Autism and Temperature

Greetings Earthlings! 🙂

With the summer drawing to a close, this week I’d like to talk about thermosensitivity and autism.

As I’ve discussed on multiple occasions, autists’ are very sensitive to sensory stimuli, so it should come as no surprise that autists have different reactions to temperature versus their neurotypical peers.

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In my experience, I have found that I can be sensitive to higher or lower than average temperatures. I’m a bit like Goldilocks- I don’t like to be too hot, don’t like to be too cold, but I do like a nice moderate temperature (which is why Ireland suits me so well I suppose!😂). If the temperature starts to drift in either direction away from my comfort zone, I tend to get quite irritable and my masking abilities are impacted by the distracting temperature change. I may have gotten some weird looks from some girls a few rows in front of me at a Paramore concert once as my voice started to get higher, shout-y and more strangled from the frustration of sitting beneath a freezing vent while waiting on the band 😬

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I’m also more likely to have a meltdown if other buttons are pushed while dealing with temperature fluctuations, particularly where hotter temperatures are concerned-needless to say, I’m not a fan of sun holidays and dread to think what menopause may bring for me in the future! 😛

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I’m even quite picky when it comes to the temperature of food, being unable to stomach some foods under certain temperatures. For example, I’m a real carnivore, but if the meat is cold I can’t stomach it; similarly, hot drinks are an uncomfortable sensory experience, so even though I like the taste of hot chocolate, I won’t drink it!
Like me, many autists are quite thermosensitive, and find fluctuations in their surrounding temperature to be an overwhelming experience. On the other hand, several autists have also reported temperature insensitivity or an indifference to thermal stimuli.

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So what has the science to say?

The literature is a little contradictory when it comes to thermosensitivity. A 2015 study found that children with autism had a lower perceptual threshold for detection of hot and cold temperatures, indicating decreased temperature sensitivity and perception in certain brain regions. This was thought to be related to cognitive impairments and deficits in attention, so it could be that some autists are more distracted by other stimuli to notice temperature fluctuations. However, a more recent 2019 study found that there appeared to be no differences in temperature perception between autists and neurotypicals, concluding that temperature perception was entirely individual to the autist- which makes a lot of sense given the vastness of the spectrum.

On another scientific note entirely, research suggests that autistic behaviours are positively impacted by elevated body temperature. Multiple studies have noted that when an autist has a fever, many of their negative behaviours (such as irritability, hyperactivity, repetitive behaviours etc.) improve, but return to normal post-recovery. The reason for this remains unclear, however, one such theory cites the impact of temperature on neural circuits where it can either enhance or suppress brain activity in certain regions. This seems quite likely given that autists brains have an excess number of brain connections and increased neurochemical activity compared with neurotypicals, factors which heavily contribute to autistic behaviours. Brain activity might also be impacted by certain chemicals produced by our immune system to fight infection during a fever.

Perhaps it might be worth exploring the severity of autism between autists who live in hotter or colder climates to see if an increase in surrounding temperature could help manage autistic symptoms.

All in all it would seem that temperature response, like autistic traits, is entirely individual to the autist 🙂

Hope you enjoyed this post dear Earthlings! 🙂

Have a lovely weekend!

Aoife

August 28, 2020 2

Autism and Clothing

Greetings Earthlings! 🙂

This week I’d like to briefly expand on something that I touched on in my previous post about skin sensitivity, -the importance of clothing and autism.

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No, I’m not going to talk about fashion, but function!

For many autists, it can be quite difficult to pick out clothes. A stray fiber, an itchy label or a prickly seam can unleash a storm of sensory discomfort. Gene mutations cause the nerves in our skin to be extra sensitive to certain stimuli. This coupled with hyperactivity in the cortex and the amygdala (both regions involved in sensory processing) don’t make for the happiest of bedfellows.

But what if the clothes that irritate us could in fact be used to manage autistic symptoms?

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Clothes are now being designed and adapted to cater for the different needs of autists. Companies are now producing seamless socks and underwear, looser fitting clothes made from softer materials, and most interestingly, weighted and compression clothing.

Based on the research of the great Temple Grandin and her hugging machine, both weighted and compression clothing provide calming, deep pressure stimulation much like a soothing hug. The pressure switches off the sympathetic nervous system (fight or flight) to the parasympathetic nervous system (rest and digest), promoting the release of “feel good” neurotransmitters. Based on this, it’s thought that autists are better able to cope with sensory issues, hyperactivity, motor skills and sleeplessness when wearing sensory clothing.

It’s a really interesting premise- there’s even been an inflatable sensory scarf produced that’s designed to provide soothing pressure in addition to emitting calming aromas! Check it out:

https://www.wired.com/2015/08/odd-looking-clothing-designed-help-autistic-kids/

In reality however, the results are mixed. Scientific studies indicate that weighted and inflatable vests do not appear to be effective and are not clinically recommended, yet the personal testimonials of families across the globe beg to differ. One testimonial claimed that a child’s meltdowns went from 12 a day to having none in 3 years!

Either way, nothing ventured nothing gained, so if you think that sensory wear may be of benefit to you or a loved one with autism, why not give it a shot? 🙂

With the variety of sensory wear available, you’ll at the very least look fabulous! 😉

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Enjoy the weekend everyone! 😀

Aoife

April 5, 2019 3

Autism and Colour

Greetings Earthlings! 🙂

So this week I’m just going to expand a little bit on something I’ve briefly talked about in previous posts– autism and sensitivity to colour.

Yes- I know it sounds like a silly thing, but colour sensitivity in autism is real!

Thankfully I have no such issues with colour (I’m all about that rainbow! 😀 ), but many autists actively gravitate towards a particular colour and/or actively avoid other colours. Autists have been known to eat only white coloured foods, or to only play with toys of one particular colour for example.

You can see this avoidance behaviour quite comically in the film ‘My Name Is Khan’ where the title character sees a man in a yellow top and awkwardly turns around to walk in the opposite direction to him! 😂

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But is there a scientific reason for such an unusual behaviour?

Due to some of the structural abnormalities in an autists’ brain, difficulties in sensory processing and the integration of this sensory info can cause colour sensitivity, as autists will often detect colours with higher intensity than neurotypicals.

The colour yellow has been particularly known to trigger this behaviour in boys with autism as studies show that they really struggle to process this colour. Scientists think that this may result from a sensitivity to luminance in autists. Alternatively this may occur as yellow is one of the most heavily sensory loaded colours (it’s the brightest colour in the visible spectrum), as it engages multiple colour detection cells (called cones) in the eye. Furthermore yellow has been known to be the most fatiguing colour to the eyes which could explain why sensitive autists avoid it.

From a psychological perspective, yellow has been known to increase a persons temper, and babies who are exposed to yellow rooms tend to cry more (will have to find another gender neutral colour when the time comes so! 😛 😂). Yellow is also associated with danger/acts as a warning in the animal kingdom (i.e. bees and wasps). This is also true for fluorescent vests and street signs, which could also potentially trigger avoidance behaviour in the autistic brain!

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Hope you enjoyed this ‘colourful’ post dear Earthlings! 🙂

Have a great weekend! 😀

Aoife

October 5, 2018 7

Autism and the Dentist

Greetings Earthlings! 🙂

This week I’m going to discuss an important issue for many people on the spectrum- going to the dentist.

I know- no one ever really enjoys going to the dentist (except maybe Bill Murray in ‘Little Shop of Horrors‘! 😛 ), but for autists in particular, visits to the dentist can be quite traumatic. For many, the invasion of space can be an issue, for others, a trip to the dentist can aggravate sensory sensitivities (the sensation of brushing, the taste of toothpaste, the smell of latex gloves etc).

