Autism and Showering

Autism and Showering | Showering is a routine activity that many of us take for granted. However, for individuals with autism spectrum disorder (ASD), showering can present unique challenges. Sensory sensitivities, difficulty with transitions, anxiety, and other behavioral factors can make showering overwhelming or stressful for individuals on the spectrum. In this blog, we will explore ways to navigate showering challenges and make the experience more comfortable and enjoyable for individuals with autism.

Autism and Showering | Understanding Sensory Sensitivities:

Sensory sensitivities are common among individuals with autism, making the sensory aspects of showering particularly challenging. The sensation of water, temperature changes, the feeling of soap, noise from the shower, and the texture of towels can all be overwhelming.

Here are some strategies to address sensory sensitivities during showering:

Gradual Exposure: Start by gradually introducing water and the shower environment to individuals with autism. Begin with small steps, such as wetting hands or feet, before progressing to a full shower.
Water Temperature: Take into account the individual’s preferences for water temperature. Experiment with different settings to find the most comfortable and soothing temperature for them.
Sensory-Friendly Showerheads: Consider using a sensory-friendly showerhead that provides a gentle, adjustable spray. This can help reduce overwhelming sensations and make the experience more pleasant.

Visual Supports and Predictability:

Individuals with autism often thrive with predictability and visual supports. Incorporating these elements into showering routines can provide structure and help reduce anxiety.

Visual Schedules: Create a visual schedule or checklist that outlines each step of the showering routine. This visual aid can help individuals with autism understand the sequence of actions and feel more in control.
Social Stories: Utilize social stories, visual narratives that describe a situation, to help individuals with autism understand what to expect during showering. Include details about the process, sensory elements, and expected behaviors.

Timers: Use timers to provide clear time expectations, allowing individuals to prepare mentally for the duration of the shower. Gradually extend the time as they become more comfortable.

Sensory-Friendly Products:

Choosing sensory-friendly bath products can significantly improve the showering experience for individuals with autism.

Gentle Soaps and Shampoos: Opt for hypoallergenic and fragrance-free products to minimize sensory reactions. Experiment with different textures, such as foam or gel, to find what’s most comfortable for the individual.

Soft Towels and Bathrobes: Seek out soft, highly absorbent towels and bathrobes made from sensory-friendly materials. Avoid scratchy or overly textured fabrics that may cause discomfort.
Sensory Tools: Incorporate sensory tools that can provide comfort and relaxation. This can include waterproof fidget toys, textured bath mitts, or calming essential oils for aromatherapy.

Supportive Environment:

Creating a supportive environment in the bathroom can greatly reduce anxiety and help individuals with autism feel more at ease during showering.

Dim Lighting: Bright, fluorescent lights can be overwhelming. Install dimmer switches or use soft, warm lighting to create a calm and soothing atmosphere.
Noise Reduction: Consider using noise-cancelling headphones or playing soft, calming music to mask or reduce intrusive sounds from the shower or surrounding area.
Non-Slip Mats and Grips: Install non-slip mats in the shower area to provide stability and prevent slips or falls. Place grips or handles strategically to assist with balance and help individuals feel more secure.

Seeking Professional Guidance:

If the challenges with showering persist or significantly impact daily life, it can be beneficial to seek professional guidance. Occupational therapists and behavioral therapists who specialize in autism can provide personalized strategies and interventions to address specific showering difficulties.

A practical step-by-step guide for showering:

Prepare the bathroom: Before showering, ensure that the bathroom is clean, well-lit, and safe. Remove any clutter or obstacles that could pose a risk of tripping or falling. Make sure the water temperature is set to a comfortable level to avoid scalding.
Communication and social stories: If the person you’re assisting has autism and may require additional support, use clear and concise communication. You can create a social story or visual schedule to explain the steps involved in showering. This can help provide a sense of predictability and reduce anxiety.

Privacy and sensory considerations: Ensure privacy by closing the bathroom door or using a shower curtain. Some individuals with autism may have sensory sensitivities, so consider factors like water pressure and temperature. Adjust these to suit their preferences, making sure the water isn’t too hot or cold or the pressure too intense.
Gather necessary supplies: Collect all the essentials needed for showering, such as soap, shampoo, conditioner, and a towel. Have them within easy reach to minimize distractions or delays once in the shower.
Offer choices and control: People with autism often benefit from having some control over their routine. Offer choices of soap scents, shampoo types, or even the option to use a handheld showerhead. This can foster independence and make the experience more enjoyable.

Start with the routine: Begin by helping the person undress and step into the shower or bathtub. Encourage them to use their preferred method of entering, whether stepping in or using a shower chair. Make sure they feel comfortable and supported throughout.
Washing: Use the chosen soap and a gentle touch to help clean the body. Follow the person’s preferences for the order in which different body parts are washed. Respect their boundaries and personal space. Use calm and reassuring language during this process.
Hair care: Apply the chosen shampoo and gently massage it into the hair and scalp. Be mindful of sensory sensitivities and rinse out the shampoo thoroughly. Use conditioner if desired or necessary.

Rinse thoroughly: Ensure that all soap and shampoo are completely rinsed off the body. Pay attention to areas like the back, under arms, and between toes. Use a handheld showerhead or a cup to help with rinsing if needed.
Drying off: Once showering is complete, assist the person with drying off using a soft towel. Allow them to participate as much as possible, encouraging independence. If they have sensory sensitivities, consider using a soft and absorbent towel or allowing them to air-dry for a more comfortable experience.
Dressing: Help the person get dressed, offering choices regarding clothing options where possible. Be patient and understanding if they require more time or assistance with certain items.

Follow-up and support: After showering, provide any necessary support or accommodations, such as brushing hair or applying lotion if desired. Offer praise and reinforcement for completing the showering routine independently or with minimal assistance.

Remember, every individual with autism is unique, and their needs and preferences may vary. This guide aims to provide a general framework, but it’s important to adapt and tailor these steps to meet the specific requirements of the person you’re supporting.

By understanding the unique challenges individuals with autism face during showering, we can implement strategies to make this everyday activity more manageable and enjoyable. From addressing sensory sensitivities to using visual supports, choosing sensory-friendly products, and creating a supportive environment, we can help individuals with autism navigate showering with greater comfort and confidence. Remember that each person is unique, so it is important to tailor strategies to their specific needs and preferences. With patience, understanding, and the right support, showering can become a more positive and stress-free experience for individuals with autism.