Commonly overlooked sensory red flags and signs of sensory issues that could be a clue to your child’s needs, which will decrease confusion and frustration.
This thing happens to me all the time as a pediatric OT… I’m talking to parents during a party, a play-date, or even in line at the grocery store, and the parent casually mentions, often in passing, an odd thing that their child does.
Maybe their child walks around on their toes all the time, gags at some foods, or their toddler hates swings or being messy? Sometimes, they aren’t even that concerned about this odd “thing”.
Often times, I know this “thing” their child is doing is a sensory “issue” or sign of a sensory processing difficulties (which isn’t as bad as it sounds!)
Just because your toddler doesn’t like messy hands doesn’t necessarily mean there is a problem, but it is worth paying attention to.
Sensory processing can be very complicated, and the truth is many parents have never heard about it. Some realize their child may have some sensory issues that sometimes cause odd, confusing, or frustrating behaviors.
When I find myself in these situations, I usually feel a bit stuck because sensory processing isn’t exactly a quick topic, especially for parents who’ve never even heard about it.
If you’ve found your way here, my bet is that you know at least a little something about sensory processing, but if not, that is okay, too.
Either way, I have an exciting solution to that problem, but before I get to that, let’s talk more about these sensory red flags.
What are Sensory Red Flags Exactly?
A sensory red flag is a sign that a child may have a sensory “issue,” or as we prefer to say, a sensory need. Others may call it a sensory behavior. Basically, it’s anything your child does that indicates their sensory system needs more sensory input or less.
That sensory need happens because of the way their unique brain is “thinking” about the sensory input it’s receiving.
It’s not a choice they are making, but literally because of how their brain is wired.
Let me give you a REALLY simple example. My son loves to jump on the furniture. This is a sensory red flag or sign for him because I can see that he is trying to get more sensory input when he’s doing that.
I wanted to write about a few of the most overlooked sensory behaviors or red flags, so that you can begin seeing why your child does seemingly odd or unusual things.
Understanding why your child is waving a sensory red flag, or displaying signs of sensory issues, will help you help them!
But before you even do that, you need to know what the heck this sensory thing is all about. Because I know that as I sit and write this, many of you are feeling overwhelmed or frustrated.
It’s a reaction that I’ve seen too many times to count, and, to be honest, it gets my anxiety going up because I want to help you! I know the solution to that frustration and overwhelming feeling.
Here’s a short video summing up why it’s important to identify sensory red flags, and why they don’t mean something is wrong with your child.
10 Sensory Processing Challenges and Red Flags
Before we dive into these behaviors, I want to make it VERY clear that just because your child may have one or several of these red flags, it doesn’t mean that they have sensory problems, autism, or any other diagnosis.
We ALL have sensory processing needs and differences. Seeing your child’s behavior through the sensory lens will allow you to understand them and support their needs, which means less confusion and frustration for everybody!
And, if you’re concerned that your child’s sensory issues need addressed by a professional, then check out sensory integration therapy.
You’ll find a guide to walk you through figuring that all out so you have peace of mind! If you are concerned your child has autism, or already know they do, check out the link between autism and sensory processing.
1. Avoids Movement – If your child gets scared at climbing playground equipment, roughhousing, or riding a swing, they are likely avoiding vestibular and possibly proprioceptive input.
Those are our sixth and seventh senses that give us our sense of balance and body awareness.
2. Gagging at the Sight, Taste, and Smell of Foods – Although not always sensory, gagging immediately when confronted with foods is often because the oral system is being overwhelmed. Read more about sensory issues with food.
3. Frequently Walking on Toes – Children often do this because they are sensitive to the sensations they are feeling on their feet and prefer as little of their foot to be touching the surface as possible.
Sometime children toe-walk because they like the pressure it puts on their ankle, which is more proprioceptive feedback. Or, it can also be the result of a vestibular system that isn’t processing properly.
4. Clumsy – There are a variety of reasons that a child may seem to fall or bump into objects more than other children, and one of the most overlooked reasons is because the child’s proprioception and possibly vestibular systems aren’t working too well.
The wiring may be all jumbled up.
Some children with this sensory red flag don’t put their hands out when falling, or seems unaware of how to catch themself when off balance.
5. Hides at Parties or Avoids Them – If your child hates going to parties or other public places, it is possible that they may be overstimulated by the noise, lights, and/or people accidentally touching them.
For kids that have this response due to a sensory processing difficulty, a party can be downright torture as the sounds, sights, and unexpected touches can just be painful to them, literally. Head to sensory sensitivity in kids to learn more.
6. Prefers Tight Clothing – Sometimes kids will want to layer clothes or wear really tight fitting clothing to give themselves more proprioceptive input. It may seem strange, but the sensation they receive is calming to them and may even help them focus better.
Or, your child may be extremely particular about some sort of fabric. This all relates back to sensory. Head over to sensory issues with clothing to learn more.
7. Wild Child– There are a variety of reasons that kids seem to bounce off the walls at times, but kids that always seem to be jumping, climbing, running, pushing, and roughhousing are typically seeking out proprioceptive input, and sometimes vestibular as well.
Unfortunately, these kids are often described as “bad” or wild, but really, they are just trying to get their needs met. Read more about sensory strategies for sensory seekers or “wild kids”, and a three part plan for “dealing with” hyperactive kids.
8. Likes Bright, Fast Paced TV Shows – I know a lot of kids like these types of shows, but if your child only wants to watch fast, bright shows, then it may be an indication that they want more visual stimulation.
If that is the case, your child may also like looking at lights and brightly colored or high contrast books.
9. Bites Toys or People When Unprovoked – If your child seems to bite others or their toys often, usually for no reason, they are probably looking for some deep, intense proprioceptive input or oral sensory input.
10. Doesn’t seem to notice when being talked to or needs directions repeated – Yes, sometimes kids ignore, and sometimes this is normal, but if it is a frequent recurring issue than it is a sign that your child’s auditory or hearing system is not processing information well.
Check out 11 more sensory red flags in the follow up post.
Does Your Child Have Sensory Red Flags?
All of these behaviors are like a red flag that your child is waving to tell you something about their sensory processing.
It is a clue into what they need from a sensory standpoint. That need may be help avoiding something like bright lights or seeking something like chewing on toys.
To start figuring out what types of sensory activities might be helpful for your child, follow these steps:
1. Identify which type of sensory need your child has. There are four big categories for sensory issues: seeking, avoiding, low registration, and varied. If that feels overwhelming or you have no idea, I highly recommend our free 1 hour workshop that will help you figure it out!
2. Once you know which type of sensory need your child has then you can match the types of sensory diet activities that will be most helpful for them!
3. Organize when and how often you use the sensory activities by using a sensory diet, which has nothing to do with food, but is a diet of supports and sensory input that help calm and organize your child’s brain.
(Steps 2 and 3 are also taught in the free sensory workshop!)
Get the 21 Sensory Red Flags Printable Checklist
Wish you had all these red flags and 11 more you might be missing in a list you could download and/or print out?
I’ve got you covered! Click here to get the 21 Sensory Red Flags checklist sent right to your inbox!
More on Kids Sensory Red Flags
Does Your Child Cry All The Time? This Might Be Why…
33 Signs of Sensory Processing Disorder
How to Identify Sensory Issues in Toddlers
4 Simple After School Routines That Will Cut the Chaos.
Alisha Grogan is a licensed occupational therapist and founder of Your Kid’s Table. She has over 19 years experience with expertise in sensory processing and feeding development in babies, toddlers, and children. Alisha also has 3 boys of her own at home. Learn more about her here.
Hi! My foster son is almost 2 and he has dealt with what I feel are sensory issues. I have mentioned it to his feeding and physical therapists but I don’t feel they are thinking its SPD. He has had feeding issues since birth first with the bottle then with whole foods (he was drug exposed), generalized muscle weakness, and a visual impairment. He seems to see ok but might have some issues with depth perception. His current issues are still pulling food out of his mouth (he used to gag, now he pulls it out), he chokes on water a good bit, he runs and drums his stomach constantly, squeals and screams and has no concept of quietness, hits, runs into me full blast all the time, has sleep disturbances, he won’t step down from anything that he climbs up on, frequently finds a corner to center himself, and has an issue crawling under things like tables or chairs. I know that’s a lot. I have used a therapy brush with him and he will bring it to me and ask for me to brush his hands and feet, and I’ve used vibration to help with feeding. He is going to be re evaluated for Ot next month but is there anything else I can do to advocate for him? I don’t know if I need to try to contact someone different or what? He’s so intelligent but is struggling with social behavior/just how to function normally.
