An imaging appointment may involve unfamiliar rooms, equipment, touch, waiting and a request to keep still. For an autistic or ADHD child, knowing the exact sequence can reduce uncertainty and help the radiology team plan respectful support.
Ask what this particular scan involves
X-rays, ultrasound, CT and MRI are different. Ask the department how long the appointment may take, whether clothing must change, what the child will see or hear, whether a caregiver can stay nearby, and whether contrast, fasting or sedation is planned. Follow only the instructions from your child’s clinical team.
For MRI, Cambridge University Hospitals explains that the scanner can make continuous tapping sounds, hearing protection is needed and staying still helps create clear images. Some services offer pictures, recorded scanner sounds, practice equipment, play specialists or pre-visit support.
Preview honestly and briefly
Create four or five steps such as: arrive, answer safety questions, get ready, take pictures, finish. Avoid promising “nothing will feel strange.” Instead say what is known: “The machine may be loud. It should not hurt. You can tell the radiographer if you need help.”
- Practise lying still for five or ten seconds, then slowly increase only if the child is comfortable.
- Use a favourite toy to role-play the sequence.
- Ask whether a comfort item, music, video or alternative communication can be used.
- Pack headphones only if the department confirms they are safe for that equipment.
Share a one-page support note
Include how your child communicates pain or distress, sensory triggers, helpful words, preferred warning before touch, and what supports regulation. Our one-page hospital care passport can help you organise this information.
Keep consent and dignity central
Offer real choices where possible: which arm rests first, whether to watch the screen, or which comfort item to hold. Do not practise restraint at home. If stillness seems impossible, contact the team before the appointment so clinicians can discuss safe options. Do not change fasting, medication or sedation instructions yourself.
This is general information shared for parent awareness, not medical advice. Every child is different — please confirm decisions with your child’s doctor or a suitably qualified professional.