Applied Behavioral Analysis therapy (ABA) is amazing because it isn’t designed to tackle autism by itself.

Sometimes Autism isn’t the only diagnoses that a child on the spectrum is diagnosed with. A child who has autism may also be diagnosed with Attention Deficit Hyperactivity Disorder, Oppositional Defiance Disorder, Anxiety, Depression and more. There is a 30% chance your child may also have a specific phobia, and a significant number have intellectual disabilities. Autism isn’t as straightforward as some may believe which is why it’s difficult to tackle it with most conventional therapies.  

Applied Behavioral Analysis therapy (ABA) is amazing because it isn’t designed to tackle autism by itself. It is a therapy used in all areas of life, from career, to sports, to businesses and other disorders. When you put your child into an ABA programme, you’re not only providing help with life skills they lack (due to the way their brain functions), but also skills to help with a variety of issues and other disorders.

If you’re concerned your child may have issues outside of autism, such as ADHD, you can ask your DR to refer your child for further testing. Here are some symptoms and behaviors:

ADHD: Aggression, excitable, fidgeting, hyper, impulsive, irritable, no restraint, repetitive words and behaviors, absent-minded, no focus, forgetful, short attention, angry, anxious, bored, excited, mood-swings.

ODD:  Aggressive, antisocial, impulsive, irritable, screams, self-injures, vindictive, argumentative, angry, anxious, depressed, lack of attention.

Anxiety: Tired, restless, sweating, hyperventilates, irritated, racing thoughts, intrusive thoughts, excessive worry, fear, feelings of impending doom, nausea, trembling.

Depression: Apathy, discontent, guilt, hopelessness, not interested in anything, seems bored, mood-swings, tired, insomnia, agitated, cries a lot, no appetite or extreme appetite, slow movements, suicidal thoughts, no concentration, weight gain or loss, repeats thoughts, obsessive thinking.

Applied Behavioral Analysis (ABA) Therapy has techniques to help teach an Autistic child empathy

People with autism often struggle with empathy; as a parent of a child who shows little empathy, it may be pretty terrifying to wonder what might happen to your child in relationships or how their morals might develop. A child with little empathy may laugh when another is upset, or take a toy from another child and not understand why they should share, or even be violent with little remorse.  

The good news is Applied Behavioral Analysis (ABA) Therapy has techniques to help teach a child empathy and how to respond to situations appropriately. Which is a huge relief when you’re the parent or even child. The other great news is lack of empathy does NOT make someone with autism an awful person who’s choosing not to care. The issue doesn’t lie in choice (typically seen with people who have autism, it’s caused by abnormal neural connectivity), and when given the option to learn and choose to care, a child with autism absolutely can!

First, the ABA therapist will likely teach your child to recognize emotions. Once they can recognize what an emotion actually is in a simple way, it will be way easier to teach them it in everyday interactions, and how to respond to those emotions. This is done through pictures of faces, the therapist demonstrating or even silent clips of facial expressions.

Apart from recognizing emotion, there are two other steps to mastering empathy. Taking someone else's point of view into account and controlling how we respond. This can be done through role-playing situations, using life skill books demonstrating situations where empathy is needed, having the child role play another's emotions through facial expressions, or even asking questions in everyday conversation when an empathetic response is needed.

The other cool thing about empathy is there are actually three types.

Emotional Sharing: Where you feel what another feels

Empathetic concern: Where you want to help others in distress

Perspective taking: Which is when you can see someone else's point of view

Knowing this as parents of autistic children can help us to understand why your child might run to help their sibling up when they’ve fallen down one second, but call them names and laugh the next.

ABA is a fantastic therapy which can help so many children with autism thrive and live a far more high-functioning life than they would have. The vast amount of things the therapists can teach and help your child with is so worth the time investment and bond you will build with both the therapist and your child.

Parent Training: Is your child's behavior getting worse?

How do you know whether you’re experiencing an ‘extinction burst’ or if your child’s behavior is just getting worse?

What is an Extinction Burst?

To understand what I mean by this, I’ll give an example. Let's say you ask your child to do something and they start hitting you. You've learned that not allowing escape is a great intervention so you ignore the child hitting you and repeat your request. At this point the child may start hitting more or harder (i.e. behavior just go worse).   

Why does this happen?

Because it used to work for them! This is called an extinction burst.

When you start to ignore the behavior all together they will up the ante and try to go back to the way it was before. Because that was easier for them than listening to you.

