Sensory Profile Template

Sensory Profile Template

Client summary

Differences in autistic sensory systems

Sensory Profile Summary

  • Strengths
  • Challenges
  • Impact on daily life and functioning

Sensory profile in detail                      

Perception             

  • Gestalt perception
  • Inability to stop feeling the change
  • Fragmented perception
  • Distorted perception

Sensory Input

  • Intensity the sense is felt
  • Sensitivity to disturbance by stimuli
  • Fascination with certain stimuli
  • Inconsistency of perception (fluctuation)
  • Vulnerability to sensory overload

Sensory Processing

  • Sensory agnosia (difficulty interpreting a sense)
  • Mono-processing (number of channels working at a time)
  • Peripheral perception (avoidance of direct perception)
  • Compensating for unreliable sense using another sense

Alternative Sensory Perception

  • Daydreaming
  • Synaesthesia

Cognition And Memory

  • Perceptual memory, associative memory, (serial memory)
  • Perceptual thinking

Interventions and support recommendations

Risks of not implementing supports and recommendations

Conclusion

Questions in the SPCR

VISUAL (OBSERVABLE BEHAVIOUR)

  1. Notices every tiny change in the environment
    • Resists any change (all senses)
    • Doesn’t recognise a familiar environment if approached from a different directio
    • Is easily distracted by other visual stimuli in the environment (movement, objects, a piece of fluff, etc.)
    • Ritualistic behaviour
  2. Keeps ‘seeing’ a visual stimulus after it’s gone
  3. Resists any change
    • Selects for attention minor aspects of objects in the environment instead of the whole thing (e.g., a wheel rather than a whole toy car
    • Gets lost easily
    • Doesn’t recognise people in unfamiliar clothes
  4. Fears heights, stairs, escalators
    • Hesitates going up or down steps
    • Difficulty judging spatial relationships in the environment; bumps into people, objects
    • Appears startled when approached suddenly
    • Compulsive repetitive hand, head or body movement that fluctuates between near and far
    • Hits/rubs eyes when distressed (+hyper-, fragmentation, etc.)
  5. Response to visual stimuli is delayed (e.g., fails to close eyes when the light is switched on)
    • Any experiences are perceived as new and unfamiliar, regardless of the number of times they have experienced the same thing (across all sensory modalities)
  6. Hyper-Constantly looks at minute particles, picks up smallest pieces of fluff
    • Dislikes bright lights
    • Is frightened by sharp flashes of light, lightning, etc.
    • Looks down most of the time
    • Covers, closes or squints eyes at bright light
    • Hypo: Is attracted to lights
    • Looks intensely at objects and people
    • Moves/flicks/waves fingers or objects in front of eyes
    • Is fascinated with reflections, bright coloured objects
    • Runs a hand around the edge of an object
    • Perimeter hugging
  7. Squints or closes eyes in bright lights
    • Gets easily frustrated/tired under fluorescent lights
    • Gets frustrated with certain colours (Specify:)
  8. Is fascinated with coloured and shining objects (Specify: )
  9. May respond differently (pleasure – indifference – distress) to the same visual stimuli (lights, colours, visual patterns, etc.)
  10. Sudden outbursts of self-abuse/meltdowns or withdrawal in response to visual stimuli
    • Tires very easily, especially when in bright places
  11. Appears to be a mindless follower
    • Surprises with knowing ‘unknown’ information (+auditory)
    • Becomes disoriented in bright places
    • Doesn’t notice when people come into the room
    • Sometimes doesn’t react to visual stimuli
  12. Feels/acts blind
  13. When looking at something, doesn’t seem to hear/ feel being touched/smell, or to know the position of the body in space/what body is doing
  14. Avoids direct eye contact
  15. Smells, licks, touches or taps objects to recognise them (Specify which channel(s) compensate(s) for vision: )
  16. Seems to be absorbed (merged) with lights, colours, patterns
  17. Seems to know what other people (who are not present) are doing
  18. Covers/rubs/blinks, etc. eyes in response to a sound /touch /smell /taste /movement
    • Complains about (is frustrated with) the ‘wrong’ colours of letters/numbers, etc. on coloured blocks, etc.
  19. Displays a good visual memory; remembers routes and places
    • Reactions are triggered by lights, colours, patterns
    • Memorises enormous amounts of information at a glance
  20. Easily solves jigsaw puzzles
    • Learns nouns first
    • Has difficulties with adverbs and prepositions
    • Often poor at mathematics
    • Spatial: Is a good synthesiser
    • Provides solutions but is unable to explain how they have been reached
    • Develops own methods of problem solving
    • HEARING (OBSERVABLE BEHAVIOURS)
      1 Gets easily frustrated when trying to do something in a noisy, crowded room
      Doesn’t seem to understand instructions if more than one person is talking
      2 Keeps ‘hearing’ the sound (e.g., an alarm clock after it’s been switched off)
      3 Hears (with meaning) a few words instead of the whole sentence
      4 Pronunciation problems
      Unable to distinguish between some sounds
      Hits ears when distressed
      5 Response to sounds, questions, instructions is delayed
      Echolalia in monotonous, high-pitched, parrot-like voice
      6 Hyper-: Covers ears at some sounds
      Is a very light sleeper
      Is frightened by animals
      Dislikes thunderstorms, the sea, crowds
      Dislikes having hair cut
      Avoids sounds and noises
      Distracted/disturbed by sounds that others are unaware of (e.g., humming of electric appliances)
      Makes repetitive noises to block out other sounds
      Hypo-: Bangs objects, doors
      Likes vibration
      Likes excessively loud music, TV, etc.
      Likes kitchen and bathroom
      Likes traffic, crowds
      Is attracted by sounds, noises
      Tears paper, crumples paper in the hand
      Makes loud rhythmic noises
      7 Gets frustrated with certain sounds (Specify: )
      Tries to destroy/break objects producing sounds (clock, telephone, musical toy, etc.)
      8 Is fascinated with certain sounds (Specify: )
      9 May respond differently (pleasure – indifference – distress) to the same auditory stimuli (sounds, noises)
      10 Sudden outbursts of self-abuse/tantrums or withdrawal in response to auditory stimuli
      Tires very easily, especially when in noisy places
      11 Appears to be a mindless follower
      Surprises with knowing ‘unknown’ information
      Becomes disoriented in noisy places
      Sometimes doesn’t react to any sound
      Doesn’t respond when name is called
      12 Feels/acts deaf
      Ritualistic behaviour (+vision)
      13 When listening, doesn’t seem to see/feel touch (or can’t define texture or location of touch)/smell, or know position of the body in space, or body movements
      14 Reacts to instructions better when they are ‘addressed to the wall’
      15 Looks for the source of the sound (Specify which channel(s) compensate(s) for hearing: )
      16 Seems to be absorbed (merged) with sounds
      17 Seems to be able to ‘read’ thoughts, feelings, etc. of others
      18 Covers/hits ears in response to lights, colours/ touch, texture/ smell/taste/ movement
      Complains about (is frustrated with) a sound in response to colours/ textures/ touch/ scent/ flavour/movement
      19 Displays a good auditory memory (for nursery rhymes, songs, etc.)
      Reactions are triggered by sounds/words
      Uses idiosyncratic routinised responses
      Uses songs, commercials, etc. to respond
      Cannot keep track of conversation
      20 Interprets, manipulates and organises ‘sound pictures’


