Ep. 96 When to Desensitize vs Accommodate Sensory Needs

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The NeuroAffirm Podcast 19 min 1 speaker 8 chapters transcribed 16 hours ago
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What is the core debate between desensitizing and accommodating sensory needs?

Unknown 0:08
What's up everyone and welcome to Making the Shift for Autistic Kids.
Sensory SLP 0:13
We're an SLP couple from California with four boys.
Unknown 0:16
And we're here every week to bring you neuro-affirming tips, tricks, and tools. Are you ready to make the shift? Let's do this!
Sensory SLP 0:29
Today we are diving into something that is such a hot topic. You can always count on me to bring you the hot topics. This is something that is very controversial and it is something that I have had many conversations, I don't argue, but people have argued at me about my beliefs on this topic because These are some of the questions that you need to start asking yourself as a neurodiversity affirming therapist, okay? So today we are talking about when it comes to sensory sensitivities, is that something that we should desensitize or is that something we should accommodate? Okay. And we're going to be diving into a lot today. We're going to talk about what is the difference between the two. And then we're going to talk about, you know, when is it okay to work on desensitization?
Sensory SLP 1:12
We're going to talk about when is it better to accommodate kids and how can we do this in a neurodiversity affirming way? That's really the goal of this conversation is how can we all get on board and do this in a neurodiversity affirming way? So first of all, let's talk about desensitization. Desensitization is when we slowly expose a child. And of course it could be a person, but we're just talking about kids today. Desensitization is when we slowly expose a a type of sensory input to a child repeatedly over time with the goal of reducing their sensitivity to that. So for example, it might be if a child's really sensitive to noise, it might be gradually exposing them to different noises and louder noises.
Sensory SLP 2:03
It could be If it's something food related, it could be gradually changing the texture of the food that they're comfortable with or the type of food in order to try to get them to eat more foods. Whereas an accommodation is adjusting the environment or the expectations in order to support those sensory needs. So for example, go back to that loud noise example. If we have a child who's sensitive to loud noises, desensitization would make them, would work toward getting them to tolerate more loud noises. Accommodating them would be giving them headphones, giving them a quiet space, allowing to take a break from the busy place that they are at whenever they need it, okay? And that is something that brings up a really important question though because sometimes not sometimes oftentimes people have the same question which is but this is affecting their day-to-day life this is a safety concern this is a health concern so we're going to talk about those as well so first let's talk about what the problem is when we force desensitization okay because in general

How do we define desensitization versus accommodation for sensory sensitivities?

Sensory SLP 3:19
Whereas there are a lot of people who are for desensitization. That is just not a practice that I am for because I just think that it's often not done in a neurodiversity affirming way. Okay. But we're not going to make this black or white. We're not just going to say, no, never. It's bad. Don't do it. We're going to talk about when are times when it might be something that you will do or need to do and how to do that in a more neurodiversity affirming way as well. Okay, but when desensitization is done without the consent of the child, or it's done in a way that is not enjoyable for the child, it can lead to trauma. It can be very traumatic for them. And instead of teaching them to actually better process the input.
Sensory SLP 4:06
It's just teaching them to better hide their discomfort. It's teaching them to mask their discomfort. So it doesn't actually get any easier. It's just their ability to cover up the fact that it's so uncomfortable for them is what they get better out doing. Okay, which is really sad to think about that we are just teaching kids to mask. So we've heard autistic adults say time and time again that the therapies they've had in the past that focused on just, you know, tolerating input has been very overwhelming, has been harmful, has led to trauma in their lives.

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