Teen SPD Symptoms (ages 13-17)
Many wonder just how SPD effects teenagers. This is a general overview of the symptoms. The list may seem very long, but it is a condensed version that covers the full range of symptoms teenagers (age 13-17) with Sensory Processing Disorder can have. This list is written both for parents and for teens to read themselves. All checklists on this site are made to print well, so feel free to print this out and mark how often and/or severely your son or daughter exhibits each of the following symptoms on a scale of 0 (never) to 4 (always/severe). Feel free to mark anything that has been overcome with a "P" to indicate it as a previous issue.
Sensory Modulation
General Modulation
_______ atypical eating habits (very picky, eats at odd times, always wants to know 'what is for dinner,' etc.)
_______ unusual sleeping habits or sleep schedule (for a teen)
_______ hard to fall asleep in unfamiliar environments; may not do sleep-overs
_______ experience difficulty switching from one activity to another
_______ gets engrossed in one single activity (like video games) for a long time and seems to tune out everything else
_______ very high or very low energy level
_______ very resistent to change in daily life and surrounding environment
_______ must always be in control of environment and warn people what to do/not to do to be comfortable
Over-Responsiveness
_______ sensitive to the feel of certain fabrics or textures, especially with clothing
_______ bothered by clothes (tags, seams, ties, belts, turtlenecks)
_______ limited wardrobe; may wear shorts, skirts, or pants exclusively
_______ wear the same clothes for extended periods of time
_______ bothered by "light touch"; someone lightly touching/caressing skin
_______ excessively ticklish
_______ may shy away from hugs, or get irritated by them
_______ wash hands excessively (after touching certain objects or textures)
_______ dislike showers, baths or getting splashed
_______ hygiene issues; don't like the feel or smell of deodorant, soup, toothpaste, etc.
_______ discomfort from haircuts or hair brushing
_______ avoid touching messy objects, or other textures found to be undesirable
_______ can't stand to be dirty
_______ avoid foods with certain textures or flavors (limited diet)
_______ hesitant or avoidant of trying new foods
_______ must touch object with one hand if the other hand already touched it; balance touch sensations
_______ distressed by certain everyday odors
_______ irritated or overwhelmed when people come to the house or when in crowded places
_______ sensitive to noises that most people are not bothered by (microwaves, flushing toilets, fans, voices, vaccuum cleaners, etc.)
_______ avoid using things that vibrate, or are brightly colored or flashing
_______ can't sleep if room isn't completely dark and/or quiet; wake up at the slightest noise or light
_______ distressed by bright lights or the sun
_______ afraid of heights
_______ motion sickness (from cars, planes, boats, amusement park rides, etc.)
_______ avoid crossing the midlines (moving arms/legs across the mid-section of body)
_______ can get dizzy very easily
_______ ears turn reddish when in a state of overload
_______ clench fists and toes a lot
_______ difficulty with noise, activities, and light in classrooms
_______ overwhelmed, upset, or angery when over stimulated
_______ don't go to parties or hang out with friends often
_______ have a difficult time in stores, movie theaters, sporting events, concerts, etc.
Under-Responsiveness
_______ appear lethargic or lazy and unmotivated; low energy level
_______ overly calm and passive demeanor
_______ don't respond typically to sound of own name
_______ don't notice or care about noises peers would notice
_______ not bothered by pain; may not even notice getting burns, cuts, or bruises
_______ don't notice dangers in the environment (may walk out right in front of a car)
_______ won't catch self with hands when falling to protect body from injury
_______ don't prefer to interact with peers or adults; content to be the observer and not the 'do'er
_______ don't notice being dirty or get bothered by it
_______ last to notice when a person enters the room
_______ difficult to get up in the morning; may sleep through the alarm
Sensory Seeking
_______ very high energy level, hyperaactive; often believed to have ADHD, whether it is true or not
_______ love to touch and be touched, have to touch everything
_______ frequently tip chair on back two legs
_______ restless when sitting through a class or a movie
_______ fidget and "fiddle" with things all the time; pens, pencils, rubber band, anything within reach
_______ self-destructive (bang head, pinch, hit, cut, bite, or hurt self)
_______ thought to be a trouble maker, hitting, shoving, pushing, or knocking into other people
_______ frequently shake leg
_______ often engage in repetitive, meaningless, and self-stimulating activities
_______ often touch, twist, or pull on hair
_______ attached to comfort objects or activities some find childish (sucking on thumb, sleeping with a favorite plushie, etc)