TACTILITY (OBSERVABLE BEHAVIOUR)
1 Unable to distinguish between tactile stimuli of different intensity (e.g., light and rough touch)
2 Keeps feeling tactile sensation longer
Insists on wearing the same clothes
Wants to wear shorts and t-shirts all year round
Wants to wear long-sleeve shirts and trousers all year round to avoid having skin exposed
Distressed when nails are cut
3 Complains about parts of the clothes
Some parts of the body may be hypersensitive while others are hyposensitive – e.g., hypersensitive to wearing anything on the wrists (e.g., watch, bracelet) but hyposensitive to wearing, e.g., shoes (doesn’t realise any problems from tight shoes until notices blisters or blood)
4 Hits/bites self when distressed
5 Response to tactile stimuli is delayed
6 Hyper-: As a baby, didn’t like to be held or cuddled; arched back, cried or pulled away
Resists being touched
Refuses to wear new or stiff clothes, turtleneck jumpers, hats, belts, bracelets, etc.
Distressed by clothes rubbing on skin, tags, seams in socks
Strips
Dislikes brushing teeth
Dislikes bathing/showering
Overreacts to minor cuts, scrapes, insect bites
Dislikes having hair washed/brushed
Overreacts to heat/cold/pain
Avoids getting ‘messy’
Avoids using hands
Dislikes food of certain texture
Avoids standing in close proximity (especially in lines) to other people
Finds it difficult to walk barefoot on grass or sand
Hypo-: Likes pressure, tight clothes
Seeks pressure by crawling under heavy objects
Hugs tightly
Enjoys rough and tumble play
Is not bothered by cuts or bruises
Low reaction to pain and temperature
Prone to self-injury: pinching, biting, banging head against the wall, etc.
Enjoys ‘messy play’
Unable to identify which part of body was touched if not looking
(In extreme cases) doesn’t feel the body
A messy dresser
7 Cannot tolerate certain fabrics (clothes, bedding) and textures, including food (Specify: )
Eats only hot or cold foods
Gags with textured foods
8 Is fascinated with certain textures (Specify: )
9 May respond differently (pleasure – indifference – distress) to the same tactile stimuli (clothes, touch, heat, pain, etc.)
10 Sudden outbursts of self-abuse/tantrums or withdrawal in response to tactile stimuli
11 Sometimes doesn’t react to any tactile stimuli
Fails to define either texture or location of touch
12 Feels/acts numb
Can’t interpret tactile sensations
13 When absorbed with texture, or manipulating objects, doesn’t seem to see/hear/feel/taste, etc.
14 Can tolerate only ‘instrumental’ (not ‘social’)
15 Taps/smells/licks/uses vision to identify objects (e.g., when retrieving from a bag) (Specify which channel(s) compensate(s) for tactility: )
16 Seems to be absorbed (merged) with certain textures
Seems to feel pain of others
Echoemotica – The tendency to adopt someone else’s emotions as your own
17 Complains about being touched/hot/cold, etc. in the absence of the stimuli
18 Reports seeing colours, hearing sound, etc. when being touched
Complains about (is frustrated with) feeling being touched when being looked at
Complains about (is frustrated with) backache, etc./heat/cold in colourful/noisy/crowded places
19 Displays a good tactile memory
Reactions are triggered by textures/touch/ temperature
20 Learning through touching objects, developing ‘tactile concepts’

