Sensory Responsiveness
This article explains the differences between hyposensitive, normal, and hypersensitive children.
Sensory Responsiveness
Underreactive/ Hyposensitive | Modulated | Overreactive/ Defensive/ Hypersensitive | |
What's happening in the nervous system | Nervous system inhibits sensory message, resulting in low or no arousal. Sensory input registers too little or not at all. | Nervous system registers and modulates incoming sensory messages well. | Nervous system facilitates sensory input message, resulting in inappropriately high arousal. Sensory input registers "too loud." |
Outward behavior | Child tends to be passive, doesn't react quickly to stimuli. Child tends to have low muscle tone, a flat affect (not animated), and prefer sedentary activities. | Interacts age-appropriately with people and objects. | Child tends to be on guard to protect against noxious sensory stimuli. She may exhibit fight-or-flight behaviors (acting out) due to perceived threats to her safety. |
How a child may compensate (Behavioral compensations can be really confusing: that's why you need to do your detective work with an OT to figure out what's really going on.) | Sometimes, an underaroused child may rev up his engine and be very active to keep his nervous system primed. So, paradoxically, a hyposensitive child can "look" like a hypersensitive child. | Child may occasionally be over- or understimulated, especially when tired or hungry, but is usually able to tolerate a wide variety of sensory experiences without unusual reactions. | Child may try to block out overwhelming sensory input by shutting down and tuning out. An overreactive child can look like a withdrawn, inactive child. |