Therapy for Sensory Processing Disorder Related to Clothes Tags
For patients with sensory processing disorder who are sensitive to clothes tags, occupational therapy using sensory-based approaches should be the primary treatment, specifically targeting tactile hypersensitivity through graded desensitization and sensory modulation strategies. 1
Understanding the Problem
Sensory hypersensitivity to touch (including clothing tags) represents a specific manifestation of sensory processing disorder where individuals experience heightened responses to tactile stimuli. 1 This hypersensitivity can lead to avoidant behaviors and significantly limit participation in daily activities, making it a maintaining factor for broader functional impairments. 1
Primary Treatment Approach: Occupational Therapy
Core Intervention Strategy
Occupational therapists should implement a graded desensitization program that systematically addresses tactile hypersensitivity. 1 The approach involves:
- Gradual exposure to tactile stimuli starting with less aversive textures and progressively working toward tolerance of clothing tags and similar materials 1
- Sensory modulation techniques that help the patient regulate their response to tactile input rather than avoiding it entirely 1
- Environmental modifications as a temporary measure while building tolerance, but with the explicit goal of reducing reliance on accommodations over time 1
Addressing Avoidance Patterns
The key therapeutic principle is to prevent hypersensitivity from becoming a perpetuating factor through avoidant behaviors. 1 This means:
- Identifying specific triggers related to clothing (tag material, placement, size) 1
- Creating a hierarchy of tactile challenges from least to most distressing 1
- Implementing positive risk-taking within functional activities like dressing 1
Behavioral Components
Anxiety Management Integration
Since anxiety commonly accompanies sensory hypersensitivity and can amplify the distress response, incorporate: 1
- Breathing techniques and progressive muscle relaxation during exposure to challenging tactile stimuli 1
- Grounding strategies to maintain present-moment awareness when experiencing discomfort 1
- Cognitive reframing to challenge catastrophic thoughts about tactile sensations (e.g., "This tag will be unbearable all day") 1
Sensory Grounding Techniques
Teach the patient to use sensory-based distractors when experiencing heightened tactile sensitivity: 1
- Noticing other sensory details in the environment (colors, sounds, temperature) 1
- Using competing tactile input (e.g., holding a textured object) 1
- Cognitive distractions like counting or word games 1
Treatment Structure and Timeline
Deliver occupational therapy in a structured format with clear goals and measurable outcomes. 1 While specific session numbers aren't established for isolated tactile hypersensitivity, the broader sensory processing literature suggests:
- Regular sessions (typically weekly) with between-session practice 2
- Home practice assignments are critical for generalization 2
- Progress monitoring using both subjective reports and functional measures 3
Important Clinical Considerations
What NOT to Do
Avoid simply accommodating the hypersensitivity indefinitely without working toward tolerance. 1 While removing all clothing tags may provide immediate relief, this reinforces avoidance and can worsen long-term functional impairment. 1
Multidisciplinary Context
Recognize that sensory processing difficulties often occur alongside other developmental or behavioral conditions including autism spectrum disorder, ADHD, anxiety disorders, and developmental coordination disorders. 4 A thorough evaluation should rule out or identify these comorbidities, as they may require additional targeted interventions. 4
Evidence Limitations
Parents and patients should be informed that research on sensory integration therapy effectiveness is limited and inconclusive. 4 However, occupational therapy with sensory-based approaches remains acceptable as part of a comprehensive treatment plan. 4 Consider implementing a trial period with clear criteria for evaluating effectiveness. 4
Practical Modifications During Treatment
While building tolerance, practical interim strategies include:
- Tagless clothing options as a temporary accommodation 1
- Strategic clothing choices that minimize problematic tactile input 1
- Gradual reintroduction of standard clothing as tolerance improves 1
Monitoring Progress
Establish clear functional goals such as: