Tylenol In Pregnancy Linked To Autism

Unraveling the Tylenol puzzle: Can Tylenol use during pregnancy impact autism? Discover the latest research findings and guidelines.

Understanding Autism Levels

Autism is a complex neurodevelopmental disorder characterized by challenges in social interaction, communication, and repetitive behaviors. It is now recognized that there are different levels of autism, ranging from mild to severe, based on the level of support an individual may require. Understanding these levels is crucial for providing appropriate care and support to individuals with autism.

Impact of Acetaminophen Use in Pregnancy

The use of acetaminophen, commonly known as Tylenol, during pregnancy has been a topic of concern in relation to autism. Recent studies have explored the potential impact of acetaminophen use on the development of autism in offspring. Research suggests that exposure to acetaminophen during pregnancy may increase the risk of autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) in children.

In a study analyzing umbilical cord blood samples, newborns with the highest exposure to acetaminophen were about three times more likely to be diagnosed with ADHD or ASD in childhood. Another study found that exposure to acetaminophen during the second or third trimester of pregnancy was associated with smaller vocabularies and shorter utterance length in children, as well as increased odds of lower language scores in male children [3].

Risks Associated with Acetaminophen Exposure

The risks associated with acetaminophen exposure during pregnancy extend beyond the potential impact on autism. Studies have also suggested an increased risk of ADHD and other neurodevelopmental disorders. Children with higher levels of acetaminophen exposure in their cord blood were found to have higher risks of ADHD and ASD compared to those with lower exposure levels.

It is important to note that these findings indicate potential associations between acetaminophen use during pregnancy and the risk of autism and related disorders. However, more research is needed to fully understand the extent of these associations and the mechanisms behind them. It is always advisable for pregnant individuals to consult with their healthcare providers about the potential risks and benefits of any medication or treatment during pregnancy.

As research continues to uncover new insights, it is essential to approach the topic with caution and ensure accurate reporting of study findings. Understanding the potential risks associated with acetaminophen use in pregnancy can help individuals make informed decisions and seek appropriate guidance from healthcare providers.

Research Findings on Acetaminophen

As the debate surrounding the use of acetaminophen during pregnancy continues, several research studies have explored the potential associations between acetaminophen use and neurodevelopmental disorders like attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Understanding these research findings is essential for making informed decisions regarding acetaminophen use during pregnancy.

Study on Acetaminophen and Neurodevelopment

A study funded by the National Institutes of Health (NIH) suggests that exposure to acetaminophen during pregnancy may increase the risk for ADHD and ASD in children NIH. The study followed children until they were approximately 8.9 years old, and the results showed that higher exposure to acetaminophen was associated with an increased risk of both ADHD and ASD.

Compared to children with the lowest exposure levels, those with middle exposure levels had approximately 2.26 times the risk for ADHD, while those with the highest exposure levels had approximately 2.86 times the risk. Similarly, the risk for ASD was higher for children with middle exposure levels (approximately 2.14 times) and highest exposure levels (approximately 3.62 times).

Associations with ADHD and Autism

Additional studies have also found associations between acetaminophen exposure during pregnancy and the risk of neurodevelopmental disorders. Research conducted by the Johns Hopkins Bloomberg School of Public Health revealed that newborns with the highest exposure to acetaminophen were about three times more likely to be diagnosed with ADHD or ASD in childhood Hub at Johns Hopkins University. This association was supported by analyzing umbilical cord blood samples.

Moreover, children with the highest levels of acetaminophen exposure in their cord blood were associated with 2.86 times the risk of ADHD and 3.62 times the risk for ASD compared to those with the lowest exposure levels Hub at Johns Hopkins University. These consistent associations between acetaminophen and the risk of ADHD and ASD highlight the importance of further investigation in this area.

While these research findings suggest a potential link between acetaminophen use during pregnancy and neurodevelopmental disorders, it's important to note that causation has not been definitively established. Additional research is needed to better understand the underlying mechanisms and potential risks associated with acetaminophen exposure during pregnancy.

As always, it's essential for pregnant individuals to consult with their healthcare providers regarding the use of medications during pregnancy. Healthcare professionals can provide personalized guidance and recommendations based on the individual's specific circumstances and medical history.

Effects of Acetaminophen on Offspring

The use of acetaminophen during pregnancy has been a subject of interest regarding its potential effects on offspring. Research has explored the behavioral outcomes in children and the potential neurodevelopmental risks associated with acetaminophen exposure in the womb.

Behavioral Outcomes in Children

Studies have indicated that exposure to acetaminophen during pregnancy may have an impact on the behavioral outcomes in children. For example, a study found that taking more acetaminophen during the second or third trimester was associated with marginally smaller vocabularies and shorter utterance length in children at 26.5-28.5 months. Another study revealed that children exposed to acetaminophen during pregnancy scored significantly higher on three of the seven Child Behavior Checklist (CBCL) syndrome scales: withdrawn, sleep problems, and attention problems. These findings suggest a potential association between acetaminophen exposure and certain behavioral characteristics in children.

Potential Neurodevelopmental Risks

Exposure to acetaminophen in the womb has also been linked to potential neurodevelopmental risks in children. A study analyzing umbilical cord blood samples found that newborns with the highest exposure to acetaminophen were about three times more likely to be diagnosed with attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) in childhood. Another study supported these findings, reporting that children with the highest levels of acetaminophen exposure in their cord blood had significantly increased risks for ADHD and ASD [1]. These observations suggest a potential association between acetaminophen exposure during pregnancy and an increased risk of neurodevelopmental disorders in children.

It's important to note that while these studies have found associations between acetaminophen use during pregnancy and behavioral outcomes or neurodevelopmental risks in children, further research is needed to fully understand the relationship. The implications of these findings emphasize the need for caution and careful consideration when using acetaminophen during pregnancy. Pregnant individuals should consult with their healthcare providers to assess the potential risks and benefits of acetaminophen use, taking into account their specific circumstances and medical history. Accurate reporting of acetaminophen use during pregnancy is essential for researchers to gather more comprehensive data and gain a clearer understanding of the potential impacts on offspring.

Guidelines and Recommendations

When it comes to the safety of using acetaminophen during pregnancy, healthcare organizations and providers have provided guidelines and recommendations based on the available evidence.

Safety of Acetaminophen in Pregnancy

The American College of Obstetricians and Gynecologists (ACOG) states that using acetaminophen during pregnancy is generally considered safe after consulting with a healthcare provider. They assert that there is no clear evidence of a direct relationship between acetaminophen and irregular fetal development. ACOG emphasizes the importance of discussing pain relief options with a healthcare provider and considering the dosage amounts and duration of use.

The Society for Maternal-Fetal Medicine, while not directly addressing the statement on acetaminophen use, agrees that there is insufficient evidence to establish a causal relationship between neurodevelopmental outcomes, particularly ADHD, and prenatal acetaminophen exposure. However, it's essential to consult with a healthcare provider for personalized advice based on individual circumstances.

Recommendations from Healthcare Providers

Pregnant individuals are advised to continue using acetaminophen as necessary, with consideration of dosage amounts and the duration of use. It's recommended to opt for short-term use rather than long-term use to minimize potential side effects. However, it's important to note that prolonged or excessive use of any medication during pregnancy should be avoided unless specifically prescribed by a healthcare provider.

Healthcare providers may also suggest exploring non-drug treatments for chronic pain during pregnancy, as well as discussing pain relief options tailored to individual needs. This approach aims to balance the management of pain while considering the potential risks and benefits associated with medication use during pregnancy.

It's crucial for pregnant individuals to have open and honest conversations with their healthcare providers about their medical history, current health condition, and any concerns they may have regarding the use of acetaminophen or any other medication during pregnancy. This ensures that personalized recommendations can be provided, taking into account the specific circumstances and potential risks associated with acetaminophen use.

Always consult with a healthcare provider for professional advice and guidance regarding the use of acetaminophen or any other medication during pregnancy. They have the expertise to assess individual situations and provide the most appropriate recommendations for pain relief while prioritizing the health and well-being of both the pregnant individual and the developing fetus.

Considerations and Cautions

When it comes to the use of acetaminophen during pregnancy and its potential link to autism and other neurodevelopmental disorders, there are several considerations and cautions that need to be taken into account. It's important to address patient concerns and understand the implications of accurate reporting.

Patient Concerns and Lawsuits

Patients have expressed concerns about taking acetaminophen, such as Tylenol, during pregnancy due to a mass tort lawsuit. This lawsuit includes cases filed against major pharmacy retailers, accusing them of not adequately warning about the potential risks of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) in children associated with acetaminophen exposure in utero. It's essential to acknowledge these concerns and provide accurate information to address patient anxieties.

