How to Address Repetitive Behaviors in Autism?

Discover how to address repetitive behaviors in autism with tailored strategies and caregiver support for success.

Understanding Repetitive Behaviors in Autism

Repetitive behaviors are a common aspect of autism spectrum disorder (ASD), and understanding their nature can be beneficial for parents navigating this journey. They can provide comfort and regulate emotions but may also pose challenges.

Fixed Interests: A Comforting Mechanism

Fixed interests, often classified as repetitive behaviors, can serve important functions in the lives of individuals with autism. These interests can act as tools for self-calming and emotional regulation, providing comfort and predictability in an unpredictable world [1]. For example, a child may become deeply fascinated with a particular topic, such as trains or dinosaurs, immersing themselves in it.

While these intense interests can enhance well-being, they may lead to difficulties in managing daily activities or work tasks if they interfere excessively. It's crucial for parents to find a balance between supporting their child's interests and encouraging flexibility in different settings.

Fixed Interest Examples Potential Benefits Challenges Faced
Trains Provides comfort and routine Difficulty transitioning to new activities
Dinosaurs Engages deeply, enhancing knowledge May distract from social interactions
Numbers Offers predictability and control Limits exposure to varied experiences

Violent Behaviors and Their Impact

Some individuals with autism may exhibit more concerning behaviors, including violent actions. These behaviors often stem from frustration or overwhelming emotions and can significantly impact the individual and those around them. Understanding the triggers for such behaviors is crucial for parents.

Research indicates that repetitive behaviors, including violent tendencies, can be more strongly associated with parental stress. Parents frequently identify these symptoms as among the most challenging aspects of autism to manage in everyday life.

Assessing the context in which violent behaviors occur can provide insight into how to address them. Interventions may include behavioral therapy techniques like Differential Reinforcement of Variability (DRV), which can help reduce destructive behaviors and promote more appropriate alternative behaviors.

By understanding both the comforting aspects of fixed interests and the challenges associated with violent behaviors, parents can be better prepared to support their children. For further exploration of interventions, parents can look into resources on how to foster emotional growth in autism and the potential benefits of aba therapy goals and objectives.

Classifying Repetitive Behaviors

Understanding the different types of repetitive behaviors in autism is crucial for parents seeking effective strategies to support their children. Researchers classify these behaviors into two main categories: lower-order behaviors and higher-order behaviors.

Lower-Order vs. Higher-Order Behaviors

Lower-order behaviors are characterized by physical actions and consist of simpler repetitive movements. Examples include:

  • Fidgeting: Moving the body or hands without a specific purpose.
  • Hand-flapping: Rapidly moving hands in a rhythmic manner.
  • Repeating Words or Phrases: Reciting the same words or sounds multiple times.

Higher-order behaviors refer to more complex actions and thought patterns that involve routines and intense interests. These might include:

  • Desire for Sameness: A strong preference for consistent environments or routines.
  • Preference for Routine: Sticking to a specific schedule or ritual.
  • Intense Interests: Focusing intensely on particular subjects or activities.

This classification helps in understanding how to address repetitive behaviors effectively. Each type may require different approaches to interventions and support.

Behavior Type Examples Characteristics
Lower-Order Behaviors Fidgeting, Hand-flapping Simple, physical actions
Higher-Order Behaviors Desire for sameness, Intense interests Routines, complex thought patterns

Source: Verywell Health

Functionality and Implications

Repetitive behaviors, also known as stereotypic behaviors, serve important functions in the lives of individuals with autism. They can help regulate emotions, manage anxiety, and cope with overwhelming sensory inputs. These behaviors can provide:

  • Comfort: Offering a sense of stability in unpredictable situations.
  • Predictability: Establishing routines that help reduce anxiety.
  • Control: Allowing individuals to exert some control over their environment.

Motor repetitive behaviors, such as hand flapping or body rocking, can help individuals find comfort or self-regulate emotions. Sensory repetitive behaviors involve seeking sensory interaction through repetition, which may provide a means to manage sensory experiences. Understanding the functionality of these behaviors is essential for parents and caregivers as they develop appropriate strategies and interventions.

