The Get Permission Approach to Anxious Eaters and Anxious Mealtimes - In person Course taught by Marsha Dunn Klein

Aug 19, Friday – Aug 20, Saturday 9:00am – 5:00pm

Cost: Early Bird Rate: $350 thru July 25, 2022 Regular Rate:$425 after July 25, 2022
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Live In-Person Lecture with Marsha Dunn Klein

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The Get Permission Approach to Anxious Eaters and Anxious Mealtimes

Instructor - Marsha Dunn Klein OTR/L, MEd, FAOTA

 Video - Marsha Dunn Klein - Grashopper Story/Anxious Eaters - Marsha Klein providing real life examples of using her "Get  Permission Approach"

CREDIT:    12.5 Education Contact Hours/Clock Hours (1.25 CEUs)

COST:        $350 -  Early Bird Rate thru July 25, 2022

REGISTRATION: At bottom of this page  

August 19 - 20, 2022
Friday 9AM - 5PM & 
Saturday 9AM - 4:30PM

MultiCare University
1317 East Main 
Puyallup, WA 98372

AUDIENCE: OTs, SLPs, PTs, assistants, educators, early intervention providers,  and other professionals (social workers, nurses, registered dieticians, etc.) working with children with feeding challenges.


The focus of this course is on identifying and supporting anxious eaters and their families through the Get Permission Approach. These children may have diagnoses of autism or picky eating, anxiety or sensory eating, or no diagnosis at all. But they all have very narrow diets and worry about change in food presentation.  The approach to mealtimes and feeding treatment for these children based on the foundation of trust in a feeding relationship.  At its core, it supports child success and parent success. To find success, we look at multiple tiny steps of treatment strategies based on kind systematic desensitization.  We will explore ways to cluster evaluation information together to find a starting place for success.  We will look at ways to Grade our Ask as we sensitively understand stress and worry at mealtimes. The Circle of Sensitivity will be discussed as a way to carefully approach a child’s worry with rehearsals and teaching new food trying strategies.  Get Permission supports children in finding enjoyment, confidence and internal motivation to eat.  There will be lecture, demonstration, videos, case studies and group discussion.  

OBJECTIVES:  Upon completion of this course participants will be able to:
1.    Identify and describe anxious eaters and how they influence entire families.
2.    Define the major principles of the Get Permission Approach© to pediatric feeding.
3.    List ways to empower the family and the child in the feeding partnership.
4.    Identify key factors that influence “permission” in feeding.
5.    Describe how stress, pressure and worry influence feeding.
6.    List the sensory variables that influence mealtimes and how to grade them in rehearsals and treatment.
7.    Describe strategies to help promote enjoyment, confidence and internal motivation at mealtimes.
8.    Define rehearsals and their influence on food acceptance.
9.    Describe how to cluster information gained in evaluations to support creation of treatment strategies that allow child and parent to be successful.
10.    List five continua that demonstrate systematic de-sensitization in feeding treatment strategies.
11.    Define the A Continuum of Responsive Opportunity to Responsive Guidance, the Circles of Sensitivity, Rehearsals and Re-Define TRY It as they relate to sensitive treatment strategies in the home or clinic environment.
12.    Identify strategies to support families in successful transition of therapeutic treatment strategies at home.
13.    Set goals and document progress using family friendly Get Permission vocabulary.

 PRESENTER:   Marsha Dunn Klein OTR/L, MEd, FAOTA

Marsha Dunn Klein is a pediatric occupational therapist who has spent an almost five-decade career specializing in feeding infants and young children. She received her bachelor's degree in Occupational Therapy from Boston University Sargent College and Masters of Education from the University of Arizona. She has co-authored Pre-feeding Skills, First and Second Editions, Homemade Blended Formula Handbook and Mealtime Participation Guide with Suzanne Evans Morris and Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Her most recent book, Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace was published in 2019. Having sold her share in her pediatric feeding clinic, Mealtime Connections, Marsha spends her time presenting and writing and consulting, nationally, internationally, though since the pandemic, that has been by virtually and by webinar. She started and is still active in a nonprofit that supports families whose children struggle to eat. Marsha is a food celebrator and when not feeding children and supporting their families, she loves to garden, quilt, cook and dream about traveling again.

Live In-Person Lecture with Marsha Dunn Klein 

$350 -  Early Bird Rate thru July 25, 2022

$425 -  Regular Rate after July 25, 2022                                        


12.5 CEUs (12.5 Education Contact Hours, 1.25 CEU's)


Normajean Friend - Education Program Assistant

[email protected]


Full refund of the course registration fee, less $75 administration fee, will be granted upon receipt of written request post marked 21 days prior to date of class.

Location Details

Multicare University-
Puyallup, WA 98372

Contact Details

[email protected]

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