Deep Pressure Therapy for Autism: What Parents Need to Know

If your child has been diagnosed with autism spectrum disorder (ASD), you’ve probably heard the term “deep pressure therapy” from an occupational therapist, a support group, or another parent. But what exactly is it, and how can it help your child?

This guide breaks down everything you need to know — in plain language, backed by research — so you can make informed decisions about incorporating deep pressure into your child’s sensory toolkit.

What is Deep Pressure Therapy?

Deep pressure therapy (DPT) involves applying firm, gentle pressure to the body to help regulate the nervous system. For children with autism, this type of sensory input can be profoundly calming and organizing.

Think of it this way: many children with autism experience the world as too loud, too bright, too fast. Their nervous systems are often in a heightened state of alert. Deep pressure works like a volume dial — it turns down the noise and helps them feel safe, grounded, and in control.

Common forms of deep pressure therapy include:

• Weighted blankets — for sleep and rest time
• Compression vests and clothing — for daily wear
• Weighted lap pads — for seated activities
• Body socks — for active sensory play
• Bear hugs and firm squeezes — the original DPT!
• Therapeutic brushing — the Wilbarger Protocol

How Deep Pressure Helps Children with Autism

Sensory Regulation

Many children with ASD are sensory seekers — they crave intense sensory input to feel regulated. Deep pressure provides this input in a safe, controlled way, reducing the need to seek it through potentially unsafe behaviors like crashing into furniture or pressing against walls.

Reducing Meltdowns

When a child’s nervous system is overwhelmed, a meltdown can follow. Deep pressure can help prevent meltdowns by keeping the nervous system regulated throughout the day. Some families notice a significant reduction in meltdown frequency and intensity after implementing consistent DPT.

Improving Focus and Attention

Research shows that children who receive deep pressure input during learning activities demonstrate better on-task behavior, improved attention span, and greater ability to follow instructions. This is why weighted lap pads are becoming common in classrooms.

Better Sleep

Sleep difficulties affect 50-80% of children with autism. Weighted blankets have been shown to help children fall asleep faster, stay asleep longer, and wake less frequently during the night.

Emotional Regulation

Deep pressure helps children develop better emotional awareness and control. By providing a calming baseline, it gives children the bandwidth to process emotions rather than being overwhelmed by them.

Tools and Techniques: What Works Best

For Sleep: Weighted Blankets

Weighted blankets are the most well-studied DPT tool for children with autism. Guidelines for children:

• Weight: 10% of the child’s body weight (consult your OT)
• Minimum age: Generally 3+ years (with supervision)
• Important: The child must be able to remove the blanket independently
• Start slow: Introduce during supervised rest time before overnight use

For School: Weighted Lap Pads

Weighted lap pads (2-5 lbs) sit on the child’s lap during seated activities. They’re discreet, portable, and can significantly improve focus during:

• Circle time
• Reading activities
• Desk work
• Meals

For Daily Wear: Compression Vests

Compression vests provide consistent deep pressure throughout the day. They’re worn under regular clothing and can be particularly helpful during:

• Transitions between activities
• Crowded or noisy environments
• Social situations
• Appointments (doctor, dentist)

How to Get Started: A Step-by-Step Guide

Step 1: Work with Your OT

Before purchasing any tools, consult your child’s occupational therapist. They can:

• Assess your child’s sensory profile
• Recommend appropriate tools and weights
• Create a sensory diet that includes DPT
• Monitor progress and adjust as needed

Step 2: Start Simple

You don’t need to buy expensive equipment right away. Try these free techniques first:

• Firm hugs: Hold your child firmly (with their permission) for 20-30 seconds
• Pillow sandwiches: Place your child between two cushions and apply gentle pressure
• Rolling: Use a therapy ball or yoga ball to roll over your child’s back and limbs
• Joint compressions: Gently press and release at the shoulders, elbows, wrists, hips, knees, and ankles

Step 3: Choose Your First Tool

Based on your OT’s recommendation and your child’s preferences:

• For sleep issues: Start with a weighted blanket
• For school focus: Try a weighted lap pad
• For daily regulation: Consider a compression vest
• For active sensory needs: Look into body socks

Step 4: Introduce Gradually

• Let your child explore the tool at their own pace
• Don’t force use — deep pressure should feel good, not restrictive
• Start with short periods (10-15 minutes) and gradually increase
• Observe your child’s reactions carefully

Step 5: Track What Works

Keep a simple log noting:

• Which tools your child uses
• Time of day and duration
• Behavioral changes (calmer? more focused? better sleep?)
• Any negative reactions

Safety Considerations for Parents

Critical safety rules:

1. Never use weighted items on infants or children under 2
2. Always ensure your child can remove weighted items independently
3. Supervise young children during weighted blanket use
4. Follow the 10% rule for weight selection
5. Watch for signs of distress — if your child seems uncomfortable, remove the item immediately
6. Avoid weighted items during physical activity or play
7. Consult your pediatrician if your child has any respiratory or circulatory conditions