Laura NG, MA BCBA
Clinical Operations Manager
Navigating the challenges of autism spectrum disorder (ASD) often involves addressing everyday skills that pose unique difficulties for autistic children. Nose blowing is a prime example, often complicated by sensory sensitivities and motor coordination challenges. This blog aims to provide parents and caregivers with practical strategies to teach nose blowing to autistic children. However, please bear in mind that this information is for general knowledge only and doesn't substitute professional medical advice. Always consult with your child's healthcare provider for personalized guidance.
For many of us, nose blowing seems instinctive, but for autistic children, it involves a combination of motor skills, sensory processing, and social learning that can be tricky to master. It requires understanding the concept of expelling air through the nose, coordinating various muscle movements, and often overcoming potential discomfort associated with the sensation itself. Many children with ASD experience sensory sensitivities, making the feeling of air pressure and nasal tissue irritating or even overwhelming. This can lead to avoidance or resistance when attempting to practice nose blowing. Understanding these underlying factors is key to approaching this skill with empathy and patience.
Furthermore, difficulties with imitation, a common trait among individuals with autism, can make learning through observation challenging. While neurotypical children might grasp the concept by watching others, autistic children often require a more structured and explicit teaching approach.
Sensory sensitivities are a hallmark of autism, affecting how individuals process sensory input from their surroundings. These sensitivities can involve any of the senses, and in the context of nose blowing, tactile (touch), and auditory (sound) sensitivities are particularly relevant.
The feeling of a tissue against the nose, especially during a runny nose, can be unpleasant for children with tactile sensitivities. Similarly, the sound of air being forced out of the nose might be perceived as loud or startling for those with auditory sensitivities. These sensory experiences, perceived as unpleasant or overwhelming, can make an autistic child apprehensive or even fearful of blowing their nose.
Recognizing and acknowledging these sensitivities is crucial. Instead of viewing a child's resistance as disobedience, understand that it might stem from genuine discomfort or sensory overload. Patience, understanding, and a calm approach are paramount.
While no direct link exists between autism and increased respiratory problems, children with ASD might experience them at a higher rate for several reasons. Difficulties with communication can hinder a child's ability to express discomfort or pain related to respiratory issues, making it harder for parents to identify and address them promptly.
Moreover, autistic children often experience higher rates of allergies, which can contribute to respiratory symptoms like congestion, runny nose, and sneezing. Additionally, challenges with motor skills can sometimes affect the coordination needed for effective coughing and clearing airways.
If you notice persistent or recurring respiratory symptoms in your child, consult a healthcare professional for proper diagnosis and management. Early intervention can prevent potential complications and promote overall well-being.
Teaching an autistic child to blow their nose requires careful preparation. It's important to approach this skill with a positive and supportive attitude, creating an environment that minimizes stress and anxiety. Choose a time when your child is relaxed and receptive to learning, and avoid starting when they are already feeling unwell or congested.
Remember, patience is key. Learning a new skill takes time, especially for autistic children who may need additional support and encouragement. Celebrate small victories along the way and focus on making the experience as positive as possible.
Gathering the right tools and resources can make the process of teaching nose blowing smoother and more successful. Soft, fragrance-free tissues are essential, as these are less likely to irritate a child with sensory sensitivities. Visual aids, such as picture cards or social stories illustrating the steps involved in nose blowing, are incredibly helpful for visual learners. These provide clear and concrete representations of the process.
It can also be beneficial to have a mirror handy so that your child can observe themselves while practicing. Additionally, having a fun and motivating reward system in place can encourage participation and reinforce success. This could involve stickers, small toys, or a favorite activity.
Creating a calm and supportive learning environment is essential when teaching any new skill to a child with autism spectrum disorder, especially one that might be met with sensory sensitivities or anxiety. This involves finding a quiet, comfortable space where your child feels safe and secure, minimizing distractions that could divert their attention.
Using a gentle and encouraging tone of voice throughout the process is crucial. Be patient and understanding if your child struggles or becomes frustrated. Avoid rushing the process or forcing them into situations that cause distress.
Positive reinforcement, such as praise, high-fives, or small rewards, goes a long way in motivating your child and building their confidence. Remember, a positive and supportive environment can make all the difference in helping your child feel comfortable and ready to learn.