This doesn’t make your child a bad person in any way; in fact it makes them pretty smart! They’ve figured out how to get what they want in this world, and it’s wonderful. They can problem solve like this. Increasing the bad behavior is actually a clever thing to do. If you did something one way, and it worked, you would keep doing more of it to get the same reaction too!

When a behavior is done for attention, and we ignore the behavior it will get worse. But then it will start to get better, because your child will realize this is just too much work. Great!

But what happens if it stays the same? And doesn’t get better at all? When do you draw the line in the sand and try a new tactic?

What if an intervention isn’t working?

There will be plenty of data and charts to show whether your child is going through an extinction burst, or the behavior hasn’t changed at all. If the behavior hasn’t changed at all the reason your child is doing the behavior may need to be looked at again. Maybe the therapist was wrong, and they did it for another reason. If this is the case, the charts will show it and the data will help them change tactics. Some other ways the therapist could change the intervention to the behavior is;

-        Changing the length of time they ignore the behavior/child

-        Expand the plan to other places where the behavior may occur more

-        Have someone else also back up the intervention

If you feel a part of therapy isn’t working for your child, you can always speak to your therapist about it. They will have the data and charts to confirm or deny your experiences. They should work with you, not against you, to help your child better function, learn more and live a more productive life.

A tool that can help to reduce your child's anxiety

Children who have Autism often have trouble with transitions. A transition is just a fancy way of saying, going from one activity to the next, or one place to the next. Applied Behavioral Analyses (ABA) has plenty of tools in its toolbox to help your child overcome the meltdowns, or negative behaviors that occur after or during the transition.

This article talks about visual schedules…

Autistic children love routine and love knowing what’s going to happen next. Think about it this way:

A friend says they’re taking you away for the weekend. They want you to pack everything you need within 2 minutes so you can leave right away. If you don’t pack in time, you’re leaving any way and can’t gather what you need. You aren’t allowed to know the location, who is going to be there, or any clues to what you might need with you.

The scenario is a little exciting sure, but incredibly stressful. Do you pack jeans? Something formal? Hiking gear? Will you need soap? Will you need a towel? Can you gather your tools to be successful on this trip fast enough?

Springing a transition on an Autistic child is a lot like the above scenario. Without a schedule there is no walk-through, your child doesn’t know what to prepare for, what tools they might need from their coping toolbox, who might be there or how they’re expected to act socially. When a new activity is dropped on them out of nowhere, it’s akin to trying to pack a suitcase in 30 seconds flat…Oh and listen to what your parent tells you to do and do it right away! It is horribly overwhelming.

Knowing this, it’s a little wonder your child might be tantrumming, throwing their toys, or just plain sulking and refusing to go. After all, they probably don’t have the same tools an adult would, to navigate the situation.

A visual schedule is essentially pictures of all the locations your child will be visiting that day. Perhaps it’s different classes, or Grandma’s house. Whatever it is, take a picture and put it up on an hour by hour schedule and talk to your child about what you will be doing that day. Warn your child 30 minutes before you have a transition, and use the picture during a transition, to explain what is happening next. 

Once your child becomes familiar with the routine, and locations, things may get better. This is just a quick explanation, your ABA therapist can use these tools and more to help reduce your child’s anxiety.

Why the ABC's of ABA are important

Applied behavioral analyses therapy  (ABA) applies a tool that behavioral analyses use called ABC – Antecedent, behavior, consequence. This is a technique used in many behavioral therapies and is the foundation of why we do what we do, as human beings.

Every single parent has a behavior that we would like to change in our child, even if they aren’t Autistic. We wish they would put their socks away, not tantrum, go to bed on time or do their homework without being asked. As parents we negotiate, punish and set boundaries to help our child achieve the behaviors they need once they enter the world without us. ABC breaks down these behaviors into three parts to help us analyze and get the results we’re looking for.

If you’ve ever wondered why you’ve told your child 100 times not to do something? And think you’re setting the right punishment or reward for the behavior but are getting nowhere? Perhaps you aren’t looking at the antecedent.

What is an Antecedent?

An antecedent is a stimulus that occurs before the negative behavior. Such as: an action, circumstance or persons presence. It cues or sets off a certain reaction. It moulds our behavior— which is why ABA therapists will look at this first. If you can change the antecedent, you can change the negative behavior your child is displaying.