For more information on supportive techniques and interventions, refer to our article on how to navigate autism support services?.

Causes and Treatment Approaches

Understanding the causes of repetitive behaviors in autism is complex, and there is ongoing research in this area. While many theories have been proposed, the exact reasons remain inconclusive. Some behaviors, such as hand-flapping or insistence on routines, might serve essential functions for individuals on the spectrum, including self-soothing or enhancing focus.

Proposed Theories and Lack of Conclusive Findings

A variety of theories explain why repetitive behaviors and fixed interests manifest in autism. Some professionals suggest that these actions may help to manage anxiety or provide comfort in overwhelming situations. However, there are currently no reliable methods to treat these behaviors, and many clinicians question the need for intervention unless harm is caused.

Research shows that identifying the function of these behaviors is critical. For example, repetitive actions might serve to calm an individual or communicate their emotional state. This understanding can guide parents and caregivers in fostering environments that support their children's needs, particularly in stressful situations. It’s important to explore the nuances of each behavior and consider if intervention is genuinely necessary.

Importance of Tailored Interventions

Due to the variability in how people with autism express repetitive behaviors, tailored interventions are essential. One technique, Differential Reinforcement of Variability (DRV), has been shown to effectively decrease undesirable repetitive actions while encouraging more appropriate behaviors.

Caregivers may also utilize both pharmacologic and non-pharmacologic treatments to address related symptoms like irritability or anxiety. However, any intervention should prioritize understanding the child’s specific needs and preferences.

It's crucial for parents to engage with autism support services, seeking advice on how to navigate treatment choices that suit their child's unique behavioral profile. Building a comprehensive approach, which may include how to reduce autism-related stress and participating in autism-friendly recreational activities, can also play a significant role in addressing repetitive behaviors effectively.

Early Signs and Evolution of Behaviors

Recognizing the early signs of autism can be crucial for parents and caregivers. Repetitive behaviors often emerge during toddlerhood and can provide insights into the child's developmental trajectory.

Toddlerhood Manifestation

Repetitive behaviors are among the first signs of autism to emerge in toddlerhood. These behaviors can vary widely, from simple hand-flapping to more complex rituals. Historical figures in autism research, such as Leo Kanner and Hans Asperger, documented these early manifestations of autistic behaviors in children they studied.

Many children may display these repetitive actions as a form of self-soothing or a way to cope with anxiety. Parents observing their children during this formative stage should take note of the frequency and nature of these behaviors, as they can provide critical information.

Age Range Common Repetitive Behaviors
1-2 Years Hand-flapping, spinning, lining up objects
2-3 Years Humming, rocking back and forth, repeating phrases
3-4 Years Repetitive play patterns, insistence on sameness

Recognizing these behaviors can help in early diagnosis and intervention. For more details on effective interventions, consider exploring ABA therapy goals and objectives.

Influence of Cognitive Ability

The severity and expression of repetitive behaviors in autism are closely related to cognitive ability. Research indicates that these behaviors tend to be more pronounced in individuals with lower cognitive ability. It has been observed that chronological age plays a role in the expression of these behaviors; as the child grows, lower order repetitive behaviors may stabilize or decrease, while higher order behaviors may increase [2].

Non-verbal IQ is particularly associated with lower order repetitive behaviors in young children. However, the relationship becomes less clear regarding higher order behaviors. This indicates that cognitive and social-communication deficits do not fully account for the expression of these repetitive behaviors.

Understanding the interplay between cognitive ability and the development of repetitive behaviors can guide parents and caregivers in their strategies for support and intervention. For more resources related to managing these behaviors, consider checking out how to reduce autism-related stress? and autism-friendly recreational activities.

Addressing Repetitive Behaviors

Understanding and addressing repetitive behaviors in autism can help create a supportive environment for autistic individuals. It is essential for parents to engage in a systematic approach to functionally assess these behaviors and implement effective interventions.

