While it's good that your son has found a coping mechanism I bet an OT could help him to redirect it to something more socially appropriate. And in regards to his different behavior between in an office and at home, it sounds like he seems socially aware enough to hold it together in public and is releasing his behavior where he's comfortable: at home. Kind of like if you have a bad day and don't let yourself cry until you hit the front door...then it all just seems to come out, doesn't it?

That's very true. Probably why it seems more pronounced when he returns home from school. Another coping mechanism is exactly what i was hoping an OT could provide. Thanks for your input. It's always nice to know we are not alone out here...

Thanks @A MyAutismTeam Member. Helps to know he's not the only one. I think it would help if he had something else for school since he won't dare take it to school.

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A MyAutis...

My sister is 35 she still needs to smell her blanket when her anxiety is high. No doctor has ever felt this is a problem. Everyone finds coping tools that work for them doctors don't find that wrong

We started seeing our private OT after being referred through our pediatrician. Part of her evaluation was a Sensory Profile, which includes questions relating to all of the different sensory areas---I know there were questions about reactions to smells on there. I have no clue what they do to work on something like that, but I'm sure they would have lots of ideas and strategies. We were on the fence at first about how "badly" we needed the OT, but when I started to think about how my sons (and my husband and I's) quality of life was being affected by the issues, we pushed for it.