What to Do When Your Child Scratches Themselves

Self-scratching deserves careful attention because the first priority is preventing injury while also trying to understand why it is happening. During an episode, calmly reduce immediate danger. Move sharp objects away, redirect or block scratching as safely as you can, and reduce unnecessary demands or stimulation when appropriate. Then look for patterns. Self-scratching can have different contributors—including distress, sensory experiences, frustration, difficulty communicating, anxiety, fatigue, or physical discomfort. Because pain, itching, skin conditions or another medical issue can sometimes contribute, don’t automatically assume the behavior is purely behavioral or sensory. Once possible contributors are better understood, appropriate alternatives may include communication such as “break,” “help,” or “all done,” access to regulation strategies, changes to the environment, or a safer sensory alternative.