Pediatric Feeding Therapy & Lactation Support

Mother Baby Bonding


Refusing breast/bottle

Difficulty maintaining a latch 

Milk dribbling from corners of mouth

Causing nipple pain or damage

Poor weight gain

Poor endurance or falling sleep during feedings
Open mouth posture at rest

Coughing/choking during feeding

Difficulty accepting solids at 6-7 months

Difficulty progressing from purees to soft solids by 8 months

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

Limited repertoire of foods

Anxiety around new foods

Negative mealtime behaviors

Difficulty moving/chewing food in the mouth

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



Children can develop disordered feeding for a variety of reasons. The underlying cause can be difficult to identify, though it is important to consider the symptoms and how they point to etiology. The following are risk factors for developing a feeding disorder:

  • Prematurity

  • Neurological impairment

  • Structural abnormalities (e.g., cleft palate, small/recessed jaw, tongue/lip/cheek ties)

  • Cardiorespiratory conditions

  • Autism spectrum disorder (ASD)

  • Severe gastroesophageal reflux

  • Constipation

  • Food allergies or sensitivities

  • Developmental delays

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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.



As the saying goes, 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 advanced training in oral motor dysfunction for breast and bottle feeding, as well as TOTs (tethered oral tissues), and work collaboratively with other providers in the community to ensure families reach their feeding goals.

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We develop individualized 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.


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.

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Come and enjoy community, give your little ones time at the table, and learn everything there is to know about starting solids. This 4-week series covers a range of feeding topics to send you sailing into the next big milestone. We offer a safe place to ask questions, feel supported, and gain confidence.


Orofacial myofunctional disorders (OMDs) are inappropriate muscle patterns involving the tongue, lips, jaw, and face that result from a low resting tongue posture and mouth breathing. Therapy targets proper oral rest posture for remediation of feeding, breathing, and speech impairments that are often associated. We often partner with airway-centric dentists and bodywork professionals to see families reach their maximum potential.

Learn more here.

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Nourish Therapy was founded by Carissa Guiley, a Speech-Language Pathologist and Certified Lactation Counselor, specializing in pediatric feeding and swallowing. 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 is eligible for the ASHA ACE award for her dedication to continuing education.