_______ need excessive movement (swinging, rocking, bouncing, or rocking self constantly)
_______ always chewing on things (clothes, pencils, hands, fingers, etc.)
_______ prefer foods with very strong tastes and flavors
_______ crack knuckles often
_______ love crunchy foods (popcorn, carrots, chips, nuts, pretzels, etc.)
_______ need to be under heavy blankets or wear tighter pajamas to fall asleep; likely to roll up in blankets
_______ need consistant sound or white noise to stay asleep (fan, nature tape, music, etc.)
_______ need a lot of sensory input to fall asleep (rocking, singing, bouncing, rubbing skin, etc.)
_______ have to smell everything; use smell to determine whether or not to like something or someone
_______ seek out crashing activities, or ways to provide deep pressure to the body
_______ a thrill seeker; loves fast, dangerous sports (skateboarding, snowboarding, dirt biking, football, hockey, etc)
_______ too forceful around animals (not gentle enough)
_______ seek out fast, spinning, and/or upside down carnival rides
Sensory Discrimination
_______ unable to identify objects by touch alone
_______ have a hard time finding things in a desk, pocket, purse, or bag, especially when not looking
_______ difficulty locating items in a cupboard, drawer, in the closet, or on a grocery shelf
_______ difficulty heating water to the correct temperature for baths or showers; may burn self or use water that is very cold
_______ frequently break things (apply too much pressure)
_______ frequently drop things (don't apply enough pressure)
_______ get disoriented and/or lost easily in stores, buildings, etc.
_______ difficulty watching or concentrating on a movie/tv show when there is background noise or distractions
_______ difficulty remembering or understanding what people are saying
_______ difficulty following directions if given two or three at one time
_______ can not complete concentrated tasks if noises present
_______ speak too loud or too soft
_______ difficulty with speech and annunciation; may stutter or have an impediment
_______ frequently bump into things or knock things over
_______ difficulty judging how much pressure to apply when doing tasks or picking something up
_______ often reverse numbers and letters or process them backwards
_______ difficulty telling time on an analogue clock
_______ difficulty distinguishing different tastes and/or flavors of food or drinks
_______ difficulty lining up numbers correctly for math problems
_______ get confused between similar looking letters (such as b, p, d, q, and g)
_______ often hear things wrong, especially if they are similar sounding words (such as "car" and "card" or "cart")
_______ difficulty keeping up in classroom environments
_______ afraid to learn how to drive; is definitely not racing to get behind the wheel!
Sensory-Based Motor Abilities
_______ have been considered a klutz; clumsy, uncoordinated, accident prone, etc.
_______ have difficulty riding a bike or performing well in sports
_______ late to reach a wide variety of physical developmental milestones
_______ difficulty walking or balancing on uneven surfaces
_______ difficulty with fine motor tasks, such as buttoning, zipping, tying, playing games with small parts, etc.
_______ confuse right and left
_______ prefer sedentary tasks, avoiding sports or physical activities
_______ difficulty with handwriting; hard to read, write slowly, get wrist cramps
_______ use just one hand while holding objects; hard to use both sides of the body together
_______ can't keep a good grip on objects; weak grasp
_______ easily fatigued with physical tasks
_______ a messy eater, often spill and drop food; awkward with utensils
_______ often knock things over when reaching for them or something nearby
_______ have difficulty pouring drinks
_______ frequently drop items
_______ often hum or talk to self while concentrating on a task
_______ difficulty with motor tasks requiring several steps
_______ difficulty learning new motor tasks (new games, new movements, etc.)
_______ floppy body, noodle-like
Social and Emotional
_______ dislike changes in routines, needing consistancy
_______ can be described as defiant, stubborn or uncooperative
_______ very emotional and sensitive, crying or getting angry a lot
_______ distressed when transitioning from one activity to another
_______ may have separation anxiety (afraid to be alone or away from parents)
_______ prone to having meltdowns and outbursts
_______ may have excessive reflux, allergies, ear infections or digestion issues
_______ need comfort objects (blanket, stuffed animal, etc.) to remain calm
_______ engage in constant non-purposeful activities (spinning, rocking, staring at certain objects, etc)
_______ not interested in hanging out with peers
_______ wander around aimlessly a lot; often lost in thought
_______ can't seem to finish projects or tasks
_______ difficulty making decisions; often unsure or lack an opinion
_______ seen as rigid, bossy, and controlling
_______ prefer solitary activities over group participation
_______ often impatient and/or impulsive
_______ don't always register or understand social cues and non-verbal language
_______ difficulty with authority figures
_______ trouble relating to and socializing with peers
_______ difficulty accepting defeat or forgiving self
_______ frequently get angery or frustrated
_______ depression
_______ strongly prefer people with certain energy levels or voices (intonation, volume, pitch, etc.)
_______ difficulty establishing eye contact, focusing on objects or tracking them with eyes
_______ frequent panic or anxiety attacks
_______ have many fears and/or phobias
_______ can't let foods touch each other on a plate, have to wear clothes a certain way; have many OCD-like symptoms
_______ easily distractible and often unorganized
_______ easily startled
_______ difficulty seeking out and maintaining relationships
_______ don't have many (or any) friends
_______ have not been on a date, or even considered dating
Internal Regulation
_______ difficulty getting to sleep at night
_______ very unpredictable sleep/wake cycle
_______ respiration too fast or slow for the appropriate state of arousal
_______ sleep a lot; often not alert, responding, working, playing, or interacting
_______ have a very hard time waking up
_______ heart rate issues (unnecessary speeding, not slowing down or speeding up when needed)
_______ over or under sensitive to bowel and bladder sensations
_______ over or under sensitive to the sensations of hunger and thurst
_______ chronic, irregular, and inconsistent bowel and bladder activity
_______ always feel hungry or don't ever want to eat