What Past Students Have To Say:

  • "The explanation of the various hormone levels that impact fear and safety and how to use this approach to help support feeding was what I enjoyed most. The video examples and resources were also extremely helpful. I love that Marsha uses an interdisciplinary approach/theories to help with feeding issues."

  • "I really appreciate the neuro perspective and definitely feel like I have a much better understanding of the impact that stress and felt safety have on the feeding experience."

  • "Very relevant to my profession and current case load. I noticed many things that I can be doing better as an OT and also didn't feel judged for having done things a certain way up to this point - thanks!"

Ready to sign up?

In this 2-hour webinar, you will learn to:

  • Define the ways the body reacts to pressure and stress

  • Describe ways children might experience pressure

  • Understand the ways parents and therapists pressure children at mealtimes and why they might do it

  • Describe the optimal environment and emotional climate for learning about eating

  • List specific strategies for reducing pressure and stress at mealtimes

Course Description

In this BRAND NEW course, Marsha will discuss the influence of pressure on a child’s ability to participate in mealtimes, to learn from food opportunities, and enjoy eating. We will look at the neurophysiological basis of pressure and stress on the nervous system and how pressure reduces interest and permission in eating interactions. Marsha will share several easy-to-implement ways to reduce pressure at the table and help children find enjoyment at mealtimes. 


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.

CEU Info

Certificates will be issued verifying participation in 2 hours of continuing education once full attendance has been verified. 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 [https://www.asha.org/certification/FactDef/] 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.


Cancellations must be in writing and will incur a $10 fee. We are unable to give refunds if more than 10% of the course has been viewed. If the Get Permission Institute should need to remove course content for any reason, course fees will be refunded or transferred to another course at the discretion of the participant.


This intermediate level course is appropriate for occupational therapists, speech-language pathologists, physical therapists, assistants, educators, early intervention providers, parents/caregivers, and other professionals (social workers, nurses, registered dietitians, etc.) working with children with feeding challenges. Please contact us at hello@getpermissioninstitute.com  with any needs regarding accommodations.