How do I explain ABA therapy to my child?

Use simple, positive language appropriate for your child's understanding. For younger children, explain that a special helper is coming to play and learn together. For older children, explain that they'll work with someone who will help them learn new things and have fun. Avoid framing therapy negatively or as something they must do because something is wrong.

What if my child doesn't like the therapist?

It's normal for some children to take time warming up to new people. Quality providers work hard to build rapport. However, if concerns persist after several weeks, talk to your BCBA about whether a different therapist might be a better fit. The relationship between your child and therapist matters.

Should I stay during therapy sessions?

This depends on your child and the provider's recommendation. Initially, you might be asked to be nearby but not directly involved so your child can bond with the therapist. Over time, you'll likely have opportunities to observe and participate in parent training. Ask your BCBA about their approach to parent involvement.

How long does it take for my child to adjust to ABA therapy?

Most children adjust within 2-4 weeks, though some take longer. The first sessions focus on building rapport and may look different from later therapy. Some children love it immediately; others need time. Communicate concerns to your BCBA, who can adjust the approach to help your child settle in.

How to Prepare Your Child for ABA Therapy

Setting Your Child Up for ABA Success

Starting ABA therapy is a significant change for your child and family. With thoughtful preparation, you can help ease the transition and set the stage for successful treatment. Here's how to prepare your child for ABA therapy.

Before Therapy Begins

Learn About Your Therapy Team

Ask for photos of therapists who will work with your child
Learn their names and share them with your child
Ask about their experience and interests
Request a brief meeting before the first session if possible

Talk to Your Child About Therapy

How you explain therapy matters:

Keep it simple: Use language your child understands
Stay positive: Frame therapy as fun activities and learning
Avoid negatives: Don't say "you have to" or mention problems
Use visuals: Social stories can help explain what will happen
Answer questions: Address any concerns your child expresses

Example explanations by age:

Young children: "A new friend named [Name] is coming to play with you!"
Older children: "[Name] is going to help you learn new things and play games together."
Teens: "[Name] is a coach who will help you work on skills like [specific goals]."

Create a Therapy-Friendly Space

For in-home therapy:

Designate a consistent area for sessions
Minimize distractions (TV off, siblings occupied)
Have a small table and chairs if possible
Keep some toys and materials accessible
Save favorite items to use as rewards during therapy
Ensure good lighting and comfortable temperature

Prepare Information for Your BCBA

Help the therapy team by sharing:

Your child's favorite toys, activities, and interests
Foods and treats they love (for reinforcement)
Things that frighten or upset them
How they communicate (words, sounds, gestures)
Signs that they're getting overwhelmed
Strategies that work well at home
Daily schedule and routines
Medical or sensory considerations

Adjusting Your Routine

Practice the New Schedule

Start adjusting wake/sleep times if therapy hours require it
Practice the transition from previous activities to "therapy time"
Build in buffer time before sessions for any prep needed
Plan post-therapy activities so your child has something to look forward to

Prepare Siblings

Explain why their sibling is having special time
Plan activities for them during therapy if needed
Address any jealousy or concerns
Consider involving them in appropriate ways later

The First Few Sessions

What to Expect

Initial sessions focus on pairing—building a positive relationship:

The therapist will play and follow your child's lead
There won't be many demands at first
The goal is for your child to enjoy therapy time
Learning sessions come once rapport is built

Your Role

Be available but not hovering: Your child needs to connect with the therapist
Provide information: Share observations and answer questions
Stay positive: Your attitude influences your child's perception
Give space: Allow the relationship to develop naturally
Be patient: Adjustment takes time

Signs of Good Progress

In early sessions, look for:

Your child willing to interact with the therapist
Moments of enjoyment or laughter
Decreasing anxiety or resistance over time
Your child talking about or anticipating sessions

Managing Common Challenges

If Your Child Resists Therapy

Some resistance is normal during adjustment
Don't force or punish—stay positive
Share observations with the BCBA
Ask about strategies to increase comfort
Give it time—most children adjust within weeks

If Transitions Are Hard

Use visual schedules to show when therapy happens
Give warnings before the therapist arrives
Create a consistent start-of-session routine
Have a preferred activity to transition into

If Your Child Has Bad Days

Everyone has off days—it's okay
Let the therapist know about illness, poor sleep, or stress
Trust the BCBA to adjust sessions as needed
Don't expect every session to be perfect

Supporting Long-Term Success

Build a Partnership

Communicate regularly with your therapy team
Share what's happening at home and school
Ask how to support goals between sessions
Participate in parent training
Implement strategies consistently

Celebrate Progress

Notice and celebrate small wins
Share successes with your child
Acknowledge their hard work
Stay focused on progress, not perfection

Practice Self-Care

Starting therapy is a transition for you too
Connect with other autism families
Ask for help when you need it
Take care of your own wellbeing