Infant SPD Symptoms (ages 0-3)
This is a fairly basic checklist to help identify what traits a baby may have that are related to SPD. The list may seem very long, but it is a condensed version that covers the full range of symptoms babies from the ages of zero to three with Sensory Processing Disorder can have. All checklists on this site are made to print well, so feel free to print this out and mark how often and/or severely you experience each of the following symptoms on a scale of 0 (never) to 4 (always/severe).
Sensory Modulation
General Modulation
_______ has unusual feeding habits (strong preferances, eats at odd times, etc.)
_______ has unusual sleeping habits or sleep schedule
_______ heightened difficulty getting to asleep in unfamiliar environments
_______ distressed by switching from one activities to another in daily routines
_______ becomes engrossed in one single activity for a long time and seems to tune out everything else
_______ very high or very low energy level
_______ colicy; difficult to calm down, no matter what you try (or perhaps only one thing works, like being rocked)
_______ very resistent to change in daily life and surrounding environment
_______ parents find they must always control the baby's environment and “warn” people what to do/not to do so baby is comfortable
Over-Responsiveness
_______ distressed by being dressed, especially in certain fabrics or textures
_______ prefers to go naked; is often trying to remove clothing
_______ bothered by "light touch"; someone lightly touching/caressing hand, face, leg or back
_______ extremely ticklish
_______ distressed by being held; may arch back or become upset when hugged.
_______ distressed by diaper changes
_______ becomes inconsolably upset in a wet or dirty diaper
_______ potty trained early due to distress of wet or dirty diapers
_______ dislikes the feeling of water, especially during bathing or when getting splashed
_______ avoids touching certain textures, especially anything messy
_______ upset by having dirty hands or face
_______ may gag when eating foods with certain textures or flavors (has a very limited diet)
_______ difficult to get to try new foods or textures
_______ avoids putting toys and other objects in mouth; doesn't explore the world through the mouth like most babies
_______ distressed by certain generally mundane odors
_______ becomes upset or distraught when people come to the house or when in crowded places
_______ sensitive to noises that most babies are not bothered by (microwaves, refrigerators, fans, voices, vaccuum cleaners, etc.)
_______ avoids certain types of toys (vibrating, rough textured toys, slippery/slimy toys, brightly colored objects, flashing objects etc.)
_______ can't sleep if room isn't completely dark and/or quiet; wakes up at the slightest noise or light
_______ distressed by bright lights or the sun
_______ when able to walk, is unstable and afraid of falling
_______ doesn't enjoy movement games, baby swings, playground equipment; stroller, wagon, or car rides, etc.
_______ distressed when suddenly moved or head/body is tipped (may become afraid, arch back, get startled, etc.)
_______ distressed when being moved (i.e., rocked, swung, bounced, or “thrown” in the air)
_______ doesn't tolerate being in certain positions, i.e., on back, on stomach, sitting, etc.
_______ will stay in a position and become uncomfortable when moving to another (hard to transition posture, awkward)
_______ clenches fists and toes a lot
_______ distressed by being set down on top of certain fabrics or textures; may toewalk when they start walking to avoid touch ground