OLFACTION (BEHAVIOUR PRESENTATION)
1 Unable to distinguish between strong and weak odours
2 Prolonged perception of olfactory stimulus
3 Complains about smells of some pieces of food while ignoring the rest
4 Hits nose when distressed
5 Response to smells is delayed
6 Hyper-: Reacts (often negatively) to smell that others are unaware of
Refuses to eat some foods because of their smell
Is bothered by cooking
Toileting problems
Runs from smells
Wear the same clothes
Moves away from people
Hypo: Smells self, people and objects
Smears (plays with) faeces
Seeks strong odours
Doesn’t seem to smell odours
7 Cannot tolerate some smells (Specify: )
Nauseated by certain odours
Disturbed by perfume (coughs, avoids, comments on)
8 Is fascinated with certain smells (Specify: )
9 May respond differently (pleasure – indifference – distress) to the same smells
10 Sudden outbursts of self-abuse/meltdowns or withdrawal in response to smells
11 Sometimes doesn’t react to any smell
12 Has difficulty interpreting smells
13 When absorbed with smell doesn’t seem to see/ hear/feel/touch, etc
14 Avoids direct smell
15 Inspects food before eating (compensating for smell) (Specify which channel(s) compensate(s) for sense of smell: )
16 Seems to be absorbed with smells
17 Talks about ‘non-existent’ smells
18 Covers/rubs/hits nose in response to a visual/ auditory stimulus/touch/taste/movement
Complains about (is frustrated with) the smell in response to a visual/auditory stimulus/touch/ taste/movement
19 Displays a good memory for smells
Reactions are triggered by smells
20 Defines places and people by smell (sniffs)

GUSTATION (BEHAVIOURAL OBSERVATION)
1 Is unable to distinguish between bland and spicy food
2 Prolonged perception of tastes
3 Confused with the food they used to like
4 Distressed when eating food
5 Response to gustatory stimuli is delayed
6 Hyper-: Picky eater (with very limited diet), resistive to trying new foods
Limits the variety of colour in their food choice
Eats only bland food
Uses tip of tongue for tasting
Gags/vomits easily
Hypo-: Eats anything (pica)
Mouths and licks objects
Craves excessively salty, spicy, sour foods
Eats mixed food (e.g., sweet and sour)
Regurgitates
7 Cannot tolerate certain tastes (Specify: )
Refuses to lick stamps or envelopes because of their taste
8 Is fascinated with certain tastes (Specify: )
9 May respond differently (pleasure – indifference – distress) to the same taste
10 Sudden outbursts of self-abuse/meltdowns/ difficult behaviours caused by taste
11 Sometimes doesn’t react to any taste
12 Has difficulty interpreting tastes
13 When absorbed with taste, doesn’t seem to see/ hear/feel touch, etc.
14 A very careful eater
15 Inspects food before eating (Specify which channel(s) compensate(s) for sense of taste: )
16 Seems to be absorbed (merged) with certain food
17 Talks about ‘non-existent’ taste in mouth
18 Makes swallowing movements in response to a visual/auditory stimulus/touch/smell/movement
Complains about (is frustrated with) some tastes in response to a visual/auditory stimulus/touch/ smell/movement
19 Displays a good memory for tastes
Reactions are triggered by certain food
20 Defines places, objects and people by taste (licks)

PROPRIOCEPTION (BEHAVIOURAL OBSERVATION)
1 Clumsy; moves stiffly
2 Prolonged perception of proprioceptive sensations
3 Complains about limbs, parts of the body
4 Difficulty getting dressed, doing buttons, zippers, tying laces
Has poor body awareness; bumps into things, knocks things over
Poor gross motor skills: catching a ball; difficulty with hopping, jumping, skipping, riding a tricycle/ bicycle
Poor fine motor skills: difficulty using pencils, scissors, combs, etc.
Difficulty learning dance movements, physical exercise
Seems unsure about how to move body during physical activities
Seems to do everything with too much force (walking, slamming doors, slamming objects down)
Has difficulties chewing, swallowing, sucking
5 Very poor at sports
6 Hyper-:Places body in strange positions
Difficulty manipulating small objects (e.g., buttons)
Turns the whole body to look at something
Walks on toes
Hypo-: Has low muscle tone
Has a weak grasp; drops things
Lack of awareness of body position in space
Unaware of body sensations (e.g., doesn’t feel hunger, etc.)
Appears floppy, often leans against people, furniture, walls
Stumbles frequently; has tendency to fall
Forcefully stomps feet while walking
Bites, sucks on fingers, hands
Chews on pens, straws, shirt sleeves
Grinds teeth
Hits, bumps, pushes other children
Rocks back and forth
7 Cannot tolerate certain body postures
8 Is often engaged in complex ritualistic body movements, especially when frustrated or bored
Enjoys crashing activities
Loves pushing/pulling objects
Intentionally falls on the floor
9 May have different muscle tone (low–high)
Pencil lines, letters, words, etc. are uneven (e.g., sometimes too tight, sometimes too faint)
10 Tires very easily, especially when standing
11 Seems not to know how to move their body (unable to change body position to accommodate task)
12 Seems not to know what their body is doing
13 When absorbed with body posture/movement doesn’t seem to see/hear/smell, etc.
14 Has difficulty in imitating/copying movements
15 Watches feet while walking
Watches hands while doing something (Specify which sense(s) compensate(s) for proprioception: )
16 Seems to be absorbed with body sensations
Echoemotica – Feeling other people’s emotions and confusing them with your own
17 Talks about ‘non-existent’ physical experiences (e.g., ‘I am flying’, etc.)
18 Involuntary postures of the body in response to a visual/auditory stimulus/smell/taste/touch
19 Displays a good kinaesthetic memory
Reactions are triggered by body sensations and movements
20 Mimics actions when instructions are being given

VESTIBULAR (BEHAVIOURAL OBSERVATIONS)
1 Resists change to head position/body movement
Resists new motor activities
2 Prolonged perception of vestibular stimulation
3 Compulsive repetitive hand, head or body movement that fluctuates between near and far
4 Fears heights, stairs, escalators
Seems oblivious to risks of heights, etc. Climbs high into a tree, jumps off tall fences
5 Holds head upright, even when leaning or bending over
6 Hyper-: Fearful reactions to ordinary movement activities (e.g., swings, slides, merry-go-round, etc.)
Difficulty with walking or crawling on uneven or unstable surfaces
Dislikes head being upside down
Moves swiftly
Avoids/dislikes escalators, lift
Terrified of falling
Becomes anxious or stressed when feet leave the ground
Hypo-: Continually seeks out all kinds of movement activities

Enjoys swings, merry-go-round
Craves intense and/or scary rides at amusement parks
Jumps on furniture, trampolines; spins in a swivel chair
Always on the move
Frequently twirls, spins self, runs round and round
Rocks back and forth (without realising – e.g., while watching TV)
Frequently puts head upside down
No safety awareness
7 Fears falling or heights
8 Spins, jumps, rocks, especially when frustrated or bored
Jumps on a trampoline for hours on end
Jumps off furniture or other high places
9 May respond differently (pleasure – indifference – distress) to the same movement activities (swings, slides, spinning, etc.)
10 Sudden outbursts of self-abuse/meltdowns/ difficult behaviours caused by excessive movement activities
Gets nauseated or vomits from excessive movements (swings, merry-go-rounds, cars, etc.)
11 Unable to change body position to accommodate the task
Rocks unconsciously during other activities (e.g., watching a video)
12 Becomes disoriented after a change in head position
13 When absorbed with body movements, doesn’t seem to see/hear/smell, etc.
14 Avoids balancing activities
15 Avoids climbing, walking on uneven ground (Specify which channel(s) compensate(s) for vestibular system: )
16 Seems absorbed with movement
17 Experiences movement while still (e.g., ‘I’m flying’, etc.)
18 Involuntary movements of the body in response to a visual/auditory stimulus/smell/taste/touch
19 Displays a good kinaesthetic memory
Reactions are triggered by movements
20 Thinking in movements