Ready to sign up?

Group rates available- email [email protected]

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!"

  • "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!"

  • "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 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 instruction

  • Handouts and Resources

  • Videos of Get Permission treatment sessions

  • Live Q&A with Marsha

International registrants welcome!

No matter where you are from or what time zone you are in, we welcome you! Find out when the course runs near you using the link below.

CEU Info

Certificates will be issued verifying participation in 16.5 hours of continuing education once full attendance has been verified. Please allow 2 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 how this continuing education activity may apply to your state's CEU guidelines. 


This intermediate level course is appropriate for OTs, SLPs, PTs, registered dieticians, assistants, educators, early intervention providers, parents/caregivers, and other professionals (social workers, nurses, etc.) working with children with feeding challenges. Please contact us at [email protected]  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. The approach is rooted in the principles of responsive feeding and actively promotes a child’s autonomy while fostering connection, trust, and consistent communication between the child and caregiver. In this approach, adults support children to "give permission" by demonstrating physical and emotional readiness for eating. Get Permission strategies are based on typical development and help children discover their internal drive to eat through appetite, enjoyment, and relationships.  

Children who participate in feeding therapy using the Get Permission Approach develop the skill, confidence, and internal motivation they need to thrive. Families who adopt the principles of the Get Permission approach learn to respect a child’s individual differences while helping them to participate in mealtimes, feel celebrated, and develop a positive relationship with food. As a result, children learn to try new foods independently and enjoy eating without pressure. Therapists who use Get Permission benefit from understanding how they might support parents and children in a pressure-free way that is rich with practical strategies for treatment.

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.

Ready to sign up?

Group rates available for 4+:
email [email protected]


Cancellations must be in writing and will incur a $50 fee. We are unable to give refunds after February 30, 2023. 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.