Here is an example of why looking at an antecedent can help…

A child is asked to sit in circle time during class. Instead, the child sits in the corner and waits for the teacher to drag the child back to the circle. The child continues this behavior until the teacher makes him sit at her feet as punishment.

In this scenario the child appears to not be interested in circle time and so is reprimanded and forced to so he doesn’t escape the situation. But look closer and you can see the real reason the child is running from the circle. To sit next to the teacher! If the teacher changed the antecedent (where the child is asked to sit in circle time) and instead asks the child to sit next to her, she could avoid this situation all together.

Behaviors occur in situations where they are reinforced; this is important to remember because rewarding a child works better than punishing them. So if you redirect the child to something else (in this case sitting next to the teacher), and interfere with the trigger or antecedent, over time the child’s behavior will be reduced.

Antecedents help us to remember to look at the root of the issue so we can turn the situation into a positive that helps our child function better in the world. And that’s why an ABA therapist will look closely at your child’s ABC’s.   

                                       

Find Out How Rote Learning Allows Children to Comprehend Without Boring or Upsetting Them

Often Analytical Behavioral Therapy (ABA) uses tools every child needs to learn and intensifies them for the Autistic child. This can look strange when you watch a session, but when you understand the underlying reasons it makes total sense. There are many different ways this can be seen, but one way is with Rote learning.

Many children learn through the process of Rote learning; Rote learning is the act of memorizing. Sometimes with Analytical Behavioral Therapy (ABA) things are repeated to our child many times, over and over again in the first stage of learning to facilitate Rote learning. It may seem alien to watch a therapist repetitively teach something to your child, but we as parents do this too. We repeat numbers, songs, objects and request many times a day.

One example of this is to repeat numbers often. Once a child learns the basics of counting, they can apply that in an abstract way perhaps to objects; how many marbles are in a bag? For example, the same process is intensified in ABA therapy so your child can quickly learn concepts on a basic and then advanced level.

The reason an ABA model does this is because conceptual learning is often confusing for an Autistic child. Once they learn one rule, they will think it’s a ‘hard and fast’ rule and have a hard time applying extra rules to it; at least until that rule is solid in their mind. For example, a tree can be big or small. But what if you taught your child the trees were big, and they didn’t have time to memorize this concretely before you told them some trees are short?  Autistic minds, being very literal, may think that now all trees are short. This is why it is important for a concept to be burned into their minds before they are able to understand new concepts.

However, this doesn’t mean your therapist should be repeating concepts such as this is blue, until your child is bored or even upset. This won’t give your child a positive experience or allow them to learn anything at all. Often you will see things repeated depending on the child, this could be four times or eight times or more. ABA is always a very individualized therapy that should be just challenging enough to teach your child but not too challenging or boring to upset them.

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Why New Skills Using ABA Are Taught in Different Scenarios

When a child has Autism they often have difficulty generalizing behaviors. This means they can act a certain way in a certain situation, but not in others. This could mean that if a routine is not followed the child cannot demonstrate a specific skill, which is not helpful in real-life situations that are often random.

Most children with Autism cannot learn a skill and automatically generalize; this is normal and should not concern you right away. That is why new skills in Applied Behavioral Analyses therapy are taught in many situations, with varied tones of voice, and multiple materials, as well as multiple correct responses. This is called adding ‘discrimination’ components and why ABA therapy is so great for Autistic children.

The wrong way to teach with ABA is to give a child a specific thing they must say whenever something is asked. For example, when somebody asks ‘did you have fun’, the child always responds with, ‘yes thank you’. This is not generalizing and causes issues. What if the child didn’t have fun, and the adult doesn’t know they were taught a specific way to respond? This is why it is so important as a parent and therapy team to carry out skills across different platforms. If your child is taught to say goodbye to their therapist, then this should be encouraged in other scenarios, like when a family member leaves for work.

When a new skill will be taught to your child, ask about generalization. As a Therapist any goal that is taught to the child will first be thought about in ‘the bigger picture’. For example, if a child needs to sit still during lessons, where else will this need to be applied? How can we transition it to other scenarios? This should always be looked at first before the lesson begins, so the therapist knows how to expand on the lesson to give your child the best success. And this is something you can help your therapist with, to ultimately help your child.

ABA is not meant to teach robotic responses to situations, it is not meant to teach your child how to act appropriately only within limited situations. It is meant to help a child blend in with their peers, achieve the goals their classmates will and have a happier healthier life as an adult.