Grief In Adults With Autism Explored

Does grief affect adults with autism too? Unveiling the complexities and unique experiences of grieving within the autism spectrum.

Understanding Grief in Adults with Autism

Grief is a complex and deeply personal experience that can affect individuals in various ways. For adults with autism, the experience of grief may present unique challenges and require a specific understanding of their processing and expression of emotions.

The Complexity of Grief for Autistic Individuals

Grief can be particularly intricate for individuals on the autism spectrum, as they may have a variety of emotional, cognitive, behavioral, and physical reactions to loss. The complexity arises from the intersection of autism-related characteristics and the grieving process.

Autistic individuals may experience difficulty expressing their feelings and emotions, which can make it challenging for them to communicate their grief effectively. It's important to recognize that their emotional reactions to grief may be displayed in a manner that is opposite to what they are feeling. For example, they may laugh instead of cry. This contrasting display of emotions can be perplexing to those who are not familiar with autism.

Emotional Reactions to Grief in Autism

Understanding and interpreting the emotional reactions of adults with autism in the context of grief is essential. They may exhibit a range of emotional responses, including:

Understanding these emotional reactions and providing appropriate support and understanding can help adults with autism navigate the grieving process in a way that is meaningful and comfortable for them. By acknowledging the unique challenges they may face, we can foster a more inclusive environment that supports their emotional well-being during times of grief.

Challenges in Processing Grief for Autistic Individuals

Grief can be a complex experience for individuals on the autism spectrum. They may face unique challenges in processing and expressing their grief. Understanding these challenges is essential for providing appropriate support and care. Here are some common challenges that autistic individuals may encounter when processing grief:

Difficulty Expressing Feelings

Individuals on the autism spectrum may have difficulty expressing their feelings, which can make it challenging for them to communicate their grief. They may struggle to articulate their emotions or may express them in ways that appear opposite to what they are truly feeling. For example, they might laugh instead of cry or display limited facial expressions. It is important to recognize that their emotional reactions may not align with societal expectations, but they are still valid expressions of grief.

Confusion and Understanding

Autistic individuals may have difficulty processing and understanding information related to grief. They may feel confused about what is happening, struggle to comprehend the concept of death, or have difficulty anticipating and understanding the changes that occur during the grieving process. Providing clear and concrete explanations, using visual aids if necessary, can help alleviate confusion and facilitate their understanding.

Behavioral Changes During Grief

Grief can manifest in behavioral changes for individuals on the autism spectrum. They may exhibit physical outbursts, engage in self-stimulatory or repetitive behaviors, or show signs of distress. These behavioral changes may be an expression of their grief or a coping mechanism to manage the overwhelming emotions they are experiencing. It is crucial to offer a supportive and non-judgmental environment that allows them to express their grief in a way that is comfortable for them.

Physical Responses to Grief

Autistic individuals may experience various physical responses to grief that can be attributed to their grief process rather than solely to their disability [1]. These physical responses may include loss of appetite, difficulty sleeping, changes in grooming and hygiene routines, body aches, fatigue, and sensory overload. Recognizing and acknowledging these physical responses as part of the grief experience is crucial. Providing support and understanding can help them navigate these challenges and manage their physical well-being during the grieving process.

Understanding and addressing these challenges in grief processing is vital for supporting autistic individuals as they navigate the complex emotions and changes that come with loss. By providing a supportive environment, effective communication, and tailored strategies, we can help them express their grief, comprehend the changes they are experiencing, and navigate the path towards healing and acceptance.

Unique Aspects of Grief for Adults with Autism

Grief is a complex and deeply personal process that affects individuals differently. When it comes to adults with autism, there are unique aspects of grief that can significantly impact their experience. Two key aspects to consider are sensory sensitivities and overwhelm, as well as empathy and theory of mind.

Sensory Sensitivities and Overwhelm

Individuals with autism often have heightened or altered sensory perceptions, which can greatly influence their experience of grief. During times of grief, sensory stimuli that are normally manageable may become overwhelming and distressing. For example, loud noises, bright lights, or physical touch can be particularly challenging and may contribute to sensory overload [2]. This heightened sensitivity can make it difficult for individuals with autism to process and cope with grief.

