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Understanding Your Child's Sensory Profile

Hyper-sensitive, hypo-sensitive, or both — and what it means practically

5 min read · Aminy BCBA Team, BCBA

Sensory processing differences affect 90%+ of autistic individuals. The same child can be hypersensitive in some senses and hyposensitive in others — which looks contradictory until you understand the neuroscience.

The 8 senses

Most people know 5. There are 3 more that matter enormously for autistic kids:

  • Proprioception: sense of where your body is in space. Impacts need for jumping, crashing, tight hugs, heavy work.
  • Vestibular: sense of movement and balance. Impacts need for spinning, swinging, rocking.
  • Interoception: sense of internal body states (hunger, thirst, needing the bathroom, heart racing). Often dysregulated in autistic people — they may not feel hunger until it becomes extreme, or feel anxious without knowing why.

Hypersensitive (over-responsive): Brain amplifies input

  • Covers ears in normal environments
  • Gags at textures others don't notice
  • Cannot wear certain clothing
  • Overwhelmed in visually "busy" environments
  • Light touch feels painful; avoids hugs

Hyposensitive (under-responsive): Brain doesn't register input adequately

  • Seeks intense sensory input: crashing, spinning, chewing, very loud music
  • Doesn't feel pain or temperature reliably
  • May not notice when hungry or needs to use the bathroom
  • Appears clumsy or unaware of personal space

A sensory diet is not a food diet

It's a scheduled set of sensory activities throughout the day designed to keep the nervous system regulated — like a maintenance schedule. A good OT or BCBA will build one based on your child's specific profile. Without it, the nervous system gets dysregulated by late afternoon regardless of what happens.