Feeding Therapy: The Urgency Paradox

In this segment of her YouTube talk, Hallie Bulkin introduces the concept of the "confusion loop" that arises when clinicians and parents try to address many feeding‑therapy targets simultaneously—oral motor work, sensory play, food chaining, behavior shaping, and parent coaching—all within the same session or week. She explains how this overload makes sessions feel chaotic, obscures which intervention is driving any change, and leads to unclear data, making it impossible to know why a child improves or stalls. The resulting uncertainty erodes clinician and parent confidence. Bulkin emphasizes that while everything may feel equally urgent when learning how feeding components fit together, recognizing that not all targets are equally urgent is a key differentiator for effective therapy.