Importance of Accurate Reporting

Accurate reporting is crucial when discussing the potential link between acetaminophen use during pregnancy and neurodevelopmental disorders. The original research on this topic emphasized the importance of avoiding overstating the significance of the results to prevent unnecessary anxiety among pregnant women. It's essential to communicate the findings accurately, highlighting that no proven causal link has been established between acetaminophen and ASD or ADHD.

It's worth noting that the studies on acetaminophen use during pregnancy heavily relied on patient recall of information, which can introduce inaccuracies in reporting. Additionally, the increased risk of ASD and ADHD appeared to be skewed towards mothers over the age of 31, potentially due to higher-risk pregnancies after age 35. These factors emphasize the need for cautious interpretation of the research findings and consideration of other contributing factors.

While occasional use of acetaminophen during pregnancy is unlikely to cause harm to the patient or fetus, long-term use is not recommended. It's important to note that the meta-analysis of acetaminophen use during pregnancy did not consider the underlying reasons for taking the medication. The presence of infections, for example, could be the actual risk factors for neurological or developmental conditions in children. Thus, careful evaluation of the benefits and risks is necessary when considering acetaminophen use during pregnancy [6].

To ensure the well-being of both the patient and the fetus, it is advisable to consult healthcare providers who can provide personalized recommendations based on individual circumstances and the latest guidelines. National guidelines from organizations like the Society for Maternal-Fetal Medicine and the American College of Obstetricians and Gynecologists have not changed in terms of the safety of acetaminophen during pregnancy. These guidelines can help healthcare providers navigate the complexities of this topic and provide informed guidance to patients [6].

As further research is conducted, it is essential to approach the topic with caution, ensuring accurate reporting of findings, and considering the potential impact on maternal-fetal health. The field of prenatal acetaminophen exposure and its effects on neurodevelopment is still evolving, highlighting the need for continued research to fully understand the implications and potential risks associated with its use during pregnancy.

Future Research and Implications

As research on the link between acetaminophen use during pregnancy and autism continues to evolve, there is a need for further studies to provide a clearer understanding of the potential implications. While some studies have suggested a possible association between acetaminophen exposure and neurodevelopmental disorders, including autism and ADHD, the evidence is not yet conclusive. It is important to approach this topic with caution and continue investigating to establish a more definitive understanding of the potential risks.

Need for Further Studies

Given the mixed findings and limitations of existing research, further studies are necessary to explore the relationship between acetaminophen use during pregnancy and the development of autism. Future research should aim to address the limitations observed in previous studies, such as patient self-reporting and residual confounding, to obtain more reliable and accurate data. Large-scale, well-designed studies with rigorous methodologies are crucial for advancing our knowledge in this area.

By conducting additional research, scientists can gather more comprehensive data and analyze it to determine if there is a causal relationship between prenatal acetaminophen exposure and autism. This will help healthcare providers and expectant parents make informed decisions regarding pain relief options during pregnancy.

Impact on Maternal-Fetal Health

Understanding the potential impact of acetaminophen on maternal-fetal health is another important aspect of future research. Recent studies suggest that prenatal exposure to acetaminophen might alter fetal development and increase the risks of certain neurodevelopmental, reproductive, and urogenital disorders. Acetaminophen can cross the placenta and potentially interfere with hormonal processes affecting the baby's nervous and reproductive system.

Exploring the long-term effects of acetaminophen use during pregnancy on both the mother and the developing fetus is crucial for ensuring the well-being of both. Researchers should investigate the potential mechanisms through which acetaminophen may affect maternal and fetal health, including hormonal disruptions and neurological impacts.

As research progresses, it is essential for healthcare providers to stay updated on the latest findings and recommendations regarding acetaminophen use during pregnancy. This will enable them to provide accurate information and guidance to pregnant individuals, considering the potential risks and benefits associated with pain relief options.

In conclusion, further research is needed to shed light on the association between acetaminophen use during pregnancy and the development of autism. By conducting well-designed studies and exploring the impact on maternal-fetal health, researchers can provide more definitive insights into this complex topic. It is crucial to continue monitoring the progress of scientific investigations to ensure the safety and well-being of both mothers and their unborn children.

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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. 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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. 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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