Autism & Developmental

'I felt like my senses were under attack': An interpretative phenomenological analysis of experiences of hypersensitivity in autistic individuals.

Taels et al. (2023) · Autism : the international journal of research and practice 2023
★ The Verdict

Hypersensitivity feels like a chaotic assault that drives anxiety and social withdrawal in autistic clients of every age.

✓ Read this if BCBAs working with autistic clients in any setting
✗ Skip if Clinicians who only serve clients with sensory hypo-reactivity

01Research in Context

01

What this study did

Taels et al. (2023) talked to autistic adults about hypersensitivity. They used a method called interpretative phenomenological analysis. This lets people tell their own story in their own words.

The team asked how hypersensitivity feels day to day. They wanted to know why it matters to the person living it.

02

What they found

Participants said hypersensitivity feels like an attack on their senses. It is overwhelming, intrusive, and tied to unpredictable places or people.

One person said, 'I felt like my senses were under attack.' These stories show that sensory pain shapes every social moment.

03

How this fits with other research

Price et al. (2025) asked autistic teens the same questions in secondary schools. Their answers match the adults: lights buzz too loud, rooms feel unsafe, quiet spaces are scarce. Together the two studies show the problem starts young and stays.

Hwang et al. (2020) ran a survey with autistic adults. They found intolerance of uncertainty links sensory issues to anxiety. Liesbeth’s stories give the lived voice behind those numbers.

Uljarević et al. (2018) saw the same sensory-uncertainty-anxiety path in people with Williams syndrome, not autism. At first glance this looks like a clash, but it shows the pathway is trans-diagnostic. The same mechanism hurts across labels.

04

Why it matters

Hypersensitivity is not a side note; it is a core stressor. When you cut uncertainty—post visual schedules, give ear defenders, warn before fire drills—you also cut the sensory attack. Start sessions by asking, 'What hurts your senses right now?' Then remove or soften that input before teaching anything else.

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Add a two-minute sensory check-in to your session start: ask, listen, and adjust lights, noise, or seating before instruction begins.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
18
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Research shows that the way autistic individuals perceive and process sensory stimuli differs from those of non-autistic people. However, while current research often focuses on what sensory differences in autism are and which neurocognitive processes may explain these, it often does not explicitly address what it is like to experience the world through the senses of an autistic person. To explore this understudied dimension, we conducted 18 in-depth interviews with autistic individuals in order to better understand how they personally experienced hypersensitivity from a first-person perspective. Participants described hypersensitivity as a feeling of being bombarded by intrusive stimuli that seemed to invade their bodies and from which they had difficulties distancing themselves. They also indicated how due to hypersensitivity they often perceived their (social) environment as invasive, chaotic, unpredictable or threatening. Hypersensitivities were thus not only described as unsettling bodily experiences but also related to challenges in perceiving, understanding and interacting with the (social) world. By focussing on the subjective dimension of sensory processing in autism, our study thus highlights how sensory difficulties are not peripheral features of autism but play an essential part in the daily challenges faced by autistic individuals.

Autism : the international journal of research and practice, 2023 · doi:10.1177/13623613231158182