Understanding Autism Meltdown Feelings

Step inside the storm of an autism meltdown. Understand the emotions, triggers, and coping strategies for a better understanding.

Understanding Autism Meltdowns

Autism meltdowns are complex and intense neurological responses to overwhelming sensory or emotional experiences. It is important to differentiate meltdowns from tantrums or behavior problems, as they are fundamentally different in nature. Meltdowns are not deliberate behavior but rather a physiological response to stress.

Definition of Meltdowns

An autism meltdown is an involuntary reaction to nervous system overload, which manifests as a physical response to a neurobiological reaction. It goes beyond a typical emotional response and can involve intense distress, agitation, and difficulties in controlling emotions. Meltdowns are not considered deliberate misbehavior but rather an understandable result of being completely overwhelmed.

Differentiating Meltdowns from Tantrums

It is crucial to distinguish between an autism meltdown and a tantrum. While tantrums are typically associated with intentional behavior and manipulation, meltdowns are genuine cries of distress resulting from sensory or emotional overload. Meltdowns are not a display of bad or naughty behavior but rather a way for individuals with autism to express their emotions when they are unable to do so in other ways [3].

To further differentiate meltdowns from tantrums, here are some key distinctions:

MeltdownsTantrumsInvoluntary response to stress or overloadDeliberate behavior for a specific purposeLonger-lasting and more intenseShorter in duration and less intenseGenuine expression of distressManipulative behaviorDifficult to predict and controlOften triggered by not getting what they wantRecovery may take time post-meltdownQuick recovery once the desired outcome is achieved

Understanding the fundamental differences between meltdowns and tantrums is crucial for providing appropriate support and empathy to individuals with autism. By recognizing and acknowledging the unique challenges faced during meltdowns, we can create a more inclusive and understanding environment for individuals on the autism spectrum.

Triggers of Autism Meltdowns

Autism meltdowns can be triggered by various factors that overwhelm individuals with autism. Understanding these triggers can help provide insight into what an autism meltdown feels like. Some common triggers include sensory overload, changes in routine, and social anxiety and emotional stress.

Sensory Overload

Sensory overload occurs when one or more of the body's senses is overstimulated to a point where a person is unable to cope. It happens when the brain receives more information from the senses than it can process [4]. Sensory overload is commonly associated with autism but can also be present in other disorders like post-traumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD).

For individuals with autism, sensory overload can lead to feelings of irritability, anxiety, and emotional distress. The overwhelming input of sensory information may cause distress and result in self-harming behaviors such as head banging, ear-clapping, self-scratching, or self-hitting [4]. Autistic individuals often respond to sensory overload with repetitive behaviors, known as stimming, such as hand-flapping, rocking, repeating words or phrases, or sitting on the floor and spinning [4].

Changes in Routine

Changes in routine can be challenging for individuals with autism and can act as triggers for meltdowns. Autistic individuals often rely on predictability and structure in their daily lives. When faced with unexpected changes or disruptions to their routines, it can cause feelings of anxiety and distress. The unwritten rules and unpredictable nature of the world can be overwhelming, leading to meltdowns if not managed effectively.

To help prevent meltdowns caused by changes in routine, it is essential to establish and maintain a predictable schedule. Providing visual schedules, using timers, and offering advance notice of any upcoming changes can help individuals with autism feel more prepared and reduce anxiety.

Social Anxiety and Emotional Stress

Autistic individuals may experience social anxiety and emotional stress, which can act as triggers for meltdowns. Difficulties in expressing wants and needs, along with challenges in understanding and interpreting social cues, can lead to overwhelming feelings of anger and frustration. These emotions, when not appropriately expressed, can escalate and result in a meltdown.

Managing social anxiety and emotional stress is crucial in preventing meltdowns. Supporting individuals to understand and express their emotions appropriately, enhancing communication methods, and providing tools and strategies to cope with anxiety can be helpful in reducing the frequency and intensity of meltdowns. Creating a supportive and understanding environment that fosters empathy and provides necessary accommodations can make a significant difference in an autistic individual's well-being.