Thankfully I have never had any major issues with going to the dentist (aside from one unpleasant incident where the anesthetic didn’t take and I felt the drill hit a nerve…), nevertheless it wouldn’t be one of my favourite activities. The high pitched squeal of the tools, the scraping sensation against my teeth, the needles (shudder!)- it’s not the most pleasant of experiences inside my head! There’s a lot of fist clenching! 😛

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So how might we navigate an autists difficulties at the dentist?

Here are just a few tips and tricks that might benefit parents, dentists and autists alike:

Inquire if your dentist is autism friendly– Have they had autistic patients before? Do they have any special tools or techniques to make the visit more comfortable? Do they take any sensory interventions such as dimming the lights, providing sunglasses or minimizing any loud noises that may startle the child?
Prepare for a dental visit– Help to desensitize an autist to the experience by story-boarding a trip to the dentist with them so that they know what to expect. When it comes to anxiety, the fear of the unknown is often greater than the reality of the experience. Why not inquire if your dentist will allow you to visit the surgery/send pictures to desensitize your child to the environment and meet the staff before coming in for the real thing? 🙂
Wear noise cancelling headphones– whilst this may not be as effective as in other situations given that the tools are operating so close to the ears, nevertheless this may help to take the edge off any noise related issues.
Weighted blanket– A weighted blanket sitting on your lap could be quite beneficial in calming an autist. As I’ve discussed previously, the deep pressure stimulation can calm the mind and put the autist at ease. X-ray jackets can also be used to substitute for a weighted blanket. Comforters such as soft toys or other sensory items that autists use to ‘stim‘ can also be useful to help put them at ease.
Communication is key– as I’ve said above, the unknown is often one of the more unsettling aspects of a dental visit for an autist. Talk them through each step, show them what you are planning to do to their teeth, allow them to see and feel the tools- testing a motion on the hand can be useful to desensitize an autist prior to the oral exam.
Rewards and Bribery– what child doesn’t love a good bribe to motivate them to get through their dental appointment?! There’s a lot to be said for the power and promise of a treat (I may have even bribed myself with a trip to the cinema to motivate me to get this post finished on time! 😂)
Sedation– though not the best of options, this can sometimes be the only way for particularly anxious autists or those with gagging issues to get through a visit to the dentist.

I’ve also found this useful video about visiting the dentist if you want to check it out:

You can also find more information in the following link:

Click to access dentalguide.pdf

So there we have it Earthlings! I hope you’ve found this post useful 🙂

Dental care isn’t always the easiest for an autist, but remember, prevention is always best- so get try to find a toothpaste that you like, pick the right toothbrush (soft bristles can be helpful) and take care of those pearly whites! 🙂

Aoife

March 16, 2018 0

Autism and Smell

Greetings Earthlings! 🙂

As I mentioned in last weeks post on taste sensitivity, this week we’re going to discuss sensitivity to smell in autism.

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As with other senses we have discussed, autists can be either hyposensitive or hypersensitive to odours. One autist may enter a malodorous environment without noticing anything amiss, another autist may wretch, or worse!

As a child, my nose was particularly sensitive to my environment (although judging by how I could taste the beer my friends were drinking yesterday evening from the fumes alone, this may still be the case on occasion 😛 ). Bad smells were especially trying- the smell of salads, fish, cigarette smoke, incense, even something so simple as a bag of popcorn could easily turn my stomach.

But it wasn’t all bad- this sensitivity comes with a heightened appreciation for pleasant smells too 🙂

Baking, chocolate, nice perfumes, the outdoors, the smell of metal (don’t ask me why I love this one so much- must be something to do with my taste in music! 😛 😉 )- in fact, such smells are not only a sensory sensation, but can also be used to help calm an autist.

As easily as an unpleasant smell could unsettle me, the right smell could calm me back down again as a child. I always kept a teddy or a blanket near at hand that I could smell to help soothe and calm me and to lull me off to sleep- I couldn’t sleep without one particular teddy until I was 16!

^^^^My teddy was a lot more raggedy than this…😬

So why does smell affect autists so much?

