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Recognizing ABA Therapy Red and Green Flags

By Natalie Schad | 10 March, 2025
Abacus Therapies - ABA Therapy Red and Green Flags

Starting ABA therapy for your child is a significant step, and you want to make sure it’s in the right direction. You may wonder if the therapy is truly helping and if your child is in good hands. We’re here to guide you through this journey.

In this article, we’ll break down the red and green flags of ABA therapy, so you feel confident about the support your child is receiving.

Importance of ABA Therapy for Autism

Applied Behavior Analysis (ABA) therapy helps autistic children by breaking down behaviors into manageable steps and using positive reinforcement to encourage them in their learning journey. Research has shown it effectively improves the overall quality of life, teaches essential skills, and helps children better connect with their world.

What makes ABA truly valuable is its focus on each child’s unique needs, supporting their development and independence in ways that respect who they are.

What Are Good and Bad Practices in ABA Therapy?

For therapy to be effective, it’s important to distinguish between positive and concerning practices. The following sections will help you identify warning signs and positive indicators to ensure your child receives the best care.

ABA Therapy Goals and Approach

Red Flag: A major warning sign in ABA therapy applied the wrong way is when goals focus solely on eliminating behaviors that might be considered undesirable rather than enhancing your child’s abilities. This approach can be harmful, as it prioritizes making your child appear “less autistic” over their overall well-being and happiness.

For example, a sign of a bad ABA therapist could be focusing on stopping self-soothing behaviors like hand-flapping or rocking without considering their purpose. Suppressing these natural behaviors can increase your child’s anxiety and create unnecessary stress.

Green Flag: A positive approach focuses on improving your child’s quality of life while respecting their identity. A good therapist will acknowledge your child’s need for self-regulation and work to find safe ways to express themselves.

Instead of eliminating stimming behaviors, they might help your child find alternative self-soothing strategies that provide the same comfort. For instance, introducing a 6-year-old to stress balls or fidget toys that offer similar sensory input. 

Another positive goal is developing effective communication skills so your child can express their needs and emotions clearly in their way.

Therapist’s Techniques

Red Flag: Be cautious of therapists who use punitive measures or demand strict compliance. When a therapist uses negative punishments or insists on complete compliance regardless of your child’s comfort level, it creates a negative, fear-based environment.

For example, if a therapist rigidly enforces eye contact or punishes your child for not sitting still, they’re not respecting your child’s natural behaviors or sensory needs. These approaches can make therapy uncomfortable and increase anxiety.

Green Flag: Another good ABA vs bad ABA difference is that effective ABA techniques include positive reinforcement and encourage self-expression. A good therapist understands your child’s unique personality and celebrates their accomplishments, creating a supportive and motivating environment.

When your child successfully communicates a need or completes a task, the therapist might provide specific praise, preferred activities, or small rewards that acknowledge their efforts. This approach builds confidence while making therapy engaging and meaningful. 

A skilled ABA therapist will also create plenty of opportunities for your child to express their feelings and ideas in ways that feel natural to them.

Communication Between Parents and Therapists

Red Flag: Limited communication with parents or excluding you from treatment planning suggests the therapy may not be taking a comprehensive approach to your child’s development.

Green Flag: Regular collaboration, parent involvement, and frequent updates demonstrate a therapist’s commitment to your child’s progress. A good therapist will inform you about your child’s achievements and any challenges they’re experiencing.

They should hold regular meetings to discuss progress, provide detailed reports, and offer guidance to help you create a loving and supportive environment at home. Working closely with the therapist ensures your child receives consistent support in therapy and at home, which is essential for their overall growth.

Emotional Guidance in Therapy

Red Flag: Be wary of approaches that train children to mask their emotions or display feelings they don’t genuinely experience. Requiring children to smile or show affection on command can cause confusion and emotional distress.

If a therapist insists that your child smile during sessions despite being uncomfortable, they’re teaching your child to hide true feelings rather than process them appropriately. This practice can lead to long-term difficulties with emotional regulation and authentic self-expression.

Green Flag: Look for therapists who promote genuine emotional expression and understanding. Effective therapy helps your child develop the communication skills to share their true feelings in a supportive environment.

Rather than requiring a forced smile, a good therapist will acknowledge how your child is feeling and validate those emotions. This approach teaches that feelings matter and helps them develop healthy emotional expression. 

When evaluating whether an ABA program is beneficial, consider how therapists handle emotional guidance and whether they prioritize your child’s emotional well-being.

Child Consent and Comfort

Red Flag: A major concern is when therapists ignore signs of discomfort or distress.

If your child is showing clear signs of being overwhelmed, such as turning away, becoming agitated, or having a meltdown, and the therapist insists on continuing without adjustment, this disregards your child’s emotional needs and can damage trust in the therapeutic relationship.

Green Flag: Effective therapists respect your child’s boundaries and recognize when breaks are needed. A good therapist will notice signs of fatigue or stress and adjust accordingly, offering a break or switching to a less demanding activity for kids with ASD.

When your child appears overwhelmed, the therapist might suggest a short play session or a calming activity. This responsiveness builds trust and ensures each session remains positive and productive. By acknowledging your child’s need for space and breaks, the therapist demonstrates respect for your child as an individual.

Prioritizing Your Child’s Well-Being

Understanding and identifying these red and green flags in ABA therapy is crucial for your child’s growth and well-being. Stay actively involved and observant to ensure they receive high-quality care that respects their individuality.

If you ever feel uncertain or need guidance, our team at Abacus Therapies is here to support you every step of the way. Your child’s happiness and development are at the center of everything we do, and our specialized BCBAs and RBT therapists are committed to creating a therapy experience that honors who your child is while helping them thrive.

FAQs

How do you know when to stop ABA?

Consider reevaluating ABA therapy if your child shows increased anxiety, consistent resistance, or regression in skills. If therapy sessions regularly feel negative or your child frequently seems distressed afterward, it may be time to discuss concerns with your provider or explore other options that might better suit your child’s needs.

What is the personality of an ABA therapist?

An effective ABA therapist demonstrates patience, empathy, and supportiveness. They should be skilled in positive reinforcement techniques, open to collaborating with parents, and respectful of your child’s boundaries and needs. Look for someone who connects with your child and shows genuine interest in their unique perspective.

Is ABA therapy punishment-based?

Contemporary ABA therapy focuses on positive reinforcement rather than punishment. Best practices involve rewarding desired behaviors instead of penalizing unwanted ones. If a therapist frequently uses punishment or threatens negative consequences, this indicates outdated techniques that don’t align with the current understanding of effective, child-centered therapy.