Speech Therapy vs. Physical Therapy

In this article, we will delve into the differences and benefits of speech therapy and physical therapy.

Speech Therapy vs. Physical Therapy

When it comes to therapy, there are various types, and two of the most common are speech therapy and physical therapy. While both therapies aim to improve an individual's quality of life, they target different areas of the body.

What is Speech Therapy?

Speech therapy is a form of therapy that focuses on improving an individual's communication skills. People who have speech or language disorders, stuttering, articulation problems, or difficulty swallowing can benefit from speech therapy. Speech therapists work with patients to improve their speech, language, and cognitive communication.

Speech therapy can be beneficial for people of all ages, from infants to the elderly. Infants may require speech therapy if they have difficulty breastfeeding or if they do not respond to sounds or voices. Children may require speech therapy if they have difficulty pronouncing words or if they have language delays. Adults may require speech therapy if they have difficulty communicating due to a stroke, brain injury, or other medical conditions.

Benefits of Speech Therapy

The benefits of speech therapy are numerous. Speech therapy can improve an individual's ability to communicate effectively, which can improve their overall quality of life. It can also improve cognitive function, memory, and attention. Speech therapy can also help with socialization and emotional development.

Examples of Speech and Language Disorders Treated with Speech Therapy

Speech therapy can be beneficial for individuals who have various speech and language disorders. Here are some examples of speech and language disorders that can be treated with speech therapy:

Stuttering

Stuttering is a speech disorder that causes interruptions in the flow of speech. People who stutter may repeat sounds, syllables, or words, prolong sounds, or have difficulty starting a word. Speech therapy can help people who stutter improve their fluency and reduce the frequency and severity of their stuttering.

Articulation Disorders

Articulation disorders are speech disorders that affect an individual's ability to produce sounds correctly. People with articulation disorders may substitute one sound for another, leave out sounds in words, or add extra sounds to words. Speech therapy can help individuals with articulation disorders learn how to produce sounds correctly and improve their overall communication skills.

Language Delays

Language delays refer to difficulties in understanding or using spoken language. Children with language delays may have trouble following directions, answering questions, or expressing themselves clearly. Speech therapy can help children with language delays improve their vocabulary, grammar, and sentence structure.

Aphasia

Aphasia is a language disorder caused by brain damage that affects an individual's ability to speak, read, write, or understand spoken language. Speech therapy can help individuals with aphasia regain their communication skills through exercises that focus on improving comprehension and expression.

Overall, speech therapy has been shown to be effective in treating a wide range of speech and language disorders. If you or someone you know has a speech or language disorder, consider seeking the help of a licensed speech therapist who can develop an individualized treatment plan based on your specific needs.

What is Physical Therapy?

Physical therapy is a form of therapy that focuses on improving an individual's physical function. People who have mobility issues, chronic pain, or injuries can benefit from physical therapy. Physical therapists work with patients to improve their range of motion, strength, and flexibility.

Physical therapy can be beneficial for people of all ages, from infants to the elderly. Infants may require physical therapy if they have difficulty with motor development. Children may require physical therapy if they have developmental delays or injuries. Adults may require physical therapy if they have chronic pain, injuries, or medical conditions that affect their physical function.

Benefits of Physical Therapy

The benefits of physical therapy are numerous. Physical therapy can improve an individual's physical function, which can improve their overall quality of life. It can also improve balance, coordination, and endurance. Physical therapy can also help with pain management and prevent future injuries.

Different Types of Exercises Used in Physical Therapy to Improve Mobility and Strength

Physical therapy uses different types of exercises to improve mobility and strength. Here are some examples:

Range-of-Motion Exercises

Range-of-motion exercises are designed to help individuals move their joints through their full range of motion. These exercises can include stretching, bending, and rotating joints to increase flexibility and reduce stiffness.

Strengthening Exercises

Strengthening exercises focus on building muscle strength. These exercises can include resistance training, weightlifting, and bodyweight exercises like squats or lunges. Strengthening exercises can help individuals with chronic pain, injuries, or medical conditions that affect their physical function.

