Autism and Nail Trimming

Greetings Earthlings! ๐Ÿ™‚

So this post might seem a little unusual, but as the difficulties faced by autists when it comes to haircuts has been doing the rounds on social media of late (for the record- I LOVE getting my hair cut! ๐Ÿ˜€ ), I thought I’d write a quick post about something small that I find a sensory challenge- trimming my nails.

My friends have been complimenting my nails a lot this week, which is a little odd seeing as I have not cut them since 2002! ๐Ÿ˜ฒ

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Yep- nail trimming freaks me out that much! ๐Ÿ˜‚

Once my mother stopped trimming them for me, I have refused to put a nail scissors or file anywhere near them (save for a manicure in 2005- an experience I have not sought to repeat! ๐Ÿ˜› )!

Don’t worry they aren’t freakishly long- I use my hands so much with my hobbies that they never seem to make it past a certain length!

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Trimming/filing my fingernails has always freaked me out. It’s really hard to describe, but for some reason it feels really wrong to me! There’s just something unnerving about nail scissiors cutting so close to the skin that it sends unsettling shivers up and down my spine. Nail filing in particular sends me into cringing convulsions-my hands are tensing up into balls just now at the thought of that abrasive piece of cardboard against my skin!ย ๐Ÿ˜‚

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Oddly enough I’m fine with toenails, unless I cut too close to the skin ๐Ÿ˜›

I know I shouldn’t be unnerved by such an innocuous every day process, buuuuttt my brain just doesn’t seem to want to deal with this type of stimulus! ๐Ÿ˜›

Nail trimming issues are actually quite common among autists. This can be particularly troublesome if an autist is prone to skin picking or self injurious behaviours.

But there are some tricks that can help:

  • Trim your/your childs nails after a bath– this can soften the nail to make the task more comfortable
  • Pressing down on the nail before trimming– this application of deep pressure can temporarily reduce sensitivity
  • Distraction and Bribery– if you are cutting nails for an autistic person, try using bribes or distracting the person with something (particularly their specialist interest) to get the job done
  • Try not to keep the nail too short– aside from the weirdness of cutting my nails, if they were cut too short, or if I sustained a bad break, I found (and still sometimes find) this particular sensation quite unsettling (for want of a better term)

And if all that fails, you can always allow life to trim your nails for you like me (just maybe try to steer clear of your siblings if your nails are a little bit on the long side…๐Ÿ˜ฌ)

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Enjoy the weekend everyone! ๐Ÿ™‚

Aoife

Repetitive Behaviours- Skin Picking

Greetings Earthlings! ๐Ÿ™‚

Today I’m going to give you an insight into a particular form of repetitive behaviour- skin picking.

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Ok- I know it sounds disgusting, but it is common for those with autism! The statistics are limited, but as many as 14.8% of autists exhibit this type of behaviour.

Skin picking, also known asย neurotic excoriation or dermatotillomaniaย  (I really do like the sound of these terms! ๐Ÿ˜€ ), is characterized by excessive rubbing, scratching, digging,ย squeezing and gouging of healthy skin. In chronic cases, the urge to pick and scratch can lead to scarring, tissue damage and infection.

If I were you though I probably wouldn’t look the condition up…some of the pictures of these chronic cases are disgusting!

In my own experience, I have a mild tendency towards skin picking. I prod and poke at bites and burns, pick at cuts and scabs etc., but squeezing my skin would be my biggest issue- I find it so addictive and it can be quite hard to stop! I also have a particular tendency to press hard against injured skin, like pinching an infected finger or pressing a sore toe against a hard surface- for some odd reason I find it comforting! It hurts, but I feel better about the injury after doing it. I suppose it must link back to the calming sensation of deep pressure stimulation or something!

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Now before we call the men in the white coats, let’s see if there’s a physiological reason for all of this! ๐Ÿ˜›

Research suggests that the dopamine pathway may play a particular role in this behaviour.

Dopamine is involved in reward motivated behaviours in the brain. Drugs such as cocaine and methamphetamine activate dopamine, which is thought to contribute to the sensation of skin crawling and subsequent picking often experienced by addicts. So experts believe that dopamine dysfunction may be at play in this behaviour.

As I’ve discussed in other posts (sleep, ADHD, curiosity, inside the autistic brain etc.) dopamine is often dysregulated in the case of autism, so it stands to reason that this neurotransmitter may play an important role in skin picking behaviour in ASD’s.

Other experts point to a psychological reason for the behaviour as there is a strong link between skin picking and co-morbid psychiatric diseases. Skin picking is thought to act as a form of ย communication in times of stress in the case of autism and is believed by some to act as a sensory outlet for sensory stimulation and or soothing.

Furthermore, as I’ve previously discussed, we autists tend to have more sensitive skin than the average person, this too could influence our tendency towards picking and scratching our skin.

Ah- so I’m not crazy after all! ๐Ÿ˜‰

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But is there anything we can do to manage it?

Dermatologists and physicians find this one particularly difficult to treat and often seek drug and behavioural interventions to counter skin picking.

For me personally, this is difficult to advise as the reasons for picking differ from person to person, annnnnnd I tend to indulge the behaviour rather than avoid it ๐Ÿ˜›

However, I have been making conscious attempts to reduce the frequency in recent years to help protect my skin, and to avoid looking like a weirdo in public! Don’t want people thinking I have fleas if I persistently keep scratching myself!

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The best advice that I can give is to keep your hands busy- if they’re occupied, you won’t pick! Gaming and crafting I find can be useful to keep my hands from wandering ๐Ÿ™‚

So there we are Earthlings! ๐Ÿ™‚ Hope I didn’t disgust you all with this post! ๐Ÿ˜›

Enjoy the weekend everyone! ๐Ÿ™‚

Aoife

 

Autism and Skin Sensitivity

Greetings Earthlings! ๐Ÿ™‚

So today I spent much of my time screaming inside my head- “Why does this outfit itch so much???!!!” ๐Ÿ˜›

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This is a fairly common complaint for autists when it comes to clothing.

A single sharp fiber in your skinny jeans, an irritating label on your neck, a twisted bra- the niggling is a killer to the autistic brain!

When my skin is irritated, I find it very difficult to concentrate on much else until the offending stimulus is removed. It drives me insane- especially if I’m not in a position to remove or adjust the offending item of clothing. I’ve often had to find creative ways to navigate clothing irritation when out in public such as well placed blister plasters (I did this to the irritating clasp of a lanyard once!) and toilet roll to create barriers against the fabric!

Needs must after all! ๐Ÿ˜‰

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But is my skin really this sensitive?

According to science, the answer is yes!

Research suggests that gene mutations cause problems for the sensory nerves in our hands, legs, arms, fingers and of course, the skin covering them. Mutations cause these nerves to be excessively sensitive- described by scientists as having the volume turned up to the max setting. When these nerves relay sensory information back to the brain, the brain feels the touch of certain stimuli at a heightened, exaggerated level.

Hence my internal screams! ๐Ÿ˜›

Another study, which tested the response of autists and neurotypicals to sensory stimuli (e.g. a scratchy wool jumper) in a brain scanner, found that the autistic brain reacts more strongly. The primary cortex of the brain (involved in sensory processing) and the amygdala (involved in emotional regulation) were both hyperactive during this experiment, suggesting that autists a) process sensory input differently, and b) struggle to regulate their emotional response to stimuli.

So what can you do to help an autist with sensitive skin?

This is a tough one to advise. Sensitivities vary from person to person. Some may favour loose clothing, others enjoy the comfort of tight clothes which provide calming deep pressure. In my experience, the best tip that I can offer is to use a seam ripper to properly remove labels (the remnants of the tag can be just as irritating). After that, trial and error is the best way to find out what works for you/or your child ๐Ÿ™‚

Some days, sensitive skin can be a pain (especially where undergarments are concerned ๐Ÿ˜› ), but hey- it also makes puppies all the fluffier! ๐Ÿ˜‰

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Enjoy the weekend everyone! ๐Ÿ™‚

Aoife

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