...."My 5 year old son is very bothered by loud, busy places/loud noises and tends to "shut down" or struggle when there is a lot of background noise. This is clearly interfering with his ability to function in school and social environments. His Occupational Therapist and Speech Therapist have not been able to offer any real advice on methods to address this problem. Do you have any suggestions? "
....--Patti
>
Sensitivity to certain noises and sounds is a very common problem in people
with Asperger¹s who also have sensory integration problems. This problem
is often called auditory defensiveness. Defensiveness occurs because the
individual is often trying to protect themselves from sounds that are very
irritating, scary or stressful. Some individuals are sensitive to only loud
sudden noises, such as fire drills, but others can be sensitive to noises
that others easily screen out, such as the background noises of machines
(e.g. fans, fluorescent lights, computers, ticking clocks, etc.) Also, some
individuals are sensitive to only certain voices, sometimes those that have
a higher pitched sound. Sensitivity to higher frequency sounds is also
common. Every person who has sensitivities experiences them differently.
The frustrating thing is that we can not always control for these sounds
that occur in our everyday environment and unfortunately the world seems to
be a louder place. Electronic sounds and loud music fill our lives. There are many ways to begin to help an individual with sensitivity to
sounds. Providing special accommodations for the individual or trying
methods to change the way sounds are emitted in the environment is
recommended. One might speak with professionals who treat children with
auditory sensitivity. I will try and provide some suggestions for each kind
of solution.
1. If you know that the child will be in an environment that will have
bothersome noises, you can try to provide strong sensory input before hand
that the child likes and helps them feel calm. These are often those that
offer strong input to the muscles and joints and deep pressure to the skin.
Some children like jumping or rough and tumble play. Carrying heavy
weighted objects or pushing heavy objects (wagons or carts) might also help.
2. Provide headphones or ear plugs that the child might use during the noisy
times. To view headphones made specifically for this purpose, log onto
www.sensorycomfort.com They also have a number of books and resources that
address this problem. In school, teachers might allow headphones if not
hooked into music, or some might even allow use of soft, Classical Music to
use on a Walkman.
3. Use earplugs (e.g. used for swimmers) that will provide protection,
however some children find these uncomfortable. You might try them first to
see how the child accepts them.
4. Some younger children might be do fine with just holding their hands over
their ears, if they are motivated enough to stay for a "noisy" event. For
instance, if they like musical concerts, you might help them cover their
ears to dampen down the sound.
5. I would not recommend taking a young child to fireworks displays if you
know they definitely have auditory sensitivity, However, if an older child
likes fireworks and is familiar with them but has auditory sensitivity, I
would recommend sitting far away and observing them from a distance.
Helping them cover their ears the entire time to dampen the sound might also
be helpful.
6. You might need to remove the child from the area until the sound goes
away or find a quieter corner that is away from the noise. For instance, in
a noisy restaurant try and find a quiet corner away from the kitchen. In a
noisy classroom you might suggest having a very quiet corner for the child
to go to get away from the noise.
7. Use rugs and/or curtains in a room to improve the acoustics of a room and
decrease the loudness of sounds. Turning off fluorescent lights might help.
(Use of natural lighting is often less stimulating anyway.)
8. Warn a child before hand if possible of any pending loud sounds. Let
them know you will be vacuuming the floor or using the washing machine and
help them with a plan to accommodate, whether it be to leave the room, wear
headphones, or use earplugs. In schools where fire drills occur several
times a year, you might speak to the teacher to see if there is a way to
warn the child ahead of time and develop a plan. In a small school or
preschool, you might suggest having the teachers use a soft sounding musical
instrument to warn the children, such as a triangle or soft Flute. The
preschool where my daughters attended has used the triangle for years and
has had many a successful fire drill.
9. Educate, educate, and educate! Share your awareness about your child¹s
sensitivity with teachers, family members, neighbors, etc. When a child
know that adults around him/her understand their "hidden" needs, the child
feels safer and is likely to feel less anxious.
10. If sensitivities to sounds become a serious issue that you would like to
see change, there are many specialists who can address these problems with
providing a kind of sensitivity training. Two methods that some people use
are called the Tomatis or Berard methods. These men have each developed
methods of intensive auditory therapy using specialized equipment. Those
using the method must be highly trained and have access to this equipment.
This type of intervention is usually directed at improving auditory
processing and decreasing sensitivity to auditory input although other
benefits are also reported. Many children and adults, especially those on
the Autistic spectrum, have been involved in auditory training. To learn
more about Tomatis, contact www.tomatis.com. To learn more about Berard, or
the Berard Auditory Integration Training system, contact
www.auditory-integration.net. There are some occupational therapists that
have started to combine the use of the Tomatis method and sensory
integration intervention together in their practice.
11. Some occupational therapists also have training with Therapeutic
Listening therapy that they use within the scope of a sensory integration
treatment session and in an intensive home program. To learn more about
this, see www.vitalLinks.net>
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