Highly Sensitive Patients – Working (Sensitively) with SPS

 In Mind/Body

Katrina Iiams-Hauser, ND


Sensory processing sensitivity (SPS) is a trait found in 15-20% of people.1 Another term for individuals with this trait is HSP, short for Highly Sensitive Person. This trait is different from the clinical condition of PTSD (post-traumatic stress disorder), as it does not appear after trauma or illness, but rather is an inborn trait. Elaine Aron, credited with bringing the concept of HSPs to light in the 1990s, uses the acronym DOES to explain the qualities of being highly sensitive1,2:

  • D stands for depth of processing. Highly sensitive people take in the world deeply, especially the details. This can show up as taking longer to make decisions, as there is so much data to consider. The person who pauses before entering the room, to assess the vibe, is likely highly sensitive.
  • O stands for overstimulation or overarousal. When an environment is loud or full of stimuli, the highly sensitive person may feel out of body, start crying, or generally freak out/shut down. Visceral reactions to smells or other sensory stimuli is common.
  • E stands for emotional responsiveness, or empathy. HSPs will often deeply feel the pain and joy of those around them. Learning boundaries is crucial for HSPs.
  • S stands for sensing the subtle. Due to deeply processing their surroundings, HSPs will notice things that others may not, which can lead to interpersonal struggles as well as exhaustion. Many HSPs are artistically inclined, and are often in careers that rely on their sensory powers.

Learning about this trait and being able to identify it in a patient can make a huge difference in how they perceive themselves. In the Therapeutic Order, deepening your self-awareness is both low force and high impact. To illustrate the potential impact of identifying oneself as a HSP, I share the following case.

Case Study

Linda* is a woman in her mid-60s who came into my office to discuss chronic pain and debilitating headaches. She was seeking a naturopathic approach, as she had reached the end of the line with her other providers. Her life had been a string of traumas, both physical and emotional, and there was a history of alcohol and substance abuse. In her words, she had “an addictive personality.” She appeared dejected and depleted. Her living situation was stressful, as her son’s family was living with her for a few months and the noise from the grandkids was overwhelming. Despite seeing a counselor weekly, she did not feel comfortable in her life, and the guilt and shame of returning to cannabis to escape from it all compounded the situation.

Arnica 200C was administered immediately for trauma, followed by Natrum sulphuricum 200C at the end of the visit. I perceived a theme of high sensitivity in this patient, and explained this trait to her. She was intrigued, and left with a link to further research HSPs (as well as a rapidly diminishing headache).

Two weeks later she returned for a follow-up, appearing brighter and smiling. Tearfully, she described how grateful she was to learn that she was a HSP, and that it explained so much about her life. She also reported that her antidepressant was now working and that she was starting to feel at peace with her home life. She had no headaches to report since the last visit, and she had not felt the trigger to use substances to escape.

Two months later, she continues to deepen into her natural state, sinking in to her new awareness of her sensitivity and how to better care for herself. We continue to work on unwinding physical and emotional issues as they arise, and she is on an upward trajectory in her health.


HSPs need to know this trait is real. They can be empowered to design a life that is compatible with their sensitivity, and to reframe their past in light of it, thereby helping them to heal from past traumas. Getting to know other HSPs helps to put their experience in context and to realize that they are in not alone in their sensitivity. As naturopathic physicians, we may see proportionally higher numbers of HSPs. If we can identify this trait and educate our sensitive patients about it, we can open the door for breakthroughs and healing.

*Name and details changed for privacy


  1. Aron EN. The Highly Sensitive Person: How to Thrive When the World Overwhelms You. New York, NY: Harper Collins Publishing; 2017.
  2. The Highly Sensitive Person. Available at: http://hsperson.com/. Accessed February 9, 2018.
Image Copyright: <a href=’https://www.123rf.com/profile_esthermmartinez’>esthermmartinez / 123RF Stock Photo</a>

Katrina IIams-Hauser, ND, is a licensed naturopathic physician who practices in Everett, WA. She adores working with highly sensitive people. She combines gentle bodywork, homeopathy, and naturopathic lifestyle advice to promote healing for patients across the age, gender, and ability spectrum. When not in her clinic, she can be found exploring the outdoors and generally savoring the simple pleasures in life as a highly sensitive human being.

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