Smell Processing ยท Taste ยท Oral-Motor Function ยท Food Acceptance. Olfaction has direct connections to the limbic (emotional) brain, bypassing the thalamus โ making smell the most emotionally charged sense.
โก Gustatory (taste) processing is tightly linked to touch receptors inside the mouth โ oral texture is inseparable from taste in children with tactile sensitivity. Both must be addressed together.
Scent sequencing: child smells 3 jars in order; adult changes order โ child re-identifies the sequence
Scent storytelling: 'this smell reminds me ofโฆ' โ builds language around olfactory experience
Child selects 3 favourite scents to use as personal calming tools
๐ก TipsUse preferred scents in a personal inhaler stick โ child carries to sniff instead of sniffing people. Introduce challenging scents at very low intensity โ dilute in carrier oil first.
SOS Feeding Hierarchy
6.2
โ โ โ Advancedโฑ 20โ30 min ยท weekly (SLP/OT)
๐ก TipsFood play is central to SOS โ rolling food, making faces with food, sorting by colour are all valid therapeutic activities. NEVER force a child to eat โ pressure creates lasting aversions. Progress is measured in months, not sessions.
Oral-Motor Warm-Up Exercises
6.3
โ Easyโฑ 5โ8 min before meals
๐ฏ Prepare the oral-motor system for eating; reduce hypersensitivity inside the mouth; improve jaw grading
Jaw stretches: open wide (5 seconds), close slowly โ 10 reps
Cheek puffs: inflate cheeks with air, hold 3 seconds, release slowly โ 10 reps
Tongue push: press tongue firmly against roof of mouth for 5 seconds โ 10 reps
Tongue circles: rotate tongue around lips clockwise then anti-clockwise โ 5 each direction
Straw drinking: drink a thick smoothie through a narrow straw (resistive sucking) โ 2 minutes
Vibrating toothbrush inside the mouth: gentle pressure on gums and cheeks for 1 minute before the meal
๐ก TipsThese exercises desensitise the mouth before food contact โ dramatically improves tolerance for new textures. Performed consistently before every meal, effects accumulate over 4โ6 weeks.
Scent Desensitisation Programme
6.4
โ โ Moderateโฑ 10 min ยท 3ร/wk
๐ฏ Reduce avoidance response to specific triggering scents through graded exposure
Create an olfactory hierarchy: 10 scents from neutral to most triggering
Begin with scent 1 (neutral): sniff from 30 cm away โ 3 sniffs, then reward
Week 2: sniff from 15 cm โ 3 sniffs
Week 3: sniff from 5 cm โ 3 sniffs
Week 4: move to scent 2 (mildly unpleasant) at 30 cm distance
Always pair exposure with a preferred calming activity (weighted blanket, fidget)
๐ก 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.