Hi Leah, what a wonderful foster mom you are!!! This little guy is so lucky to have you!! I would first say that it is very common for drug exposure to cause sensory processing difficulties. It really sound like there is some sensory stuff going on here, but also some motor issues, which is probably what the therapists are focusing on. I would ask them or the case manage if it would be possible to address the sensory component. Or, I would seek out private therapy as well (I’m assuming this early intervention). It sounds like he might really benefit from higher level sensory therapy in a clinic- its all play based so it will just be fun for him. If that is an option I’d look into that as well. In the meantime, I co-teach a free sensory course, I think you’ll find it helpful: http://www.yourkidstable.com/free-mini-course
Hi,
I came across your website because of the toe walking. My daughter is 2 yr old and she walks on her toes, which we find cute. However, she still puts everything in her mouth and oftentimes bites it. I have to tell her numerous times to take an object out her mouth and even take it away because she refuses to do it herself. Is this something I should be concerned about or is she just being strong willed (she’s cutting her last molars right now).
Not necessarily, I would keep your eye on it and in the back of your mind as well. They could be totally isolated. I’d really recommend taking this free little mini course on sensory, we cover all this and it will be really helpful: yourkidstable.com/free-mini-course
Hi, I’m not sure if my child has Sensory issues. He is 10+ and I have noticed he refuses to walk bare feet outdoors,Scared of heights, highly protects himself, scared to play on swings,sensitive towards tight hug, Always down with blocked nose, extremely soft spoken, extremely well mannered, and the most important lack of confidence and concentration. Dosen’t like to study. He has very short span of interest while it comes to academic. He hides his hw saying I finished. Dosen’t finish his class work . I’mean really concerned.
Hi Jessi, I’m so glad you reached out. Obviously, I don’t know your exact situation, but it does sound like something sensory is going on. Don’t let that freak you out though, we all have sensory differences. Are you able to get an evaluation for him, either in school or at an outpatient clinic in your area? Both, could be really beneficial. I’d suggest that you call your insurance company to check what is covered. I know this can sound overwhelming, but going through this process can give you a lot of peace of mind and help your son. Lastly, I’d sign up for the free sensory course that is in this post, that is a great start! Please let me know if I can be of more assistance
Thanks so much for this list… A great resource for my concerns when trying to explain at an upcoming Dr appt.
Thank you for these tips. We do a bit of it already, but I will try to implement more of it.
You are welcome! Let me know if you need more help:)
I have an almost 2 year old who has become more and more sensitive to noises in the past few months. Gardeners, garbage trucks, and cars are the most troubling to her. This even crosses over when they appear on her favorite tv programs or if one of the words is casually mentioned. Is there a way for me to do more than just reassure and comfort her? Is there some type of low-level therapy I could do to help? I studied to be an OTA for a while in school, so I am vaguely aware of much of what was talked about in this post but would love some additional advice if you have any. Thank so much!
This is a tough age because she is now fearful. I would play some games with here with cars vrooming- just making noises with your mouth. You could also try using noise makers and whistles for fun. Lastly, you could also read books and play with garbage trucks and try to reassure her when her anxiety goes up. You may need to take this in baby steps.
Is there a particular age in which these become red flags? In other words, are any of these behaviors ever “normal” at certain ages? I have an 18 month old who displays some of these.
Great question Kari, most of them no but there are a few exceptions. 18 month olds are pretty clumsy and may bite. They also may prefer bright tv shows because that holds their attention more. Were those the ones your child is displaying? Let me know what you are seeing and I’ll give you some more guidance:)
Useful and informative, thank you!
