Feeding and eating problems and weight faltering are common causes for parents contact to health services in infancy and early childhood, and 0.15% of the child population aged 0-3 years are diagnosed at hospital with an ICD-10 childhood eating disorder. We describe the clinical presentation of an early feeding and eating disorder in a child of basically normal health and development. The case illustrates the significance of the mother child relationship both in the putative risk mechanisms and as a key factor in the treatment. The importance of a close cooperation between paediatric and child psychiatric services in these patients is underscored.