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TOTs Feeding Therapy is a team of occupational therapists specializing in infant and pediatric feeding, oral-motor function, and early development.
We use an evidence-based, sensory-motor approach that is relationship-based, family-centered, lactation-informed, and focused on the root causes of feeding and movement challenges.
Our mission is to empower caregivers with the skills, knowledge, resources, and personalized support they need to nurture the feeding and development of their children.
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About Us
Who We Help
Infants and young children, ages 0-12, with:
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Breast/bottle feeding difficulties
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Poor feeding efficiency, prolonged feeds, or slow weight gain
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Feeding-related discomfort despite normal medical evaluation
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Suspected or diagnosed tethered oral tissues (pre/post release support)
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Difficulty transitioning to solids or early picky eating
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What We Address
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Feeding coordination (suck–swallow–breathe)
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Oral-motor function and efficiency
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Whole-body tension and air intake
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Sensory-motor integration for feeding
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Transition to solids and early feeding skills
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Caregiver education and feeding strategies
Our Specialties
Breastfeeding & Bottle Feeding Difficulties
Assessment and support for the baby’s latch, sucking coordination, pain with nursing, and feeding efficiency.
Tethered Oral Tissues (Tongue, Lip & Buccal Ties)
Pre- and post-release care to optimize feeding function and outcomes.
Bottle Refusal
Targeted support for infants who struggle with bottle acceptance, including individualized strategies to improve success.
Torticollis, Plagiocephaly, Feeding Positioning, & Motor Milestones
Addressing alignment, movement, and body mechanics that impact feeding and developmental success.
Reflux (GERD) & Feeding Discomfort
Support for infants and children experiencing reflux-related feeding challenges, discomfort, or aversion.
Starting Solids & Feeding Transitions
Guidance through the 6–12 month transition from bottles to food, including texture progression and self-feeding skills.
Pediatric Feeding Difficulties, ARFID, & Picky Eating
Treatment of selective eating, Avoidant/Restrictive Food Intake Disorder (ARFID), food refusal, and mealtime stress.
Caregiver Coaching & Mealtime Dynamics
Equipping parents with practical, individualized strategies for more positive and effective mealtimes.
Oral Motor Therapy, Sensory Feeding & Texture Aversion
Helping children move food in their mouth appropriately, expand food variety, and tolerate different textures and sensory input.
