Imagine a child who screams and covers her ears at the sound of a vacuum cleaner, or another who constantly fidgets and crashes into furniture seeking intense sensations. Such behaviors are hallmarks of Sensory Processing Disorder (SPD), a condition in which the brain struggles to correctly process and respond to sensory information from the environment. Children with SPD may be overwhelmed by ordinary sensations (like noises, touches, or lights) or, conversely, under-responsive, not reacting to stimuli that others notice easily. In either case, their responses to sensory input appear atypical for their age and situation, often causing challenges in daily life at home and school.
SPD is not currently recognized as an official diagnosis in standard manuals like the DSM-5 or ICD-11. However, it is widely acknowledged by occupational therapists and other professionals as a real and impactful condition – especially in children with developmental differences. In fact, the most recent diagnostic classification for early childhood (DC:0–5) specifically includes SPD as a distinct disorder. Epidemiological studies estimate that between 5% and 16% of children in the general population have notable sensory processing difficulties. Prevalence is even higher in certain groups: up to 60–90% of children with neurodevelopmental conditions (like autism) experience significant sensory challenges. Parents are often the first to notice that their child’s reactions to sound, touch, or movement are unusual, and these observations can lead to an SPD evaluation. Early identification is important, because sensory difficulties can affect a child’s learning, behavior, emotional regulation, and social participation. The good news is that with understanding and support, children with SPD can learn coping strategies to navigate their sensory world more comfortably.
Clinical Features of SPD
Sensory Processing Disorder can manifest through a wide range of clinical features, depending on which senses are affected and whether the child is over- or under-sensitive. Many kids with SPD have a mix of sensory responses. Some common signs and behaviors include:
- Oversensitivity to stimuli (sensory over-responsivity) – The child may have extreme reactions to everyday sensations. For example, they might cover their ears or melt down in response to loud noises, become very upset by clothing tags or certain food textures, avoid messy play (disliking sand, finger paint), or refuse to be touched unexpectedly. What others consider mild sensations can feel painfully intense to a child with SPD.
- Under-sensitivity or lack of response (sensory under-responsivity) – In contrast, some children seem not to notice sensory inputs that others do. They may have a high pain threshold (not reacting much to bumps or scrapes), fail to respond when name is called, or appear oblivious to noxious odors or mess on their face. These children might seem disengaged or lethargic because typical levels of input don’t register strongly for them.
- Sensory seeking behaviors (craving) – Many children with SPD actively seek out intense sensory experiences. They might constantly fidget, touch everything, chew on non-food items, make loud noises, or crash into people and objects on purpose. They crave more sensation than others do, but even after getting it they may still appear disorganized or overstimulated rather than satisfied. For instance, a sensory-seeking child might spin in circles repeatedly without getting dizzy, or squeeze into tight spaces for deep pressure input.
- Motor coordination and body awareness issues – Some sensory processing issues affect the proprioceptive and vestibular senses (body position and balance). A child might have poor posture, slouching or tiring easily (postural disorder), or appear clumsy, bumping into things frequently. They could have difficulty with motor skills like catching a ball, using scissors, or handwriting (this is often linked to a subtype called dyspraxia, meaning trouble planning and executing movements). These children may also seek sensory input to know where their body is in space (e.g. pushing heavy objects or jumping frequently).
- Emotional and behavioral responses – Because sensory input can feel overwhelming or insatisfyingly faint, children with SPD often have strong emotional reactions. An unexpected touch or a bright, crowded room might trigger a fight-or-flight response, resulting in tantrums, anxiety, or avoidance behavior. On the flip side, an under-responsive child might seem withdrawn or difficult to engage. Over time, these kids may develop secondary behavior issues – for example, anxiety about going to places that have triggered sensory overload before, or frustration and low self-esteem from constantly encountering everyday activities that “feel wrong” to them. Parents and teachers often describe these children as being “on edge” or “in their own world,” not out of willfulness but due to their atypical sensory perceptions.
Each child with SPD has a unique profile – one might be hypersensitive to sound and touch but not to movement, while another seeks vigorous physical input yet is a picky eater due to texture aversions. What is common is that their responses to sensory stimulation are not well-tuned: the brain isn’t filtering, interpreting, or modulating sensory signals in the typical way. This can lead to confusion and stress for the child, who may not understand why certain sensations bother them so much (or why they crave others so intensely). It can also be bewildering for parents and educators until they recognize these behaviors as sensory-driven and not merely “bad behavior.”
