end of your first visit, we recommend care to help your child thrive, and we connect you with services and support. We look for options that work for your family.
    • Some children return to Seattle Children’s for follow-up care with our RDNs and OTs. We provide short-term care here.
    • Some children go on to see providers outside Seattle Children’s. Many providers offer feeding therapy in the community. We help you find providers close to your home so care is easier for you and your child.

Conditions We Treat

We see children ages 1 through 4 with these conditions:

  • If your child’s weight or rate of weight gain is below that of other children of the same age and sex, you or your child’s doctor may have concerns. If it is far below what is typical, your child’s healthcare provider may call this failure to thrive or faltering growth.

    Low weight and slow growth have many causes. For example, children may not be getting the calories they need to gain weight and grow as expected. Or their bodies may not be able to take in, keep or use those calories properly.

  • Some children have feeding difficulties that may stop them from getting the nutrition they need. These difficulties include not wanting to eat, refusing to eat (feeding aversion) or trouble moving to solid foods.

Services We Provide

  • An RDN and an OT see you and your child to understand your child’s growth or why your child has a hard time feeding. We talk with you and your child, examine your child and watch your child eat. We also review your child’s medical records and read the details you provided on your questionnaire (PDF) (Spanish) and food intake record (PDF) (Spanish). These steps help us get a complete picture.

    Then we recommend a treatment plan that supports the feeding your child needs to grow and develop in a healthy way. The treatment plan might include:

    • Return visits so we can check your child’s growth and feeding
    • Ongoing care at Seattle Children’s or from another provider in the community
  • At Seattle Children’s we provide short-term care, if your child needs it, to promote growth or overcome feeding difficulties. This may include visits with an RDN, OT or both. (Our team cannot order medical or laboratory tests or arrange a hospital stay for your child. For these services, please call your primary care doctor.)

  • Based on your child’s health needs and where you live, we connect you with feeding providers in your community to provide treatment and support, including long-term services, if your child needs this. You can also find Growth and Feeding Dynamics resources on our website.

Scheduling an Appointment With Growth and Feeding Dynamics

Telemedicine at Seattle Children’s

You may be offered a telehealth (virtual) appointment. Learn more.

Contact Us

For more information, contact Growth and Feeding Dynamics by calling Occupational Therapy at 206-987-2113, option 2. If you would like an appointment, ask your child’s primary care provider for a referral.

Providers, see how to refer a patient.

Paying for Care

Learn about paying for care at Seattle Children’s, including insurance coverage, billing and financial assistance.