Is Your Child With Autism Oversensitive to Touch?

Many children on the Autism Spectrum experience Sensory Processing issues. The best way to describe SPD is from Wikipedia: a neurological disorder causing difficulties with taking in, processing and responding to sensory information about the environment and from within the own body (visual, auditory, tactile, olfaction, gustatory, vestibular and proprioception).

Being oversensitive to touch is a tactile disorder – specifically dealing with input from touch, pressure, temperature, and pain receptors.

Although my son can simultaneously exhibit over- and under sensitivity to all things regarding touch (example: laying a hand on his shoulder to comfort him will cause him to recoil in pain, yet he frequently craves and seeks ‘bear hugs’), these symptoms below are very familiar to us.

Does your child show any of these signs of tactile dysfunction?

__ Becomes fearful or aggressive with light or unexpected touch

__ Did not like to be held or cuddled as a baby; would arch back and pull away

__ Will not let you brush his/her hair, or insist you use a particular brush

__ Resists most affectionate touch, especially kisses

__ Raindrops or water from the shower may feel like being pelted with stones

__ May overreact to minor cuts and scrapes

__ Issues with new or stiff clothes, especially jeans, sweaters, and other rough materials

__ Refuses to wear socks because of seams

__ Can’t stand getting hands dirty or participating in messy play

__ Extremely ticklish

__ Distressed by clothes rubbing on skin; takes clothes off as soon/often as possible

__ Hygiene issues: distressed about having face washed, hair cut, teeth brushed and nails clipped

__ Trips to the dentist are very anxiety-ridden

__ Is an extremely picky eater, only eating certain tastes and textures; avoids hot or cold foods and trying new foods

How do you help your child?

Here are some sensory exercises that can be done at home:

  • Finger painting with shaving cream or pudding (never force your child to touch something “messy” if they are not willing – let them use a paintbrush or utensil)
  • Sandbox play – or make an indoor sandbox with dried beans and rice
  • Playdough or clay (here is a Gluten-free recipe for playdough)
  • Let your child drink plain seltzer to experience bubbles in his mouth
  • Have a costume dress up party to let your child experiment with different material textures
  • Popsicles!
  • Repot some indoor plants or start a small garden
  • Play salon: have your child “groom” their favorite stuffed animal or doll and then trade places
  • Feather tickling
  • Play “guess the letter” by writing on your child’s back with your finger
  • Human tacos – wrap your child in a blanket and leave a small opening to add “toppings” – shredded newspaper for lettuce, bouncy balls for olives, a wet washcloth to apply taco sauce (water only, please!), etc. Bonus: use a yoga ball to press the taco into a quesadilla!

What other sensory activities do you enjoy at home? Let me know by commenting below or posting on the SOA Facebook page – I’d love to hear your successes!

Regression or Progression?

I recently did my mid-integration checklist and interview for Justin’s Listening Training. As he is getting ready for his next intensive, I wanted to share some amazing gains I observed – new behaviors that I attribute to his first round of EnListen® and additional supports from home, including:

  • Introduction of Chewelry to redirect chewing (I’ll be dedicating an entire blog post to this great product shortly!!)
  • Addition of digestive enzymes, probiotics, and Omega Fatty Acid oil to his diet
  • Increased yoga and fitness routines after school

Understand that every child is different and may or may not show the same gains or at the same rate, especially after only the first intensive. These are things that improved in my child:

  • He now understands and carries out multi-step instructions (e.g., “Put on your socks, brush your teeth, and meet me in the kitchen.”)
  • Bathroom experience: his body now signals that he has to go – no more accidents (thank you!); it is an easier experience – 15 minutes in the bathroom instead of 45!
  • He is aware of possible consequences before proprioceptive crashing – Justin will now run up to things and stop and think first about whether or not it might be a good idea. He redirects himself for the first time.
  • Empathy, remorse – he consciously apologizes after accidentally hurting someone and doesn’t repeat action!
  • Fine motor improvement – he is better able to dress himself; he even wore jeans for the first time and buttoned them with no assistance!
  • Initiating bedtime on his own – he’s getting tired earlier in the evenings, and bedtime is no longer a long and drawn out process (except when he’s being a typical kid!)
  • Aware of why he has certain behaviors – when asked why he is displaying a certain behavior he is able to provide a logical answer rather than tuning out or shrugging it off
  • Report card improvement
  • Little to no spinning – much less stimming (excluding the return of recent verbal outbursts)
  • Realizing where he is in space – there is much less holding the walls when walking and chair tipping when sitting
  • Coordination, balance improvement – squatting, skipping, hurdles and obstacle courses, jumping improvement
  • Tactile gains – introduction of new clothing materials that previously were not tolerated
  • Initiating affection – this is a biggie! He is equating more with people and less with things.
  • Showing more independent thought and less echolalia (and much less regurgitated TV speak!) when asked questions or engaged in a conversation

Less than desirable changes noticed:

  • Expressing more frustration – this is due to experiencing certain feelings for the first time. Listening Training has begun the process of allowing him to be receptive to and in touch with his emotions. Justin will need to now learn how process those appropriately.
  • More meltdowns
  • The return of noises, verbal outbursts and personal space issues
  • Less motivation to complete schoolwork

Although this may appear to be a regression in behavior, I realize that Justin is experiencing a reorganization of how he sees the world and processes information. It’s going to take time for these changes to be integrated into daily practice. I have to dig a little deeper. Some of these behaviors are not necessarily a regression, rather familiar ways of coping with new feelings and experiences.