Types of Sensory Processing Disorder
Researchers and clinicians have categorized SPD into several types or subtypes, which help describe the particular pattern of sensory challenges a person experiences. A widely used framework (originally developed by occupational therapist Dr. A. Jean Ayres and later expanded by Miller et al.) breaks SPD into three main categories with specific subtypes:
- Sensory Modulation Disorder (SMD): Difficulties regulating the degree of response to sensory input. This category includes:
- Sensory Over-Responsivity (SOR) – extreme sensitivity and overreaction to sensory stimuli (e.g. pain or fear response to normal sounds, touch, etc.).
- Sensory Under-Responsivity (SUR) – muted or delayed responses, as if not perceiving stimuli adequately (e.g. doesn’t notice name being called, slow to react to pain).
- Sensory Craving (SC) – an insatiable desire for sensory stimulation, leading to excessive sensory-seeking behaviors (e.g. constantly touching, moving, crashing into things) that are often disorganized or risky.
These modulation issues can apply to any sensory modality (vision, hearing, touch, taste, smell, as well as the vestibular/balance and proprioceptive/body awareness senses). Children with SMD struggle to grade their responses – they may go too high or too low in how they react to sensory input, rather than the moderated response one would expect.
- Sensory Discrimination Disorder (SDD): Problems with distinguishing between different sensory stimuli or discerning the nature of input. A child with SDD can detect that a sensation is present, but cannot reliably interpret its qualities. For example, they might hear sounds but struggle to tell whether a sound is coming from the front or behind, or not distinguish between similar letters by touch. In essence, the fine details of sensation are hard to interpret – the child may mix up similar sounds, misjudge the force needed to hold objects (due to poor proprioceptive feedback), or have trouble recognizing objects by feel with eyes closed. This can affect one or multiple senses. Difficulties with sensory discrimination can impact academic skills (like differentiating letter shapes or sounds) and day-to-day tasks (such as knowing how much force to use when closing a door or writing with a pencil).
- Sensory-Based Motor Disorder (SBMD): Challenges with balance, motor coordination, and planning of movements due to faulty processing of sensory information. This category includes:
- Postural Disorder: Poor core stability and difficulty maintaining upright posture or balance. Children may have low muscle tone, get fatigued easily, and struggle with activities that require physical stability (sitting upright, climbing stairs, etc.).
- Dyspraxia: Difficulty with motor planning – that is, thinking of and carrying out new or complex movements in the correct sequence. Kids with dyspraxia often seem clumsy or uncoordinated; they might have trouble learning to tie shoes, ride a bicycle, or perform tasks that have multiple steps. They may also avoid sports or playground activities because those skills are extra challenging.
It’s important to note that many children with SPD have a combination of subtypes rather than one isolated pattern. For instance, a child could have sensory over-responsivity in touch and sound, yet also have dyspraxia affecting motor skills. In one clinical study of young children with “idiopathic” SPD (SPD with no other diagnosis), over half of the children exhibited more than one type of SPD profile simultaneously. This overlap is common and suggests that the sensory systems are interconnected. Therefore, professionals will often assess a child across all these domains to build a comprehensive picture of their sensory processing profile.
Causes and Neurobiology of SPD
The exact cause of Sensory Processing Disorder is not fully understood. SPD is considered a neurodevelopmental condition, meaning it originates in the way the brain and nervous system develop and function. Genetic factors likely play a role – research suggests that sensory processing differences can run in families, hinting at an inherited component. At the same time, environmental factors and early experiences may influence sensory development. For example, premature infants or children who had extended stays in NICU can show sensory regulation difficulties later, possibly due to atypical early sensory experiences (though SPD also occurs in children with typical early histories).
Modern brain research is starting to reveal measurable differences in how children with SPD process sensation. Studies using tools like MRI and EEG have found that some kids with SPD show altered patterns of brain connectivity, especially in areas that manage multisensory integration (how different senses combine) and sensory “gating” (filtering out irrelevant input). In one review of neural mechanisms, children with SPD (particularly those with autism) were found to have atypical activity in brain networks responsible for modulating sensory input, which could explain their hypersensitivity or hyposensitivity. Another line of research measures physiological responses – for instance, the strength of a child’s skin conductance (sweat) response to sensations – and has noted that kids with SPD can have much bigger reactions than neurotypical children or those with ADHD, indicating a real difference in their bodies’ sensory reactivity.
