High-Functioning Autism: What You Need To Know?

Discover how people with high-functioning autism can lead fulfilling lives. Learn about therapy, medication, and support. Get help today!

High-Functioning Autism

Autism, also known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects communication, behavior, and social interaction. While some people with autism have trouble with everyday activities, others have what is known as high-functioning autism. In this article, we will explore what high-functioning autism is, its symptoms, and ways to manage it.

What is High-Functioning Autism?

High-functioning autism is a subtype of autism where a person has significant difficulties with social interaction, communication, and repetitive behaviors, but they have average or above-average intelligence. People with high-functioning autism may have difficulty with social cues, maintaining eye contact, and understanding sarcasm or humor. They may also have obsessive interests and routines.

Symptoms of High-Functioning Autism

The symptoms of high-functioning autism can vary from person to person, but some common signs include:

Difficulty with Social Interaction

People with high-functioning autism may struggle with social interactions and have difficulty understanding nonverbal cues such as facial expressions, tone of voice, and body language. They may also struggle to initiate or maintain conversations and have difficulty making friends.

Difficulty with Communication

People with high-functioning autism may have difficulty communicating their thoughts and feelings. They may have trouble understanding abstract language or sarcasm and may take things literally. They may also have a hard time expressing themselves with words.

Repetitive Behaviors

People with high-functioning autism may have repetitive behaviors, interests, or routines. They may also be sensitive to certain sounds, textures, or smells.

Management of High-Functioning Autism

While there is no cure for high-functioning autism, there are ways to manage the symptoms. Some common management strategies include:

Therapy

Behavioral therapy can help people with high-functioning autism learn social skills, communication, and coping mechanisms to manage their emotions.

Medication

Medication can help with some of the symptoms of high-functioning autism, such as anxiety or depression.

Education and Support

Education and support are essential for people with high-functioning autism. Families, teachers, and friends can provide support and understanding. Organizations such as the Autism Society of America and the Autism Speaks Foundation offer resources and support for people with autism and their families.

Causes of High-Functioning Autism

While the exact causes of high-functioning autism are not yet known, research suggests that a combination of genetic and environmental factors may play a role. Studies have shown that certain genes linked to brain development and function may contribute to the development of autism. Additionally, environmental factors such as prenatal exposure to toxins or infections may also increase the risk of autism. However, more research is needed to fully understand the complex causes of high-functioning autism.

The Challenges Faced by Adults with High-Functioning Autism in the Workplace

While high-functioning autism can present challenges in many areas of life, one area where it can be particularly challenging is in the workplace. For adults with high-functioning autism, navigating social interactions and communication in a professional setting can be difficult, which can lead to problems with job performance and advancement.

Some common challenges for adults with high-functioning autism in the workplace include:

Difficulty with Social Interactions

Many jobs require frequent social interactions, such as meetings, networking events, or team-building exercises. Adults with high-functioning autism may struggle to understand nonverbal cues or social norms, making these interactions stressful and uncomfortable.

Sensory Overload

The sensory sensitivities that are common in people with high-functioning autism can also be a challenge in the workplace. Loud noises, bright lights, or strong smells can cause sensory overload and make it difficult to focus on tasks or communicate effectively.

Difficulty with Changes to Routine

Many people with high-functioning autism rely on routine to manage their anxiety and stay focused. Changes to routines at work, such as unexpected meetings or changes to deadlines, can be disruptive and cause stress.

Misunderstanding Instructions

People with high-functioning autism may have difficulty understanding abstract language or complex instructions. This can lead to misunderstandings and mistakes on the job.

Strategies for Success

While there are certainly challenges faced by adults with high-functioning autism in the workplace, there are also strategies that can help them succeed. Some of these strategies include:

Disclosure and Accommodation

Disclosing a diagnosis of high-functioning autism to an employer can help them understand an employee's needs better. Employers may then be able to make accommodations such as providing a quiet workspace or written instructions instead of verbal ones.

Social Skills Training

Social skills training programs can help adults with high-functioning autism learn to navigate social interactions in the workplace more effectively.

