Chapter 6 - Clinical assessment of sensory processing sensitivity

Abstract

This chapter covers four topics. First, we explore assessment of sensory processing sensitivity (SPS) (in one individual, as opposed to conclusions drawn in research settings), including the best use of the highly sensitive person (HSP) scale; sorting out the trait from other similar traits such as high sensation seeking (which is independent of high sensitivity); and taking into consideration the person’s history, which greatly affects presentation of symptoms. Second, we examine specific issues arising when working with HSPs. For example, the advantages and disadvantages of both client and therapist having this trait, versus the therapist not having it. Third, we consider how to approach the three most common problems reported by HSP clients, namely, issues due to being easily overstimulated, having strong emotional responses, and exhibiting low self-esteem. Finally, we discuss issues that often occur for HSPs in their relationships and at work, and provide strategies that may be especially beneficial for the highly sensitive in a therapeutic context. Overall, working with these clients can provide considerable rewards, often by simply helping them see how their sensitivity has been affecting their lives, for better and for worse.