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Are unusual play patterns in Autism related to sensory sensitivities? 

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

Yes, sensory sensitivities and play in Autism are often closely linked, and many unusual play patterns can be understood through that lens. When a child is hypersensitive or hyposensitive to sensory inputs (sound, light, texture), their play becomes a way to manage or compensate for those internal experiences.

Why sensory experience shapes play

Sensory sensitivity influences how a child perceives and interacts with objects, so their play tends to reflect their comfort zones:

Reduced pretend or symbolic play

Some research shows that children with elevated sensory hyporesponsiveness, a form of low reactivity, are less likely to engage in pretend play. In other words, when their sensory systems under‑respond, the motivation or capacity for symbolic play may be lower.

Preference for repetition and detail

A child who is sensitive to textures or sounds might repeat actions with parts of toys rather than switching to more imaginative uses. This gives them control over what they feel or hear.

Sensory seeking or avoidance

Some children deliberately touch, squeeze, mouth or spin objects to either stimulate under‑aroused senses or dampen over‑aroused ones. Their play becomes a direct expression of sensory coping.

Correlations in longitudinal data

Studies following children over time show that increasing sensory hyperresponsiveness is linked with less participation in higher demands activities and lower adaptive outcomes.

These patterns show how sensory sensitivities and play in Autism are intertwined, not separate phenomena. By recognising this connection, caregivers and therapists can better support expansion of play styles in a way that respects the child’s sensory profile.

Visit providers like Autism Detect for assessment of play and sensory profiles, and tailored strategies to broaden play possibilities.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Unusual Play Patterns (3*).

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. 

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