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.

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.

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 wait in a structured way

It’s hard for our children on the spectrum to control impulse control and emotions related to frustration. Because of this, asking them to wait is akin to asking them to stop their world from spinning. The end result? It gets frustrating quickly; they may explode, tantrum, lash out, whine, repeatedly ask, and destroy property, or any number of things to stop the waiting period.

This is why with applied behavioral analyses (ABA) your therapist teaches your child how to wait in a structured way.  First the therapist may start by reducing the waiting period to a miniscule amount of time; usually 5 seconds.

The therapist will hold a toy, and when the child asks for it, they will say wait, and count to 5. If the child can wait those 5 seconds, great! They receive the toy and all is good with the world again. If this happens regularly, the time will increase from 5 seconds to 10 and so forth.

But if your child throws themselves into ‘negative’ behaviors, the therapist will stop the program until the child has calmed down, and try again. If the child continues to engage in problem behavior that’s no issue! The therapist will simply stop trying and move the situation to something else.

As long as the adults teach the child to wait, eventually this hard lesson will sink in, tolerance for this situation will be built, and you will have a child able to wait. Teaching a child how to wait has so many long term benefits. As an adult we have to wait for many things, lines in stores, for a package to arrive, for somebody to finish using what we need, etc. If an adult couldn’t wait it would severely impact their relationships and happiness later on. Which is why therapies like ABA are so important.

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.

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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Routine and Children with Autism

At first it may seem simple, stacking blocks, lining up trains all in a row, always wanting to drink from the “red cup”. These are some of the behaviors that parents report their child with autism exhibits. The reason can sometimes be because of their difficulty expressing themselves, they feel safe and with less anxiety when routines are set. Unfortunately, the real world does not always work that way, which can create frustration in both the child and parent.

Children with autism like routines. Keeping with the same therapists and schedule can help to minimize outbursts and problem behaviors. Sleeping in the same bed can help the child feel safe at night. However, wanting to always eat out of their yellow bowl, or always having to sit in the same place in the car may make the child feel better but would not be helping in the long run. A skilled behavior analyst can help with softening that rigidity as well as teach a whole new set of important skills to help the child develop and to make the household more typical.

Far too often people get comfortable with doing things to “keep the peace” in the home to the detriment of their child. A lollipop to prevent a tantrum here, going the long way to daycare there, may seem like minor occurrences but they can be powerful messages sent to a child with autism of how things “should” be.

Breaking children from routines can be difficult at first. It is not usually recommended to try it yourself. Enlisting the help of an experienced Board Certified Behavior Analyst can make all the difference. Along with a good therapist, the child can be gradually introduced to new stimuli and breaks in their routine, in a safe environment until the child no longer reacts so harshly to change. 

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