More than Picky Eating: Cause-Specific Interventions for Feeding Problems in Indian Children with Autism Spectrum Disorder

Feeding difficulties are frequently observed in children with Autism Spectrum Disorder (ASD) and can severely impact their nutritional status, developmental progress, and family dynamics. Misinterpretation of such issues as mere picky eating often delays appropriate intervention. This paper explores the multifactorial causes of eating problems in autistic children and demonstrates how cause-specific interventions tailored to the child’s underlying difficulties can lead to meaningful improvements. Through two Indian case studies, we illustrate how sensory sensitivities and food intolerances were addressed through occupational therapy and dietary management. A comprehensive literature review highlights both global and Indian findings on feeding problems in autism. The findings underscore the need for greater awareness and culturally informed therapeutic practices in India.