Despite these insights, SPD’s etiology remains complex and multifactorial. There is no single “SPD gene” or lesion identified. Instead, it seems to result from subtle differences in how sensory neural pathways develop and how the brain learns to regulate responses. It’s also clear that SPD often coexists with other conditions (discussed below), which raises questions: are those conditions contributing to the sensory issues, or are the sensory issues a separate trait? Ongoing research aims to untangle these relationships.
One encouraging aspect is that the brain, especially in young children, is quite plastic – it can change and adapt. This means that with appropriate therapy and sensory-rich experiences, children’s sensory processing abilities can improve over time. Early intervention tapping into this neural plasticity may help “rewire” or strengthen the sensory processing networks. Conversely, extreme sensory deprivation or chronic stress during early childhood could potentially exacerbate sensory problems. Overall, the cause of SPD likely involves an interplay of a child’s genetic makeup and their developmental environment, affecting how their brain circuitry handles sensory input.
SPD in Autism, ADHD, and Other Conditions
Sensory processing difficulties are very common in individuals with certain neurodevelopmental disorders. In fact, atypical sensory responses are now part of the diagnostic criteria for Autism Spectrum Disorder (ASD) – many autistic children are hyper- or hypo-reactive to sensory stimuli or have unusual sensory interests (e.g. fascination with lights or textures). Research indicates that as many as 90% of children with autism have significant sensory processing challenges, with hypersensitivities (especially to sound or touch) being the most frequent pattern. Families of autistic children often report sensory issues as some of the most pressing daily challenges, whether it’s a child who cannot tolerate certain clothing fabrics or one who finds loud public spaces overwhelming. Sensory differences in autism can manifest in diverse ways: one child might cover their ears and cry in noisy environments (sound over-responsivity) while another might not respond to their name being called (auditory under-responsivity) yet be extremely picky about food textures.
SPD also frequently co-occurs with ADHD (Attention-Deficit/Hyperactivity Disorder). Children with ADHD can be very sensitive to sensory distractions – for example, the slight sound of a classmate tapping a pencil might derail their focus. They may also seek sensory stimulation, appearing fidgety or hyperactive not just from attention difficulties but because they crave movement (this can overlap with the sensory seeking subtype of SPD). Studies have found a large subset of children with ADHD who exhibit unusual sensory processing patterns beyond what is typically seen in ADHD alone. Likewise, clinicians note that some children initially thought to have ADHD (due to inattention or hyperactivity) actually primarily have sensory modulation issues – once their sensory needs are addressed, their focus and behavior improve. There is a diagnostic dilemma in teasing apart SPD and ADHD, since symptoms can overlap (both may have trouble sitting still, for instance). However, emerging evidence suggests differences: one study showed that children with sensory modulation disorder had more intense sensory symptoms and higher anxiety than those with ADHD, and also exhibited distinct physiological responses (greater electrodermal reactivity) to sensory stimuli. This indicates that while ADHD and SPD can co-occur, SPD is not simply “attention problems” by another name – it has unique features.
Besides autism and ADHD, sensory processing problems are reported in a variety of other conditions. Many children with anxiety disorders have sensory sensitivities; for example, a child with generalized anxiety might find unexpected touch or loud noises especially triggering, compounding their anxiety. Developmental Coordination Disorder (DCD), a motor skills disorder, often overlaps with sensory-based motor issues (by definition, children with DCD struggle with movement, and many also have poor processing of proprioceptive and vestibular input). Conditions like OCD (Obsessive-Compulsive Disorder) and bipolar disorder have also been associated with sensory processing differences in some cases. And notably, a subset of children have “pure” SPD – sensory challenges significant enough to impair daily life, but without meeting criteria for any other neurological or psychiatric diagnosis. These children might be labeled as having “idiopathic SPD” or “sensory processing disorder – standalone.”
