Hygiene Tips for Teens

Hygiene Issues in Puberty

By middle school most teens will need to start using deodorant as puberty starts. If your teen resists using different products like deodorant or shampoo, try different items and think about whether the challenge might be sensory issues. For example would a fragrance-free product or a specific type of fragrance be better.

It is also common for teens to develop acne on their face or body (such as their upper back) or dandruff in their hair. Middle schoolers benefit from learning to shampoo and rinse their hair properly to avoid getting the classic greasy hair look and to wash their face, ideally each morning and night. Building these habits early makes it easier before potential acne issues develop. Over the counter acne face wash and pads may be helpful. Consult your pediatrician or a dermatologist for skin issues.

If your teen will be shaving, help them learn how, whether they use a regular or electric razor.

You could use hygiene tasks as part of a weekly schedule, such as every day they shower, certain days they shave, etc.

It is vital to talk with girls before menstruation starts to know what to expect and how to use sanitary pads or tampons, including changing them regularly. Boys need to know that it is natural to have wet dreams and how their body will change.

Learning that masturbation is a natural part of sexuality and should be done in the right place (in private) is also important. This is a good time to talk about boundaries, appropriate touching, and other safety issues. This safety article in the Milestones Autism Planning (MAP) tool has useful information. This winter we will also be adding articles on puberty, sexuality, dating and relationships.

If your daughter is struggling with hygiene for menstruation have a conversation with your primary care physician about options and whether to see a gynecologist.

Depending on level of functioning, all boys and girls need to understand basic sexuality, how pregnancy happens and birth control. Use accurate descriptions and names for body parts.

Other Hygiene Routines

Depending on their age and stage, autistic teens may be at different levels of handling basic hygiene tasks such as combing their hair, bathing, and washing their hair. Some autistic teens will still need toileting help including staying dry overnight. Talk to your child’s pediatrician, therapist, and/or contact the Milestones free autism Helpdesk for assistance. Independent toileting, wiping themselves and bathing reduce their risk of victimization. The Milestones Toilet Training Tool Kit gives you detailed guidance including developing your plan, communication tips and things to consider for toilet training a child with special needs.

Getting teens to brush their teeth poses a special sensory challenge including taste or smell of toothpaste, the design of the toothbrush (vibrating or not, color/shape). When faced with a teen determined not to brush, it can be tempting to let it slide. But not brushing teeth well means frequent cavities.

Try a variety of toothbrushes, unflavored or different flavors of toothpaste and flossers to find what fits your teen’s needs and preferences. You may want to try a toothbrush designed for people with autism.