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Write down or check off all that apply to the child. If there is more than a few, the child needs an evaluation. And take heart, there is help. There is hope. There is therapy!
Infant ___ extremely active or extremely quiet ___ does not like to be cuddled, or will not let you put her down ___ a baby who seems to never sleep, does not develop sleep patterns ___ takes an unusually long time to nurse or finish bottle ___ does not like baby swings, or riding in car/or... ___ may only sleep when swinging or riding in car! ___ difficulty lifting head when on tummy ___ cannot crawl "on all fours" ___ uses soldier crawl, or scoots rather than use arms to bear weight ___ screams hysterically when hungry, wet, cold, or hot ___ must have absolute quiet to settle down/or must have certain sounds ___ cannot hold self upright in walker, high chair for more than a few minutes, when age appropriate ___ cries when bathed ___ struggles when changed ___ cannot latch on, or suckle to nurse ___ tenses, or cries when held in space ___ frequently make fists (after six months) Remember what you are looking for at the infant stage are extremes. Too much one way, or too much the other. Every baby has likes and dislikes. You are looking for a multitude of symptoms.
Toddler or Preschool ChildMotor Planning: ___ difficulty going up or down stairs ___ falls off of chairs, couches, bed ___ walks into walls, corners, people ___ difficulty with push and pull toys ___ cannot pedal tricycles, bikes, scoot type toys ___ potty accidents that go on and on ___ strong preference for or against playground equipment ___ difficulty guiding utensils to mouth ___ cannot use scissors ___ cannot hold pencil or crayon in correct grip ___ trouble kicking ball, or catching balloons ___ difficulty doing puzzles, Leggos, stacking blocks ___ spins, spins, spins ___ jumps, jumps, jumps ___ crashes, crashes, crashes
Clothing: ___ likes certain clothes, usually cotton ___ does not like sleeves that hit wrist, or high collars ___ does not like belts, or anything snug around waist ___ seams in clothing or socks bothersome ___ acts claustrophobic when slightly stuck in clothes ___ cannot snap, zip, buckle, or tie ___ wants tags removed ___ likes to be totally covered, or is constantly removing clothing ___ overdresses in hot weather, or under dresses in cold weather
Food: ___ does not like certain textures; too crunchy, soft, grainy, or slimy ___ complains food too hot, or too cold ___ prefers unusually hot, or unusually cold food ___ food has no taste, or tastes too strong ___ likes very few foods, or will eat anything ___ has hard time with spoons and forks ___ spills food and drinks frequently ___ uses sippy cup long after most children have moved on ___ chews with mouth open ___ over stuffs mouth, chokes ___ bites fingers and tongue while eating ___ messy eater, dribbles food down chin, or can't stand mess on hands ___ drops food on floor, all over table, unintentionally ___ dislikes carbonated drinks ___ cannot sit through a meal ___ prefers picking/grazing through the day, instead of regular mealtimes
Self-Care Skills: ___ does not like to brush teeth ___ hates taste of toothpaste ___ does not like baths, washing or combing hair ___ likes cool or very warm baths ___ cries when fingernails and toenails clipped, or hair cut ___ has trouble dressing self ___ does not like feet touched ___ always has shoes on, or never leaves them on ___ does not recognize need to go potty
Muscle Tone: ___ falls out of chairs ___ legs hang, rather than wrap around someone's hips when carried ___ won't carry objects, seem too heavy ___ rests head on hands or arms frequently ___ poor posture ___ fidgets and moves around a lot while sitting ___ can't get comfortable
Emotions and Fears: ___ severe temper tantrums, sometimes many per day ___ meltdowns in stores, restaurants, public places ___ withdraws into self, zones out ___ hides under furniture ___ acts out aggressively when touched, provoked, or upset ___ seems not to listen ___ easily frustrated, quick to anger ___ when excited, over does it, can't calm down ___ severe separation anxiety ___ trouble playing with other children ___ grabby, hugs too hard, body slams while playing ___ flits from one activity to another ___ seems under/over sensitive to pain ___ head in frustration ___ vomits a mouthful when too upset ___ afraid of falling in toilet ___ afraid of drain in tub ___ afraid of dark ___ afraid of new places, people ___ afraid no matter what consolation you give
Older Child (and these may also apply to some younger children) ___ easily distracted ___ difficulty hearing adult voices over background sounds ___ cannot follow directions without constant verbal reminders ___ cannot complete more than one direction at a time ___ does not complete tasks ___ dislikes changes in plans or routines ___ overly excited when people come to house/ ___ hides when anyone comes over ___ poor speech, articulation ___ stubborn, uncooperative, defiant ___ erratic sleep patterns ___ does not like loud noises or commotion ___ craves/avoids touching ___ unusually low/high energy ___ "falls apart" frequently ___ has trouble making choices ___ immature, baby talk, cries over inconsequential things ___ short attention span ___ won't join the group ___ clumsy, spacey, lazy ___ impulsive ___ speaks unusually loud/ talks too soft to hear ___ misses when placing objects on table ___ bumps into people and things ___ acts wild when in a group ___ forgets shoes, socks, homework, assignments ___ leaves the table during meals ___ difficulty with handwriting ___ reading and math difficulties ___ inverting/reversing numbers and letters ___ cannot judge time ___ poor written work
When there is a special needs child in the house, their behavior affects everyone in the family. All the parenting methods that may have worked with other children seem not to apply. This is very frustrating for the parents and siblings. Once an evaluation is completed and treatment has begun, the family can learn new and better ways of coping, and understanding what they can do to help their child, and consequently help the entire family. The signs you see listed below are some of the symptoms you may see in the family that has a Sensory Dysfunctional child.
Parents ___ migraine headaches ___ guilt feelings ___ hopelessness ___ suicidal thoughts ___ depression ___ chronic fatigue ___ fibromyalgia ___ anxiety disorder ___ low stress tolerance ___ lack of coping skills ___ memory impairment
Siblings ___ jealousy ___ anger ___ acting out ___ aggression ___ depression ___ withdrawal
Copyright © 2003 Michelle Morris. Reprinted with permission. _____________________________________________________________
About the Author: _____________________________________________________________
NOTE: Timing, duration, intensity, and frequency are key! A child must not only show multiple signs of dysfunction, but also have it significantly impair normal functioning in one or more areas. Also, other diagnoses must be ruled out that can mimic the symptoms of sensory dysfunction (or exist as a co-morbidity). This is not an official diagnostic checklist...but it WILL get you started. Take it to your doctor, OT, health professional and talk to them about pursuing a Sensory Evaluation if your child shows many indications of sensory dysfunction. ALSO, some of these are developmental milestones and must be considered relative to how old the child is. For more on age appropriate skills, see the following developmental checklists... The Infant/Toddler SPD Symptoms Checklist
And, here are some other important articles to check out... Behavior Problems In Children A new perspective on causes and treatment for behavior problems; an SPD perspective. Sensory Integration Dysfunction Symptoms Hypo- vs. Hyper-Sensitive, what you must know. Sensory Processing Disorder Checklist A comprehensive categorized checklist based on the various areas of dysfunction. The Adolescent/Adult SPD Symptoms Checklist Find out signs and symptoms of Sensory Processing Disorder with the adolescent and adult SPD checklist.
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