Understanding the interplay between SPD and other diagnoses is important for both treatment and validation of SPD as a diagnosis. For years, skeptics argued that SPD was not a distinct disorder but just a feature of autism, ADHD, or anxiety. It is true that most autistic individuals and many kids with ADHD have sensory issues, yet there are also kids who have disabling sensory issues without autism or ADHD. The question “Is SPD its own disorder or just part of others?” has been debated in research and practice. The consensus today leans toward recognizing SPD as a useful clinical descriptor regardless of formal diagnostic status: whether or not a child has autism or ADHD, if they have sensory processing difficulties that cause problems, those difficulties should be identified and addressed. Indeed, the absence of an official DSM code for SPD has practical downsides – families of children with pure SPD often struggled to get insurance coverage for therapies. This has been slowly changing as awareness grows. The key takeaway is that sensory processing is a dimension of experience that cuts across many conditions, but some children (and adults) have extreme difficulties with sensory processing that warrant targeted support in their own right.
It’s also worth noting that unmanaged SPD can contribute to other issues over time. Children with SPD, especially if not supported, are at higher risk for secondary emotional and social problems. They may experience chronic stress from the onslaught of uncomfortable sensations, leading to anxiety or even depression in the long run. They might also develop behavioral disturbances (e.g. aggression or oppositional behavior) as a reaction to sensory overwhelm, or social isolation if they avoid play dates, school events, or other activities that are sensory-rich. Appreciating these ripple effects underscores why addressing SPD is so important – it’s not just about tolerating lights or sounds, but about a child’s overall well-being and ability to engage with the world.
Supporting Children with SPD: Educational and Behavioral Strategies
Helping a child with SPD thrive involves a combination of therapy, accommodations, and practical strategies at home and school. While there is no “quick fix” or medication to cure SPD, occupational therapy (OT) is the cornerstone of treatment and can make a significant difference in a child’s sensory functioning. Occupational therapists are specially trained to work on sensory integration and can design activities to improve a child’s ability to process and respond to sensory input. Below are key approaches and strategies for supporting children with SPD:
1. Sensory Integration Therapy (OT-SI): Typically delivered by a pediatric occupational therapist, this therapy involves guided, play-based activities that provide structured sensory experiences. The idea is to gradually retrain the brain to respond to input in a more adaptive way. For example, an OT session might include swinging in a hammock (to provide vestibular input), crawling through a Lycra tunnel (deep pressure and proprioception), playing in a bin of rice or beans (tactile input), or balancing on a wobble board. These activities are tailored to the child’s needs – giving just the right level of sensory challenge: enough to engage and build tolerance, but not so much as to overwhelm. Over time, sensory integration therapy can help a child become more comfortable with sensations they once avoided and more organized in their responses. Parents often notice improvements in regulation and even skills like attention and coordination after consistent therapy. In fact, some studies have shown that a well-implemented sensory integration program can increase concentration, improve behavior, and decrease anxiety in children with SPD. While results vary per individual, engaging the child in meaningful sensory play under the guidance of a therapist is considered one of the most effective interventions for SPD. Importantly, occupational therapy can also address specific skill deficits – for instance, if a child’s SPD includes dyspraxia (motor planning issues), the OT will work on fine and gross motor skills through fun activities (obstacle courses for balance and strength, craft projects for fine motor control, etc.).
2. “Sensory Diets” and Routine Accommodations: A “sensory diet” is a personalized plan of sensory activities embedded throughout the child’s day to help keep their nervous system regulated. Just as a nutritional diet spreads meals and snacks to nourish the body, a sensory diet schedules regular sensory input to nourish the child’s neurological needs. An occupational therapist usually creates this plan, which might include movement breaks (e.g. jumping on a trampoline in the morning, or doing animal walks in between homework tasks), texture experiences (like playing with putty or sand to desensitize tactile aversions), or calming inputs (such as slow rocking or deep-pressure massage before bedtime). Parents and teachers can incorporate these activities at home and in class. For instance, a school-age child with SPD might benefit from having: (a) access to noise-cancelling headphones to wear during loud events or while concentrating, (b) a box of fidget toys or stress balls at their desk for tactile stimulation, (c) permission to take a movement break in a designated sensory corner – maybe doing wall push-ups or using a swing – when they start to feel overwhelmed. These tools help the child self-regulate before sensory input becomes too much. In the classroom, simple accommodations like allowing the child to sit at the edge of group rug (if touch is an issue), providing a seat cushion or TheraBand on the chair legs (for kids who need to wiggle), or giving advance warning before fire drills or bell rings can prevent sensory meltdowns. At home, strategies might include creating a quiet “sensory retreat” space (a cozy tent or nook with dim lighting and soft pillows where the child can go to calm down), using white noise or earplugs at night if the child is sound-sensitive, or serving lukewarm/room-temperature foods if the child is sensitive to extreme temperatures in the mouth. The key is to anticipate and modify the environment in ways that help the child engage successfully, rather than expecting the child to simply “tough it out” through severe discomfort. With these supports, children with SPD can participate more fully in learning and play.
