Saturday, March 21, 2020

Sensory Processing Disorder (SPD) and Change



One of the most difficult things for someone with sensory issues is change.  The reason for that lies in the fact that familiarity is safe.  The goal of our neurological system is to keep our bodies in a place where we feel “just right”. Jean Ayres, an occupational therapist, first coins this phrase, claiming that the best therapy will be somewhere between too easy and too difficult.  At home, a "sensory diet" is prescribed, suggesting activities that will challenge without overwhelming.   

To accomplish this "just right", we (all of us) are constantly making adjustments to our environment.  We might avoid spicy foods or back away from a hot stove.  We might crave something salty or sweet or cover our ears when it is too noisy.  Shifting our weight to balance or holding our pencil a certain way all help us to maintain consistency in our body. 

When faced with an unknown, we have to process all kinds of new information.  For many people, this is relatively easy, but for others, the wealth of new input is overwhelming.  In familiar situations, a person with sensory processing disorder (and all of us on some level) has developed coping mechanisms over time.  They know where the quiet places are, what foods they will want to eat (or to eat ahead of time or bring a snack), what clothes are most comfortable, who will hug them or give them space, how long they are expected to sit in a chair and how much energy will be required to complete tasks.  They can plan and also relax as tasks become easier with practice.

Transitions mess all of that up.  For a person with sensory processing problems that has gotten to a comfortable, "just right" place, a change is like an alarm clock going off when you are fast asleep.  It is jarring, jolts you, and puts you into a panic.  That panicky feeling is your body's protection system, the very basis of your survival.  We know it as "fight or flight".  

Pretend that instead of a blaring alarm clock, you were given cues to tell your body to slowly wake up.  Maybe the curtains are slightly opened or soft music is playing.  Perhaps, someone is whispering your name and then speaking louder in regular intervals.  It would hopefully help to eliminate the shock of sleep suddenly interrupted.  Transitional cues and routines help those with SPD in the same way.  

If surviving in daily life is hard without routine, warnings, and predictability, imagine how difficult changes in that routine are.  School starts for the year while summer stops and vice versa.  Daylight Savings Time begins or ends.  It is a holiday or special event.  Favorite places are closed or menus change.  Eventually, all of these changes and transitions become the "new normal", but in the meantime, and to varying degrees those with sensory processing issues suffer.  They no longer feel "just right".

Sensory Processing Disorder (SPD) affects people with lots of different diagnoses, particularly those on the autism spectrum.  However, it can also occur all by itself.  It is almost harder that way.  It is invisible to others except for the resulting "behaviors" that they can see.  And that often results in judgments of "weird", "odd", "brat", "problem child/student", "distant", etc....Yes, the behaviors are difficult and probably need intervention, but they are not defiance.  Watch, observe, and see what you see.  You might find you are now looking with a different lens.