What kind of therapist will be a good fit for your child?

Not all therapists will have the same style of implementing common ABA therapy techniques. Some may be very gentle, others firm, where some may want to explain situations to a child who works well with logic, and others may want to make simple demands instead. Applied Behavioural Analysis (ABA) is a therapy that is implemented in a way that molds to your child's unique personality and needs.

Because of this, not all Applied Behavioral Analysis (ABA) therapist will be the right fit for your child. When you decide to terminate services, you may consider if you want somebody else. If this is the case, think about what it was about the last analyst that caused issues for you. Understanding what you disliked about the therapist style of teaching, and communicating it to the company, can help them find you a better fit. Making a concrete list of what you are looking for gives the therapist/company a way to meet your needs, and either refer you or find someone like that.

Whether it’s tone of voice, certain techniques you don’t agree with or simply the personality of your therapist, making sure all of those issues are met to your desires are important. Never be afraid to go with a different therapist until you find the right fit for your child. Every therapist practicing ABA will bring their own unique style and personality into the mix. Just like every child will bring their own personalities into the relationship.

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.

Emotions for an ASD child

Almost all children struggle with recognizing emotions in others, but for a child with autism, this skill is even more complex. Their inability to read body language or facial expression well lends to even more complications throughout their life, which is why it’s important to teach this skill early. Learning how to recognize emotions impacts all areas of a person's life, from school, to work, to making friends and strengthening family bonds.

One great thing about teaching a child emotions is that they have to look at faces to achieve it. Something that people with autism struggle to do. An applied behavioral analysis (ABA) therapist can teach this in a variety of ways, one way is to show pictures faces that are sad, happy, worried, angry, etc. They ask the child which face is which and have the child point or tell the therapist.

Therapists can also teach this through expressing the emotions to the child and having them identify it. They express the emotion in an overt way, by grinning and clapping and asking what the child thinks the therapist feels.

The more the child practices identifying emotions in an artificial setting, the more likely they can recognize emotions in an everyday setting. Once a child can label and identify emotions, they can move on to learning how to deal with the emotions in themselves and others.

ABA is a great tool that helps children to learn a range of complex abilities that will help them with life skills across a range of areas, from school, to home to friends. Learning emotions is just one tool of many.

Researching the Therapy

As a parent new to the diagnoses of Autism or with little knowledge of Applied Behavioral Analyses (ABA) therapy, the whole process of researching the therapy and life your child could face is overwhelming. But reading about the nuts and bolts of the therapy and what kids with autism go through, in clinical dry ways, only gives us so much information.

Researching the step by steps, understanding the language, and talking to a therapist about your concerns are all legitimate ways to discover what you’re getting into—but it can’t prepare you for how it feels or even looks like living it.

There is however a book When Everybody Cares: Case Studies of ABA with People with Autism  by Bobby Newman which is a first-person account of ABA. It can show you in a very real way how this therapy affects a child’s life and what issues arise with someone on the spectrum.

The book When Everybody Cares: Case Studies of ABA with People with Autism gives a unique insight into the life of a behavioral analysis and the solutions they develop for common problems. The great thing about this book is you aren’t just reading step by step, you're reading the struggles and insights and even the raw emotions that come along with working through difficult behavioral issues: such as a child refusing to eat or learning how to follow instructions.

Like a diary, this book doesn’t tell you what ABA will be like, it shows you like a story, a biography of sorts. ABA is a beautiful journey for everyone involved, so it’s little wonder such a beautiful book has been written because of it.  If you want to really see what ABA looks like, or even feels like, then give this book a try.

Echolalia in Autistic children

A lot of children who have autism will start their speech journey with something called echolalia. Echolalia is when a child repeats what you have just said back to you. It is done for many purposes, but the main reason a child does this is because they have a hard time with fluent or creative spoken language.

Some good news about echolalia is it can be a sign your child is trying to speak and they may grow out of it. In some cases however, the child never fully overcomes echolalia.  There are some classic examples of this, as some children began with echolalic speech which slowly filters out as they speak more fluently, but rears its head again when they are under stress.

Some parents are told their child would always use echolalia and never speak but through ABA they can form fluent sentences and communicate effectively.