_______ gets overwhelmed, cries, or falls asleep when over stimulated
Under-Responsiveness
_______ doesn't respond to own name or a familiar voice
_______ doesn't respond to noises peers would notice
_______ doesn't appear to notice having a wet or dirty diaper
_______ doesn't seem to notice need to go; a late and/or difficult potty trainer
_______ doesn't seem to notice pain; get shots/cuts/bruises and not get upset
_______ doesn't interact with peers or adults; is hard to engage, an observer and not a 'do'er
_______ doesn't seem to notice if hands or face are dirty
_______ oblivious to new toys or nearby toys, and/or resists playing with them
_______ difficult to get up in the morning or from a nap; sleeps a lot
Sensory Seeking
_______ loves to touch and be touched, has to touch everything
_______ always seems to engage in repetitive, non-purposeful play with a limited number of objects
_______ often touches and twists own hair or other's hair
_______ frequently bangs head, pinches, hits, bites, or hurts self or others
_______ extremely attached to pacifiers; can't calm down without it
_______ needs excessive movement (swinging, rocking, bouncing, or rocking self constantly)
_______ aside from the typical teething stage, always chewing on things (clothes, hands, fingers, etc.)
_______ prefers foods with very strong tastes and flavors
_______ needs to be swaddled tightly, have heavy blankets, stuffed animals, or tighter pajamas to fall asleep
_______ needs consistant sound or white noise to stay asleep (fan, nature tape, music, etc.)
_______ needs a lot of sensory input to fall asleep (rocking, singing, bouncing, rubbing skin, etc.)
_______ seeks out crashing and "squishing" activities
_______ identifies objects by smell, has to smell everything, uses smell to determine whether or not to like something or someone
Sensory Discrimination
_______ frequently breaks toys (applies too much pressure)
_______ frequently drops toys (doesn't apply enough pressure)
_______ is too forceful around animals (not gentle enough)
_______ slow to start talking
_______ has significant issues with making 'typical' childhood noises
_______ bumps into things frequently
_______ difficulty organizing and grouping things by categories, similarities, and/or differences (color, shape, size, etc)
Sensory-Based Motor Abilities
_______ late to crawl,e walk, gesture, hold bottle, manipulate/play with toys, etc.
_______ doesn't crawl before walking, or uses a 'commando crawl,' pulling self along on belly with arms
_______ clumsy, uncoordinated, bumps into things, accident prone
_______ difficulty balancing and staying upright, especially on uneven surfaces
_______ uses just one hand with toys and/or can't switch from one hand to another
_______ confuses right and left sides
_______ not a natural explorer; will stay put and not explore world around them typically
_______ can't use or keep a good grip on objects at an age appropriate level
_______ is unable to clap hands or bang toys together at appropriate age level
_______ easily fatigued with physical tasks
_______ difficulty breastfeeding; seems to lack instinctive 'know how'
_______ difficulty chewing, sucking or swallowing
_______ doesn't hold onto or reach for toys at an appropriate age
_______ closes hand if object comes near it; unsure of how far away it is or how to grab it
_______ frequently drops items
_______ difficulty learning and using language, cues, gestures, etc. becoming easily frustrated
_______ difficulty learning new motor tasks (new games, new movements, etc.)
_______ floppy body, noodle-like; weak grip
Social and Emotional
_______ dislikes changes in routines, needing consistancy
_______ often appears defiant or uncooperative
_______ is very emotional and sensitive, cries a lot
_______ distressed when transitioning from one activity to another
_______ does not engage in recipricol play with caregivers or other familiar people
_______ severe separation anxiety (incredibly upset when left alone or with unfamiliar people for even short periods)
_______ has many tantrums every day
_______ has excessive reflux, allergies, ear infections or digestive issues
_______ can't get enough of, or never attached to, comfort objects (blanket, stuffed animal, rubbing something, pacifier, thumb, etc.)
_______ can't focus attention on play, caregiver, or toy long enough to interact at an appropriate age level
_______ engages in constant non-purposeful activities (spinning, rocking, staring at certain objects, etc)
_______ is not interested in play or will not use objects for purposeful play
_______ wanders around aimlessly a lot
_______ has a very hard time transitioning from bottle or breast feeding to solid foods
_______ often appears sad or uncomfortable; may not smile much
_______ strongly prefers adults with certain energy levels or voices (intonation, volume, pitch, etc.)
_______ difficulty establishing eye contact, focusing on objects or tracking them with eyes
_______ easily startled
_______ needs a favorite toy or sound to soothe self, but seems to get over being upset very quickly
Internal Regulation
_______ difficulty getting to sleep at night or at a nap time
_______ very unpredictable sleep/wake cycle
_______ respiration too fast or slow for the appropriate state of arousal
_______ sleeps a lot; is not often alert, responding, playing, or interacting
_______ has a very hard time waking up
_______ chronic, irregular, and inconsistent bowel and bladder activity
_______ seems to always be hungry or doesn't ever want to eat