My 5 yrs old child screms when water or droplets drop on his clothes. He takes it off and ask to dry it .Please suggest a remedy
Hey Tina,
Thanks for reaching out to us! This is something that I’d try to talk him through and work on during play skills at home to “desensitize” that feeling. We know how hard it can be we do also have an article The Best Solutions for Clothing Sensitivity in Kids that you can take a look at for other suggestions for working on this!
Best,
Desiree
My 8 yr old son stands and walks on his tip-toes. Constantly. He will never walk with his feet flat on the ground unless you specifically tell him to, and then he’ll only do it for a brief moment and go back to his tip-toes. I’ve asked his pediatrician about it and after checking to make sure his muscles were okay, she says it’s just a habit and that once he realizes how it looks to other people, he’ll stop it on his own. But he’s 8, and he says he doesn’t care how it looks to other people, that it’s “just how I walk”. Now after reading this, I wonder if it’s something more (which I’ve wondered all along)? What does “proprioceptive” mean, in this case?
It’s true that sometimes it does just become habit. Can you click on sensory basics in the menu bar? Or any of the links to other sensory posts in this article? Is anything else ringing a bell for you in terms of more going on with sensory? Sometimes, which I didn’t mention here, walking on toes can be linked to vestibular. See this post for more on that and toe walking in general actually: http://ilslearningcorner.com/2015-12-toe-walking-doctor-attributes-toe-walking-signs-of-poor-vestibular-system/
Also, in terms of proprioception (also described further in sensory basics) walking on the toes puts a lot of pressure on that area of the foot and ankle, which can be sensory input that a child may be seeking.
Thank you so much. Lots of good information in that link. Interestingly, he has great balance and seems to crave making himself dizzy…he’ll spin himself round and round for half an hour at a time, just for the sensation. It makes me dizzy just looking at him, but he says it’s soothing…he also says walking on his toes is soothing. I love the at-home activities I can try with him. Can you help me with one more thing? Who do I go to in order to get him evaluated if this continues? He is homeschooled, so we don’t have access to typical resources. I don’t know where to go with this if he ends up needing some help with it. He does very well with his schoolwork, though I think if he were in a classroom setting he’d have trouble staying still all day.
My 4 year old is a pediatric stroke survivor. She has always seemed to need lots, okay TONS of sensory input. She spins in circles, jumps down the stairs, jumps off the couch, prefers walking on rocks, bites, and has crazy meltdowns when she gets too much outside input. Say we are in Target and its really sunny, and their are lots of people there, she starts freaking out. Too much noise and she covers her ears, but she likes putting her music on loud (maybe if she controls it?) She is only in preschool 2.5 hours 2 days a week, and neither her neurologist nor her pediatrician have said anything about sensory issues. Also, she was having issues gaining weight (her BMI was below 5% for most of her life) until we started putting her food on a divided plate.
Wow Tammi, you have some great insights here! Thanks for sharing! You are right on target. Have you signed up for the free sensory course? It’s in this post. I think it would be really helpful. You are right about the noise, too:)
I wish we would have known more 19 years ago. My daughter has pretty severe SPD. I basically had to bully and nag to get her help. One of the best things we did while we were trying to figure out what was going on was a Montessori preschool. They have a sensory curriculum. Motor skills started catching up, she was less frustrated…wonderful. She was not identified until she was 10. She is a bright successful honors student in college now eventhough she still struggles every day.
Thanks for sharing those insights Wendy, so helpful for other parents!
9. Muscles that seem loose or floppy, such that the child slouches or struggles with sitting upright for long periods of time . Children with vestibular processing delays are frequently noted to have low muscle tone. We describe children with low muscle tone as looking loose or floppy and seem to have extra movement around their joints.
Yes! This is a great one!!! Thanks for sharing:)
My 2.5 year old likes to knock things over and flipping things over. When I say flip things I mean large items, like his water tables, his trampoline, large toys and other large items. He also likes to knock things off surfaces. Is this indicative of a sensory issue? Not sure if he is angry when doing so, as he usually laughs after the fact.