Creating a calm and sensory-friendly environment is crucial in supporting individuals with autism during the grieving process. This can involve minimizing sensory overload by reducing noise levels, providing soft lighting, and offering opportunities for sensory breaks. By creating a safe and soothing environment, individuals with autism can better navigate their grief journey [2].

Empathy and Theory of Mind

Empathy and theory of mind refer to an individual's ability to understand and share the feelings of others. While individuals with autism can experience and express empathy, they may have challenges in recognizing and understanding the emotions of others. This can impact their own experience of grief, as well as their ability to navigate and respond to the emotions of those around them.

It is important to provide clear and explicit communication when supporting adults with autism through grief. Using concrete language and visual supports can help them understand the emotions they may be experiencing. Additionally, providing opportunities for open and honest conversations about grief can help individuals with autism navigate their own emotions and better comprehend the emotions of others.

By acknowledging and addressing the unique aspects of grief for adults with autism, such as sensory sensitivities and empathic challenges, we can provide more effective support and create a more inclusive environment. Understanding and accommodating these unique needs can help individuals with autism process their grief in a way that is meaningful and supportive to their individual experience.

Providing Support for Grieving Adults with Autism

Supporting grieving adults with autism requires a thoughtful and individualized approach. Understanding their unique needs and challenges can help create an environment that fosters healing and provides the necessary support. Two key aspects of support for grieving adults with autism are creating a sensory-friendly environment and ensuring effective communication and social support.

Creating a Sensory-Friendly Environment

Sensory sensitivities can be heightened during times of grief and mourning in adults with autism, making sensory stimuli overwhelming and impacting their ability to process and cope with grief. To support individuals in their grief journey, it is important to create a sensory-friendly environment. Here are some strategies to consider:

Effective Communication and Social Support

Effective communication and social support are also crucial in supporting grieving adults with autism. Here are some strategies to facilitate communication and provide social support:

By creating a sensory-friendly environment and ensuring effective communication and social support, caregivers and support networks can better meet the needs of grieving adults with autism. It is crucial to recognize and respect the unique challenges and strengths of each individual, providing the support necessary for them to navigate the complex emotions and experiences associated with grief.

The Autism Spectrum and Grief

When exploring the topic of grief in adults with autism, it is essential to understand the prevalence of autism in adults, the lifelong nature of autism as a disorder, and the diverse support needs of autistic individuals.

Prevalence of Autism in Adults

Autism is a relatively common neurodevelopmental disorder. According to the Centers for Disease Control and Prevention (CDC), approximately one in 45 adults in the United States is autistic, totaling around 5.4 million adults with autism. Furthermore, by 2027, about a million more children and teenagers, currently diagnosed with autism, will transition into adulthood in the United States. These statistics highlight the significant number of autistic individuals who may experience grief and loss throughout their lives.

Understanding Autism as a Lifelong Disorder

Autism Spectrum Disorder (ASD) is not limited to one presentation, symptom, or gene. It is described as a "spectrum" due to its wide variability in characteristics affecting behavior, communication, and cognition. Autism is a lifelong disorder, and individuals diagnosed as children grow up to become autistic adults. This transition from childhood to adulthood necessitates ongoing support and care to address the unique challenges and needs autistic individuals may face throughout different stages of life.

Diverse Support Needs of Autistic Individuals

Autistic individuals have a wide range of support needs. Some may require minimal assistance, while others may need substantial support. The level of independence varies among individuals, with some living independently, while others reside with family or in supportive environments. Understanding these diverse needs is crucial in providing effective support for individuals with autism as they navigate grief and loss experiences. Tailoring support to the specific requirements of each individual can promote their well-being and help them cope with the challenges associated with grief.

By recognizing the prevalence of autism in adults, understanding autism as a lifelong disorder, and acknowledging the diverse support needs of autistic individuals, we can enhance our ability to provide appropriate support and care to adults with autism who are grieving. It is crucial to approach grief in the context of autism, considering the unique experiences and challenges faced by individuals on the autism spectrum.

Breaking Stereotypes and Misconceptions

Emotional Expression and Empathy in Autism

One common misconception surrounding autism is that individuals on the spectrum lack emotional expression and empathy. However, this assumption fails to recognize the unique ways in which autistic individuals experience and express emotions, including grief. Autistic individuals may have a different emotional reaction to grief compared to neurotypical individuals, which can be misunderstood as a lack of empathy.

