What Does It Mean in Autism If a Child Doesn’t Seem to Notice Pain?

PostedNovember 5, 2025

UpdatedNovember 5, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Pain unawareness in autism is a common occurrence, where children may not respond to pain in the same way neurotypical children do. This lack of response is often related to how their sensory processing system works, rather than a lack of sensitivity.

In children with autism signs, pain response can be altered, and they might not react to injuries or discomfort in the typical manner. This difference in sensory processing can affect how pain is perceived and managed.

Key Aspects of Pain Unawareness in Autism:

Children with autism may experience pain differently due to sensory processing differences, leading to pain unawareness. Here are some key aspects of how these manifests:

Reduced Pain Sensitivity:

Some children with autism may not react to pain as intensely, lacking typical signs like crying or flinching.

Sensory Processing Differences:

Children with autism may have sensory processing challenges, including reduced sensitivity to pain, often showing little response to physical discomfort.

Delayed or No Response to Injury:

Children may continue activities without reacting to injuries like scrapes or bruises.

Risk of Undiagnosed Injuries:

Since a child with autism may not show signs of pain, injuries could go unnoticed until they’re more severe.

Understanding pain unawareness in autism is crucial for appropriate care and intervention. If this behaviour is noticed, parents should ensure the child is regularly checked for injuries. For expert advice and tailored consultations, visit providers like Autism Detect for one-on-one support specific to your child’s needs.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Early Signs & Symptoms of Autism.

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.