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This seminar delves into the multidimensional characteristics of mealtime, exploring how early feeding experiences and environmental stressors influence our relationship with food. Using theories of health behavior change, including the health belief model, social-cognitive theory, and the theory of planned behavior, we focus on how attitudes and preferences regarding food choices perpetuate perceived barriers to change. By gaining insights into theory and the application to feeding practices, participants examine the impact of labels, including the “picky eater,” on a child’s identity.
The way in which mealtime is approached has a major impact on one’s mental health status into adulthood. Our food choices are further afflicted by trauma, difficulties with executive functioning, and family dynamics, leading to strains on the gut-brain axis and the overwhelming obesity epidemic. Through a comprehensive understanding of the vagus nerve, we also establish and define features of Avoidant/Restrictive Food Intake Disorder (ARFID). Based on nutritional, physical, and mental health components, there are key strategies that address health disparities and the social-emotional ramifications for individuals with ARFID. Participants will further their understanding of health behavior change from a psychodynamic perspective to heal the client’s food relationship.
Mealtime Foundation: The Building Blocks of Nourishment
Theories of Health Behavior Change
Exploring the Labels of Eating and Feeding
Approaching the Worry Cycle
Influence of Trauma on the Food Relationship
Key Strategies for Enhancing the Mealtime Environment
Polina Shkadron, MA, MS, CCC-SLP, CTP, ADHD-RSP, is a trauma-informed, neurodiversity-affirming speech-language pathologist specializing in autism, ADHD, and ARFID. As founder of Play to Learn Consulting in New York, she provides individualized, brain-based interventions that strengthen executive functioning, communication, and emotional regulation in neurodivergent children and teens.
A former adjunct lecturer at CUNY Queens College, Polina has trained future clinicians in psycholinguistics and clinical practice. Her additional master’s degree in nutrition education informs her innovative, multidisciplinary approach to feeding therapy and ARFID treatment.
Widely recognized for her ability to translate complex neuroscience into practical, compassionate strategies, Polina has earned multiple ACE awards from ASHA and is a frequent national and international speaker on ADHD, executive functioning, and trauma-informed care.
Speaker Disclosures:
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