Sensory Management

Managing sensory sensitivities can also be crucial for success in the workplace. Wearing noise-cancelling headphones or taking breaks in a quiet space can help reduce sensory overload.

Routine and Structure

Maintaining a routine and structure can help adults with high-functioning autism feel more comfortable and focused at work. Employers may be able to make accommodations such as providing a consistent schedule or allowing flexible work hours.

By understanding the challenges faced by adults with high-functioning autism in the workplace and implementing strategies for success, employers can create a more inclusive and supportive environment for all employees.

The Impact of Executive Function Deficits on Daily Life for People with High-Functioning Autism

Executive function refers to a set of cognitive processes that enable individuals to plan, organize, initiate, and complete tasks. Individuals with high-functioning autism often experience difficulties with executive function, which can have a significant impact on their daily lives.

Some common challenges related to executive function deficits in people with high-functioning autism include:

Difficulty with Planning and Organization

People with high-functioning autism may struggle to plan and organize their daily activities or prioritize tasks. They may have difficulty breaking down complex tasks into smaller steps or following through on plans.

Impulsivity

Impulsivity is another common challenge related to executive function deficits in people with high-functioning autism. They may act without considering the consequences or engage in repetitive behaviors without realizing it.

Time Management Difficulties

Many individuals with high-functioning autism have difficulty managing their time effectively. They may underestimate how long tasks will take or become distracted easily.

Emotional Regulation Challenges

Executive function deficits can also affect emotional regulation in people with high-functioning autism. They may struggle to regulate their emotions appropriately or express themselves effectively.

These challenges can make it difficult for individuals with high-functioning autism to navigate daily life successfully. However, there are strategies that can help manage these difficulties and improve overall functioning.

Strategies for Managing Executive Function Deficits

Some strategies for managing executive function deficits in people with high-functioning autism include:

Creating Visual Supports

Visual supports such as calendars, checklists, and schedules can be helpful for planning and organization. These tools provide structure and help individuals visualize their goals and priorities.

Developing Routines

Creating routines can help establish a sense of predictability and consistency in daily life. This can be especially helpful for managing time effectively.

Breaking Down Tasks into Smaller Steps

Breaking down tasks into smaller steps can make them more manageable and reduce overwhelm. This strategy can also help individuals with high-functioning autism stay organized and on track.

Cognitive-Behavioral Therapy (CBT)

CBT is a type of therapy that can help individuals with high-functioning autism develop coping strategies for managing executive function deficits. CBT focuses on changing negative thought patterns and developing positive behaviors.

By implementing these strategies, individuals with high-functioning autism can improve their ability to plan, organize, initiate, and complete tasks successfully. This can lead to increased independence and overall quality of life.

Finding a Therapist for High-Functioning Autism

Finding a therapist who specializes in working with people with high-functioning autism can be essential to managing symptoms effectively. Here are some tips on how to find the right therapist:

Look for Experience and Expertise

When searching for a therapist, it's important to look for someone who has experience working with people with high-functioning autism. You may want to consider therapists who specialize in cognitive-behavioral therapy or social skills training.

Ask for Referrals

Ask your primary care physician, family members, or friends if they know of any therapists who have experience working with people with high-functioning autism. You can also contact local autism organizations for recommendations.

Check Credentials and Licensing

Ensure that the therapist you choose is licensed and has the appropriate credentials. You can check licensing requirements in your state on the National Institute of Mental Health website.

Consider Logistics

Consider factors such as location, availability, and insurance coverage when choosing a therapist. You may want to choose a therapist who is located close to your home or workplace and has availability that fits your schedule.

By taking the time to find the right therapist, you can receive support and guidance in managing your symptoms effectively.

How to Talk to Friends and Family Members about Your Diagnosis of High-Functioning Autism?

Talking to friends and family members about a diagnosis of high-functioning autism can be challenging. However, it is essential to communicate your needs and help others understand how they can support you.

Here are some tips for talking to friends and family members about your diagnosis:

Choose the Right Time and Place

It is crucial to choose the right time and place to have this conversation. Make sure that you are both in a calm and relaxed state of mind, and there are no distractions or interruptions.

Explain High-Functioning Autism

Start by explaining what high-functioning autism is, its symptoms, and how it affects you. Provide examples from your own life so that they can better understand your experiences.

Be Honest About Your Needs

Be honest with your friends and family members about your needs. Let them know what types of situations may cause anxiety or stress for you, such as loud noises or bright lights.

Encourage Questions

Encourage questions from your loved ones so that they can better understand how they can support you. Answer their questions honestly, even if it may be difficult.

Provide Resources

Provide resources such as books or websites where they can learn more about high-functioning autism. This information can help them better understand the condition and provide more effective support.

By having an open conversation with your friends and family members about your diagnosis of high-functioning autism, you can create a supportive network that will help you thrive.

Strategies for Parents to Help their Children with High-Functioning Autism Succeed in School

Parents of children with high-functioning autism can play a significant role in helping their child succeed in school. Here are some strategies that may prove helpful:

Build a strong relationship with your child's teacher

Developing a positive relationship with your child's teacher can be an essential step in ensuring your child's success at school. Regular communication, attending parent-teacher conferences, and volunteering at the school can help build trust and understanding between you and your child's teacher.

Create a structured routine

Children with high-functioning autism often thrive on structure and routine. Creating a consistent daily schedule for your child can help them feel more comfortable and focused at school. This may include setting aside specific times for homework, meals, and bedtime.

Use visual aids

Visual aids such as schedules or checklists can be helpful tools for children with high-functioning autism. These tools provide a clear visual representation of what needs to be done and when, which can reduce anxiety and increase independence.

Provide opportunities for sensory breaks

Many children with high-functioning autism have sensory sensitivities that can make it difficult to concentrate in the classroom. Providing opportunities for sensory breaks such as taking a walk or using a stress ball can help your child stay calm and focused.

Encourage social skills development

Children with high-functioning autism may struggle with social interactions at school. Encouraging social skills development through activities such as playdates or group therapy sessions can help improve their ability to communicate effectively with peers.

By implementing these strategies, parents of children with high-functioning autism can provide support that enables their child to thrive academically and socially in the classroom.

FAQs

How is High-Functioning Autism Diagnosed?

Diagnosis of high-functioning autism typically involves a comprehensive evaluation by a trained healthcare professional such as a psychologist or psychiatrist. This evaluation may include interviews with the individual and their family members, standardized assessments, and observations of the individual's behavior in various settings.

Is High-Functioning Autism Different from Asperger's Syndrome?

In previous versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), Asperger's syndrome was considered a separate diagnosis from autism. However, in the most recent edition (DSM-5), Asperger's syndrome falls under the umbrella term "autism spectrum disorder." The term "high-functioning autism" is often used to describe individuals who would have previously been diagnosed with Asperger's syndrome.

What are some common traits of High-Functioning Autism?

Some common traits of high-functioning autism include difficulty with social interactions, sensory sensitivities, rigid adherence to routines and schedules, executive function deficits such as difficulties with planning and organization, impulsivity, time management challenges, emotional regulation difficulties, and intense interests in specific topics or activities.

Can Individuals with High-Functioning Autism Live Independently?

Many individuals with high-functioning autism can live independently with appropriate support and accommodations. Some may require assistance with daily living tasks such as managing finances or transportation. Others may benefit from social skills training or therapy to help them navigate social interactions more effectively.

By understanding what high-functioning autism is and how it can be diagnosed and managed effectively, we can create a more inclusive society for all individuals on the autism spectrum.

Summary

High-functioning autism is a subtype of autism where a person has significant difficulties with social interaction, communication, and repetitive behaviors, but they have average or above-average intelligence. The symptoms of high-functioning autism can vary from person to person, but there are ways to manage the symptoms through therapy, medication, education, and support. With understanding and support, people with high-functioning autism can lead fulfilling lives.

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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