Paediatric nutrition and support for the whole family
Children's nutrition is not only about what is on the plate. It is shaped by the family environment, habits, meal structure, the way food is offered and the relationship the child develops with it.
The service is for families who need support with picky eating, meal organisation, weight management, particular dietary needs or gradually building more balanced habits.
My approach is based on the principles of responsive feeding and Ellyn Satter's Division of Responsibility in Feeding (sDOR). The parent takes responsibility for what, when and where food is offered. The child keeps the responsibility of deciding whether to eat and how much to eat from what has been offered.
This clear division of roles helps create a stable, safe framework around meals without overriding the child's internal hunger and fullness signals. We do not rely on pressure, coercion, punishment, bargaining or rewarding with food. We also avoid labelling foods as "good" and "bad".
How we work in paediatric nutrition
Assessing the child and the family environment
We discuss growth and health history, eating habits, the family schedule, meal structure, which foods are accepted or avoided and the difficulties that come up at the table.
Working with parents without assigning blame
Parents gain practical tools to organise meals, set a stable and predictable framework and respond to the child's signals without pressure. Guidance is adapted to the child's age, development and what the family can realistically do.
Involving the child according to their age
The child takes part in a way appropriate to their developmental stage. Their preferences, difficulties and experiences are heard, without shifting the responsibility for weight or adult anxiety onto them.
Stable structure and neutral contact with food
We organise regular meals and snacks and work on gradual, repeated, neutral exposure to less familiar foods. The child has room to become comfortable with them without any obligation to taste them or eat a set amount.
Shared family organisation with respect for roles
We help the family build a stable base of meals and snacks. Parents decide what will be offered, when and where, while the child keeps the freedom to decide whether and how much to eat. The work focuses on the family framework, the atmosphere at meals and the child's relationship with food.
Following the process, not only the outcome
We assess meal structure, the atmosphere at the table, acceptance of new foods, the ability to recognise hunger and fullness, and the gradual development of autonomy — not just a number on the scale.
The goal is a positive, safe environment around food, in which the child can develop eating autonomy, self-regulation and a wider variety of foods at their own pace.
Changes are built gradually, with stability and consistency, without requiring the child or the family to do everything perfectly. Difficulties are treated as part of the process, not as failure.
In the family programme each member receives a separate assessment and a personalised plan, alongside the shared organisation of family meals.