Applied behavioral analysis (ABA) therapy often works with a child's speech. After-all, speech is used for everyday functioning. The way they go about this is by modeling the correct response. As a child can already repeat what has been said this is quite easy to implement. For example;

Therapist: Do you want a cookie?

Child: Want a cookie? (Whilst holding out their hand indicating yes)

Therapist: Yes, please.

Child: Yes, please.

Therapists: (gives the child the cookie)

Basically, this teaches the child that when they say yes to this question, they receive a cookie.

You may notice once this is put in place your child uses an echoic response first and THEN the correct response. For e.g. “Want a cookie? Yes, please.” This is wonderful news as the child is now using the echolalia to process the question before they answer it. Much the same way we do.

Have you ever been in a situation where you weren’t quite sure what somebody said and you repeated it in your head to understand it? This is the function for an echolalic response in this circumstance. It’s quite normal really, and remarkably intelligent problem solving for a child who's having trouble processing the outside world.

ABA can help in so many ways! Echolalia is just one of the many struggles a child with autism faces. ABA looks at the behavior your child uses and normalizes it, trying to both understand it and change it so they still receive the benefits they are looking for.

Reinforces: How to make them effective

We talked about token boards and how they help reinforce good behavior during Applied Behavioral Analysis (ABA) therapy sessions. But there is a way you can improve on the token boards and other reinforces to make them as effective as possible. Your therapist should use some of the following methods to help your child move forward through their skills quickly.

When offering a token or sticker for each completed task, your therapist will ensure it is given as soon as the child completes the task. It is here reinforcement will be the most powerful, mostly due to instant gratification. If you promise a treat later for doing something they were asked to do, the behavior change will not be as rapid. This is why stickers and tokens on hand are such an amazing tool, there’s no wait period.

The stickers, token or reward must also mean something to the child/teenager. If the reward isn’t very exciting, then it’s not motivating. Sure they might do it for the benefit of getting a sticker, but they’d do it with more gusto and energy if that sticker was of their favorite cartoon character and not a gold star.

The therapist should give the treat frequently. It would be a little ineffective to tell your child, ‘if you behave all day you can get a sticker.’ Not only is that unrealistic (who doesn’t make mistakes? What child doesn’t misbehave once or twice?) but the goal is out of reach, and the reward isn’t tangible. It’s not something they can easily imagine themselves receiving. Giving your reward frequently reminds your child how awesome it feels to get it.

The therapist should also make the reward exciting with the use of social engagement. Compliments, hyping up the gift, and being as positive about the reward as possible are some examples.

Another mistake newer ABA therapists make is turning the reward into a negative. Instead of saying, ‘if you don’t do X you won’t get this’, the therapist should say, ‘if you do X you will get this cool sticker!’ In an upbeat happy tone. Now the sticker is exciting, the praise is rewarding, and the outcome is something they want to work towards.

Just think about how it feels when someone tells you that you can’t have something unless you do as they say. Instantly we evaluate if we want that thing anyway, which makes us less likely to be happy about getting it. This is just human nature. One simple change in language can do a lot for any child.

ABA therapy is such a simple therapy really when broken down. From the outside it can be confusing and even a little scary at first, but when we look at it from a common sense angle, it’s little wonder why this therapy is so vastly used in all sorts of fields. Tokens, and stickers are nothing new, and if you ever have any issues with how they are used you can always ask the advice of your BCBA certified analyst or therapist.

How prompting can help during ABA

Prompting is a wonderful tool in applied behavioral analyses therapy (ABA) and probably the reason some children learn to communicate at all. This simple way of moving a child through the motions of an action/response so he/she can see the consequence is so powerful yet so simple. It really answers the question, how do you teach a child that can’t understand language intuitively, what you are asking of them?

My son was completely non-verbal until his speech therapist used hand-over-hand prompting to show signs and slowly weaned him through the process of prompting until he could mand (request things) for himself.

Here is a list showing some most invasive to the least invasive prompting.

Most invasive: Full Physical Prompting

This is when your therapist will essentially use your child’s hands to carry out a request. For instance, she/he may say, ‘pick up your toys,’ then take the child’s hands and close them around the toy, guiding it to the toy box.