While people with autism may struggle with cognitive empathy, which involves understanding and inferring the thoughts and feelings of others, many possess a significant amount of emotional empathy and can be highly sensitive to the emotions of those around them. In fact, some individuals with autism extend their empathy even to inanimate objects.

It is important to note that many individuals with autism also experience alexithymia, which is the inability to recognize or describe their own emotions. This difficulty in emotional self-awareness can contribute to a seeming lack of empathy. However, it is crucial to understand that variations in emotional expression should not be misconstrued as a lack of empathy, especially in the context of grief.

Recognizing the Unique Grief Experience of Autistic Individuals

Autistic individuals grieve similarly to neurotypical individuals, experiencing love and loss in profound ways. However, their grief reactions may manifest differently due to their unique neurodivergent perspectives. It is essential to recognize and respect these differences rather than pathologize them.

While autistic individuals may express their grief in ways that are distinct from societal norms, it is crucial to understand that their emotions are genuine. The pain of grief following the loss of a loved one can greatly impact and alter their life experience, despite variations in emotional expression. Just as each individual's experience of grief is unique, so too is the experience of grief for autistic individuals.

By dispelling stereotypes and misconceptions surrounding emotional expression and empathy in autism, we can foster a greater understanding and acceptance of the unique grief experience of autistic individuals. It is important to approach grief support with openness, empathy, and a willingness to learn from and accommodate the diverse needs of individuals on the autism spectrum.

The Autism Spectrum and Grief

When it comes to grief, it is important to understand that individuals on the autism spectrum may experience and process it differently. Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder characterized by a wide range of characteristics and challenges, affecting behavior, communication, and cognition. In this section, we will explore the unique aspects of grief for adults with autism, the prevalence of autism in adults, and the diverse support needs of autistic individuals.

Prevalence of Autism in Adults

Autism is a lifelong disorder, and it is not limited to childhood. Many individuals continue to experience the challenges associated with autism into adulthood. The prevalence of autism in adults varies, but it is estimated that approximately 1 in 54 adults in the United States have ASD. It is crucial to recognize that grief can affect adults with autism just as it does any other individual.

Understanding Autism as a Lifelong Disorder

Autism is a spectrum disorder, meaning it encompasses a wide range of presentations and characteristics. Common features of autism include difficulties in social interactions, challenges in verbal and non-verbal communication, and engaging in repetitive behaviors. These characteristics can influence how individuals on the autism spectrum experience and respond to grief.

Diverse Support Needs of Autistic Individuals

When supporting grieving adults with autism, it is essential to recognize and address their unique needs. Sensory sensitivities can be heightened during times of grief, making sensory stimuli overwhelming for individuals with autism. Creating a sensory-friendly environment by minimizing sensory overload can be extremely beneficial.

Empathy and theory of mind, which involve understanding and empathizing with the emotions of others, can be challenging for individuals with autism. It is important to provide tailored support that considers communication preferences, individual strengths, and the unique ways in which adults with autism experience and express grief.

Supporting adults with autism in the grieving process requires effective communication and social support. Taking the time to understand their specific communication styles and needs can help foster a supportive environment. Providing reassurance, patience, and understanding can go a long way in helping individuals on the autism spectrum navigate the complexities of grief.

By acknowledging and addressing the diverse support needs of adults with autism, we can foster inclusivity and ensure that they receive the support and care they require during times of grief. Breaking stereotypes and misconceptions surrounding autism and grief is crucial in providing a compassionate and understanding environment for individuals on the autism spectrum.

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How To Find A Great BCBA Supervisor

