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What is Get Permission?

Get Permission is a relationship-based approach used to support families who have children with feeding challenges. The approach is rooted in the principles of responsive feeding and actively promotes a child’s autonomy while fostering connection, trust, and consistent communication between the child and caregiver. In this approach, adults support children to "give permission" by demonstrating physical and emotional readiness for eating. Get Permission strategies are based on typical development and help children discover their internal drive to eat through appetite, enjoyment, and relationships.  

Children who participate in feeding therapy using the Get Permission Approach develop the skill, confidence, and internal motivation they need to thrive. Families who adopt the principles of the Get Permission approach learn to respect a child’s individual differences while helping them to participate in mealtimes, feel celebrated, and develop a positive relationship with food. As a result, children learn to try new foods independently and enjoy eating without pressure. Therapists who use Get Permission benefit from understanding how they might support parents and children in a pressure-free way that is rich with practical strategies for treatment.

Course Description

Marsha Dunn Klein will present the Get Permission Approach to Anxious Eaters, Anxious Mealtimes, a 15-hour live online course.   We will look at support for extremely picky or anxious eaters and their families from the perspective of relationships, motivation, mealtimes, and opportunities for both parent and child success.  Who are these pickiest of eaters? Why are they picky? What is the Get Permission Approach and how can its strategies help?  What do we need to think about as we gather information for assessing and understanding these worried eaters? What does research tell us about what works and what does not?  How can we help parents understand their worried eaters and what strategies can we use to help build mealtime peace, mealtime success and mealtime enjoyment? This course will be presented in lecture, discussion, video and case presentations, and interactive opportunities.

Join the thousands who have already learned from Marsha Dunn Klein and now understand:

  • Who are anxious eaters?

  • How does worry influence eating in children?

  • How to evaluate and understand the THEN and NOW of anxious mealtimes.

  • Ways to empower the family and the child in the feeding partnership.

  • How to identify and interpret child and parent communication and cues, and synthesize information to adapt and adjust treatment strategies for success.

  • Specific strategies to immediately help promote enjoyment, confidence, and internal motivation at mealtimes for anxious eaters.

  • How to Define the Circle of Sensitivity and relate it to feeding treatment for anxious eaters.

  • How to describe the steps to “Re-Define TRY IT” and list ways to apply interventions in treatment in the home or clinic.

  • How to identify the sensory properties of food and list specific ways to utilize those variables in treatment.

  • Ways to transition clinical success to home and parent success.

What’s included in the three-day course:

  • Eight modules of live instruction

  • Handouts and Resources

  • Videos of Get Permission treatment sessions

  • Live Q&A with Marsha

3 Days, 8 Modules

December 2-4, 2021 9:00am-3:30pm CST daily

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    Thank you for registering! Start Here

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    Day 1

    • Module #1 Objectives and Description: Introduction to Anxious Eaters, Who are They?

    • Module #1 Handouts-Who are Anxious Eaters?

    • Module #2 Objectives and Description: Get Permission Approach Principles: An Overview

    • Module #2 Handouts-What is Get Permission?

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    Day 2

    • Module #3 Objectives and Description: Mealtime Peace

    • Module #3 Handouts-Mealtime Peace

    • Module #4 Objectives and Description: Food is Sensory

    • Module #4 Handouts- Food is Sensory

    • Module #5 Objectives and Description: Get Permission Assessment Guidelines for PICKY eaters

    • Module #5 Handouts- Assessment of Picky Eaters

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    Day 3

    • Module #6 Objectives and Description: Grade the Ask-Sensitive and Successful Strategies for New Food Trying

    • Module #6 Handouts-Grade the Ask and ReDefine TRY IT

    • Module #7 Objectives and Description- Food Stretches: Starting from Familiar

    • Module #7 Handouts -Food Stretches

    • Module #8 Objectives and Description: Brief Mealtime Goals--The Get Permission Way

    • Module#8 Handouts-Goals

What Past Students Have To Say:

  • I highly recommend Marsha's Get Permission Approach to Anxious Eaters, Anxious Mealtimes course to all therapists providing feeding therapy. It is a wonderful example of Responsive Feeding Therapy. The online version of the workshop ran smoothly and the additional materials supplemented the learning beautifully. Thank you!
    - Carly Veness, Speech Pathologist

  • "The passion of presenter, clarity of information, and usefulness in my day-to-day work with families were the best parts of this event. This was an incredible opportunity to expand my knowledge base and the presentation was delivered without a hitch!"

  • "LOVED all of the visuals/personal stories/real life examples. It made it helpful to understand and be able to connect/ put it into practice!"

  • Fantastic course, I loved every minute of it. Marsha is such a source of knowledge and was able to provide real life examples of how to apply and problem solve using the Get Permission strategies!

Ready to sign up?

(want to sign up with colleagues or friends? Group rates are available- contact us @

Speaker bio:

Founder and Senior Instructor

Marsha Dunn Klein, OTR/L, MED, FAOTA

Marsha is a pediatric occupational therapist who has specialized in pediatric feeding for almost 50 years. She has co-authored Pre-Feeding Skills, First Edition, Pre-Feeding Skills: Second Edition, Mealtime Participation Guide, and Homemade Blended Formula with Suzanne Evans Morris, Ph.D., CCC-SLP. She co-authored Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Her newest book is Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace. When it is not the middle of a global pandemic, she presents nationally and internationally. She is a food celebrator and is passionate about supporting children and their families.

CEU Info

Certificates will be issued verifying participation in 16.5 hours of continuing education once full attendance has been verified. Please allow 3-4 weeks for certificates to be sent. Check with your professional organizations licensing bodies to determine exactly what may be accepted for you. This course is eligible for ASHA’s professional development hour requirements. You will not require ASHA pre-approval for this. See here [] for more information. This course is eligible for AOTA credits. Please check your state’s guidelines for specific information about this continuing education activity may apply to your state’s CEU guidelines.


Cancellations must be in writing and will incur a $50 fee. We are unable to give refunds after November 15, 2021. If the Get Permission Institute or speaker should need to cancel, course fees will be refunded or transferred to another course at the discretion of the participant.


This intermediate level course is appropriate for OTs, SLPs, PTs, assistants, educators, early intervention providers, parents/caregivers, and other professionals (social workers, nurses, registered dieticians, etc.) working with children with feeding challenges. Please contact us at  with any needs regarding accommodations.