Hi Diana! Thanks for reaching out! It might be sensory related- have you tried asking him how he feels in the moment, and why he feels like flipping something over? Having a discussion with him about this when you’re both calm may help you both understand better. For more sensory information and help finding the root of the problem, check out our free sensory workshop! Save your seat here!
Best,
Kalyn
My child often hits her forehead with her hand or rubs or hits it with her cuddly toy. She even does it to me in a quiet time and seems to get comfort from it. The aim is definitely not to cause pain. Is this a red flag and should I get more help? She is 3 years old.
YES, YES, YES! It is very likely that there is a big sensory component there. Click the sensory classroom link in the menu bar and sign up for the free course, I think it will be really helpful. If you can wait for the free videos, I think it will give you a lot of good insights, and there is also a larger much more detailed online course (no pressure though). However, getting an OT eval wouldn’t be a bad idea at all. Let me know if I can be of more help.
I wish you could do this for my school district! SPD is the most misunderstood issue I see in our kids.
If you think they would be open to that, don’t hesitate to contact me, we are actually developing a program for schools, daycares, etc. I teach a course with Wendy of Imperfect Mom and it has been easy to adapt for professionals. My email is alisha@yourkidstable.com
This would be so awesome to go to a course on this!!! I think I would love it and so would all the therapists at my daughter’s daycare! She was diagnosed with sensory processing disorder and has been labeled the naughty kid! I finally had a meeting with her teachers about how to try and change things in her environment to help her. They would love for you to come and give a presentation and so would I! Any chance that could happen? We live in iowa.
Oh Emily, you are so kind, and I’m so glad that the info was helpful! That’s great! I’m in Pittsburgh, so Iowa isn’t an option right now, BUT I do have an online sensory course that I co-teach. It’s amazing and would give you all the info you need. If you’d like to set up group access please email me at alisha@yourkidstable.com You can find out more about the class here.
I have a 7yo on the ASD and ranks higher up for Sensory Processing Issues (oral, clothing textures, proprioceptive and vestibular issues, etc). One notable issue is oral aversion. Would you elaborate on your phrase from #2 – “because the oral system is being overwhelmed.” He does gag when shown sauced, soupy, hash type foods. Would love to understand more. Thank you for your time and your blog. I’ve enjoyed learning for quite some time now.
Of course! The oral system is compromised of taste, proprioception, and tactile. One or all of those senses may be over processing the input creating highly sensitive response. The input is so intense they gag. Gagging can become a learned response too over time. I have a whole post on oral sensory processing if you haven’t see it you can find it by clicking in the article index in the menu bar. Thanks so much for reading, glad you are here!
Thank you so much Alisha! I will check them out. I believe he is over processing the second 2 you mention, but can never get to the tasting opportunity. So they are a road block to work on. Thank you!!!
Right! Small baby steps, break it down so he can move forward at a pace he is comfortable with.
Hi my granddaughter has just been diagnosed autistic at 4, she is now 5. She is a wild child, and hates to wear clothes, after school she strips to her pants no matter what the weather. She hats getting her hands dirty and licks her hands plus other objects (sinks, people’s faces or hands legs).
That’ great that you guys allow her to do that after holding it together at school! Yes, licking everything is definitely a red flag! Thanks for sharing:)
Hi,
We have a cheerful kid who was gentle till 2 turned wild in everything like licking the lotion, mouthing now and then on things, trying to trigger me to get angry more than the actual part of mouthing, hates hands dirty while eating, just a day before ran quickly before a car in parking lot which we never expected. He is 30m now.
Weird things we see now is 1. He hit or throws things when gets super excited
2. Looks out for lints on clothes to rub between his fingers or palm whenever he drinks milk or before bed. What kind of sensory help he needs and is it necessary to talk with his pedi or wait more?
Seeking your help from a first time mom. Thank you.
Hey! It does sound like some of those activities he does could be related to sensory needs. The rubbing lint between his fingers sounds like something he does to help himself calm in order to sleep- so they can be helpful sometimes too. Encouraging him to get messy during play, while having a wet washcloth available is a great option to start with. Our sensory workshop would be helpful to checkout as well! You can save your seat HERE.
Best,
Andrea