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How Sensory Differences Show Up in Everyday Life

Iris Chen, OTR/L, MOT·Occupational Therapist · Sensory Integration Certified· 8 min
Iris Chen, OTR/L, MOT
Iris Chen, OTR/L, MOT
Occupational Therapist · Sensory Integration Certified
Iris is a registered Occupational Therapist (NBCOT cert. #1147892) with a Master of Occupational Therapy from Boston University. She is certified in Ayres Sensory Integration® and has spent eleven years working with autistic teens and adults on environment design, sensory regulation, and burnout prevention. She teaches continuing-education modules on adult sensory profiling for the AOTA.

Sensory differences are one of the most under-recognised parts of autistic experience. They show up in dozens of small daily moments: the hum of office lights, the seam in a sock, the texture of a particular food, the sudden bark of a dog two blocks away. None of these things would normally appear in a list of 'autism symptoms' — and yet, for many autistic adults, they are the single biggest factor shaping how much energy a day takes.

Sensory experience is now part of the DSM-5-TR diagnostic criteria for autism, but only became so in 2013 — which means an entire generation of adults was assessed under criteria that did not explicitly look at it. If you grew up being told you were 'fussy' or 'sensitive' or 'difficult', and you later realised those words consistently mapped to specific sensory contexts (lighting, sound, fabric, food texture), that's worth taking seriously.

For some autistic people, sensory inputs are pleasantly intense — texture, pressure, and motion can feel grounding. This is what occupational therapists call 'sensory seeking', and it's a real, useful part of someone's regulation toolkit. For others, the same inputs can quickly become overwhelming, especially when several stack up at once. The technical term is 'sensory load', and like any load it has a ceiling that varies by person and by day.

The good news is that sensory environments are highly designable. Lighting, headphones, clothing, schedule pacing, and even where you sit in a room are all variables you can adjust. In my practice the single intervention with the highest return on effort is almost always swapping fluorescent overhead lighting for warmer, dimmer lamps where possible; the second is investing in good noise-cancelling headphones and granting yourself permission to wear them in public.

Many adults discover that small changes in environment unlock disproportionate gains in energy and focus. A client of mine recently mapped their week against a sensory journal for fourteen days and discovered that their Wednesday-evening fatigue had nothing to do with the workload — it was the team meeting in a fluorescent-lit room with persistent fan noise. One environmental change later, the fatigue pattern disappeared.

If your assessment scored high on sensory processing, it's worth taking inventory of your most reliable trouble spots and experimenting with one change at a time. Two weeks per change is enough to feel the difference. Keep what helps, drop what doesn't, and don't let anyone — including yourself — frame these adjustments as a luxury. They are infrastructure.

References
  1. American Psychiatric Association. (2022). DSM-5-TR diagnostic criteria for ASD, criterion B.4.
  2. Tavassoli, T., et al. (2014). The Sensory Perception Quotient (SPQ): Development and validation. Molecular Autism, 5(1).
  3. Schaaf, R.C., et al. (2018). Efficacy of Occupational Therapy using Ayres Sensory Integration®. American Journal of Occupational Therapy, 72.

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