By recognizing and addressing the triggers of autism meltdowns, individuals with autism, their families, and caregivers can work together to implement strategies and support systems that promote emotional regulation and overall well-being.

Signs and Symptoms of Autism Meltdowns

Autism meltdowns can be overwhelming and distressing experiences for individuals on the autism spectrum. It is important to understand the signs and symptoms of meltdowns in order to provide appropriate support and empathy. While the signs may vary from person to person, common indicators of an autism meltdown include agitation and distress, difficulty communicating emotions, and overwhelm leading to shutdown behavior.

Agitation and Distress

During an autism meltdown, individuals may exhibit heightened agitation and distress. They might become visibly upset, restless, or fidgety. It is important to remember that this agitation is not deliberate behavior, but a physiological response to stress or overload [1]. They may show signs of discomfort, such as covering their ears, biting their nails, or exhibiting repetitive behaviors known as stimming [4].

Difficulty Communicating Emotions

One of the challenges faced during an autism meltdown is difficulty in communicating emotions. Individuals may struggle to express their feelings verbally or may have limited ability to articulate their emotions. This can lead to increased frustration and anxiety as they try to convey their internal state. It is important to provide alternative means of communication, such as visual aids, gestures, or assistive devices, to help facilitate expression and understanding.

Overwhelm and Shutdown Behavior

Feeling overwhelmed is a common experience during an autism meltdown. The individual may feel an intense sensory or emotional overload, causing them to shut down or withdraw. This shutdown behavior can manifest as a loss of eye contact, decreased responsiveness, or a desire to isolate themselves from the surrounding environment. It is crucial to create a calm and supportive environment during this time, allowing the individual to recover at their own pace [2].

Understanding and recognizing these signs and symptoms is essential when witnessing or supporting someone going through an autism meltdown. By offering understanding, patience, and empathy, we can create a supportive environment that helps individuals navigate these overwhelming experiences.

Strategies for Managing Autism Meltdowns

Managing autism meltdowns requires a multifaceted approach that takes into consideration the unique needs and triggers of individuals on the autism spectrum. By implementing strategies to establish routines and predictability, identifying and addressing triggers, and providing sensory support, it is possible to help prevent or reduce the frequency and intensity of meltdowns.

Establishing Routines and Predictability

Establishing routines and maintaining a predictable environment can greatly contribute to managing autism meltdowns. Autistic individuals often thrive on structure and familiarity, as it provides a sense of security and stability. By creating a consistent daily routine and clearly communicating any changes in advance, individuals with autism can better prepare themselves for transitions and unexpected events.

Strategies for Establishing Routines and Predictability- Create a visual schedule or use a calendar system to visually represent daily activities and events. This helps individuals with autism anticipate what will happen next and reduces anxiety.- Provide verbal reminders and warnings before transitioning to a new activity or changing the routine. This allows individuals to mentally prepare for the upcoming change.- Use timers or alarms to signal when a task or activity should start or end. This helps individuals understand timeframes and manage their expectations.- Encourage the use of personal organizers or digital tools to help individuals manage their schedules and stay organized.

Identifying and Addressing Triggers

Identifying and addressing triggers is crucial in managing autism meltdowns. Triggers can vary from person to person, but common ones include sensory overload, changes in routine, social anxiety, and emotional stress. By understanding these triggers and implementing strategies to manage them proactively, it is possible to reduce the likelihood of meltdowns.

Strategies for Identifying and Addressing Triggers- Engage in open and honest communication with the individual to identify their specific triggers. This can be done through observation, listening, and maintaining a dialogue about their experiences.- Create a calm and supportive environment that minimizes sensory overload. This may involve reducing excessive noise, providing designated quiet spaces, and using sensory equipment like headphones or fidget toys.- Establish clear expectations and provide visual or verbal cues to help individuals understand what is happening and what is expected of them in different situations.- Teach and practice coping strategies, such as deep breathing exercises, self-calming techniques, or redirection techniques, to help individuals manage their emotions and reactions when faced with triggers.