3. Behavioral Strategies and Coping Skills: While SPD is not a behavioral problem at its core, children may develop challenging behaviors (tantrums, refusal, aggression) as a communication of sensory distress. Thus, a big part of supporting these children is through empathy, patience, and teaching them alternative coping skills. Caregivers and teachers are encouraged to validate the child’s sensory experience (“I know the noise is bothering you; let’s put on your headphones”) so the child feels understood, rather than punished, for reactions they can’t help. Over time, adults can help the child identify early signs of sensory overload (e.g. hands on ears, pacing) and proactively use a coping strategy – such as asking for a break, doing slow breathing or a big tight self-hug for calming, or using words/picture cards to express “Too bright” or “Too loud.” Visual schedules and social stories can prepare children for potentially overwhelming activities (“We will go to the gymnasium; it might be loud, but you can wear your headphones and stand with me”). For some kids, gradual exposure techniques are useful: for example, a child terrified of haircuts due to tactile sensitivities might first practice by cutting a doll’s hair, then just visiting the salon for a few minutes, then eventually sitting for a trim with rewards and support at each step. The goal is to gently expand the child’s tolerance in a safe, controlled way. Throughout, it’s important to reinforce and praise the child’s efforts to cope (“Great job telling me it was too bright – you used your words instead of crying”). Over time, many children with SPD do make significant gains in self-regulation. They learn what helps them (perhaps an older child comes to realize that chewing gum or doodling in class helps them focus, or a teen learns they feel better wearing certain fabrics). Parents and teachers can then foster the child’s independence in using these strategies.
4. Collaboration and Consistency: Managing SPD is truly a team effort involving parents, teachers, therapists, and often the child themselves. Regular communication between the family and the school is crucial – for example, an occupational therapist can share a sensory profile and recommendations with the teacher, so that strategies are consistent across home and classroom. An understanding teacher who implements simple accommodations can prevent many sensory-related disruptions and help the child feel included. At home, parents might continue therapy techniques by setting up playful sensory activities or routines as advised by their OT. Consistency is key: the more regularly a child engages in regulating sensory activities, the more their nervous system can be maintained in an optimal zone (not too over- or under-stimulated). Support groups for parents can also be valuable, as they provide practical tips and emotional support. Finally, as children grow, it’s important to periodically re-assess their sensory needs – SPD symptoms can change with age (some sensitivities may lessen; new challenges can emerge in puberty, etc.), so their sensory diet or strategies might need updates. With ongoing support, many children with SPD learn to manage their sensory issues effectively, building confidence and skills that allow them to thrive in everyday activities.
Recent Research and Debates
In recent years, SPD has been the subject of increasing research interest, and with that has come some debate in the medical and educational communities. Here are a few of the key research discussions and developments from the past 5 years:
- Is SPD a distinct disorder or part of other diagnoses? This question has been at the heart of the SPD debate. As noted, SPD is not in the DSM-5, partly because committees felt there wasn’t enough evidence to define it as a separate condition. Skeptics have argued that what we call “SPD” might just be a feature of existing disorders (like autism, ADHD, anxiety) rather than an independent disorder. However, emerging evidence is bolstering the case that SPD can stand on its own. For example, a 2021 study examining children with “idiopathic” SPD (children who had sensory issues without autism or other diagnoses) found that these children showed patterns of sensory symptoms and even physiological responses that differed from children with ADHD or typical children. The researchers concluded that SPD, ASD, and ADHD are related but distinct conditions, since the SPD-only group had unique sensory difficulties (and not merely milder forms of autism/ADHD). Additionally, SPD has now been formally recognized in the DC:0–5 (the diagnostic guide for early childhood) as a separate condition, which lends some clinical legitimacy. Many professionals take a pragmatic view: whether or not we call it a distinct “disorder,” identifying sensory processing problems is important because it guides effective intervention. The debate continues, but there is growing acceptance that some children’s sensory challenges cannot be fully explained by other diagnoses, and thus the SPD label has practical value for intervention planning.