Next Invasive: Partial Physical Prompting

In this case the therapist will put the child’s hand onto the toy to show them what she means and wait to see if the child carries out the rest of the direction. Normally this is the first step taken once the child has mastered full physical prompting.

Next Invasive: Modeling

The therapist will act out what she wants the child to do. For instance, she will pick up the toy and put it in the box after asking them to do it and wait to see the child’s response.

Next Invasive: Gestural

Where the therapist will point at the toy and the toy box to gesture to the child what is needed of them.

Next Invasive: Positional Prompt

The therapist places the object close to your child and tells them to clean it up.

Least Invasive: Simple Direction

The therapist will simply ask your child to clean up their toys and expect that they will do it without further help.

When we move down this chart the child slowly learns what is expected of them, or basically, what you’re asking them to do! Much of the time, just telling them what to do and showing them won’t work for an autistic child. Going from most invasive to least invasive (depending on the specific skill set of your child and what they are asked to do) teaches them in a way that they will actually understand. It’s so simple and effective but works beautifully.

The Guilt of Active Ignoring and Why You Shouldn’t Feel It

It’s difficult navigating the autistic space when a child does something for attention. On the one hand, it’s hard because you want to give them all the attention in the world; on the other hand, they have a lot less ways than other kids of gaining the attention they need.

As caregivers it can lead our heads in a spin; is ignoring their behavior when it is attention seeking the right thing to do? Are we neglecting their needs? Shouldn’t we be their strength of communication for them by speaking/acting/advocating for them?

With Applied Behavioral Analyses (ABA) therapy a technique called active ignoring is used in certain circumstances, where the child is trying to get attention, or what they want, with socially unacceptable behavior, like spitting, whining, or violence.

We don’t ignore them because we want the child to feel abandoned or unheard, but because it encourages the child to search for new ways to gain the attention. We can’t explain with our words why they shouldn’t spit, so we have to explain with routine and patterns (or basically, in the way an autistic child can understand).

It’s important to not feel guilty when you’re ignoring whining for food, or other things that seem necessary or even neglectful to ignore. Remember, you are actively ignoring inappropriate behavior that won’t serve them, not ignoring their needs. You will meet their needs, just not right that second.

For example, you’re playing with their sibling so they take his toy, this forces you to turn your attention onto them to ask them to give it back. They now have your attention moved from their sibling and onto them. In their minds they’re not worried about the social repercussions, all they know is they have gained the thing they wanted;. You looking at them and talking to them instead of their sibling.

You need to speak the autistic child’s language here. Turning your attention to them to scold them doesn’t teach them anything when they don’t understand a full range of empathy, verbally explaining the situation does nothing when they don’t understand everything you are saying.

However, giving the other child tons of attention, taking the toy back without even looking at them, blocking the snatching, and actively ignoring, teaches: this action doesn’t get a desired result. But (and this is where we as caregivers can breathe a sigh of relief) once the undesired behavior stops, or the child uses a more appropriate way of asking for attention, you can lavish them with praise and affection.

The two should always be used together, otherwise ignoring will be in-effective and seemingly random for the child. This is all about routines and patterns, and giving your child a way to communicate and to latch onto that they understand.

Active ignoring is different from ignoring a child. You actively make a conscious decision to ignore a specific behavior and give attention to other behaviors. It can feel unnatural at first, but once you see your child blossoming into speech, or other appropriate means of asking for your attention, your relationship will be much stronger.

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.

ABA therapy steers autistic children to work through sensory overload until it's no longer an issue

Many children with autism suffer from sensory overload. This could be sensitivity to noises, sensations, lights, textures, temperature and more. The issue with these sensory problems is they impede things your child needs to do.

We work with a boy who has autism and he hates people touching his finger-tips. Therefore, it is almost impossible for parents to cut his nails because he will scream and thrash around. But he also uses his nails as weapons to hurt himself, so cutting them is necessary. It’s a catch 22 and there are a lot of times this happens for our autistic children.

Take for example a potty; if they are scared of how it sounds or how it feels to sit on one, they won’t want to relieve themselves. It will be impossible for them to learn how to potty train. They may not like the way a hairbrush feels or a shower sounds. It hinders their life in a way you don’t always expect; sensory issues can stop your child from being able to care for them self.