Endurance Training

Endurance training involves performing aerobic activities like walking, running, or cycling for an extended period. This type of exercise improves cardiovascular health and helps individuals build endurance over time.

Balance Training

Balance training focuses on improving an individual's balance and stability. These exercises can include standing on one leg, using a balance board or stability ball, or practicing yoga poses.

Overall, physical therapy uses a variety of techniques and exercises to improve mobility and strength. A licensed physical therapist can develop an individualized treatment plan based on your specific needs to help you achieve your goals.

Speech Therapy vs. Physical Therapy: Understanding the Differences

Both Speech Therapy and Physical Therapy are types of therapy that aim to improve a person's quality of life by addressing specific aspects of their health. While they differ in their focus, both types of therapy involve working with a trained therapist to develop a personalized treatment plan.

Speech Therapy:

  • Focuses on treating communication disorders, such as speech, language, and voice disorders.
  • Uses techniques such as articulation therapy, language intervention activities, and oral motor strengthening exercises to improve communication skills.
  • Helps individuals with speech disorders caused by conditions such as stroke, traumatic brain injury, or developmental disabilities.
  • May also address cognitive-communication disorders related to memory, attention, problem-solving, and executive functions.
  • Can include assistive technology services to help individuals with communication impairments use devices like speech-generating devices or augmentative and alternative communication (AAC) systems.

Physical Therapy:

  • Focuses on treating physical impairments, such as chronic pain, mobility issues, and musculoskeletal injuries.
  • Uses techniques such as exercise therapy, manual therapy, and modalities like heat or cold therapy to improve physical function.
  • Helps individuals with physical impairments caused by conditions such as arthritis, sports injuries, or neurological disorders.
  • May also include education on posture and body mechanics for injury prevention and pain management.
  • Can involve the use of assistive devices like crutches or wheelchairs to improve mobility.

Bot Speech Therapy and Physical Therapy aim to improve clients' quality of life by addressing specific aspects of their health. While Speech Therapy focuses on communication disorders like speech and language issues and cognitive-communication disorders, Physical Therapy focuses on physical impairments like chronic pain and mobility issues and includes education on posture and body mechanics. Both therapies involve working with a trained therapist to develop a personalized treatment plan tailored to the individual's needs.

How to find the right therapist for your specific needs and goals?

Finding the right therapist is crucial to achieving your therapeutic goals. Here are some steps you can take to find the right therapist for your specific needs:

1. Identify Your Goals

The first step in finding the right therapist is to identify your goals. What do you want to achieve through therapy? Is it improved communication skills, physical function, or pain management? Understanding your goals will help you identify which type of therapy is best suited for you.

2. Research Therapists in Your Area

Once you have identified your goals, research therapists in your area who specialize in that type of therapy. Look for therapists who have experience working with clients with similar needs and conditions as yours.

3. Check Credentials

When researching therapists, check their credentials. Make sure they are licensed and certified to practice in their field. You can also check if they have any disciplinary actions against them by contacting their licensing board.

4. Consider Insurance Coverage

If you have health insurance, consider therapists who are covered under your plan. This can help reduce out-of-pocket costs and make therapy more affordable.

5. Schedule a Consultation

Before committing to a therapist, schedule a consultation or initial session. This will give you an opportunity to meet the therapist, ask questions about their approach and experience, and determine if they are a good fit for your needs.

By following these steps, you can find the right therapist who can help you achieve your therapeutic goals and improve your quality of life.

Cost and Insurance Coverage for Speech Therapy and Physical Therapy

Speech therapy and physical therapy can be costly, but insurance coverage can help reduce the out-of-pocket expenses. Here are some things to consider when it comes to the cost and insurance coverage for speech therapy and physical therapy:

Cost of Speech Therapy

The cost of speech therapy can vary depending on several factors, such as location, duration of sessions, and type of treatment. On average, a 30-minute session can cost anywhere from $50 to $200. A longer session or more specialized treatment may cost even more.

Insurance Coverage for Speech Therapy

Many health insurance plans cover speech therapy as a medically necessary service. However, coverage may vary depending on your plan, so it's important to check with your insurance provider about what is covered.