Teaching an autistic child how to blow their nose can be challenging, but with patience and consistent strategies, progress is achievable. Incorporating visual aids, step-by-step demonstrations, and positive reinforcement can make the learning process smoother. This approach aligns with principles often used in structured interventions designed to address developmental challenges. For parents exploring options for comprehensive support, seeking autism treatment therapy can provide tailored strategies to help children develop essential life skills like nose-blowing, along with enhancing communication and daily routines. A supportive therapy environment empowers both children and parents to navigate these milestones together.
The initial step involves introducing the concept of nose blowing in a way that your child can easily comprehend. Visual aids are incredibly valuable for this purpose, as they provide a concrete representation of the action.
Using picture cards or drawings, demonstrate the following:
Explain each visual clearly and simply, using language that your child understands. Repeat the visuals and explanations multiple times to reinforce the concept.
Once your child has a basic understanding of what nose blowing entails, it's time to demonstrate the technique. Using yourself or a favorite stuffed animal as a model, show your child how to hold a tissue over their nose, covering both nostrils. In a calm and exaggerated manner, demonstrate how to exhale gently through the nose into the tissue.
You can make this step more engaging by using a mirror so your child can observe themselves as they attempt to imitate the action. Point out the movements of your nose and mouth, emphasizing how the air is being expelled.
Remember, this stage is all about observation and approximation. It's perfectly fine if your child doesn't get it right away. The goal is to familiarize them with the physical movements involved.
Having observed the technique, your child is ready for some hands-on guidance. Hand-over-hand prompting can be helpful here, allowing you to gently guide your child through the motions of holding the tissue, covering their nose, and exhaling. As you prompt, use clear and simple verbal cues like "Hold the tissue," "Cover your nose," and "Blow air out."
If your child is sensitive to touch, you can try using visual cues or gestures instead. For instance, point to the tissue, then to their nose, and finally, make a blowing gesture to prompt the action. Break down the process into smaller, achievable steps, praising your child for each successful attempt.
Remember, the key is to make the process as positive and rewarding as possible. By providing gentle guidance and celebrating small victories, you can encourage your child to continue practicing.
This final step is crucial for solidifying the newly acquired nose-blowing skill. Positive reinforcement is a powerful tool for motivating children with autism, and it's essential to use it generously throughout the learning process. Each time your child successfully blows their nose, acknowledge their achievement with praise, high-fives, or a small reward they find motivating.
Consistency is key when it comes to reinforcement. Make practice sessions a regular part of your routine, even when your child isn't sick. The more frequently they practice, the more automatic the skill will become.
Remember to be patient and understanding. Learning any new skill takes time, especially for children with autism. With your consistent support, positive reinforcement, and a whole lot of patience, your child will eventually master the art of nose blowing.
In conclusion, teaching an autistic child to blow their nose can be a gradual and patient process. By understanding their sensory sensitivities and creating a supportive environment, parents can help their child learn this essential skill. Utilizing visual aids, demonstrating the technique, and providing positive reinforcement are key steps in the teaching process. Stay attuned to your child's readiness and offer alternative methods if needed. Consistent practice and a calm approach will eventually lead to success. For more guidance on supporting your autistic child, refer to our comprehensive step-by-step guide.
Level Ahead ABA is dedicated to providing exceptional ABA therapy services to children with autism spectrum disorder in Georgia and Nebraska. Our experienced therapists utilize evidence-based strategies to address a wide range of challenges, including sensory sensitivities like difficulty blowing one's nose. Through individualized treatment plans and positive reinforcement, we empower children to develop essential self-care skills and live more independently.
Determining readiness varies for each child. Look for signs of developmental readiness, like following simple instructions and imitating actions. If you're unsure, consulting with a behavior analyst or your child's pediatrician can offer more specific guidance.
Frustration is normal; don't pressure them. Step back, provide reassurance, and try calming strategies like deep breaths or a sensory break. A behavior analyst can suggest tailored calming techniques for your child.
Absolutely! Nasal aspirators are a great substitute for removing excess mucus, especially for younger children. Discuss appropriate alternatives and techniques with your pediatrician or an applied behavior analysis therapist.
Our compassionate and skilled team is devoted to enhancing your child's development through customized ABA therapy. Let us partner with you to create a supportive environment for your child's success.
Discover how we can help your family thrive with expert ABA therapy.
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