Course Description

The nervous system plays a significant role in how and what a child eats. Feeling safe is essential for ingestion and digestion. Feeding and nutrition advice often can lead to fear, worry, pressure and nervous system dysregulation. In this session, participants will be introduced to the Polyvagal Theory, the window of tolerance model, and the research applications for clinicians providing treatment for pediatric feeding difficulties. The feeding relationship will be highlighted, along with approaches to prioritizing nervous system regulation of the caregiver and child. Participants will explore "bottom up" approaches to treatment that integrate the treatment of trauma, attachment and sensory processing integration.

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

  • Name the three states of the autonomic nervous system as explained by the Polyvagal theory.

  • List three physiological changes that occur when an individual is above and below their window of tolerance and specifically include the effect on ingestion and digestion.

  • Describe three ways a caregiver can focus on nervous system regulation when feeding a child.

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Course Instructors

GPI Perspectives Instructor

Anna M. Lutz, MPH, RD, CEDRD-S

Anna Lutz is a Registered Dietitian in Raleigh, NC. She is the co-creator of Sunny Side Up Nutrition, a blog and podcast about nutrition, simple cooking and family feeding. Clinically, Anna specializes in eating disorders and pediatric/family nutrition. She practices with a weight-inclusive approach and supports individuals in breaking free of diet culture for themselves and their families. Anna received her Bachelor of Science degree in Psychology from Duke University and Master of Public Health in Nutrition from The University of North Carolina at Chapel Hill. Anna previously worked at Children’s National Medical Center in Washington, DC and as a member of the Eating and Body Image Concerns Treatment Team at Duke University Student Health. Anna is a national speaker and delivers workshops and presentations on childhood feeding, eating disorders, and weight-inclusive healthcare. She is the mom of 3 very different eaters, ages 14, 11 and 6.

CEU Info

Certificates will be generated verifying participation in 2 hours of continuing education once the full course has been viewed and a 100% passing grade is achieved on the quiz. 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.


Cancellations must be in writing, be received by February 9, 2022, and will incur a $10 fee. If viewing the recording, 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 OTs, SLPs, PTs, 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  with any needs regarding accommodations.