- Developing objective diagnostic measures: One challenge has been the lack of universally accepted assessment tools for SPD. Diagnosis often relies on caregiver questionnaires and clinical observations. Researchers are seeking more objective ways to identify SPD – for instance, neurophysiological markers. Recent studies have used methods like EEG brainwave recordings or measuring autonomic responses (heart rate, skin conductance) when a child encounters sensory stimuli, to see if children with SPD show distinct patterns. Some findings (as mentioned earlier) indicate they do – e.g. differences in sensory evoked potentials in the brain, or stronger galvanic skin responses during sensory challenges. Efforts are also underway to refine standardized tests. In fact, a new performance-based assessment called the Sensory Processing Three-Dimensional (SP3D) Assessment has been developed and is in validation testing. Such tools aim to measure sensory processing more directly and comprehensively. The push for better diagnostics is not just academic – it ties into the debate above, because demonstrating that SPD can be reliably identified (and distinguished from other issues) would strengthen the case for recognizing it as a specific disorder. Researchers have noted that “psychometrically sound measures of SPD are needed, and further study of the neural mechanisms is vital for validating idiopathic SPD as its own diagnostic entity”.
- Effectiveness of interventions: Another debate surrounds the therapies for SPD, especially sensory integration therapy. Anecdotally, many families and OTs report significant improvements in children who undergo sensory-based therapies. But critics have pointed out that for a long time, the scientific evidence lagged – early studies were often small or methodologically weak. Over the last 5 years, larger and more rigorous studies have been conducted. Some randomized controlled trials with autistic children (who had sensory issues) showed that those receiving manualized sensory integration therapy made greater gains in functional skills (like self-care and social responsiveness) compared to control groups receiving usual care. Systematic reviews have also reported positive outcomes, such as improvements in autistic children’s goal attainment and motor skills, after a course of OT-SI intervention. These results are promising, yet not all studies are uniformly positive. A 2020 review by Camarata et al. (with input from Dr. Lucy Miller, a leading SPD researcher) noted that while sensory integration interventions are widely used, the evidence base is still “emerging but limited,” and more high-quality research is needed. Essentially, we are at a point where the field recognizes that sensory therapies can help, but we are still mapping out for whom and how much. The debate here isn’t so much whether to provide sensory support (most agree it helps at least some children), but rather how to optimize these interventions and objectively measure their impact. Researchers are calling for larger trials with clear outcome measures, to move the evidence from anecdote to strong empirical support. Meanwhile, occupational therapists are increasingly required to use evidence-based practices, and the good news is that sensory-based OT for autism was recently listed as an evidence-based practice by one authoritative review. As research continues, we expect to see refinements in therapy techniques (for example, identifying which specific sensory techniques yield the best results for certain profiles of kids).
- Innovations and future directions: Beyond traditional OT gym activities, new and innovative approaches are being explored to help individuals with SPD. One exciting area is the use of technology and virtual reality (VR). Because VR can simulate environments in a controlled way, therapists can use it to gradually expose or engage children with different sensory stimuli. For example, a VR program might help a child get used to the sounds and visual complexity of a classroom by slowly increasing the volume or number of people in a virtual scene, providing real-time coaching on coping strategies. Early case studies suggest VR might help some children build tolerance in a fun, game-like format – though research is in its infancy here. Another avenue is neuromodulation techniques, such as gentle brain stimulation or neurofeedback, to directly influence the brain’s sensory networks. Researchers have begun preliminary trials of techniques like transcranial direct current stimulation (tDCS) in adolescents with sensory issues, aiming to see if altering excitability in certain brain areas can reduce sensory over-responsivity. It’s too early to draw conclusions, but this line of investigation underscores that SPD is being taken seriously as a neurological condition worthy of novel treatments. Even more straightforward tech like noise-reducing headphones, vibrating sensory gadgets, or apps that guide deep breathing are being studied as tools to empower children to self-calm and focus despite sensory distractions.
