Hygiene is a demand. I know that sounds strange, but for a PDA child it's true. Showering, brushing teeth, changing clothes, every single one of these is a demand, even when we offer them softly. Sensory overwhelm is real, and so is the pressure of being told your body needs fixing. So I stopped managing their hygiene and started making the environment one they could say yes to.
This is what that looked like for us.
I used to say "don't forget to wash your hair." I thought I was being helpful, but what I was actually doing was adding an extra demand on top of an already huge ask. Getting into the shower was the ask. Everything after that was bonus, and I had to learn to treat it that way.
If they shower, they shower. If they don't wash their hair, they don't wash their hair. One thing at a time, and sometimes no things at all. That's okay. I had to let go of the idea that a shower had to look a certain way to count. If my child got themselves into water, that was the win. I didn't need to add conditions to it.
Once I started paying attention I realised the bathroom itself was a barrier before anyone had even undressed. Loud exhaust fans, harsh lights, cold tiles, bright overhead bulbs. The bathroom is a sensory minefield.
So I started changing what I could. Warm lamps instead of the overhead light. A bluetooth speaker so there was something familiar and comfortable in the space. A soft towel waiting rather than whatever was on the rack. These were small changes but they made a huge difference because they shifted the bathroom from a space that was sensorily hostile to one that was at least tolerable, and on a good day maybe even pleasant.
They pick the shampoo. They pick the soap. They pick the temperature. Scents, textures, ingredients, this is their body, not mine.
I had to recognise that I'd been making choices about their body without really thinking about it. The shampoo I bought, the soap I put in the shower, the temperature I ran the water at. All of those were my preferences applied to their body, and for a PDA child who is already navigating a world that constantly overrides their autonomy, having control over these small things is what makes the big thing possible. Autonomy over the details is what allows them to get to the water at all.
I tried timers for a while because someone suggested it. I tried sticker charts because that's what the internet said to do. Timers turned a shower into a performance. Sticker charts turned it into a transaction. Both backfired and both eventually cost more than they earned.
Pressure doesn't build capacity. Safety does. Every time I added a system or a reward or a structure around showering, I was communicating that this was something my child needed to be managed into doing. And for a PDA nervous system, that management is the threat. It doesn't matter how cheerful the sticker chart is or how gently the timer is set. The message underneath is still "I don't trust you to do this on your own, so I've built a system to make sure you do."
I notice I still put my clothes on the floor beside the basket, as a PDA adult. Always. That tiny act of rebellion is how my PDA brain lets me do the shower at all. Sometimes it's showering and not brushing my teeth. Something has to give.
I don't interrupt my kids' version of that either. It's how they get to the water. If my child showers but doesn't brush their teeth, that's not a failure. If they change their clothes but don't shower, that's not a failure either. They are finding the way that works for their nervous system, and my job is to not get in the way of that process by insisting it all happens at once or in the right order or to the standard I have in my head.
I don't lecture about smell. I don't comment on how long it's been. This was one of the hardest things for me to let go of because the anxiety about what other people might think was constant. But I had to sit with a really uncomfortable truth, which is that shame doesn't produce clean kids. It produces kids who hate their bodies.
If a shower happened, that's the win. Full stop. Not "great, now let's do your teeth." Not "see, that wasn't so hard." Not a comment about how much better they must feel. Just letting the shower be the shower, without layering anything on top of it.
This is what it comes back to for me. They're not avoiding cleanliness. They're avoiding pressure. And when I stopped being the source of that pressure and started being the person who made the environment safe enough to approach, things shifted. Not overnight, not dramatically, but slowly and in their own time, which is the only way it was ever going to work.
My children now shower almost religiously, every single day. It still blows my mind, but I also don't hang off that having to happen. It's a part of their own routine they set for themselves and I just love them through it whether it happens or not.
If you'd like to learn more about my own parenting journey with bathing and hygiene and what works for us, click the image below to learn more:
KF