Feeding and Swallowing Disorders in Children and Adults

Personalized, Compassionate Support for Safe and Effective Mealtimes

Feeding and swallowing disorders—also known as dysphagia—can impact individuals of all ages, from infants to older adults. These conditions can make it difficult to chew, swallow, or enjoy meals safely and comfortably. Without proper treatment, they may lead to malnutrition, aspiration, weight loss, dehydration, or reduced quality of life.

At Goshen Speech & Hearing Center, our licensed speech-language pathologists (SLPs) are trained to evaluate and treat a wide range of feeding and swallowing challenges using evidence-based techniques and family-centered care.

Feeding Disorders

For children and adults with oral-motor delays, sensory aversions, or complex medical conditions, feeding can become stressful or unsafe. Our therapy programs focus on:

Increasing food acceptance and variety
Improving oral-motor coordination for chewing and self-feeding
Reducing anxiety and behavioral challenges during meals
Promoting positive mealtime routines

We are proud to use the SOS (Sequential Oral Sensory) Approach—a research-based, play-centered feeding therapy model designed to build trust and improve food interaction step by step.

Swallowing Disorders (Dysphagia)

Dysphagia is the medical term for difficulty swallowing. It can result from neurological conditions, developmental delays, injury, or age-related changes. Treatment aims to:

Improve safe and efficient swallowing
Prevent aspiration (food or liquid entering the airway)
Support adequate nutrition and hydration
Enhance comfort and safety during meals

Common Signs of Feeding or Swallowing Issues:

Coughing, choking, or gagging while eating or drinking
Frequent throat clearing or a gurgly voice after meals
Slow eating or avoiding certain foods
Drooling or food leakage from the mouth
Unexplained weight loss or dehydration
Complaints of food feeling “stuck”
Pain or discomfort while eating

Possible Causes Include:

Neurological conditions (e.g., stroke, Parkinson’s, cerebral palsy)
Autism spectrum disorder or developmental delays
Gastroesophageal reflux (GERD)
Head and neck cancer or radiation therapy
Premature birth or low birth weight
Age-related muscle weakening
Post-surgical complications or injury

Evaluation & Treatment Approach:

We provide individualized assessments based on age, medical history, and specific challenges. Treatment may include:

Oral-motor therapy to strengthen key muscles
Swallowing techniques and positioning strategies
Texture and dietary modifications
Sensory-based feeding therapy
Compensatory techniques to reduce aspiration risk
Collaboration with physicians, dietitians, OTs, and caregivers

Family & Caregiver Involvement:

We work closely with parents, caregivers, and family members to provide:

Mealtime coaching and education
Customized home exercises and meal plans
Ongoing support and communication with your care team

Ready to take the next step?

Call us at (845) 360-9323 or request an appointment to schedule your initial evaluation. We’re here to help every mealtime feel safer, more successful, and more enjoyable.