Cost of Physical Therapy

The cost of physical therapy also varies depending on several factors. On average, a session can cost anywhere from $75 to $350 per hour. The total cost will depend on the duration and frequency of sessions, as well as any additional fees for equipment or supplies.

Insurance Coverage for Physical Therapy

Like speech therapy, many health insurance plans cover physical therapy as a medically necessary service. However, coverage may vary depending on your plan. Some plans may limit the number of visits or require prior authorization before starting treatment.

It's important to check with your insurance provider about what is covered under your specific plan. If you do not have insurance coverage or have limited coverage, you may want to consider other options such as Medicaid or Medicare which provide additional benefits for those who qualify based on income or disability status.

Overall, while the cost of speech therapy and physical therapy can be high, there are options available to help reduce out-of-pocket expenses. It's important to explore all options available and work with your therapist and insurance provider to develop a treatment plan that meets your needs without causing undue financial strain.

How to Incorporate Speech and Physical Therapy into Your Daily Routine for Optimal Results?

Incorporating speech and physical therapy exercises into your daily routine can help you achieve optimal results. Here are some tips on how to incorporate speech and physical therapy into your daily routine:

1. Set Realistic Goals

Before incorporating speech and physical therapy exercises into your daily routine, set realistic goals. Speak with your therapist about what you hope to achieve through therapy, and work together to develop a plan that is tailored to your needs.

2. Schedule Regular Therapy Sessions

Schedule regular therapy sessions with your therapist and make them a priority in your schedule. Consistency is key when it comes to achieving optimal results.

3. Practice Exercises at Home

Practice the exercises you learn in therapy at home on a regular basis. Your therapist can provide you with a list of exercises to practice at home, or you can create a routine based on the exercises you find most helpful.

4. Incorporate Exercises into Daily Activities

Incorporate speech and physical therapy exercises into daily activities whenever possible. For example, if you are working on balance training, practice standing on one leg while brushing your teeth or doing the dishes.

5. Stay Motivated

Staying motivated is important when it comes to achieving optimal results through speech and physical therapy. Keep track of your progress, celebrate small victories along the way, and stay focused on your goals.

By incorporating speech and physical therapy exercises into your daily routine, setting realistic goals, scheduling regular therapy sessions, practicing exercises at home, incorporating exercises into daily activities, and staying motivated, you can achieve optimal results in improving communication skills or physical function.

Success Stories of Individuals Who Have Benefited from Speech or Physical Therapy

Speech and physical therapy have helped numerous individuals improve their quality of life by addressing their specific needs. Here are some success stories of individuals who have benefited from speech or physical therapy:

Speech Therapy Success Story: John

John suffered a stroke that affected his ability to communicate effectively. He struggled to find the right words, and his speech was often slurred and difficult to understand. After starting speech therapy, John learned various techniques to improve his communication skills, including practicing breathing exercises, tongue strengthening exercises, and using visual aids to help him express himself more clearly. Over time, John's speech improved significantly, and he was able to communicate with his family and friends more easily.

Physical Therapy Success Story: Sarah

Sarah had been dealing with chronic pain in her lower back for years. Her mobility was limited, and she struggled with everyday tasks such as standing for long periods or lifting heavy objects. After starting physical therapy, Sarah worked with her therapist on various exercises to improve her strength, flexibility, and range of motion. She also received guidance on proper posture and body mechanics. Over time, Sarah's pain decreased significantly, and she was able to return to activities she had previously given up.

Overall, these success stories illustrate how speech and physical therapy can make a significant difference in an individual's quality of life by addressing their specific needs through personalized treatment plans designed by experienced therapists.

Summary

In conclusion, speech therapy and physical therapy are both important forms of therapy that can improve an individual's quality of life. While speech therapy focuses on improving communication skills and cognitive function, physical therapy focuses on improving physical function and mobility. Both therapies offer numerous benefits and can be beneficial for people of all ages. If you or someone you know could benefit from speech therapy or physical therapy, consult with a licensed therapist to explore your options.

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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