I may not register pain in the same way other people do because I do not know what it is like to NOT be in pain.
My life has been filled with pain and so I sometimes don’t really realize when I am in pain or why I am in pain. I experience pain from sounds, sights, emotions, stress, touch. Normal everyday life constantly causes me pain. Sometimes it is bearable and sometimes it is unbearable, but it is always there.
So when people say that people with autism don’t experience pain or don’t register pain, I cringe inside. When life is pain, how could you not experience pain? The thing is though, when life is pain, how do you know the difference between the pain of sensory disturbance and pain that signifies a medical condition? How do you know when the pain is preventable and when it’s not? How do you know that pain is a sign that something is wrong when your body is constantly telling you that the world is wrong?
To me, there are many different types of pain and sometimes one pain can masquerade as another pain. Sometimes I feel a tingling pain like when your foot falls asleep, only it happens when someone touches me. Sometimes I feel stabbing or throbbing pain when I hear a loud or prolonged noise. Sometimes I feel a dull ache when I’ve been in the same room for too long. Sometimes I feel a choking pain like the gripping pain of frostbite when I see someone else hurting or lonely.
All of these types of pains are normal to me. I feel them nearly every day. However, they can also signify that something is wrong. They can be signs of a medical condition or a danger in the environment. The problem is telling the difference. The problem is knowing when your normal pains aren’t normal.
So before you think that someone won’t be able to feel pain because they self injure or because they don’t seem to respond to pain, maybe think about some other reasons they may not seem to feel pain. Lack of emotion to pain doesn’t necessarily mean that the pain isn’t felt. It just may not be fully understood.