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Pediatric Feeding Therapy & Lactation Support

Mother Baby Bonding
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Specializing in tongue ties and myofunctional disorders from birth through early childhood.

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Refusing breast/bottle/pacifier

Poor latch 

Milk dribbling from corners of mouth

Causing nipple pain or damage

Biting, chewing on nipple

Milk tongue (white coating)

Poor weight gain

Poor endurance or falling sleep

Clicking or squeaking noises with feeding

Lip blisters
Open mouth posture at rest

Coughing/choking during feeding

Difficulty accepting solids at 6-7 months

Difficulty progressing to soft solids by 8 months

Unable to drink from an open cup or straw by 12-18 months

Limited repertoire of foods

Difficulty moving/chewing food

Frequently spitting foods out

Frequently overstuffing mouth

Gagging or vomiting 

Extended mealtimes (>30 minutes)

If your child is struggling with any of the above symptoms, schedule a free phone consultation today

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Children can have feeding difficulties for a variety of reasons. It is important to get to the root cause, as this will influence treatment. The following are risk factors for oral motor dysfunction & feeding disorders:

  • Prematurity 

  • Birth trauma (e.g., complicated in utero position, long labor, cord around the neck, etc)

  • Tongue/Lip/Cheek Ties 

  • Torticollis/neck tension/head turn preference

  • Head shape differences (flatness, bulging, asymmetries)

  • Craniofascial & body tension

  • Muscle tone variances

  • Laryngomalacia and tracheomalacia 

  • Cleft lip/palate

  • Neurological disorder 

  • Cardiorespiratory conditions

  • Autism spectrum disorder (ASD)

  • Severe reflux 

  • Constipation

  • Food allergies or sensitivities

  • Developmental delays

  • Tube feeding or history of tube feed

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Nourishing littles. Loving families.

At Nourish Therapy we strive to support families so that you can feed yours. From breast or bottle feeding your newborn, to connecting over meals shared around a table, we aim to walk alongside you and give you the tools needed for happy hearts and full bellies. We know that parenting is full of challenges, let us take this one off your plate.

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You've heard, 'feeding your baby is natural', but that doesn't mean easy. That is especially true when there are underlying issues (e.g., weak or disorganized suck, poor latch, causing nipple trauma, etc). We have extensive training in oral motor dysfunction for breast and bottle feeding, as well as TOTs (tethered oral tissues), and work collaboratively with providers in the community to ensure families reach their feeding goals. Learn more here.

Mother Breastfeeding Baby
Sleeping Baby


Sometimes oral dysfunction is the result of a tongue and/or lip tie. Because of restrictions, baby has learned to compensate during feedings, and needs to learn correct motor movements. This is more than 'suck training'. Feeding involves the whole body, and as such, we address the whole body in therapy. We develop dynamic home programs based on your child's needs, continually modifying exercises, and assessing transfer of skills during breast and/or bottle feeding. Are you considering a release on your little one? Read more about best practice and team approach on our blog


We develop individualized sensory-motor programs based on your child's needs and family goals. From starting solids to overcoming picky eating, and everything in between, we have the expertise to guide you. And just like you, we want to get to the root cause. We pride ourselves in offering the kind of care that we want for our own families. Read about what a feeding evaluation and treatment session looks like here.

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Overjoyed young family with little preschooler kids have fun cooking baking pastry or pie at home to


Our coaching model considers the child and caregiver, with an emphasis on responsive feeding practices that celebrate autonomy. We want to see your children nourished and your family thriving. Recommendations are tailored to your individual needs. Whatever your question, support is always here. Find more about virtual support here.

Come and enjoy community, give your little ones time at the table, and leave feeling empowered to tackle whatever hurdles you're facing in this season of feeding you family. All play groups are thoughtfully developed and taught by a  developmental feeding professional.

  • Intro to Solids (Ages 6-12 months)

Learn more here

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Mother and Baby on Floor


While we teach parents therapeutic touch and movement for its profound impact on infant feeding, there are so many more benefits for baby and parent. Our bodywork playgroups empower caregivers to provide infant massage, and learn the basics of Tummy Time! Method. It's about neurodevelopment, body strengthening, and sensory integration. Therapeutic touch and movement eases colic, reflux, aids digestion, supports oral motor skills, and optimizes weight gain. Play groups offered monthly.
Learn more here.


Orofacial myofunctional disorders (OMDs) are inappropriate muscle patterns involving the tongue, lips, jaw, and face that result from a low resting tongue posture and open mouth. Because the tongue provides scaffolding for oral development, OMDs can negatively impact dental and airway health. Myofunctional disorders can be the result of a tongue tie, or an acquired condition resulting from an airway obstruction or noxious oral habits (e.g., enlarged tonsils, thumb sucking). We provide myofunctional therapy in conjunction with feeding therapy, targeting proper oral rest posture for oral development, feeding, breathing, and speech. We partner with airway-centric dentists and bodywork professionals to see families reach their maximum potential.

Learn more here.

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Newborn Baby Foot


Cranial sacral therapy is a gentle, yet powerful manual therapy technique. It can have significant therapeutic benefits for babies who experienced birth trauma, digestive issues, dysregulation or colic, and tethered oral tissues. We pair CST with other whole body therapeutic modalities to optimize infant feeding outcomes.



Nourish Therapy was founded by Carissa Guiley, a Speech-Language Pathologist and Certified Lactation Counselor, specializing in pediatric feeding, tongue ties and myofunctional disorders. She graduated with a Bachelor of Science in Nutrition from Seattle Pacific University in 2012, a Bachelor of Science in Communication Disorders from Utah State University in 2015, and a Masters of Science in Communication Sciences and Disorders from the University of Wisconsin-Eau Claire in 2018. She is a member of the American Speech-Language-Hearing Association (ASHA),  holds the Certificate of Clinical Competence (CCC), and has been honored with the ASHA ACE award for her dedication to continuing education.

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