At this stage in your life, personal hygiene is really important. You might be taking more of an interest in your appearance too. Below are some ideas to help you to be as independent as possible.
Bathing, Showering and Washing
- Set up a routine for bathing/showering. Do it on the same days and at the same time each day. You could set reminders on your phone or add getting washed to a daily timetable to help you remember.
- Ask an adult to teach you how to test the temperature of the water in the bath or shower so that you don't burn yourself.
- Always use a non-slip mat on the floor of the bath/shower so you don't slip.
- Wash your body parts in the same order each time, you can use a visual checklist to make sure you wash everything.
- Sitting down in the bath or shower can be easier so you don't have to think about balancing.
- Use visual checklists to help you remember the steps of the task. Have the pictures in a place that you can see. You could try having them laminated and on the wall of the shower.
- Modify the task:
- If twisting the lid off the shower gel is hard use a bar of soap.
- If you find the feel of the shower uncomfortable or painful can you wash at the sink?
There are lots of resources about keeping yourself clean, using deodorant and other personal hygiene task for young people with additional support needs on the Relationships, Sexual Health and Parenthood website.
Hair Care
Hair care involves lots of different things including brushing/combing, cutting, washing and drying. If hair care is difficult for you talk to a trusted adult about why this is and what might help. This could help you to work out which strategies might work best for you. If you don't know then you might need to work as a detective to make a best guess and use trial and error to find the strategies that work best.
Modify the task:
- Think about how you can make the task easier. If you dislike having your hair brushed then keeping hair short or tied back/plaited means less brushing. If you don't like water in your eyes or ears you could use ear plugs or goggles. If you don't like shampoo try different types (liquid/gel, solid bar, dry/powder), different scents or unscented products to find something you like.
- Try different tools: hairbrushes/combs including long-handled varieties, hairdryers, hair straighteners microfibre towels, hair clippers/razor, scissors, hair dryer stand or clamp.
- Try different products liquid, solid bar, dry shampoo, conditioning bar, cream, detangling spray, leave in products, unscented products.
- Experiment with shower versus the bath for washing hair. If you have a shower over the bath try taking the detachable hose off the hook and using it on right on your head.
- Sit down so you don't have to balance and do the task.
- Learn one step at a time.
- Watch videos of how to do the task.
Make it predictable:
- Set rules around how often, where, when and how you do these tasks.
- Have a routine so that it happens in the same way every time.
- Try using visual timetables like now and next, or a sequence chart or a visual timer so you know when it will finish.
- Use distraction if you need to - watch a favourite video or listen to music.
- Being in control can make it easier to tolerate, so do it for yourself rather than getting someone else to do it for you.
- Keep all your tools/products in one place.
Think about the environment:
- Make sure the environment is safe, use a non-slip mat in the bath/shower and learn how to test the temperature of the water, etc.
- Use a mirror so you can see what is happening and what you are doing.
- Go to the barbers or hairdresser at quiet times. Getting to know the barber/hair dresser and visiting even when not getting a hair cut can be helpful for some people.
- Reduce other sensory demands - if you don't like the feel of a hair cut, reduce noise, turn the lights down etc.
Managing Periods
Prepare for your periods:
- Read about puberty, what to expect and how your body might change (see resources below)
- Try different types of sanitary products. There are lots of options out there, disposable/reusable sanitary towels and tampons, menstrual cups and period pants. Talk with a trusted adult about what you think would work best for you. Sanitary towels and period pants are usually a good starting point.
- Once you have decided what will work best, practice using them. Practice all the steps. Remember to practice opening the product, putting it in/out of pants and disposing of it appropriately. Practice until you are confident with all the steps.
- Some people need pictures to help them understand what to do. There are some resources below. Some products also have pictures in the instructions. You may need to put the pictures beside the toilet to remind yourself what to do.
- Many girls and women find period pants to be more comfortable. They are particularly useful for anyone who physically struggles with putting in and taking out a sanitary towel or for people who have difficulty managing each step in the right order.
- Practice wearing pads or period pants from time to time before starting your periods. This can help you to get used to how it feels. Start with just a minute or two and gradually build up over time.
- Remember that hygiene is particularly important when you are on your period. Remember to change your pads/pants/tampon/cup every few hours, shower/wash every day and wash your hands before and after going to the toilet.
- Keep a bin close to the toilet so you can dispose of used pads/tampons. If using reusable products make sure you have somewhere to put them until you are ready to wash them (a wet/wash bag or specific bin/bucket with a lid).
- In public toilets use the sanitary disposal bin. If you need to ask a trusted adult to show you how it works. These should be used for pads and tampons.
- When you first start your periods, you might have accidents, or get blood on your hands, the floor or clothes. This is normal. Keeping a small pack of baby wipes with your sanitary pads will help with any clean up. Have a change of pants/trousers and fresh products in your school bag. Practise cleaning up and changing at home. Put used wipes in the bin. Do not flush wipes or sanitary products down the toilet.
- Keep track of your periods by marking it on a calendar (you can mark the start and end of your period). This will help you to learn to predict when your next period is due so that you are prepared and have period products with you.
- Remember to take a bag with a change of clothes and sanitary products to any clubs or activities.
Sensory Aspects of Periods
The onset of periods can be particularly challenging for some neurodivergent young people or others who have heightened sensory awareness. Periods involve a lot of new sensory experiences including:
- the feeling of blood leaking from the vagina
- the smell of the blood or the sanitary products (either when new or used)
- the look of blood in pants or on toilet paper
- the feeling of the sanitary towel or period pants
- the fear of touching the blood
- the feeling of stomach cramps, sore breasts or other hormone related body changes.
You might not be able to identify what is making you feel uncomfortable or upset so trial and error may be required to get to the bottom of it.
Experiment with hygiene products: different brands of sanitary towels, menstrual cups, tampons and period pants, to find what is most comfortable and preferred.
Changing towels, tampons, or pants more frequently may help reduce the smell. A perfume or body spray that your child likes may help cover smells. Many disposable sanitary products are perfumed. If this is an issue, then look for unscented products or reusable products.
Using disposable gloves may reduce anxiety about touching blood – gloves that fit well are easier to use.
Have wipes available – remember not to flush wipes down the toilet, dispose of them in the bin.
If you are afraid or anxious about blood, you might need to prepare well in advance, using pictures like those included in the resources below.
If you are struggling with pain, heavy periods or mood swings, discuss this with a trusted adult and your GP to find out what would be helpful to manage these symptoms.
Resources:
Nail Care
Some young people have difficulty tolerating nail cutting. Start by talking to a trusted adult about what you don’t like about nail care. This will help you to work out which strategies to try. If you can't tell what is bothering you, you will need to be a detective and make a best guess about what you are finding distressing and use trial and error to find the strategies that work best.
Here are some suggestions for you to try:
- Try different tools: nail scissors (curved or straight), nail clippers, nail file. You might need to experiment with a few different things before finding what is most comfortable for you. Some people take a little while to adapt to new sensations so try to use a new tool 4 or 5 times before trying the next thing.
- Use visual supports like now and next to help you understand what is happening.
- Try cutting or filing nails after a bath when your nails are a bit softer.
- Break the task down into tiny steps and do one step at a time. For example, just cut one nail.
- Use distraction: Watch a favourite video, use a fidget tool or listen to music while you cut your nails.
- Sometimes it can be easier to tolerate nail care if you can cut or file your own nails.
Teeth Brushing
Brushing your teeth is an essential part of looking after your body. You should be brushing their teeth at least twice a day. You can find out more from: