Buy for the Interest, Not for the Diagnosis

A living room with a television, blankets on the sofa and a bowl of popcorn on a low table
The best present some years is a room with the volume down.

Search for Christmas gifts for an autistic child and you get a catalogue. Weighted things, squeezy things, things that light up in a slow cycle. All of it is bought for a category, not for a person. And it lands at the house of a child who has talked about nothing but the London Underground since April.

He does not want a chew necklace. He wants the map.

Start with what the child is already deep into and buy further into it. The next level of the thing, better tools for it, a book about it, more of the set. An interest-led gift gets used for months. A generic sensory item bought because of the diagnosis is often used for a week, and children can tell the difference between a present and an intervention in wrapping paper.

This is not a soft suggestion. It is what the people who study those interests keep saying.

The interest is the way in, not the thing to manage

A girl in pink ear defenders standing at the edge of a busy children party
Still in the room. That is the whole win.

Kristie Patten is an associate professor of occupational therapy at New York University. In 2017 she surveyed autistic people about their intense interests. Sixty two percent said those interests had helped them succeed in life. Eighty six percent had a job or a course built around the interest.

We have pathologized some of these things with autism that really, if we flip them and view them as strengths, the outcomes are going to be so much better.Kristie Patten, associate professor of occupational therapy, New York University

That lands differently on the twentieth of December than it does in a journal. If the interest is the strength, buying into it is not indulging a fixation. It is the most useful thing in the pile.

So: what is it this year. Trains, minerals, a specific video game, weather, the digestive system, one particular animal. Then go one level deeper than they currently are. If they know every stop on the line, get the book about how the tunnels were dug. If they build, get the set with the motors in it.

Our pick

160 Pcs STEM Building Toys for Kids

Check price on Amazon

As an Amazon Associate, Decoded Kids earns from qualifying purchases. Price checked live on Amazon.

The test is whether the gift lets them go further into something they already chose. That is a different question from what is good for autistic children, which has no answer, because autistic children are not interchangeable.

The sensory item, if you buy one at all

Buy it for the specific input this specific child seeks, and ideally after asking a parent. A weighted lap pad given to a child who does not want deep pressure is a well meant object in a cupboard.

There is one real exception, and that is ear protection. December is loud in a way the rest of the year is not. Crowded rooms, doorbells, a dozen people talking at once, and crackers. Ear defenders are not a treat and not really a gift. But a spare pair that lives at grandma’s house is one of the most useful things you can send.

Choosing a first pair rather than a spare? The differences between the models are covered in the headphones comparison, and there is more on the wider kit in the sensory kit for a loud Christmas.

Predictability is the other kind of present

What most often ruins Christmas Day for an autistic child is not the gifts. It is that the shape of the day is different and nobody told them how.

A steaming glass mug of spiced tea with an orange slice on a blanket beside an open fire
Somewhere to go that is not leaving.

A visual timer or a written running order does more than most toys. Not to hurry anyone, but to answer the question that would otherwise be asked forty times, which is what happens next and when does this end.

Write the day out the week before. Times, people, the order of things, and crucially the end of things. “Grandad leaves at four.” Then stick to it, because a written schedule you then break is worse than no schedule at all.

The unwrapping is optional

Nothing about a pile of paper on one morning is compulsory. Some families label every parcel with what is inside. Some open one gift at a time across the whole day. Some skip wrapping altogether for the child who cannot bear the noise and the mess and the not knowing. Every one of those is a reasonable adaptation and none of them costs the child anything they will miss. The surprise is a convention adults enjoy. It is not part of the present.

Same with the reaction. If your child does not perform delight, that is not ingratitude. It is not a failure of your parenting either. The relative who takes it personally is having their own feeling about it. That whole dynamic is unpicked in they opened it and said is that all, and it applies double here.

Give the relatives something to do

Most of the badly chosen gifts here come from people who wanted to help and had nothing to go on.

So hand them information. Two or three specific links, or a request to put money towards one bigger thing the child already wants. Nearly every grandparent, aunt and family friend is relieved to be told. The ones who insist on choosing for themselves are rarer than the fear of asking suggests.

And if what you want is one quiet room on the twenty fifth with the volume down, say that out loud too. It is a legitimate request and it is usually the cheapest thing anyone will give you all month.

He got the tunnels book. He read the same eleven pages to me four times on Christmas Day, and once more in the car in January. I could now tell you more about clay excavation than I ever meant to know.

WHILE YOU’RE HERE…

Everything Has Her Name On It and She Uses Two of Them

Nine Adults, Nine Gifts, and Nobody Wanted Most of Them

One Gift, Ten Dollars, for a Child You Have Never Met

The Mug Is the Sixty-Seventh Mug

Two Lines in the Nativity and She Has Been Sick Twice

Three Hours at the Table With the Grown-Ups

The First One Is Quieter Than You Expect

The Number in Your Head Belongs to Somebody Else

Her Resolution Lasted Until the Fourth of January

Your Child Can Read the Words. That Is Not the Same as Reading.

JOIN THE CONVERSATION

Leave the first comment

Share your thoughts

Questions parents askMental Health

Christmas gifts for kids with autism, answered

Start with what they are already deep into and buy further into it: the next level of the thing, better tools for it, a book about it, more of the set. An interest-led gift is used for months. A generic sensory item bought because of the diagnosis is often used for a week.

Only if that particular child seeks that particular input, and ideally after asking a parent. Autistic children are not interchangeable, and a weighted lap pad bought for a child who does not want deep pressure is a well-meant gift that goes in a cupboard.

Take the surprise out of it. Some families label parcels, some open one at a time across the day, some skip wrapping entirely for the child who cannot bear it. Nothing about a pile of paper on one morning is compulsory, and removing it costs the child nothing they will miss.

Anything that makes an unpredictable loud noise, anything that changes a routine they rely on, and anything bought as a fix rather than as a present. Children can tell the difference between a gift and an intervention wrapped as a gift, and the second one rarely lands.

Ask them to send money towards one bigger thing the child already wants, or give an experience the child has chosen. If they insist on buying, give them two or three specific links. Most relatives are relieved to be told, and would rather be given a list than get it wrong.

Sofia Moreau
Mental Health
Hi, I'm Sofia
Sofia Moreau
Years inside child-MH researchlearns from real specialistsdoesn't diagnose

I'm for the parent watching a feeling they can't name and wondering if it's normal. I've spent years close to the child-mental-health research and the specialists behind it, and I carry the heavy parts into plain language. I won't diagnose your child - I'll help you see what you're looking at, and say honestly when it's time to ask someone in person.

More from Sofia
Your turn

When did you last feel out of your depth - and what helped, even a little?

No right answers here - tell us how it actually went. Someone reading needs to hear it.

Join the conversation