NOURISH

Pediatric Feeding Therapy & Lactation Support

Mother Baby Bonding
 
 

SIGNS OF ORAL MOTOR DYSFUNCTION

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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INFANTS & CHILDREN AT RISK

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 

  • Tongue/Lip/Cheek Ties 

  • Torticollis/neck tension/head turn preference

  • Head shape differences (flatness, bulging, asymmetries)

  • Craniofascial & body tension

  • Low muscle tone 

  • 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

 
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OUR PHILOSOPHY

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.

 

FEEDING & ORAL DYSFUNCTION

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). Infant feeding therapy is truly the heart of Nourish Therapy. 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.

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Sleeping Baby

TONGUE & LIP TIES

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, oral motor specialists treat the whole body. We develop dynamic therapy 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

TRANSITION TO SOLIDS 
& PICKY EATERS

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

VIRTUAL FAMILY SUPPORT

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 nutrition and developmental feeding professional.

  • Intro to Solids (Ages 6-12 months)

  • Food Explorers Club (Ages 2-5 years)

Learn more here

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Mother and Baby on Floor

TUMMY TIME! METHOD CLASSES

Tummy Time! Method was designed as a no-cry approach to supporting baby's overall development. We teach TT!M because of its profound impact on infant feeding. 
Learn more here.

MYOFUNCTIONAL THERAPY

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 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

Cranial sacral therapy is a gentle, yet powerful manual technique. It has significant therapeutic benefits for babies who experienced birth trauma, digestive issues, dysregulation or colic, and tethered oral tissues. We pair CST with oral motor therapy for best feeding outcomes.

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CARISSA GUILEY, MS, CCC-SLP, CLC

Nourish Therapy was founded by Carissa Guiley, a Speech-Language Pathologist and Certified Lactation Counselor, specializing in pediatric feeding and oral motor dysfunction. 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.