What Is Self-Diagnosed Autism?

Is self-diagnosed autism reliable? Learn why seeking a medical professional is important for accurate diagnosis & support.

What Is Self-Diagnosed Autism?

Autism is a neurodevelopmental disorder that affects many people around the world. While it's typically diagnosed by a qualified medical professional, some individuals may self-diagnose themselves with autism. In recent years, there's been a growing trend of self-diagnosed autism, which has sparked a lot of discussion and debate. In this article, we'll explore what self-diagnosed autism is, why some people may choose to self-diagnose, and the potential benefits and drawbacks of doing so.

Understanding Self-Diagnosed Autism

Self-diagnosed autism is when an individual determines that they have autism without consulting a medical professional. This can involve researching autism online, taking online quizzes or questionnaires, and comparing their experiences to those of others with autism. While some people may choose to self-diagnose because they don't have access to medical care or are uncomfortable seeking a professional diagnosis, others may feel that they have a better understanding of their own experiences and symptoms than a doctor would.

Why Do People Self-Diagnose?

There are a variety of reasons why someone may choose to self-diagnose with autism. For some, it may be a way to explain their unique experiences and challenges. They may have struggled for years with social interactions, sensory sensitivities, and other symptoms commonly associated with autism, and feel that a diagnosis would help them make sense of their experiences. Others may have had negative experiences with medical professionals in the past, or may not have access to affordable healthcare. Self-diagnosis can be a way for these individuals to feel validated and understood.

The Pros and Cons of Self-Diagnosis

While self-diagnosis can be empowering and validating for some individuals, there are also potential drawbacks to consider. One of the biggest concerns is that self-diagnosis can lead to misdiagnosis or missed diagnosis. Autism is a complex disorder that can be difficult to diagnose, and online quizzes or questionnaires are not a substitute for a comprehensive evaluation by a medical professional. Additionally, self-diagnosis can lead to self-stigmatization, as individuals may feel that they are "not normal" or that their experiences are invalid without a formal diagnosis.

However, there are some potential benefits to self-diagnosis as well. For one, it can be a starting point for individuals who are seeking to better understand their symptoms and experiences. It can also be a way to connect with others who have similar experiences and build a sense of community. Additionally, self-diagnosis can be a way for individuals to advocate for themselves and seek accommodations in their daily lives.

Common Misconceptions About Autism and Self-Diagnosis

There are several common misconceptions surrounding autism and self-diagnosis. One of the biggest misunderstandings is that self-diagnosed individuals are not actually autistic. This couldn't be further from the truth. While a formal diagnosis from a medical professional is important, it's important to remember that autism exists on a spectrum and not all individuals may fit neatly into diagnostic criteria.

Another common misconception is that self-diagnosed individuals are seeking attention or trying to "be trendy". This is an unfair assumption that can lead to further stigmatization of those with autism. It's important to recognize that seeking a diagnosis, whether through a medical professional or through self-exploration, can be an important step in understanding oneself and seeking appropriate support and accommodations.

Finally, there is often a belief that self-diagnosis is somehow less valid than a formal diagnosis from a medical professional. While it's true that medical professionals have specialized training and expertise in diagnosing autism, self-diagnosis can still hold value for individuals who may not have access to healthcare or who feel more comfortable exploring their own experiences on their own terms.

It's important to approach discussions about autism and self-diagnosis with an open mind and without judgment. By doing so, we can create more inclusive communities where all individuals can feel understood and supported.

The Risks and Benefits of Disclosing a Self-Diagnosed Autism Status

Disclosing a self-diagnosed autism status to others can be a difficult decision, and it's important to carefully consider the potential risks and benefits before doing so.

Risks

One of the biggest risks of disclosing a self-diagnosed autism status is facing discrimination or stigma from others. Unfortunately, there is still a lot of misinformation and misunderstanding surrounding autism, which can lead to negative attitudes and behaviors towards those who have been diagnosed (or self-diagnosed) with the disorder. This can manifest in many ways, such as being excluded from social events or job opportunities, or being subject to bullying or harassment.

Another risk of disclosure is that it may impact one's relationships with friends and family members. Some individuals may not understand what autism is or how it affects people, which can lead to strained relationships. Additionally, disclosing a self-diagnosis may cause tension within families who are skeptical or unsupportive of the diagnosis.

Finally, there is also the risk that disclosing a self-diagnosis may lead to increased pressure to "prove" one's autism status. This could involve being questioned about one's symptoms or experiences by well-meaning but misguided individuals who may not understand that everyone on the autism spectrum experiences the disorder differently.

Benefits

Despite these risks, there are also potential benefits to disclosing a self-diagnosed autism status. For one, it can help others better understand an individual's unique needs and challenges. This can be especially important in school or work settings where accommodations may be necessary in order for an individual to succeed.

Disclosing a self-diagnosis can also help individuals connect with others who have similar experiences and build a sense of community. This can be especially important for those who feel isolated or misunderstood due to their symptoms.

Finally, disclosing a self-diagnosis can be empowering for some individuals. It can help them feel more confident in their identity and provide a sense of validation for their experiences and challenges.

Deciding Whether to Disclose

Ultimately, the decision to disclose a self-diagnosed autism status is a personal one that should be made on an individual basis. It's important to carefully consider the potential risks and benefits before making a decision.

If an individual does decide to disclose, it can be helpful to have a plan in place for how to handle negative reactions or questions from others. This may involve educating others about what autism is and how it affects people, setting boundaries around what information is shared, or seeking support from trusted friends or professionals.