That is why Applied Behavior Analyses (ABA) is so important. The therapist can use ABA as a way to run programs that eradicate this sensory issue for good. The name of one technique is systematic desensitization. This is where, a child is exposed to the stimulus on purpose and taught relaxation techniques.

For my son and his nail clipper issue it looked like this:

-        -Nail clippers were used on other people

-        -Nail clippers were brought close to him

-        -They brushed the nail clippers over his fingers

-        -They used the nail clippers to cut one nail

At every step this boy screamed and cried and fought, but eventually he could cope with that step. It became normal to him and he calmed himself.

Dealing with things like that alone is scary, especially seeing your own child in that level of fear or pain. An ABA therapist helps to steer them through these issues until they are no longer a big deal.

Parenting Styles: Techniques can influence an autistic child in many ways

When it comes to Applied Behavioral Analyses (ABA) therapy consistency is key. This is true for all parenting styles; Autistic children are no different from every other child in the world. If they can find a way to get what they want, then they will utilize it.

For instance, if a toddler wants a lolly-pop and you say no, then they ask somebody else and they say yes, they may ask different people until they get candy because it worked before. It’s important that all parents and those raising a child (because it takes a village) are on the same page.

An ABA therapist in effect helps you to raise and teach a child who doesn’t respond as well to traditional teaching methods we as caregivers see in our own families and mainstream media. Because consistency is paramount, it’s imperative you keep constant communication with your therapist. Moreover, all parents involved are on the same page. I say this because one parent, one caregiver, or one daycare/school can undermine an entire week of ABA therapy if they aren’t clued in to how everyone is reacting to a behavior in a child.

It’s the two steps forward one step back issue. If you want ABA to run smoothly and quickly, allowing anyone to take the child a step back will make the process much longer.

If your child attends a daycare, goes to school, has separate households and more than one set of parents, every single person needs information on what techniques are used in certain situations.

ABA is a very effective but easily undermined therapy. This is why having a therapist you trust enough to implement all of their ideas, will make your ABA journey smoother. This is why communication across all platforms will ensure ABA works as well as it should.

If you ever feel that ABA isn’t getting the results you expect, you need to investigate and ensure that everyone is on the same page, and has followed through with the techniques correctly before changing them up or ending ABA all together.

Can an ABA Imitation Program work for your child?

One of the first things your Applied Behavioral Analysis (ABA) therapist may work on with your child is imitation. This is a program your therapist teaches if your child is babbling and attempting speech but won’t speak when asked a question, or cannot repeat something.  

Being able to imitate somebody is so important for learning social skills, mands and how to learn from others. And since children with Autism learn a little differently than their peers, it’s vital to teach them this key skill in a way they can comprehend.

How an Imitation Program Works in ABA

If you want to teach your child new words and new behaviors they have to copy those behaviors, right? If they can’t copy the behavior, then they can’t learn how to do the behavior.

This is where the therapist steps in and shows a behavior or phrase to a child. This could be something silly and totally out of context, like, “say itsy-bitsy”. The child repeats this, and gets a reward. Later on another child might hop, and your child may imitate as they have learnt how to.

This program is also used in every day context, such as, “say I want juice” or “a cookie” to receive the desired item. Instead of whining, repeating your sentence or gesturing, the child will begin to learn to say “I want juice” instead.

But My Child Can’t Imitate At All!

When your child is completely non-verbal and has a hard time saying anything at all, words are broken down into pieces and taught over time. For example, “say mommy”. The sound “mo” is taught first and rewarded, then mom, then mommy.

What Issues Could Arise?

There are a couple of behavioral ‘issues’ your child could pick up from this program, but nothing that won’t be reversed with ease.

We had an issue recently where an autistic child repeated everything. The therapist would say, “do this” and touch their head, and he would say, “do this” and touch his head. This is a common problem in autistic children who practice echolalia (repeating phrases automatically). It can be fixed easily! Our therapist simply dropped the phrase, “do this” and so did he!  

ABA is an excellent therapy for teaching a child with Autism the skills he or she will need to move through life, and learn from their experiences. Imitation program are just one of the skills implemented to encourage this.

How your child can perform tasks successfully

Sometimes your child doesn’t have a skill that his peers have. Recently we’ve had problems getting an (almost 4-year-old child) to remove his shirt. This is obviously a skill he should be able to do by now if he was developmentally normal but alas Autism has him behind others his age in many ways.