He is also reflecting his new feelings of frustration through verbal stimming and needs to learn new and appropriate ways of expressing them.

The next intensive will continue to address sound sensitivity as well as introduce organizational skills and theory of mind.

It is easy to focus on the behaviors we don’t want from our child when we see them, and immediately assume things are headed south once again. I don’t know about you, but raising a child with Autism is a roller coaster ride full of gains and regressions. It’s part of the process and I wouldn’t have it any other way.

Looking at this progress now on paper, he truly has made some incredible gains. It is imperative that the school and I continue to support him with reward systems, redirection, and behavior alternatives as he learns to integrate information in a new way.

Why is My Child Crashing into Me and Screaming?!?

In my house this weekend, my son was a human (LOUD!) bumper car. Despite all of my refined calming and redirecting techniques, the past few days brought loud screams interspersed with crashing into walls, family members, doors, mirrors, and repeated jumping and falling onto the floor. Ironically, light touches and loud noises from any other source but his own mouth send him into immediate meltdown. How can that be? How can crashing and tight squeezes feel great but a hand on his shoulder make him recoil as if he were being branded with a hot iron?

It can actually be very common for children with Sensory Processing issues to be both sensory seekers and sensory avoiders. How confusing and frustrating it can be!

What is sensory seeking?

As I’ve written before, Sensory Integration is the ability of the brain to detect, modulate, discriminate, and integrate the three special sensory systems – tactile (touch), vestibular (movement), and proprioceptive (body awareness).  Although these sensory systems are less familiar than the five senses we all learned about as children, they are critical in order for humans to experience, interpret, and respond to their environment appropriately.

Sensory seeking occurs when a child’s nervous system is under-responsive to the information being received by the brain, so they continually seek intense sensory experiences for an extended time period to compensate. Some typical sensory seeking behaviors include:

  • Hyper-activity
  • Impulsivity
  • Decreased response to pain
  • Crashing and banging into things
  • Craves “tight squeezes” or bear hugs others a lot
  • Screaming
  • Poor body awareness – clumsiness, touching objects or others too hard or too often
  • Staying in a soiled diaper or underpants

What is sensory avoiding?

Children with sensory avoidant behavior commonly have nervous systems that are overly responsive to sensation, which can trigger “fight or flight” responses to sensory stimuli.  They may demonstrate some of these behaviors:

  • Withdrawing from touch
  • Motion sickness, fear of heights
  • Anxious in over-stimulating environments (public places such as malls, playgrounds, etc.)
  • Picky eater – avoidance of certain textured foods, sensitive to food smells or temperatures
  • Doesn’t like being messy and avoids mud, dirt, messy foods
  • Struggles with self-care activities; will only wear certain types of material for clothing and or wear clothing in a particular way; complains about hair brushing, tooth brushing, and hair cutting.

If your child is like mine, we can relate to almost everything in both lists! However, I did have some success alleviating some of the crashing and screaming while we were in public, and I wanted to share what worked with you.

Things that helped

There’s nothing more frightening than standing in line at the grocery store and having your child uncontrollably scream crash into displays, climb on counters, and swing off things that are not meant to be swung from! OY! When this state of sensory seeking is reached, reasoning attempts fly out the window.

While we were out I offered some tight squeezes, head and shoulder pressure, and “contests” (bet you can’t crab walk to that bench and back in 2 minutes!). These did not stop the behaviors entirely but offered some relief to his body and allowed me a few more minutes to finish our errand. It is good to carry a weighted backpack in the car as an emergency sensory-seeking tool to help get you through a situation like that as well!

Once we got home, I was able to isolate him to a quiet room and really pay attention to what his body was craving. We used blanket rolling, full body pressure on a giant yoga ball while he was lying face-down, spinning, and our newest trick: wrapping a rolling pin in large bubble wrap and rolling it over his back! I then gave him some time in his tent with a digital timer. Watching the numbers count down always calms him. It was important that he knew it was not time out for misbehaving, rather a break that would help him.

Other tools I love for sensory avoidance behaviors:

  • Noise-blocking headphones
  • Personal games to keep him focused
  • Favorite healthy snacks
  • Nature sounds on my iPhone
  • Wubbzy music :)
  • An escape plan!

What things help your child cope with sensory input?