Interestingly, some studies indicate that there are no differences in sensitivity to smell between autists and their neurotypical peers, however, much research points to the cortex of the brain. This region is heavily involved in smell processing, and yep, you guessed it- the autistic brain shows signs of dysfunction in this region. In fact, the pre-frontal cortex shows signs of overgrowth and excessive linkage in the neurons (just like an overloaded plug), so no wonder sensory perception is altered in autists! This region is also associated with the formation and retrieval of long term memories, which could also explain why smells are often tied to memory recall in autists (which I will explore in more detail at a later stage 🙂 ).

One study also shows that autists may not inhale smells in the same way to their neurotypical peers. Evidence suggests that autists inhale deeply and intensely for both pleasant and unpleasant smells, whereas neurotypicals will tentatively sniff in the presence of an offending odour, which could further explain differences in scent processing.

In addition to this, research suggests that alterations in smell can influence social behaviours. A recent study in fact suggest that autists cannot smell fear and that there is a reversal in their response to fear. In this study, a group of autists were calm when presented with a sample of sweat from a skydiver, whereas their neurotypical peers exhibited classic signs of fear. In contrast, their fear levels increased when presented with the sweat sample from a calm individual!

In other words, an autists social behaviour may be affected by an inability to interpret social cues carried in odours- the mind boggles!

So there we have it dear Earthlings- hope this post didn’t ‘stink’ too badly 😛 😉

Enjoy the weekend everyone! 🙂

Aoife

February 16, 2018 2

Autism and Taste

Greetings Earthlings! 🙂

As we have discussed in previous posts (such as sensory issues, light sensitivity and sound sensitivity), people with autism are highly sensitive on a sensory level, so naturally, taste is no exception.

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Many autists have highly sensitive taste buds wherein we find a number of flavours and foods too strong and overpowering to tolerate. This sensitivity to tastes can make life very difficult when it comes to taking medicines, food selection (which we will discuss in greater detail at a later stage) and maintaining a somewhat neutral expression when put in awkward public tasting scenarios (perhaps one of my biggest personal challenges 😛 ).

On the other hand, some autists can in fact be hyposensitive to taste, often preferring foods with stronger flavours

So what’s causing these alterations in tongue sensitivity?

The research into this aspect of autism is currently quite limited, however, some neurological studies indirectly suggest that there is evidence of taste dysfunction in autism.

Many studies have shown evidence of brainstem dysfunction in the neurodiverse brain such as hypoplasia, or under development of the facial nerve nucleus (a collection of neurons in the brainstem that innervate the face). This nerve network carries taste information from the tongue and relays it to the brain. Any dysfunction or damage to this pathway can affect a persons ability to detect tastes.

Furthermore, the ability to identify tastes and flavour perception is controlled by a complex nerve network involving several different brain regions such as the thalamus, insula/operculum, the orbitofrontal cortex (OFC) and our old friend the amygdala. Many of these regions have been implicated in autism, suggesting that dysfunctions in these regions may influence an autists taste buds.

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Recent evidence also suggests that autists may be more sensitive to bitter tastes due to genetic mutations in the TAS2R38 taste receptor. Alterations in the TAS2R38 gene can cause autists to perceive bitter tastes differently to their neurotypical peers which could explain why our taste buds are so sensitive (and why alcohol makes me gag 😛 )

Finally, an increased sensitivity to smell also feeds into these alterations in taste which I will examine next week 🙂

Until next time Earthlings! 🙂

Aoife

February 9, 2018 2

Autism and Pain

Greetings Earthlings! 🙂

As I am currently recovering from the removal of my wisdom teeth (contrary to popular belief- my mouth is too small 😛 ), I’ve decided to write about pain and autism this week.

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One might imagine that autists have a higher response to physical pain owing to our sensory sensitivities, however, pain perception, as with all aspects of the spectrum, is entirely individual to the autist.