Functionality Assessment and Interventions

The first step in addressing repetitive behaviors is to understand the underlying function of the behavior. Common repetitive actions, also known as stimming, may include arm or hand-flapping, rocking, jumping, and spinning. Identifying the purpose behind these behaviors—whether they serve to self-soothe, communicate frustration, or express excitement—can inform effective interventions.

Here are some strategies that can be employed:

Strategy Description
Modify the Environment Making changes to the surroundings can help reduce triggers that lead to unwanted behaviors. Ambient noise reduction and creating a calm area can help.
Increase Structure Implementing a predictable routine can make the individual feel more secure and reduce anxiety that might lead to repetitive behaviors.
Visual Supports Using visual aids, such as schedules or reminders, can facilitate smoother transitions and clarify expectations.
Manage Anxiety Recognizing signs of anxiety and providing calming activities can help in reducing the need for repetitive self-soothing.
Early Intervention Engaging in early intervention can help curb repetitive behaviors before they become more ingrained and challenging to change.

Addressing repetitive behaviors early can prevent them from becoming problematic later in life. The longer these behaviors continue without intervention, the harder they become to modify.

Supporting Individuals for Behavioral Change

Support for individuals aiming to change repetitive behaviors involves setting clear and consistent limits. Establishing small, achievable behavior adjustments can build confidence and gradually lead to more significant changes over time.

Here are some recommended approaches:

Recommendations Description
Setting Realistic Targets Encourage a focus on small, specific goals rather than overwhelming the individual with large expectations.
Provide Alternative Activities Offer engaging activities that capture the individual's interest and serve as distractions during moments of anxiety or stress.
Gradual Boundaries Start with minor behavioral changes and gently increase boundaries as the individual adapts [5].
Positive Reinforcement Celebrate successes, no matter how small, to reinforce positive behavioral changes.

Creating an environment where individuals feel safe and supported while addressing their repetitive behaviors can lead to healthier expressions of their needs. For more information on fostering emotional growth in autism, visit our article on how to foster emotional growth in autism?.

Caregiver Support and Self-Care

Emotional Impact and Coping Strategies

Caring for a child with autism can be emotionally taxing. Parents may experience feelings of stress, anxiety, and depression as they navigate the complexities of their child's needs. Acknowledging these emotions is the first step in managing them effectively. Engaging in treatment for their child has been shown to help caregivers feel more in control and prepared for the challenges ahead.

Support groups can be immensely beneficial. Joining a group allows parents to connect with others who share similar experiences. These groups provide hope, comfort, and encouragement while also serving as a resource for information about available services in their area [6]. For instance, a study from Vanderbilt University highlighted that mothers of autistic children greatly benefited from weekly stress-reduction classes led by fellow mothers, significantly reducing personal stress levels and improving interactions with their children.

Here are some effective coping strategies for caregivers:

Coping Strategy Description
Taking Breaks Stepping away, even for a few minutes, can help reset your mood. Activities might include taking a walk or watching a movie.
Keeping a Journal Writing about experiences and feelings can lead to emotional benefits and behavioral changes. It can be helpful for tracking the child's progress and documenting what works or doesn't.
Engaging in Stress-Reduction Activities Activities focused on reducing stress can help improve overall emotional well-being.

Importance of Positive Communication

Open and honest communication with partners and family is crucial during this time. Sharing thoughts and feelings can strengthen relationships and provide necessary support systems. Maintaining a dialogue helps everyone involved feel more connected and informed about the challenges and triumphs they face together.

Positive communication extends beyond just family; it involves discussing a child's needs and progress with educators and therapists. This not only aids in creating a consistent approach but also aligns strategies across environments. Utilizing resources like autism-friendly technology tools can enhance communication methods and strategies, making interactions smoother.

Parents are encouraged to be proactive in their communication. Here are some tips:

Positive Communication Tip Description
Regular Family Meetings Set aside time each week to update each other and discuss challenges and progress.
Encouragement Celebrate small victories and support each other in daily challenges.
Clear and Concise Language Use direct language when discussing needs or concerns with educators and therapists.

Implementing these strategies will not only help caregivers manage their own emotional health but also foster a nurturing environment for their children. More information on managing stress can be found in our article on how to reduce autism-related stress?.

References

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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