Autism & Sensory Differences

In the general population, 1 in 20 people experience some sensory differences. In autism, this figure can rise to 80%, with some people experiencing significant sensory differences in some or all of their senses.

Sensory input is anything that is interpreted by the senses, ie, hearing; sight; touch; smell; taste; balance and body awareness. The term sensory integration refers to how our brains receive and process sensory information from both the body and the environment.

People with autism may underreact or overreact to some kinds of sensory input. Both outcomes can impact greatly on how a person experiences the world around them. These experiences will be different for each person, and their sensory issues may vary depending on things like the time of day, the weather, or their levels of stress and anxiety.

Autism and the senses

Hearing

The pitch of certain sounds can be painful to some people.

They may find it difficult to cope in noisy environments and may need to make noise to help them to cope with external sounds.

Sight

Some people with autism have a good eye for detail, and may see colours and patterns that others cannot see. This can be distracting but can also be an asset.

Touch

Some people may not be able to cope with being touched, the feel of certain fabrics, or labels in their clothing.

Others may enjoy touch or the feeling of pressure, so they may prefer to wear tight fitting or heavy clothing. Some people may experience pain, heat or cold differently.

Smell

Strong smells like perfume or deodorant can be difficult to cope with.

Environments like restaurants or public toilets can, therefore, be difficult to access, although some people may actively seek out these strong smells.

Taste

Some individuals have very limited diets, due to preferring certain textures or bland food.

Others may seek out strong flavours like spicy food as they are under-responsive to taste.

Balance and body awareness

Differences in these senses may cause people to start jumping, rocking or flapping. This may also help them to be aware where they are in space.

They might appear to be clumsy and more prone to bump into things.

When to consider medication to support autism

  • Avoid over-stimulation. A low arousal environment can feel more reassuring to a person with autism. Making reasonable adjustments such as avoiding bright lighting and replacing it with subdued lighting or avoiding brightly coloured and patterned material or carpets can help people with sensory differences.
  • Be aware of each individual’s specific sensory differences and support accordingly.
  • Provide different items of different textures for them to handle.
  • Provide items to bite, suck or chew and provide opportunities for pushing, pulling and carrying weighted items. Using weighted blankets and jackets for short periods of time can support people who seek pressure.
  • Provide lots of opportunities for movement – trampolining, swimming, jogging, climbing and dancing can all support people with sensory differences.

Consult an expert

Occupational therapists can undertake sensory assessments and can advise on specific strategies to support people with sensory differences.

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