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Resources2024-09-106 min readBy Cash Colligan

ABA Therapy: What Parents Need to Know Before Saying Yes

Applied Behavior Analysis is the most commonly recommended autism therapy, and the most contested. Here is what the research says, what autistic adults say, and what questions every parent should ask.

Key Takeaways
  • ABA is the most researched autism intervention and the most debated in the community.
  • Many autistic adults report lasting harm from ABA aimed at erasing autistic traits.
  • Ask providers whether goals build the child's skills or just reduce visible autism.
  • ABA is a broad category, so hard questions and parent advocacy matter most.

ABA, Applied Behavior Analysis, is the most-covered intervention in autism research and the most debated in the autistic community. Before your child starts any program, you need to understand both sides.

The research says: ABA can build communication skills, daily living skills, and reduce behaviors that cause harm. Some studies show significant gains.

Autistic adults say: Early intensive ABA, particularly programs focused on eliminating autistic behaviors (stimming, nonverbal communication), has caused lasting harm for many. The goal of making children appear neurotypical is not the same as helping them thrive.

What to ask any ABA provider: - Is the goal to reduce autistic traits, or to build the child's own skills and independence? - Are natural environment teaching methods used, or primarily discrete trial training? - How does the program respond when a child is distressed? - Do you hire autistic staff or consultants?

The honest answer: ABA is a broad category. Some programs are deeply child-led and affirming. Others are not. Parent advocacy, knowing your rights, asking hard questions, and trusting your child, is the filter that matters most.

More from WeBearish

- Sensory Tools Guide, Tools the autism community actually recommends - Getting a Diagnosis: A Parent's Guide, Step by step, plain English - Join the WeBearish Community, $3/month. No tragedy narratives.

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Helpful Tools & Resources

Sensory tools, books, and resources that support autistic people and their families:

- Noise-Canceling Headphones for Kids, One of the most impactful sensory tools for many autistic people - Weighted Blankets, Deep pressure support for regulation - Fidget Tools, Tactile regulation tools for hands and focus - Identity-First Books About Autism, Books that celebrate autistic identity - The Explosive Child, Ross Greene, Collaborative problem-solving, respected by autism advocates

Frequently Asked Questions

Is ABA therapy safe for autistic children?

ABA is a broad category, so the answer depends heavily on the specific program. Some programs are deeply child-led and affirming, while others focus on eliminating autistic behaviors like stimming, which many autistic adults say has caused lasting harm. The safest approach is to ask hard questions and choose a program that builds your child's own skills and independence rather than trying to make them appear neurotypical.

What questions should I ask an ABA provider before saying yes?

Ask whether the goal is to reduce autistic traits or to build the child's own skills and independence, and whether they use natural environment teaching or primarily discrete trial training. Also ask how the program responds when a child is distressed, and whether they hire autistic staff or consultants. The answers will tell you a lot about whether the program is affirming or not.

What do autistic adults say about ABA?

Many autistic adults report that early intensive ABA, especially programs aimed at eliminating stimming and nonverbal communication, caused lasting harm. Their central point is that making a child appear neurotypical is not the same as helping that child thrive. This is why the article encourages parents to trust their child and stay closely involved in setting the goals of any program.

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