31/08/2026
There is something that many families of autistic children do not know, and that significantly affects their child's behaviour, therapy engagement, and daily functioning.
Autistic people experience chronic pain at significantly higher rates than the general population. Gastrointestinal pain, headaches, musculoskeletal discomfort, and sensory hypersensitivity that crosses the threshold into physical pain are all more common in autism than most people realise.
And here is the clinical complication: a child who cannot clearly communicate their internal experience also cannot clearly communicate that something hurts.
What this looks like in practice is a child who is 'difficult', refusing activities they previously enjoyed, escalating more rapidly than usual, seeking specific sensory inputs for counter-stimulation, and withdrawing from interaction. All of these can be responses to unaddressed physical pain rather than behavioural choices.
At Tumaini St.Thorlak Autism Center, pain awareness is part of how we read a child's presentation. When a child's behaviour changes unexpectedly, and there is no obvious environmental explanation, we always consider physical discomfort a possible cause.
If your child's behaviour has shifted and you cannot explain why, it may be worth asking: could something be hurting?
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