Some are hypersensitive (touching the skin or simply brushing your hair can cause pain), whereas others may in fact have very high pain thresholds. Yours truly unknowingly lived with a permanent ulcer in their mouth from an impacted wisdom tooth for a couple of years due this without batting an eyelid! I thought that was how it was supposed to look…😂😬!

So why the polar responses to pain?

The evidence as to why this is is unclear. For many years, researchers believed that people with autism were insensitive to pain as they did not always respond to pain in the usual manner (crying, seeking comfort etc), in addition to the display of self injurious behaviours. However, more recent studies have challenged this notion indicating that people with autism show signs of hypersensitivity to pain in the brain, experiencing greater physiological responses to pain than neurotypical peers.

The autistic brain clearly demonstrates alterations in “normal” pain pathways, but is there a root explanation?

Some evidence points to genetic mutations in such genes as the Shank genes (which have recently been implicated in a number of autistic behaviours), however, the explanation could be much simpler. As discussed in previous posts, numerous neurotransmitters are dysregulated in autism- neurotransmitters which play an important role in our perception of pain.

Evidence suggests that Dopamine in particular plays an important role in the modulation of pain perception and analgesia in the body. Many studies have linked dopamine dysregulation to autism, which could explain why pain responses vary among autists 🙂

There we have it now Earthlings! 🙂 Hope this post wasn’t too “painful” for you! 😉

Okaaaay, that was a bad one! Sorry 😛

We’ll blame that pun on my wisdom teeth! 😉

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Enjoy the weekend everyone! 🙂

Aoife

February 2, 2018 1

Autism and Light Sensitivity

Greetings Earthlings! 🙂

As twinkling Christmas lights are rapidly being erected around me, I’ve been thinking a lot about autism and light sensitivity this week.

Light sensitivity, also known as photophobia (although the phobia part has never really made sense to me! 😛 ), is quite common for autists.

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We are hypersensitive to other sensory stimuli such as sound, so naturally, light too can cause sensory issues for many autists. The wrong lighting environment can cause a whole host of problems that can exacerbate behavioural issues.

If lighting is too bright, this can distort vision, cause headaches and sleep disturbances, and of course, sensory overload and meltdowns. Equally, some autists can be hypo or under sensitive to light. This can cause issues with depth perception, coordination and clumsiness in addition to blurred vision.

In my experience, I have some minor sensitivities to light. Bright lights don’t bother me as such, but I find that I sometimes need to wear sunglasses to take the edge off of a sunny day- sometimes even on a grey one. There exists many photos of me climbing a mountain in the midst of a rain storm wearing my sunnies without a care in the world!😂

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Getting to sleep can also be a minor issue for me if the lighting is wrong- a past trip to Norway during 24 hours of light was an absolute nightmare! (it’s just not right!! 😛 )

So why are we more sensitive to light?

Well, as with many aspects of autism, there has been little research into this particular trait. One study has shown that the pupillary light reflex (the reflex that causes our pupils to either shrink or dilate in response to light) is noticeably different between autists and neurotypicals. Results from this study indicated that this reflex is delayed in autists, where the pupils constricted at a slower velocity and a smaller amplitude (i.e. the maximum size the pupil could constrict to) to neurotypicals. If our pupils are not regulating the entry of light into our eyes as efficiently as our neurotypical peers, this could explain why light can sometimes overwhelm us.

Optic nerve hypoplasia (a condition where the nerve connecting the eyes and the brain is underdeveloped) has also been indicated in a number of cases of autism, with photophobia being one of the main symptoms. So perhaps the development of the optic nerve may be impacted in the autistic brain.

So what can you do to help navigate this sensory issue?

