Head Hitting and Self-Injurious Behaviors

I see a lot of articles written by neurotypical people trying to explain head banging and other self-injurious behavior in autistic children, and I want to offer my own perspective as an autistic adult who still engages in these behaviors.

There are a number of reasons and circumstances that lead to self-harming behaviors for me, despite my efforts to avoid doing them.

Sensory input needs not being fulfilled: Sometimes, self-injurious behaviors feel good. I like the pressure of hitting my head or the tingling sensation of scratching my skin, even though I don't like pain. I seem to process these sensations differently than neurotypical people. I've been able to reduce these behaviors by finding similar sensory inputs: body brushes instead of scratching, weighted blankets and lap pads instead of hitting, deep pressure therapy, etc.
Too much being demanded: When a task or person places demands that cause distress that exceeds my normal coping skills, these behaviors result.
Too much sensory input: Sensory overload throws me into "fight," "flight," or "shut down" mode and can result in self-harming actions.

There are other reasons and ways that I or another autistic person might self-harm, but these are the ways tied specifically to my autism. I hope this helps others understand more.

Comments

Dear Unnamed Friend

Dear unnamed friend, I carefully hoarded enough spoons to do the activity you suggested at the time you suggested. I went to bed super early and planned NOTHING for tomorrow to be able to do it. I just got discharged from psych this week, and the meds still aren’t all the way in my system, so I’m foggy-minded and emotional. I also woke up every 90 minutes last night for 30-45 minutes due to nightmares about the hospital that joined my normal nightmares. I told you I’d let you know around 9am today, when my alarm was set to sound, whether I could come to the 1pm event today, and I texted you that yes, I could come, but I needed to sleep until 10 to regain spoons. You texted me 4-5 times between 9:15 and 10, effectively cancelling any change I had to sleep, since it takes me at least 2 hours to wake all the way up. You tried to change the plans to pick me up around 10:15am, and I understand why. You were already in the area for something and didn’t want to drive all the w...

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