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What Past Students Have To Say:

  • I highly recommend Marsha's Get Permission Approach to Anxious Eaters, Anxious Mealtimes course to all therapists providing feeding therapy. It is a wonderful example of Responsive Feeding Therapy. The online version of the workshop ran smoothly and the additional materials supplemented the learning beautifully. Thank you!
    - Carly Veness, Speech Pathologist

  • "The passion of presenter, clarity of information, and usefulness in my day-to-day work with families were the best parts of this event. This was an incredible opportunity to expand my knowledge base and the presentation was delivered without a hitch!"

  • "LOVED all of the visuals/personal stories/real life examples. It made it helpful to understand and be able to connect/ put it into practice!"

  • Fantastic course, I loved every minute of it. Marsha is such a source of knowledge and was able to provide real life examples of how to apply and problem solve using the Get Permission strategies!

Course Description

Marsha Dunn Klein will present the Get Permission Approach to Anxious Eaters, Anxious Mealtimes, a 16.5-hour live online course.   We will look at support for extremely picky or anxious eaters and their families from the perspective of relationships, motivation, mealtimes, and opportunities for both parent and child success.  This course will be presented in lecture, discussion, video and case presentations, and interactive opportunities.  We will answer these questions:  

  • Who are these pickiest of eaters? 

  • Why are they picky? 

  • What is the Get Permission Approach and how can its strategies help?  

  • What do we need to think about as we gather information for assessing and understanding these worried eaters? 

  • What does research tell us about what works and what does not?  

  • How can we help parents understand their worried eaters and what strategies can we use to help build mealtime peace, mealtime success and mealtime enjoyment? 

What’s included in the three-day course:

  • Eight modules of live instruction

  • Handouts and Resources

  • Videos of Get Permission treatment sessions

  • Live Q&A with Marsha

CEU Info

Certificates will be issued verifying participation in 16.5 hours of continuing education once full attendance has been verified. Please allow 3-4 weeks for certificates to be sent. Check with your professional organizations licensing bodies to determine exactly what may be accepted for you. This course is eligible for ASHA’s professional development hour requirements. You will not require ASHA pre-approval for this. See here [] for more information. This course is eligible for AOTA credits. Please check your state’s guidelines for specific information about this continuing education activity may apply to your state’s CEU guidelines.


This intermediate level course is appropriate for OTs, SLPs, PTs, assistants, educators, early intervention providers, parents/caregivers, and other professionals (social workers, nurses, registered dieticians, etc.) working with children with feeding challenges. Please contact us at  with any needs regarding accommodations. 

What is Get Permission?

Get Permission is a relationship-based approach used to support families who have children with feeding challenges. In this approach, adults support children to "give permission" by actively building trust between children and their caregivers at mealtimes. Get permission strategies are based on typical development and help children discover their internal drive to eat through appetite, enjoyment, and trusting relationships. Children who participate in feeding therapy using the Get Permission Approach develop the skills, confidence, and internal motivation they need to thrive.

Course Objectives

By the end of this workshop participants will be able to: 

  • Identify and describe anxious eaters and how they influence entire families and their mealtimes
  • Describe the importance of and specific strategies to help promote enjoyment, confidence and internal motivation at mealtimes.
  • Describe how stress, pressure, and worry influence feeding and list ways to reduce that pressure.
  • Describe the sensory variables that influence mealtimes and how to grade them in food opportunities, rehearsals, and family support.
  • List the components of assessment that create a partnership of understanding between the family and the clinician and facilitate joint planning for next steps.
  • Define concepts including the continuum of Responsive Opportunity to Responsive Guidance, Mealtime Peace, “Change Happens”, Circles of Sensitivity, Rehearsals, Re-Define TRY It, Food and Confidence Stretches, and New Food Interaction strategies and understand how they support sensitive and responsive treatment in the home or clinic environment.
  • Identify strategies to support and empower families in creating enjoyable and successful mealtimes at home. 
  • Set goals and document progress using family-friendly Get Permission vocabulary.

Speaker bio:

Founder and Senior Instructor

Marsha Dunn Klein, OTR/L, MED, FAOTA

Marsha is a pediatric occupational therapist who has specialized in pediatric feeding for more than 50 years. She has co-authored Pre-Feeding Skills, First Edition, Pre-Feeding Skills: Second Edition, Mealtime Participation Guide, and Homemade Blended Formula with Suzanne Evans Morris, Ph.D., CCC-SLP. She co-authored Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Her newest book is Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace. Marsha presents nationally and internationally. She is a food celebrator and is passionate about supporting children and their families.

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Cancellations must be in writing and will incur a $50 fee. We are unable to give refunds after February 25, 2022. If the Get Permission Institute or speaker should need to cancel, course fees will be refunded or transferred to another course at the discretion of the participant.