Children's Occupational Therapy Service

Supporting children with sensory processing needs

Sensory processing is how the brain takes in information from our senses and makes sense of it.

We use our senses all day. 

They help us:

  • understand the world around us
  • move safely
  • manage our feelings
  • take part in everyday activities

Most children develop these skills as they grow. Some children process sensory information differently.

A child may:

  • be more sensitive to some sensations
  • need more sensory input
  • experience both

Sensory processing differences can affect how a child feels, behaves and joins in with everyday life.

Understanding these differences can help families, schools and professionals work together to support children.

Common sensory processing differences

Every child is different. The examples below are a guide only.

SenseMay need more inputMay be sensitive to input
Sight
  • enjoys lights, reflections or moving objects
  • likes lots of things to look at
  • dislikes bright lights
  • wears a cap or hood to reduce light
  • feels overwhelmed in busy places
  • finds clutter, movement or lots of colours difficult
Smell
  • does not notice strong smells
  • seeks out strong or unusual smells
  • notices smells that other people do not
  • is bothered by perfume, aftershave or household scents
Hearing
  • talks loudly
  • enjoys noisy places
  • does not always respond when their name is called
  • covers their ears
  • avoids noisy places
  • worries about loud noises
  • is distracted by background sounds
Taste
  • enjoys strong flavours
  • likes spicy or salty foods
  • chews or mouths non-food items
  • dislikes strong flavours
  • prefers foods at a certain temperature
  • gags on some foods
  • finds new foods difficult to try
  • eats only a small range of foods
Touch
  • enjoys messy play
  • seeks out different textures
  • touches objects often
  • walks on their toes
  • uses too much force when touching things
  • prefers touch on their own terms
  • dislikes certain fabrics or clothing labels
  • reacts strongly to unexpected touch
  • walks on their toes
Body awareness
  • bumps into things
  • trips or falls often
  • leans on people or furniture
  • looks at their feet when walking or using stairs
  • not usually described as being sensitive to input
  • difficulties are more often linked to needing extra body awareness input
Balance and movement
  • finds it hard to sit still
  • runs instead of walking
  • enjoys spinning, swinging or hanging upside down
  • feels dizzy easily
  • dislikes lifts or escalators
  • gets travel sick
  • finds busy places overwhelming
Internal body signals

Reduced awareness:

  • does not notice when they are hurt or unwell
  • does not recognise when they are hungry or full
  • has difficulty noticing when they need the toilet
  • does not realise they are too hot or too cold

Increased awareness:

  • is very sensitive to pain
  • often reports discomfort
  • finds it hard to wait for food when hungry
  • struggles when feeling too hot or too cold

Learn more about sensory processing

We recommend watching these videos.

They explain sensory processing and share practical ideas that can be used at home and in education settings.

How we use our senses

Recognising our sensory needs

Supporting our sensory needs

How we support children with sensory processing needs

Children's sensory needs are best supported when families, schools and professionals work together.

We use a 24-hour approach. This means we look at how a child can be supported at home, in education settings and in the community.

Sensory Lead approach

The Sensory Lead approach helps schools and families understand and support a child's sensory needs.

For schools and education settings

We offer free training for:

  • early years settings
  • schools
  • education providers

Each setting chooses one or two members of staff to become Sensory Leads.

The training includes:

  • information about sensory processing
  • practical tools and resources
  • resources to share with home
  • ongoing support from the sensory service through optional online half-termly supervision
  • a shared approach for home and education settings

For parents and carers

We also offer training for parents and carers.

The training includes:

  • information about sensory processing
  • practical tools and resources
  • resources to share with education settings
  • access to ongoing support through our virtual clinic
  • a shared approach between home and education settings

This helps everyone support the child in a consistent way.

Parent and carer training

For information about training:
Email: sensoryprocessing@ncic.nhs.uk

After attending training, we encourage parents and carers to complete the:

Parent strategy recording sheet

This helps you keep track of the strategies you have tried and what effect they had.

Education settings

Schools and education providers can contact:
Email: sensoryprocessing@ncic.nhs.uk

to learn more about becoming part of the Sensory Lead Approach.

Virtual clinic appointments

Many families find that the information, videos and training on this page give them the support they need.

If your child is still finding things difficult after trying strategies for at least 3 months, you may wish to book a virtual clinic appointment.

A virtual clinic appointment provides advice and support. It is not a referral for specialist treatment.

Before requesting an appointment

Please:

What happens during a virtual clinic

You will have a 45 minute Microsoft Teams appointment with an Occupational Therapist.

The discussion will focus on:

  • the difficulties your child is experiencing
  • strategies you have already tried
  • what has worked well
  • new ideas that may help

Before the appointment, it can help to think about goals for your child.

For example:

  • brushing their hair more independently
  • joining family outings
  • walking on the beach
  • coping better at mealtimes

After the appointment, you will receive a written summary and recommendations.

Booking a virtual clinic appointment

To request an appointment:
Email: sensoryprocessing@ncic.nhs.uk

Please include your completed Parent strategy recording sheet.

National resources

NHS Greater Glasgow and Clyde

Information about:

  • sensory processing
  • common signs
  • practical advice
  • support options

Sheffield Children's NHS Foundation Trust Sensory Service

Videos and resources about:

  • dressing
  • eating and mealtimes
  • toileting
  • bathing and showering
  • hair washing
  • tooth brushing
  • nail cutting
  • sleep
  • going out and about

Making Sense of Sensory Behaviour [PDF, 265KB]

A practical guide for parents and carers.

National Autistic Society

Information and resources about sensory processing differences.

Making Sense with the Natural World [PDF, 8.3MB]

Ideas about how outdoor and natural environments can support sensory development.

How schools can support a child with ARFID

Practical advice for schools and education settings on supporting children with Avoidant Restrictive Food Intake Disorder (ARFID).

Sensory needs and toileting

Information and practical advice from ERIC.org.uk to help children with sensory processing differences who experience toileting difficulties.

Autism and menstruation

Advice and guidance from the National Autistic Society about supporting autistic children and young people with menstruation.

Autism Education Trust Environmental Audits

Tools to help identify changes that may improve sensory environments.

Available versions include:

Early Years Environmental Audit [PDF, 409KB]

School Age Environmental Audit [PDF, 160KB]

Local resources

Using My Senses [PDF, 272KB]

A practical guide to understanding and supporting sensory needs.

Sensory Processing Needs

Information from NHS Lancashire and South Cumbria.

Moving 2 Write

A programme created by an Occupational Therapist and delivered through Early Years services.

It supports:

  • sensory and movement skills
  • early writing skills
  • taking part in classroom activities

Ask your child's education setting to contact their Early Years Adviser for more information.

A Stitch Different

A Cumbria-based community organisation run by parents and carers.

Products include:

  • weighted blankets
  • lap pads
  • neck wraps
  • body socks
  • compression bed sheets

Learning Disability and Autism Services

Community Learning Disability Teams 

Community Learning Disability Teams support children and families where there is a learning disability or autism diagnosis.

Neu Way Support

Neu Way Support provides early advice, guidance and practical support for families of children and young people with neurodevelopmental differences.

You do not need a diagnosis to use the service. Support is available if you:

  • have questions about your child's development
  • are waiting for an assessment
  • have recently received a diagnosis
  • would like practical advice and support

Families can access information, local services, workshops and support groups to help them understand and support their child's needs.

Crisis support

If you need urgent help for your child's mental health or wellbeing, contact:

  • your local crisis service
  • NHS 111
  • emergency services if there is an immediate risk of harm