There could be plenty of skills that your child has yet to achieve too! Such as; washing their hands, putting on clothes or brushing their teeth, etc. But that doesn’t mean there is no hope. Applied Behavioral Analyses (ABA) therapists have a specific technique for teaching skills like this and it’s called chaining.

What is Chaining?

Well, we can break it down like this. Almost every skill has a series of steps attached. For example, when you’re learning how to make a salad, you don’t go from someone who’s never seen a salad bowl to a bowl full of salad. First you have to look up a recipe, and then set out your ingredients, cut them up, put them in a bowl and add dressing. This example had five different steps involved that we don’t even think about, but for a child learning a new skill those are all the steps they have to learn to get the result of a salad for dinner.

A therapist can’t show an Autistic child how to do something and expect that they’ve understood their complex language, have the motor skill available, remember every single step, then execute it perfectly. Because of this they use chaining.

Chaining starts by teaching a child how to do something either backwards or forwards (depending on what is easiest). Take the example washing hands, this can be placed into steps like so;

1.     Pull the stool up to the sink

2.     Find the soap

3.     Turn on the tap

4.     Get your hands wet

5.     Apply the soap

6.     Rub your hands together under the water

7.     Rinse the soap

8.     Put away the soap

9.     Turn off the tap

10.  Get down from the sink

When chaining forwards a therapist will prompt step 1, then re-enforce it until the child can perform this task perfectly three times. They then move on to the next step, and so on and so on, until the child can perform all ten steps without prompts.

When chaining backwards the therapist completes all nine steps for the child, then prompts the final step. When the child completes it on their own, they get positive re-enforcement. They then complete steps 1-8 and prompt 9, and so forth.

 This technique is not only fun for the child, with lots of praise and very few errors, but it can teach a child how to perform almost any task successfully. This way they can lead a more independent life. Using this technique my son went from not even caring if he could take off his own shirt, to removing his own shit just by asking him to, within a week in an excited happy manner.

Asking questions about your therapist being too hard or too soft on your child can be a learning experience

Applied Behavioral Analyses (ABA) therapy is about teaching your child life skills, academics, and positive behaviors in a fun environment. Sometimes that means your therapist may do something you don’t always understand. It’s always best to ask why, often, as once you understand you too can apply it at home.

One common question parents often ask is why the therapist is, or isn’t placing demands on a child, especially if the parent has done something entirely different regarding a behavior.

Is the Therapist being too hard?

Sometimes when a therapists places lot of demands, a child with Autism tantrums. However, this does not mean that the therapist should punish or spank.

 Many times you will see an ABA therapist holding a child still, forcing them to do things, or to sit still until they stop tantrumming instead of typical punishments like removing a toy, or time out. As a parent, this can be uncomfortable as we often go into survival mode and try to stop whatever has upset the child. Or bargain with them, or put them in time out, or any myriad of techniques that seem appropriate at the time.

An ABA therapist is unafraid of the meltdowns. They place the same demands that anyone would place on a child and hold them to it, sometimes literally, in a safe place.  

Is the Therapist being too soft?

However, on the other end of the spectrum you could ask, why is my therapist not jumping on the bad behavior enough?

Sometimes this is a legitimate concern and perhaps your therapist needs to consult with their team better if they are encouraging certain behaviors to continue. If you notice your child has started a new behavior because of what a therapist is doing, always consult the analyst or therapist. Sometimes therapists get it wrong too.

For example: Our child once started purposefully engaging in ‘bad’ behavior to find opportunities to get a demand. This was because, during therapy time when given a demand, he got a piece of candy for performing it correctly.  Of course, 40 minute long tantrums ensued as he stole items, gave them back, and then demanded candy for his confused version of good behavior. Looking back, it was a little funny to watch a child run with glee through the house as he stole his sisters night shirt, only to immediately bring it back, then head to the candy jar all proud of himself…as I stood there completely baffled. But at the time it was a confusing experience for everyone involved. We fixed this by speaking to the analyst who banned candy as a re-enforcer. The issue was remedied in less than a day.