Understanding the Role of a BCBA SupervisorWhen seeking autism treatment, finding the right Board Certified Behavior Analyst (BCBA) supervisor is crucial. A BCBA supervisor plays a vital role in overseeing and guiding the treatment process for individuals with autism. Let's take a closer look at what a BCBA supervisor is and why their role is essential in autism treatment.What is a BCBA Supervisor?A BCBA supervisor is a professional who has earned board certification as a behavior analyst and has extensive experience working with individuals with autism. They have completed advanced coursework, gained hands-on experience, and passed a rigorous examination to obtain their certification.Typically, BCBA supervisors work directly with individuals with autism, their families, and a team of behavior technicians or therapists. They design and implement behavior intervention plans, assess progress, and provide ongoing supervision and support to ensure effective treatment.The Importance of a BCBA Supervisor in Autism TreatmentA BCBA supervisor plays a crucial role in the success of autism treatment. Here are a few key reasons why their involvement is vital:Expertise and Knowledge: BCBA supervisors possess specialized knowledge and expertise in applied behavior analysis (ABA) and autism treatment. They stay up-to-date with the latest research and best practices, enabling them to provide evidence-based interventions tailored to the unique needs of each individual.Treatment Planning and Oversight: BCBA supervisors are responsible for developing comprehensive treatment plans based on thorough assessments. They oversee the implementation of these plans, ensuring that interventions are appropriate, effective, and aligned with the individual's goals and needs.Supervision and Training: BCBA supervisors provide ongoing supervision to behavior technicians or therapists working directly with individuals with autism. Through regular meetings and observations, they offer guidance, feedback, and training to ensure the highest quality of care and treatment fidelity.Data Collection and Analysis: BCBA supervisors monitor and analyze data collected during the treatment process. This data helps them evaluate progress, make data-driven decisions, and modify intervention strategies as necessary.Collaboration and Advocacy: BCBA supervisors collaborate with other professionals, such as speech therapists, occupational therapists, and educators, to ensure a comprehensive and integrated approach to treatment. They also serve as advocates for individuals with autism and their families, helping them navigate the healthcare and educational systems.Finding a qualified and experienced BCBA supervisor is a crucial step in the autism treatment journey. Their expertise, guidance, and support can make a significant difference in the progress and overall well-being of individuals with autism.Identifying Your NeedsBefore embarking on the search for a BCBA (Board Certified Behavior Analyst) supervisor, it is important to clearly identify your goals and needs. This will help you find a supervisor who aligns with your specific requirements and can provide the support necessary for effective autism treatment.Assessing Your Goals and NeedsTo begin, take some time to reflect on your goals for autism treatment and the specific areas where you need assistance. Consider the following questions:What are your primary goals for autism treatment?Are there any specific areas of concern or challenges that you would like the BCBA supervisor to address?What are your expectations regarding the frequency and duration of supervision sessions?Do you have any preferences or requirements regarding the location or format of supervision sessions?By assessing your goals and needs, you will have a clearer understanding of the qualities and expertise you are looking for in a BCBA supervisor.Determining the Scope of Supervision RequiredThe scope of supervision required will vary depending on the individual and their unique circumstances. Consider the following factors to determine the level of supervision needed:Experience and expertise: Are you seeking a supervisor with extensive experience in working with individuals with autism or specific expertise in certain treatment approaches?Intensity of support: Do you require intensive supervision, including frequent in-person meetings and regular feedback, or are you looking for a more flexible arrangement?Treatment setting: Will the supervision primarily take place in a clinical setting, a school, or in the home environment?Legal and ethical considerations: Are there any specific legal or ethical requirements that need to be considered, such as adherence to state or local regulations?Understanding the scope of supervision required will help you narrow down your search and find a BCBA supervisor who can meet your specific needs.By assessing your goals and determining the scope of supervision required, you will be better equipped to find a BCBA supervisor who can provide the necessary support and guidance for effective autism treatment.Finding Potential BCBA SupervisorsWhen searching for a BCBA (Board Certified Behavior Analyst) supervisor, it's important to explore various avenues to find potential candidates who can meet your needs. Here are three ways to find potential BCBA supervisors:Referrals from ProfessionalsOne effective way to find a BCBA supervisor is through referrals from professionals in the field. Reach out to your child's primary care physician, pediatrician, or any other healthcare professionals who specialize in autism treatment. They often have connections with BCBA supervisors and can provide recommendations based on their knowledge and experience. Additionally, therapists, educators, and other individuals who work with individuals with autism may also be able to offer valuable referrals.Online Directories and