Providing Sensory Support

Sensory overload is a common trigger for meltdowns in individuals with autism. Sensory differences can cause distress, and it is important to provide support to manage and regulate sensory input.

Strategies for Providing Sensory Support- Create a low-arousal environment by minimizing excessive visual stimuli, reducing strong smells, and controlling the temperature and lighting levels.- Incorporate sensory breaks or activities into the daily routine to allow individuals to self-regulate and manage sensory input. These activities can include deep pressure exercises, sensory play, or using sensory equipment like weighted blankets or sensory swings.- Consult with occupational therapists or sensory integration specialists to develop personalized sensory diets or plans that address specific sensory needs and provide strategies for managing sensory overload.- Respect and accommodate the sensory sensitivities of individuals in various settings, such as school or workplace, by providing reasonable accommodations and modifications that support their sensory needs.

By implementing strategies that focus on routine establishment, trigger identification and addressing, and sensory support, it is possible to help individuals with autism manage meltdowns effectively. It is important to remember that each individual is unique, so finding the strategies that work best for them is essential. Additionally, providing support, empathy, and understanding plays a crucial role in managing meltdowns and creating a supportive environment for individuals on the autism spectrum.

Coping Techniques During Meltdowns

Autism meltdowns can be overwhelming for both the individual experiencing them and those around them. It is important to have effective coping techniques in place to support the person during these challenging moments. Here are some strategies that can help during autism meltdowns.

Teaching Coping Strategies

Teaching individuals with autism coping strategies can provide them with tools to manage and regulate their emotions during a meltdown. These strategies can vary depending on the individual's needs and preferences. Some commonly used techniques include:

By teaching and practicing coping strategies in calm moments, individuals with autism can develop a toolbox of techniques to help them navigate meltdowns more effectively.

Clear Communication and Understanding

Clear communication is essential during an autism meltdown. It is important to maintain a calm and patient demeanor while interacting with the individual. Here are some communication strategies to consider:

Importance of Support and Empathy

Support and empathy play a crucial role in helping individuals with autism navigate meltdowns. It is essential to approach meltdowns with understanding and compassion. Here are some ways to provide support:

By implementing these coping techniques and providing support, individuals with autism can feel more understood and empowered during meltdowns. It is important to remember that each person's experience is unique, so it may require patience and flexibility to find the most effective coping strategies for them.

Prevention and Recovery from Autism Meltdowns

When it comes to autism meltdowns, prevention and recovery strategies play a crucial role in supporting individuals and creating a calm and supportive environment. By recognizing early warning signs, creating a calm environment, and implementing recovery strategies post-meltdown, it is possible to help individuals navigate these challenging situations more effectively.

Recognizing Early Warning Signs

Recognizing the early warning signs of an impending meltdown can be key to preventing its escalation. These signs can vary from person to person, but common indicators may include increased agitation, restlessness, repetitive behaviors, heightened anxiety, or withdrawal [3]. By being vigilant and attuned to these signs, caregivers and support networks can intervene early and help divert the situation before a full-blown meltdown occurs.

Creating a Calm Environment

Creating a calm and soothing environment is essential both in preventing meltdowns and aiding in recovery post-meltdown. Autistic individuals may experience sensory sensitivities, being either over or under-sensitive to sensory stimuli like lights, sounds, smells, textures, and tastes. It is important to understand and accommodate these sensitivities to minimize triggers.

In the environment, consider the following:

By creating an environment that is sensory-friendly and supportive, individuals with autism can feel more at ease, reducing the likelihood of meltdowns.

Recovery Strategies Post-Meltdown

After an autism meltdown, it is important to provide support and facilitate recovery. Every individual may have different needs and preferences, so it is essential to be attentive and responsive. Some strategies that can aid in recovery include:

By implementing these recovery strategies, individuals can regain their emotional balance and move forward positively.

Prevention and recovery strategies are vital in supporting individuals with autism during meltdowns. By recognizing early warning signs, creating a calm environment, and facilitating recovery, individuals can better navigate and manage the challenges associated with meltdowns. It is essential to remember that each individual is unique, so understanding their specific needs and preferences is key to providing effective support.

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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