But there are other reasons a therapist may not be addressing the behavior. Some techniques involve ignoring a behavior altogether until it naturally falls out of the child’s tool-box. Perhaps they’re licking the table and making silly noises because they think it’s funny, but actually this could be totally unhygienic if they were to do it outside of the home. Here, the therapist may ignore it until the child forgets about doing it because they’re not getting any fun out of it.

Another reason your therapist may not be addressing behaviors yet, is when therapy first begins. Therapists will go through a ‘honeymoon’ stage with the child when they meet. This is where they play, get the child to love them, teach them they’re a fun person and everything will be great. If they come down too hard to begin with, your child won’t want to be around them since they haven’t learnt this person is a fun person to play with. And ABA therapists believe a child HAS to have fun to learn.

 

It’s always best to ask questions that come to mind with your therapist— it can be a great learning experience for everyone involved, not just your child. This is somebody who will be working with your child for perhaps years to come, and being on the same page with their nuances will make everything run a little more smoothly.

 

Understanding how ABA therapy works can help your child out in many ways

As a parent involved in Applied Behavioral Analyses (ABA), it’s fantastic to jump in with two feet. At first it can be a scary experience, watching your child tantrum as the therapist waits it out when you’re used to soothing—and let’s be honest, panicking. But there is also a blissful feeling of control that comes with the charts and numbers applied to these things.

Our therapist had us tracking tantrums and your ABA therapist will likely do the same. How long where they lasting for? How many incidents of property destruction, violence, or self harm occurred? How bad was the destruction, violence or self harm? Suddenly this overwhelming experience becomes a numbers game. You detach from that fear and become a detective, getting to the route of the problem.

“Yes, he/she tantrumed for 20 minutes today, but looking back in the chart we can see they also tantrumed for the same amount on this day last week. Perhaps an incident of property destruction has gone down by one or two times in that last week? Perhaps we can identify something different about that day causing more tantrums?” Each reduced number and dash on the page becomes a little ray of hope.

ABA isn’t just a therapeutic experience for the child. Suddenly you’re not alone in this world of crying, screaming or strange and wonderful things your little one does. Here is somebody by your side, battling this world with you and your child, helping you navigate it together. And if you’re anything like me, you begin to miss these moments you share with another human being who understands your child’s nuances as well as you do (and sometimes even more). 

Jumping into ABA with two feet is scary, but it can be the most rewarding thing as a parent you could ever do with your Autistic child. Like being handed a magnifying glass to see into the cogs and turns in their mind. Finally you have the tools to conquer the behaviors, understand them, and help your child get to the other side of Autism. 

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.   

                                       

Verbal Behavioral Therapy Works and Just Because A Child Is Nonverbal Doesn’t Mean There Is No Hope.

Verbal Behavior (VB) therapy is a branch of Applied Behavioral Analyses therapy (ABA); it helps non-verbal children to become vocal and use words with meaning. Having a child who is non-verbal is scary, for both the child and the parents involved, but there is hope even if your child is severely delayed. Recently a study showed that children, who cannot speak by the age of four, can learn how to speak – something that was deemed unlikely. The study can be found here.

B.F. Skinner was a famous psychologist who wrote a book on verbal behavior and developed many of the theories that ABA is based on. B.F. Skinner said that language comes in types:

Mand – To ask for something, such as juice

Tact – A label of an object, such as circle, when something is round

Intraverbal – A way to answer a question, such as where do you live?

Echoic – When your child repeats what is said

Because of these different types of speech, your therapist looks at what is the most basic and works their way up. In this case, a Mand would be most basic, which is why a child will learn to ask for juice by saying ‘juice’, and not ‘I’m thirsty’ when they begin.

VB therapists today also work on play skills, self-help skills, social skills and complying with instructions. They do this using discrete trial training, natural environment teaching and manding to name a few.

Just like ABA, VB doesn’t let the child feel they got the answer wrong. Autistic children receive little positive feedback as they don’t engage in the world in the same way other children do. To achieve a positive learning environment, the child is re-directed and lavished in praise to solidify the positive re-enforcement process – that will ultimately help your child learn in the real world.

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Is Your Child Sync with ABA Therapy and School? If Not Here Are Some Tools You Can Use to Get ABA Therapy and School Aligned.

