Autistic Life Skills: Noise Blocking Headphones

Disclaimer: I receive no financial incentive to write this post. I don’t generally post product links because I assume you know how to use google. Sometimes I do, just to make my point clearer. I don’t get any compensation if you make a purchase using those links. The point of this post, as with all of this blog, is simply to share my experience in the hope that it will make education better for the students who come next.

Probably the most common association with autism and sensory challenges are the over-ear noise blocking headphones that many children and adults wear due to extreme sounds sensitivity. I’m not generally sounds sensitive (which is a very good thing since to say my classroom is loud would qualify in the runnings for “understatement of the year.”) However, I do get sound sensitive when I have a migraine or when my anxiety is very triggered. So, after a bit of research on the difference between noise cancelling and noise blocking headphones (I found this article particularly helpful) I decided to invest in a pair of Pro for Sho noise blocking headphones. (Primary positive attributes: under $20 price point and they came in purple!)

They worked exactly as advertised. My husband was able to watch Game of Thrones in the living room while I went about my life in the rest of the house without my being bothered by it in the least. (I may be the only person in the world, but I really don’t like Game of Thrones.) But they also had two other benefits that I didn’t expect, which are the point of this post.

The first was that wearing it seemed to have the effect of dampening all of my senses, not just my hearing. I assume that has to do with the way in which the sensory system is all interconnected. However, I was able to do several cleaning tasks, which are usually very draining due to the onslaught of tactile and olfactory input, and barely notice the effect.

The second, and this was the real surprise, is that I almost immediately started craving the input they gave. (I’m a very strong sensory seeker.) I wore them later in the evening when I was alone in the quiet house just because I liked the way they felt on my head and made the world sound.

I did not anticipate that this type of sensory support would have the same type of psychological benefits as stimming, but it does. I haven’t seen anyone writing or talking about that benefit before, and I think as parents and professional begin to understand the benefits on fidgeting and stimming on the neuro-atypical brain, we need to explain the other use of sensory interventions with that same model. I know it will be part of my explanatory arsenal going forward. (And those purple headphones are going to find a permanent home in my bag!)

Autistic Life Skills: Toothbrushing

Full Disclosure: I don’t get any money for telling you what products I use, like, or don’t like. My opinions are just that, my opinions. There are no product links on this page. I assume you know how to use google.

My goal, in this “Autistic Life Skills” series is simple. To, hopefully, provide a more comprehensive understanding of the complexities of developing skills that incorporate sensory challenges, so that other teachers and parents (and other autistics who struggle with those same skills) might find some guidance to approach the teaching of these skills with less frustration on everyone’s part. Hopefully, a way to end the episodes of “wrestling a crocodile” (as the parent of one of my students describes their nightly toothbrushing routine.)

As a child, I was lucky that toothbrushing was never a battle my mother chose to pick. I thought I was very clever in the ways I hid the fact that I wouldn’t do it from her. I wasn’t; she just chose not to fight me about it. Through the luck of good genetics and floride in the water, I never got a cavity, but that luck certainly had nothing to do with my (lack of) toothbrushing.

I was in my 30s when I stopped getting nauseous and sometimes physically sick at the dentist, because I was able to advocate for myself to not get any flavored pastes (they make me sick) and to skip the floride treatment (the texture and taste - yes I can taste it!) makes me gag.

I was nearly 40 when I finally developed a tolerance for the electric toothbrushes that the dentist recommended. I still hate the Sonicare ones and won’t use them. But I worked my way up with the pulsar ones (the vibrating ones that look like manual toothbrushes) and now can use the Oral-B electric toothbrush (well, the CVS generic version!) They have a smaller brush head that means the vibrational input in my mouth is more localized, and the handle doesn’t vibrate as dramatically, so I get the input (and cleaning power) without my whole face, hand, and arm vibrating, which I never could stand. I’m still waiting for the dentist to tell me that my toothbrushing has gotten good enough that I can stop going every three months. Maybe next time?

Why do I tell that story? Because most of my students do not have the language to explain things as clearly as I just did. And yet, as verbal and generally self-aware as I am, look at how long it took for me to figure it out and find relief. I’m not saying that everyone with sensory challenges experiences dental hygiene the same way I did. I’m saying these are the places to start looking when a student struggles.

Especially when working with an older student, it’s important to recognize that there is likely a trauma component to the resistance to learning this skill. Do your research: what’s been tried in the past? How does the routine go at home? What are dental visits like? For many of our students, it’s a battle of wills with the parent at home, and either restraint or sedation at the dentist office. This is a breeding ground for trauma. You can’t start with sensory desensitization, or do sensory desensitization alone, and expect it to be effective. It might be effective in the classroom if they have a positive relationship with you, but it won’t transfer to the home environment. You have to work with the student and the parent to build trust around the routine and more positive associations.

What does that look like in practice?

We start by getting the student to hold the toothbrush.

Then we work on bringing to their face (any part accepted)

Slowly we work toward bringing to the lips.

Next is getting them to open their mouth.

Once they will hold it in their mouth for a count of 10 we can start putting it in each section of the mouth.

Then work toward top and bottom of each section.

Only after that do I introduce the “brushing” motion.

Some students can and will skip steps.

Some students do better starting with the vibration on.

The vibration scares some students away (like it did me.)

For some students we alternate: do each step without and then with vibration before moving on to the next step.

That’s going to depend on their sensory profile, and also where their sensory regulation is that day. (I know I’m more sensory defensive when I’m anxious or tired.)

Toothbrushing is a challenge, but it shouldn’t be a battle. Take on the challenge, work with your student, but know when to pick your battles and don’t make it a battle you choose to pick.