- Integrating sensory knowledge into broader contexts: Finally, a recent trend in research and advocacy is emphasizing “sensory health” as part of overall health. Professionals argue that just as we consider mental health crucial for quality of life, we should also recognize sensory processing as a vital aspect of health – something that can profoundly affect a person’s daily functioning and happiness. This perspective pushes for sensory-friendly designs in public spaces (e.g., sensory-friendly movie screenings or quiet rooms in schools) and greater community awareness. The debates here revolve less around “is SPD real” and more around “how can we accommodate sensory differences in society.” Given how common sensory issues are (in both neurodivergent and neurotypical people – think of how you might feel unsettled by nails on a chalkboard or get dizzy easily on a boat), there’s growing empathy that accommodating sensory needs benefits everyone.
In summary, the past several years have seen SPD gain traction in research circles, with a shift from questioning its existence to figuring out best practices for identification and intervention. There are still lively debates – particularly about diagnostic classification and intervention efficacy – but the trajectory is toward greater understanding. For parents and educators, these developments are encouraging because they validate the experiences of those dealing with SPD and promise even better tools and strategies in the future.
Conclusion
Sensory Processing Disorder can present significant challenges, but with knowledge and support, children with SPD can learn to navigate the world more comfortably. It’s important for parents and teachers to remember that these children are not “misbehaving” on purpose – they are responding to a sensory world that feels vastly different to them. By recognizing SPD and implementing tailored strategies, we can help these kids feel safe, focused, and ready to learn. As research continues to evolve, we anticipate even more effective ways to assist individuals with sensory differences. In the meantime, a combination of compassionate understanding, sensory-smart environments, and occupational therapy can greatly improve the day-to-day lives of children with SPD and their families. Every child deserves to engage with the world in a way that makes them feel “in sync” rather than “out of sync,” and building that bridge is at the heart of addressing Sensory Processing Disorder.
References:
- Galiana-Simal, A., et al. (2020). Sensory processing disorder: Key points of a frequent alteration in neurodevelopmental disorders. Cogent Medicine, 7(1), 1736829. DOI: 10.1080/2331205X.2020.1736829 ivysci.comivysci.com
- Patil, O., & Kaple, M. (2023). Sensory Processing Differences in Individuals With Autism Spectrum Disorder: A Narrative Review of Underlying Mechanisms and Sensory-Based Interventions. Cureus, 15(10): e48020. DOI: 10.7759/cureus.48020 pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov
- Mulligan, S., et al. (2021). Characteristics of Idiopathic Sensory Processing Disorder in Young Children. Frontiers in Integrative Neuroscience, 15, 647928. DOI: 10.3389/fnint.2021.647928 frontiersin.orgfrontiersin.org
- Frontiers in Integrative Neuroscience (2020). Evaluating Sensory Integration/Sensory Processing Treatment: Issues and Analysis (Camarata, S., Miller, L.J., & Wallace, M.). Front. Integr. Neurosci. 14:556660. DOI: 10.3389/fnint.2020.556660 frontiersin.orgfrontiersin.org
- Passarello, N., et al. (2022). Sensory Processing Disorders in Children and Adolescents: Taking Stock of Assessment and Novel Therapeutic Tools. Brain Sciences, 12(11):1478. DOI: 10.3390/brainsci12111478 pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov
- Cleveland Clinic (2025). Sensory Processing Disorder (SPD): Symptoms & Treatment. Cleveland Clinic Health Library (medically reviewed 03/20/2025)my.clevelandclinic.orgmy.clevelandclinic.org
- Child Mind Institute (n.d.). The Debate Over Sensory Processing. ChildMind.org childmind.orgchildmind.org
- Findler, E., et al. (2021). Sensory Over-Responsivity as an Added Dimension in ADHD. Frontiers in Human Neuroscience, 15, 645788. DOI: 10.3389/fnhum.2021.645788 frontiersin.orgfrontiersin.org
- American Occupational Therapy Association (2018). Advances in Diagnosis and Treatment of Sensory Processing Disorders. OT Practice, 23(7), 8-12. frontiersin.orgfrontiersin.org
- Schaaf, R.C., et al. (2020). Efficacy of Occupational Therapy Using Ayres Sensory Integration®: A Systematic Review. American Journal of Occupational Therapy, 74(2), 7402180010p1–7402180010p10. DOI: 10.5014/ajot.2020.037226 my.clevelandclinic.orgpmc.ncbi.nlm.nih.gov