Applied Behavioral Analyses therapy (ABA) helps to change behaviors that hinder your child’s development – when they have a diagnosis of Autism and other similar issues. But this therapy alone will not push your child to the heights of their learning abilities. It’s important that all areas of the child’s life are in sync – which is why it’s great to have an ABA therapist willing to be in contact and work with schools.

All Therapists Should be in Sync with ABA

Some schools provide OT, speech and other services that help improve your child’s quality of life, but they have the luxury of syncing these lessons together. If your ABA therapist is on the outside of this team, they can’t work as a whole. This is why, as a parent and ABA therapist, it’s important to be on top of the lessons the child is learning in all areas of their lives.

But what if your child is struggling in school and not progressing with peers? Or the school is not providing any therapy at all?

Some Autistic Children Do Not Cope in School

A child who absolutely cannot function in a social, verbal learning environment due to sensory issues will often exhibit strong sensory pre-occupation; they may seem inattentive, or exhibit bad or repetitive behavior. This is typical for a lower functioning Autistic child. It can be so distracting for your child and sometimes even painful, it’s almost impossible for them to learn in a school environment.

If this sounds like your child, ABA and homeschooling/shorter days should be thought about. Postponing regular schooling to correct sensory/learning problems doesn’t make you a bad parent. If a child cannot concentrate in a group setting, they won’t be gaining anything out of it anyway.

However, some schools simply aren’t trying hard enough. Hiring your ABA therapist to go in and investigate the school environment should be step one. They can identify the issues in the classroom and report back what isn’t working for your child and work with your child’s teacher who likely hasn’t been trained correctly. Using this method you can fight for better resources – and sometimes, unfortunately, it will be a fight.

Is ABA More Important than School?

ABA can help a child learn to learn, help a child overcome sensory issues and engage in the world outside of themselves. If your child can’t participate in a school setting, perhaps thinking about intense ABA therapy before school would be the best way to go. As a parent it’s best not to feel guilty about this; a child learning how to live in the world is more important than the skill of counting which can be taught at any age. With that said…

A child is not required to enter school until they are 6 years of age on or before September 1^st of the year they will enter school. But if pushing back school entirely makes you uncomfortable, you can also consider shorter school days in order to add extra ABA therapy or even home school entirely.

ABA therapy should be a compliment to your child’s schooling and should always come first if a child is struggling greatly. As a parent, it’s important to communicate with schools and our children’s therapist to know what course of action needs to be taken.

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The Benefits of Getting Your Autistic Child ABA Services Before the Age of Three.

If you’re a parent of a child who has recently received a diagnosis of Autism under the age of 2, you will consider what therapies can help them. After all, they may not be verbal right now, they may have little comprehension of the world around them – you may wonder how on earth anyone could teach them socialization and if therapy is even worth it. I know I had many of those thoughts myself; especially since many parents spend countless hours trying to teach my Autistic sons skills with little progress.

One of the first therapies you will likely hear about is Applied Behavioral Analyses (ABA). That sounds like a formidable name by itself, but ABA is simple teaching your Autistic child skills they can use in the world, be it social, verbal, play or correct behaviors.  You may also visualize this as your one-year-old sitting attentively at a desk and ask yourself “how will that work?”

Actually, you’d be surprised what little things a one-year-old with Autism needs to learn that will heavily impact them later on – and a lot of it doesn’t involve desks at all. Like the ability to point, the ability to engage for short amounts of time, and most importantly, the ability to play. Teaching a child these simple age appropriate skills will help them build up to more intense things later on. If a child can point to something, they can communicate better and reduce frustration as they grow. If a child can engage for a short amount of time, then your relationship will grow and you will bond. If a child is taught to play with toys appropriately, then they can learn from these toys (as children learn through play).

According to a study performed by researchers at the New England Center for Children 90% of children under the age of 2 made significant social and communication skill gains within a year, when enrolled in an early intervention program. 90% is a big deal, and this drops to 30% if a child begins after the age of 2 and a half. So ABA is almost guaranteed to help your child, and should definitely be a therapy you look into.

ABA is always aimed at a child as an individual; it isn’t a step-by-step program that can be followed out of a book. This is a complex therapy that takes therapists years of study to master, so you can rest assured your little one won’t be put under any learning regiment they are not ready for.

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