DatabasesUtilizing online directories and databases can be a convenient and efficient method of finding potential BCBA supervisors. There are several reputable websites and platforms that provide comprehensive listings of BCBA supervisors in your area.These directories often include information about their credentials, experience, and areas of expertise, allowing you to narrow down your search based on your specific requirements. Consider using trusted directories, such as those provided by professional organizations or autism advocacy groups.Local Autism Support GroupsEngaging with local autism support groups can be an invaluable resource for finding BCBA supervisors. These groups typically consist of parents, caregivers, and individuals with autism who share information, resources, and recommendations.By connecting with these groups, you can tap into their collective knowledge and experiences to identify potential BCBA supervisors. Attend support group meetings, participate in online forums, or join social media groups dedicated to autism support in your community. These interactions can help you gather insights and recommendations from people who have firsthand experience with BCBA supervisors in your area.By exploring referrals from professionals, utilizing online directories and databases, and engaging with local autism support groups, you can broaden your search and find potential BCBA supervisors who may be a good fit for your needs. It's important to keep in mind that each method has its own advantages, so consider using a combination of approaches to maximize your chances of finding the perfect BCBA supervisor for your situation.Evaluating BCBA SupervisorsWhen searching for a BCBA (Board Certified Behavior Analyst) supervisor, it is crucial to thoroughly evaluate potential candidates to ensure they meet your specific needs. Here are some key factors to consider when evaluating BCBA supervisors:Reviewing Credentials and ExperienceReviewing the credentials and experience of BCBA supervisors is essential in determining their qualifications for the role. Look for the following information:Credential or Experience and Importance‍‍Board Certification as a BCBA: EssentialYears of Experience as a BCBA: ImportantSpecializations or Areas of Expertise: Relevant to Your NeedsContinuing Education and Professional Development: Demonstrates CommitmentTake note of the BCBA supervisor's credentials and experience to determine if they have the necessary knowledge and skills to provide effective supervision.Assessing Communication and Interpersonal SkillsEffective communication and interpersonal skills are vital for a successful BCBA supervision relationship. Consider the following factors during your assessment:Skill and Importance‍‍Active Listening: EssentialClear and Concise Communication: EssentialEmpathy and Understanding: ImportantCollaborative Approach: ImportantA BCBA supervisor with strong communication and interpersonal skills will be able to effectively communicate goals, provide feedback, and establish a positive working relationship.Requesting References and Client TestimonialsTo gain insights into the BCBA supervisor's performance and reputation, it is recommended to request references and client testimonials. This feedback can provide valuable information about their professionalism, effectiveness, and ability to work with individuals with autism.When contacting references, consider asking questions such as:How long have you worked with the BCBA supervisor?Did they demonstrate expertise in your specific needs?How did they communicate and collaborate with you?Did they provide constructive feedback and support?Were they responsive to your concerns or questions?Client testimonials can also offer valuable perspectives on the BCBA supervisor's approach and effectiveness in delivering quality supervision.By thoroughly evaluating BCBA supervisors based on their credentials and experience, communication and interpersonal skills, and client feedback, you can make an informed decision when choosing the right BCBA supervisor for your needs. Remember, finding the right fit is crucial as the BCBA supervisor will play a significant role in guiding and supporting autism treatment.Interviewing Potential BCBA SupervisorsOnce you have identified potential BCBA supervisors for autism treatment, the next step is to interview them to ensure they are the right fit for your needs. This section will guide you through the interview process, including preparing questions, discussing their approach and treatment philosophy, and addressing availability and logistics.Preparing Questions for the InterviewBefore the interview, it's helpful to prepare a list of questions to gather relevant information and assess the suitability of the BCBA supervisor. Consider the following questions:Can you tell me about your experience working with individuals with autism and your specific expertise in this area?How do you approach individualized treatment planning for your clients with autism?What strategies do you use to address challenging behaviors in individuals with autism?How do you involve the family and caregivers in the treatment process?Can you describe a successful case or outcome you have achieved with a client with autism?Asking About Approach and Treatment PhilosophyDuring the interview, it's important to ask the BCBA supervisor about their approach and treatment philosophy. Understanding their methods and beliefs will help you determine if they align with your goals and values. Consider asking the following questions:What is your overall treatment approach for individuals with autism?How do you incorporate evidence-based practices into your treatment plans?Do you take a collaborative approach, involving other professionals such as speech therapists or occupational therapists?How do you stay up-to-date with the latest research and