👃🫦 Section 6 of 8

Olfactory & Gustatory Integration

Smell Processing · Taste · Oral-Motor Function · Food Acceptance. Olfaction has direct connections to the limbic (emotional) brain, bypassing the thalamus — making smell the most emotionally charged sense.

⚡ Gustatory (taste) processing is tightly linked to touch receptors inside the mouth — oral texture is inseparable from taste in children with tactile sensitivity. Both must be addressed together.
Seeking
Smelling objects/peopleMouthing non-food itemsCraving strong flavours
Avoiding
Gagging at smellsExtreme food selectivityRejecting mixed texturesRefusing oral hygiene
Olfactory Exploration Kit
6.1
★ Easy⏱ 10–15 min
🎯 Build olfactory discrimination; provide structured smell-seeking outlet; reduce indiscriminate sniffing
  1. Prepare 8–10 small jars or cotton-wool balls soaked in scents: vanilla, lavender, peppermint, cinnamon, lemon, rose, coffee, pine
  2. Child sniffs each jar (1–2 seconds) and rates: 'love / like / neutral / dislike / hate'
  3. Scent matching: prepare duplicate jars — child matches pairs with eyes closed
  4. Scent sequencing: child smells 3 jars in order; adult changes order — child re-identifies the sequence
  5. Scent storytelling: 'this smell reminds me of…' — builds language around olfactory experience
  6. Child selects 3 favourite scents to use as personal calming tools
💡 TipsUse preferred scents in a personal inhaler stick — child carries to sniff instead of sniffing people. Introduce challenging scents at very low intensity — dilute in carrier oil first.
SOS Feeding Hierarchy
6.2
★★★ Advanced⏱ 20–30 min · weekly (SLP/OT)
🎯 Expand accepted foods in extreme food selectivity; reduce oral tactile avoidance
  1. Stage 1 — Tolerate: food is present on the table; no expectation to touch it
  2. Stage 2 — Interact: child touches the food with a utensil; moves it around the plate
  3. Stage 3 — Smell: child brings food near nose and sniffs it
  4. Stage 4 — Kiss: child touches food to lips only — no tasting
  5. Stage 5 — Lick: child licks surface of food — spit-out allowed
  6. Stage 6 — Bite & spit: small bite, child spits out. Stage 7 — Chew & spit. Stage 8 — Swallow.
💡 TipsFood play is central to SOS — rolling food, making faces with food, sorting by colour are all valid therapeutic activities. NEVER force a child to eat — pressure creates lasting aversions. Progress is measured in months, not sessions.
Oral-Motor Warm-Up Exercises
6.3
★ Easy⏱ 5–8 min before meals
🎯 Prepare the oral-motor system for eating; reduce hypersensitivity inside the mouth; improve jaw grading
  1. Jaw stretches: open wide (5 seconds), close slowly — 10 reps
  2. Cheek puffs: inflate cheeks with air, hold 3 seconds, release slowly — 10 reps
  3. Tongue push: press tongue firmly against roof of mouth for 5 seconds — 10 reps
  4. Tongue circles: rotate tongue around lips clockwise then anti-clockwise — 5 each direction
  5. Straw drinking: drink a thick smoothie through a narrow straw (resistive sucking) — 2 minutes
  6. Vibrating toothbrush inside the mouth: gentle pressure on gums and cheeks for 1 minute before the meal
💡 TipsThese exercises desensitise the mouth before food contact — dramatically improves tolerance for new textures. Performed consistently before every meal, effects accumulate over 4–6 weeks.
Scent Desensitisation Programme
6.4
★★ Moderate⏱ 10 min · 3×/wk
🎯 Reduce avoidance response to specific triggering scents through graded exposure
  1. Create an olfactory hierarchy: 10 scents from neutral to most triggering
  2. Begin with scent 1 (neutral): sniff from 30 cm away — 3 sniffs, then reward
  3. Week 2: sniff from 15 cm — 3 sniffs
  4. Week 3: sniff from 5 cm — 3 sniffs
  5. Week 4: move to scent 2 (mildly unpleasant) at 30 cm distance
  6. Always pair exposure with a preferred calming activity (weighted blanket, fidget)
💡 TipsIf a scent is unavoidable (e.g., school cafeteria), the child's personal preferred scent inhaler can serve as olfactory 'camouflage'. Never introduce a strongly triggering scent without 3 sessions on milder scents first.
💬 Questions about smell or food sensitivity?
Mitra can explain olfactory desensitisation, the SOS feeding approach, and food chaining — step by step.
Ask Mitra →