The Invisible Disability

Posted Tuesday, September 25, 2007 12:38 PM by Human Blogger

I took a little break from writing posts. I didn't stay away on purpose. It's just that some weeks are more hectic than others and my children need a little more attention if you know what I mean. Especially my dear little girl, L, who struggles with Sensory Processing Disorder (SPD).

L just finished her last feeding therapy class on Friday. For 12 weeks we went every Friday to a therapy center for L to learn how to eat. I know that sounds weird, especially if you have children who eat with no problems. And if you yourself struggles to eat less (like me). Not only was L learning how to overcome some sensory issues to eat, I was learning a lot about trying to help an SPD child to eat more variety. This is what I learned: eating is life's most difficult activity because it requires the use of all your senses all at once. And, therefore, if you have a neurological disorder that gets in the way of how you process sensations, eating can become a huge challenge. I know most toddlers are picky eaters. We certainly have a picky eater in our home. L's picky eating, and absolute refusal to eat on some days, gained L a failure to thrive diagnosis about six months ago. Some days she may eat very well and then other days she may only eat a hand full of crackers. Among many other things, the therapists observing L recognized that she has problems feeling food in her mouth. This causes her to cram extra in her mouth or chew an extra long time. Sometimes she crams her fingers in her mouth while she's chewing on foods. It gives her extra sensory input while eating. This explains why she loves crunchy and cold foods -- it's extra sensory input. In addition, L has other sensory issues that get in her way when exploring new or different foods.

SPD is a fairly complicated thing to understand. On the surface, L shows no symptoms. Unless you really get to know L you may never realize she suffers from such a thing. And luckily she does not suffer from symptoms as drastically as other children with SPD. SPD is usually associated with other disabilities such as autism and Aspergers. However, a child like L can have difficulties processing sensory input from her environment, which on its own can cause a disability. 

I've heard SPD explained this way: When we interact with our environment, our brains are like computers. Our brains quickly sift through information entering through our senses. Our brain automatically files those sensations away into the appropriate places -- should I react to or ignore the sensation? For instance, if you live near railroad tracks (like we do) you will begin to screen out the sound of a train. Your brain immediately files away that sensation as unimportant. It simply becomes a background noise that you may no longer notice. Your brain automatically does this without you having to give any thought to the process. Another example is when your air conditioner in your home kicks on and off. You probably don't even notice this sound anymore.

However, if you have a neurological disorder such as SPD, your brain does not learn to properly file away sensations. Your brain resorts to the "primitive brain" reactions such as fight, flight or fright. This happens to L. When she hears the train rolling by for the 100th time, her brain tells her to fight, flight or fright. When you were a baby, you had many primitive brain reactions as you were learning and exploring your world. But as you explored, you learned what things required a reaction from you. A barking dog running towards you would warrant a reaction, but the humming sound from the air conditioner does not require a reaction. If you take this sense of hearing example and apply it to the other senses, such as touch, sight, smell, proprioceptive and vestibular, it's totally amazing how quickly our brains process information from all the ways information enters our bodies every second. Right now I'm sitting in a chair with my eyes glued to a computer monitor while my fingers peck away at the keys. I do this activity with little problem because my brain is processing everything correctly. I'm aware through touch where each key is located. I feel secure and comfortable because my bottom is planted firmly in a soft chair. And my eyes are reading and comprehending the words on the screen as I type. Amazing, really, if you stop to think about the simple act of working on your PC.

Now just imagine for a second that a few of your senses are affected by a neurological disorder. All of a sudden, your brain cannot properly process the information in an efficient way. Wow! What a frustrating world to live in. That's the world my little girl lives in on a daily basis. Sometimes this frustration bubbles over and she cries a lot at everything. This may appear to outsiders as a misbehaving little girl (and because she is two years old it can sometimes be her age shining through). But knowing in advance the struggles she faces -- the sun is too bright, her shirt is too itchy, her sense of balance is compromised, etc. -- can give us insight into why she seems to be overreacting. 

With L, SPD manifests itself in the way she likes to control her environment. She likes things the same. The same foods, the same music, the same people in the same room, and the list goes on. It's out of sheer survival that she strives for sameness. She also does not like unexpected touch from other children or adults. Children are notorious for bumping and shoving because to them it's fun and not a problem. To L this becomes a problem. Her brain is trying to process each sensation and it quickly becomes a frustration. If L is over-stimulated from lots of extra sensations, she does not like being touched or handled unless she invites it. When she pulls away from hugs and pats, she's not being anti-social or hateful. She's just over-stimulated from the extra sensations. Her brain needs time to process and re-boot.

Everyone has "sensory issues." If you stop to think about yourself, I'm sure there are things that set you off. I have a few of my own. One thing for sure is having wet feet. I don't like stepping in wet spots on the kitchen or bathroom floor. I will stop everything to get the wetness off my feet. I cannot move on until my feet are dry again. This is one example. I'm sure you have a few too.

So if you know L and see us out, especially if she's melting down, please understand the challenges she faces on a daily basis. And if you think about us sometimes, please say a special prayer for L and her trying-to-be-patient-and-understanding Mommy.

Comments

# re: The Invisible Disability

Tuesday, September 25, 2007 7:08 PM by Fluffy Cow

An excellent description!  Easy for an outsider to say, but remember: Since you HAVE been chosen to be her Mother, you DO have the ability to handle it all! I am always impressed when someone has the guts to put aside other stuff and take care of their family.  A trait not always looked well upon.

# re: The Invisible Disability

Wednesday, September 26, 2007 7:28 AM by Uncle Jesse

This is the way God made L, and he doesn't make mistakes.  L is a sweet beautiful little girl, looking at her you are convinced that God doesn't make mistakes.  It is a part of who she is, it shapes her personality, and if you meet L, and see these things, it makes you love her all the more.  She is preciousness on a stick!  And her Uncle J loves her very much, but not as much as Jesus does.  

# re: The Invisible Disability

Wednesday, September 26, 2007 11:25 AM by Human Blogger

Thanks Fluffy and UJ. "Preciousness on a stick" surely does describe L. I like that :-)

# re: The Invisible Disability

Wednesday, September 26, 2007 9:18 PM by fleur_de_lis

Patience, a strong virtue, and you sound like you have been blessed with it in abundance.