Wear sunglasses– Ah, my best friends! I carry a pair in my handbag at all times as you never know when the sun might unexpectedly peep out- even in Ireland! 😛 For night time, why not try an eye mask (although if you’re as fidgety as I am at night, this could end up on the floor before dawn! 😂)!
Install a dimmer switch– A useful tool to help optimize light levels to suit the individual (and loads of fun to play with! 😉 )
Coloured Filters (overlays or lenses)– These are designed to block specific wavelengths of light which a person may be sensitive to in order to manage visual stress; however, there is no real research to support this claim. But as I always say- if it works for you, give it a try! 🙂

Hope you enjoyed this post Earthlings! 🙂

Have a great weekend! 😀

Aoife

November 24, 2017 5

Autism and Nail Trimming

Greetings Earthlings! 🙂

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! 😀 ), 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! 😲

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Yep- nail trimming freaks me out that much! 😂

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! 😛 )!

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!

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Oddly enough I’m fine with toenails, unless I cut too close to the skin 😛

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! 😛

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…😬)

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Enjoy the weekend everyone! 🙂

Aoife

November 10, 2017 1

Autism Management- Sound

Greetings Earthlings 🙂

So leading on from my recent post about sound sensitivity and autism, today I’m going to expand a little bit more on the subject.

Fun Fact: Did you know that an estimated 65% of autists are sensitive to sound?

Being sensitive to sound can be quite challenging for those on the spectrum, but that doesn’t mean that it can’t be managed.

So here are some of my top tips for managing sound sensitivity:

Earplugs/Noise Cancelling Headphones- I know, it’s the obvious one, but it has to be said! Using these can really help to take the edge off for many autists in noisy environments. These can be especially helpful if you are a fan of live music, but find gigs too loud- I have genuinely seen people wear noise canceling headphones, earplugs and cotton wool to gigs, you will not be alone! 😀 Added Bonus– it can also discourage unwanted conversations 😉 If you’re in the market for a pair, the nice folks at reviews.com have a really good article comparing the best on the market: https://www.reviews.com/noise-canceling-headphones/
Listen to music– if you don’t appreciate the sound of silence like Simon and Garfunkel, then hooking a set of headphones up to a music player is another great way to manage sound sensitivity. You can control what sounds you will hear, drown out potential triggers and have some fun while doing so! 🙂 This is particularly useful in the workplace to help focus your mind on your work whilst keeping distracting sounds out.

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Top tip– headphones for leisure (comfier for long journeys, seal in the sound better, and will stop your parents complaining about the volume 😉 ); earbuds for the workplace (drown out sound whilst still allowing you to hear if you’re needed by colleagues).

Try a silent disco- If sound sensitivity is keeping you from partying the night away in the club, why not go to a silent disco (as seen in the final episode of Atypical)? These are quiet, but loads of fun- and they enable you to control both the volume and choice of music. As an added bonus, you can take off your headphones at any time and have a conversation without the need for shouting 😀

Move away from the offending stimulus– I know it sounds a little silly, but sometimes you just need to take a step away from offending sounds.

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We can’t always walk around wearing noise cancelling headphones -they can really irritate your ears if you wear them for too long, especially if you happen to be wearing earrings at the time! 😛

Top Tip- If you’re feeling overwhelmed by an irritating sound, especially on a night out, take a few minutes to go outside or to the bathroom, or try stepping out to the quiet of the smoking area (although this may result in a different kind of sensory assault…)

Ask if an offensive sound can be stopped– Naturally, we can’t go around demanding that someone chew less loudly or ask the DJ to turn the music down (can’t commit social suicide!), but it doesn’t hurt to ask a friend/family member to turn down the car radio volume, not to pop balloons around you or to stop playing with that sonic app that makes your ears bleed (remember people playing with those in school as the teachers could never hear the frequency?)!

Magnesium supplements– Now this one is a little weird. Some people believe that magnesium deficiency attributes to our sensitivity to sound…this smells a bit like pseudoscience to me… but hey- if it works for you, who am I to question it!

So there we have it Earthlings, my top tips for managing sound sensitivity on the spectrum 😀

Have a good weekend everyone (unless you’re back to school next week- in that case, my condolences! 😛 😉 )

Aoife

August 14, 2017 2