advancements in autism treatment?Discussing Availability and LogisticsIn addition to assessing their qualifications and treatment approach, it's crucial to discuss practical matters such as availability and logistics. This will ensure that the BCBA supervisor can accommodate your needs and fit into your schedule. Consider discussing the following points:What is your availability for supervision sessions? Are you able to accommodate my preferred days and times?How frequently will supervision sessions occur, and for how long?What is your preferred mode of communication? Are you accessible for questions or concerns outside of scheduled sessions?Do you have any geographical restrictions or limitations on the areas you serve?By asking these questions and having open discussions during the interview, you can gain valuable insights into the BCBA supervisor's approach, experience, and availability. This will help you make an informed decision when selecting the right BCBA supervisor for your autism treatment journey. Remember to take notes during the interview process to compare and evaluate the candidates effectively.Making the DecisionWhen it comes to finding the perfect BCBA Supervisor, making the right decision is crucial for the success of autism treatment. It's important to carefully consider various factors and weigh the pros and cons before finalizing your choice. Trusting your instincts and starting the supervision process are also essential steps in this decision-making process.Weighing the Pros and ConsTo make an informed decision, it's helpful to weigh the pros and cons of each potential BCBA Supervisor. Consider the following factors:ProsExtensive experience in autism treatmentStrong communication and interpersonal skillsPositive client testimonialsConvenient location and flexible schedulingConsLimited availabilityHigher cost of supervisionDiffering treatment philosophyLimited references availableBy evaluating these pros and cons, you can gain a clearer understanding of the advantages and potential drawbacks associated with each BCBA Supervisor. This analysis will help you make a decision that aligns with your specific needs and goals.Trusting Your InstinctsWhile it's important to consider objective factors when choosing a BCBA Supervisor, trusting your instincts is equally valuable. Pay attention to your gut feelings and instincts during the evaluation process. If you have a positive connection with a particular BCBA Supervisor and feel comfortable discussing your concerns and goals, it may indicate a good fit.Remember that the trust and rapport between you and the BCBA Supervisor are crucial for effective collaboration. If you have reservations or doubts about a potential supervisor, it's important to listen to those feelings and continue your search until you find someone you trust and feel confident in.Starting the Supervision ProcessOnce you have made a decision and selected a BCBA Supervisor, it's time to start the supervision process. This typically involves an initial meeting to discuss goals, expectations, and logistics. The BCBA Supervisor will provide guidance, support, and ongoing supervision to ensure the effective implementation of autism treatment plans.During this initial meeting, it's important to establish clear lines of communication and discuss any specific requirements or preferences you may have. This will help set the stage for a productive and collaborative relationship between you and the BCBA Supervisor.Remember, finding the perfect BCBA Supervisor is a process that requires careful consideration and evaluation. By weighing the pros and cons, trusting your instincts, and starting the supervision process, you can make an informed decision that sets the foundation for successful autism treatment.FAQsWhat qualities should I look for in a BCBA supervisor beyond just their credentials?It's not just about the letters after their name. Seek someone who values mentorship, understands your goals, and resonates with your approach to learning.How do I know if a BCBA supervisor will be a good fit for my learning style and career goals?Look for supervisors who take the time to understand your individual learning needs and align with your professional aspirations. A good fit goes beyond just qualifications.Is it okay to ask potential BCBA supervisors about their teaching philosophy or mentoring approach?Absolutely! In fact, it's encouraged. Understanding their approach gives you insights into whether it aligns with your learning preferences and goals.Should I consider geographical location when choosing a BCBA supervisor?It depends on your preferences and the flexibility of the supervisor. Some interactions may be in person, but many supervisors are open to virtual meetings, expanding your options.How important is it to find a BCBA supervisor with experience in my specific area of interest within Applied Behavior Analysis?It can be beneficial, but it's not the only factor. A supervisor with a broad understanding of ABA principles can often guide you effectively, even if they haven't specialized in your specific area.SummaryAs we wrap up the quest to find that perfect BCBA supervisor, remember that this journey is as much about connection as it is about credentials. It's about finding someone who not only guides you professionally but also understands your unique aspirations and learning style.So, go beyond the checklist, trust your instincts, and seek a supervisor who not only helps you grow in the field of Applied Behavior Analysis but also supports you in becoming the best version of yourself. Your ideal BCBA supervisor is out there – here's to a collaborative and fulfilling professional partnership ahead!Sourceshttps://hoomhouse.com/blog/how-to-find-a-bcba-supervisorhttps://www.iloveaba.com/2014/12/are-you-great-supervisorhttps://readysetaba.com/finding-quality-supervision-for-bcba-bcba