Consider sensory processing disorders in the explosive child: case report and review

Children and youth with affect dysregulation (such as problems with explosive rage and anger) commonly present to health care professionals.

Standard DSM-IV differential diagnoses for affect instability include bipolar disorder, ADHD and oppositional defiant disorder. However, clinicians may wish to consider the possibility of sensory processing difficulties, which are difficulties with the processing of sensory input, which can lead to problems with under- or over-arousal, thus contributing to affect dysregulation.

In such cases, referral to occupational therapy may be helpful. Even in cases where occupational therapy is not available, being able to direct families to readings and internet resources about sensory processing may be helpful.

This article presents the diagnosis and management of a case of sensory processing disorder, followed by a narrative review of the literature.