FAILURE TO THRIVE AND MALNUTRITION
Supporting Feeding, Growth, & Development With Gentle, Personalized Care

Helping Children Grow Stronger, One Step at a Time
When a child struggles to grow, gain weight, or meet developmental milestones, it can be stressful and overwhelming for families. At Functional Focus, we provide compassionate, personalized occupational therapy to support children experiencing failure to thrive (FTT) or malnutrition.
Whether your child is a hesitant eater, has trouble with textures, or tires easily during meals, our goal is to help them build the skills they need to eat confidently, gain weight naturally, and thrive in everyday life – all through play-based, family-centred care.
What Is Failure To Thrive?
FTT is a condition where an infant or child’s growth and development fall significantly behind expected patterns. This can occur due to a variety of factors, including inadequate nutrition (insufficient caloric intake or absorption issues), medical conditions, or environmental influences. When a child fails to gain weight, grow, may appear slow to develop or meet developmental milestones at an expected rate, it may indicate that they are not receiving enough nutrients or experiencing barriers to healthy growth.
FTT is typically identified by a child’s failure to achieve appropriate weight gain, growth in height, or meeting developmental milestones in areas such as motor skills and cognitive abilities.
What Is Malnutrition?
Malnutrition refers to the condition that results from a lack of essential nutrients needed for proper growth, development, and overall health. Malnutrition can occur due to inadequate intake of food or an imbalance in essential nutrients, such as protein, vitamins, and minerals. It can also result from poor nutrient absorption or specific medical conditions that interfere with digestion or metabolism.

How Do Failure To Thrive and Malnutrition Affect Your Child?
These issues can significantly impact a child’s development, leading to delays in both physical and cognitive areas. Some of the potential effects include:
- Physical Delays: Insufficient nutrition can affect a child’s muscle development, motor skills, and growth. Malnourished children may experience weakness, poor coordination, and delays in physical milestones like crawling, walking, or fine motor skills.
- Cognitive Impairments: Malnutrition can also affect brain development, leading to cognitive delays, learning difficulties, and trouble with attention, memory, or problem-solving.
- Emotional and Behavioral Concerns: Chronic hunger or malnutrition can also lead to irritability, anxiety, and difficulty with emotional regulation, which can affect the child’s social interactions and behavior.
- Immune Function: Children with malnutrition may have a weakened immune system, making them more susceptible to illness or infections.
How Can Occupational Therapists Help?
At Functional Focus, we understand how challenging it can be when your child faces challenging issues. Our occupational therapists are here to help your child overcome these challenges, improve their nutritional intake, and develop the skills needed for healthy growth.
Therapeutic Interventions Include:
- Oral motor exercises to improve swallowing, chewing, and coordination of the muscles needed for eating.
- Sensory-based feeding interventions to help children who are picky eaters or have a heightened sensitivity to textures, smells, or tastes.
- Safe eating environments to encourage positive feeding experiences, reduce mealtime stress, and improve appetite.
- Motor coordination exercises to address physical delays, improve balance, and enhance the ability to engage in daily activities like dressing, feeding, and play.
- Strengthening activities to build core strength and improve posture, which is vital for motor development and overall health.
- Helping children who are sensitive to certain textures, smells, or tastes find ways to tolerate different foods.
- Offering strategies for sensory regulation to help children better engage with food and mealtimes without anxiety or distress.
- Teaching strategies to help your child regulate emotions around eating and mealtime stress.
- Providing tools to help your child cope with anxiety or frustration that may arise due to food-related issues.
- Training for caregivers on creating a positive mealtime environment, using strategies to address selective eating, and fostering healthy eating habits.
- Encouraging a routine for consistent, nutritious meals and snacks to promote steady growth and development.
How We Work With You and Your Child
At Functional Focus, we take a collaborative approach to treatment. Our experienced occupational therapists work closely with parents, caregivers, and other healthcare professionals to develop a comprehensive treatment plan tailored to your child’s unique needs.
We understand the complexities of failure to thrive and malnutrition, and our goal is to help your child improve their physical, cognitive, and emotional development. With the right strategies and support, children can overcome feeding difficulties, gain proper nourishment, and thrive in all areas of life.
Get Started Today
If you’re concerned about your child’s growth or feeding challenges, don’t wait. Contact us at Functional Focus to schedule an evaluation with one of our skilled occupational therapists. Together, we can work to address the root causes, and help your child reach their full potential.

📊 Monitoring Growth: The Role of Growth Charts
Healthcare providers use growth charts to track a child’s weight, height, and head circumference over time. Falling below standard percentiles or plateauing in growth may signal FTT. Regular physical examination is essential to detect early signs.
🧠 Developmental Milestones & Physical Skills
Children with FTT may struggle with physical skills such as:
- Rolling, standing, and walking
- Developing mental and social skills like speech, play, and interaction
These delays often reflect nutritional deficiencies or systemic health concerns.
🍽️ Common Causes: From Poor Eating Habits to Medical Conditions
FTT can stem from:
- Poor eating habits or feeding difficulties
- Chronic illnesses like cystic fibrosis, which impair nutrient absorption
- Behavioral or emotional challenges that affect appetite
⚠️ Symptoms to look for
Watch for signs such as:
- Lack of weight gain or weight loss
- Fatigue and irritability
- Delayed motor milestones
- Limited interest in food or feeding
These symptoms should prompt a thorough evaluation to identify root causes and begin appropriate interventions.
Sound familiar?
A free 20-minute virtual consultation is the easiest way to find out whether therapy can help.