Supporting Individuals with Smell Sensitivities

Understanding Smell and Its Impact on Individuals
Smell is often thought of as a simple sensory experience, but it is actually a complex process that integrates with other senses within the brain. Understanding this interplay is essential when supporting individuals with smell sensitivities. Additionally, smell has a unique connection to the emotional and memory centers of the brain, which means certain smells can trigger lasting emotional responses or memories.

For a deeper understanding of how smell impacts the brain, watch this informative video -  How Smells Trigger Memories. It's important to note that once a perception of smell is formed in the brain, it is challenging to change that perception, particularly when it is linked to an emotional response.

Key Strategies to Support Clients During Sessions
When working with clients with smell sensitivities, there are several strategies to consider:

  1. Utilize Whole Body Preparation

    • Regulation Tools: Explore activities that help prepare the nervous system and support sensory regulation before, during, and after exposure to smells. The effectiveness of these tools will vary by individual, depending on their sensory needs.

    • Personalized Approach: Adapt activities based on sensory preferences, intensity, and duration.

    • Referral to Occupational Therapy: If a client shows signs of overall sensory defensiveness or motor differences related to smell sensitivities, consider referring them to an occupational therapist for specialized support.

  2. Incorporate Therapeutic Smell Opportunities

    • Contextual Planning: Consider the whole picture of the individual’s needs and use smell exposures as part of a broader sensory regulation approach.

    • Create Positive Smell Experiences: Present smells in a way that maximizes positive interactions—start with mild smells and adjust distance or duration to support the individual’s tolerance. Food and non-food items can both be utilized.

  3. Expand the Language of Smell

    • Descriptor Words: Encourage individuals to explore a wider range of descriptors for different smells. This could include terms such as:

      • Size of Smell: Small, medium, large

      • Type of Smell: Sweet, smoky, spicy, bitter, burnt, citrus, bland

    • Using such descriptors helps individuals identify, articulate, and make connections with their sensory experiences.

References

  • Goodrich, L., & May-Benson, T. (2020). The FOCUS Program for Eating and Mealtime Success: A Training Program. The SPIRAL Foundation.

  • Barthel, K. (2023). Neurobiology Matters. Relationships Matter.

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What is Ideational Praxis and Why Does It Matter?