AbstractAim This case study aimed to describe an intervention with a 2-year-old child with growth problems and moderately severe feeding difficulties. Method The intervention was based on cognitive behavioural principles and psycho-physiological techniques, and focused on reducing parental anxiety and returning the control of feeding to the child. Results The child's feeding behaviour considerably improved over a 6-month period, and growth and weight were significantly increased. These positive changes have been maintained for a 3-year subsequent period. Conclusion The principles described can be applied to children with a wide range of feeding problems with multivariate causes.