It's also important to remember that disclosing a self-diagnosis is not necessary in order to receive accommodations or support services. While some individuals may choose to disclose in order to better advocate for themselves, others may prefer to keep their diagnosis private. Whatever an individual decides, it's important that they feel empowered and supported in their decision.

How to Support Loved Ones Who Have Self-Diagnosed as Autistic?

If someone you love has self-diagnosed as autistic, it's important to offer your support and understanding. Here are some tips for how you can be a supportive ally:

Educate Yourself

One of the most important things you can do is educate yourself about autism. By learning more about the disorder and its symptoms, you can gain a better understanding of what your loved one may be experiencing. You can also learn about strategies for supporting individuals with autism and advocating for their needs.

Listen Without Judgment

It's important to listen to your loved one without judgment or skepticism. Self-diagnosis can be a difficult and emotional process, and it takes courage to share this information with others. Make sure that your loved one knows that you believe them and that you're there to support them.

Ask How You Can Help

Everyone's experience with autism is different, so it's important to ask your loved one how you can best support them. They may have specific needs or accommodations that they require in order to thrive. By asking how you can help, you show that you're invested in their well-being.

Advocate for Their Needs

If your loved one requires accommodations at school or work, it's important to advocate on their behalf. This may involve speaking with teachers or employers about necessary modifications or accommodations. You can also help connect them with resources and support services in your community.

Celebrate Their Strengths

While autism comes with its own unique set of challenges, it's also important to celebrate the strengths and abilities of individuals who have been diagnosed (or self-diagnosed) with the disorder. Your loved one may have unique talents or perspectives that should be celebrated and appreciated.

By offering your support and understanding, you can help create a more inclusive world for individuals with autism who have self-diagnosed.

The Importance of Getting a Proper Diagnosis for Autism

While self-diagnosis may be empowering for some individuals, it's important to remember the importance of getting a proper diagnosis from a medical professional. A formal diagnosis can provide access to specialized treatment and therapies that can improve an individual's quality of life. It can also help individuals better understand their symptoms and experiences, and provide access to accommodations in school or at work.

Furthermore, receiving a proper diagnosis can also help with research efforts aimed at improving our understanding of autism and developing new treatments. Without accurate data on the prevalence of autism, it may be difficult to advocate for increased funding for research and support services.

It's important to note that seeking a diagnosis does not mean that an individual is "broken" or needs to be fixed. Rather, it's a way to gain greater insight into one's own experiences and seek appropriate support and resources. By working with medical professionals, individuals with autism can receive personalized care that meets their unique needs and helps them thrive.

Finding Affordable Healthcare Options for Autism Diagnosis and Treatment

Access to affordable healthcare can be a major barrier for individuals seeking a formal diagnosis of autism. Without insurance or the financial means to pay out-of-pocket, the cost of diagnostic evaluations and ongoing treatment can be prohibitively expensive. However, there are several resources available that may help individuals access affordable healthcare options.

Medicaid and CHIP

Medicaid and the Children's Health Insurance Program (CHIP) are two government-funded healthcare programs designed to provide low-cost or free healthcare coverage to eligible individuals and families. Both programs cover a range of services, including diagnostic evaluations and ongoing treatment for autism.

To qualify for Medicaid or CHIP, individuals must meet certain income requirements. Eligibility varies by state, so it's important to check with your state's Medicaid or CHIP office to determine whether you qualify.

Community Health Centers

Community health centers are non-profit organizations that provide comprehensive primary care services, including behavioral health services like counseling and therapy. These centers operate on a sliding fee scale based on income, meaning that patients pay what they can afford based on their income level.

Many community health centers also offer specialized services for individuals with autism, such as diagnostic evaluations and occupational therapy. To find a community health center in your area, visit the Health Resources & Services Administration website.

University-Based Clinics

Many universities have clinics that offer low-cost or free diagnostic evaluations and treatment services for autism. These clinics are often staffed by graduate students under the supervision of licensed professionals.

While university-based clinics may not offer all of the same services as private practices, they can be an excellent option for individuals who need an affordable diagnosis or ongoing treatment plan. To find a university-based clinic in your area, contact local universities with graduate programs in psychology or social work.

Non-Profit Organizations

There are also several non-profit organizations that offer assistance with accessing affordable healthcare options for autism diagnosis and treatment. For example, Autism Speaks offers a resource guide that includes information on financial assistance programs and low-cost healthcare options. The Autism Society also provides information on healthcare resources and advocacy services for individuals with autism.

By utilizing these resources, individuals with autism can access affordable healthcare options that meet their unique needs and help them achieve their full potential.

FAQs

What does it mean to be "self-diagnosed" with autism?

Being self-diagnosed with autism means that an individual has identified and acknowledged that they exhibit behaviors and traits commonly associated with autism. While a formal diagnosis from a medical professional is important, some individuals may choose to self-diagnose due to various reasons such as financial constraints or lack of access to healthcare services.

Is self-diagnosis reliable?

Self-diagnosis can be a useful tool for individuals, but it's important to remember that it is not the same as a formal diagnosis from a medical professional. A formal diagnosis involves comprehensive evaluations by experienced professionals using standardized measures. However, self-diagnosis can be a valuable starting point for individuals who are seeking greater understanding of their experiences and behaviors.

How can I tell if I have autism?

The symptoms of autism can vary widely between individuals and across different age groups. Some common signs of autism include difficulty with social interaction, communication challenges, repetitive behaviors or routines, hypersensitivity or hyposensitivity to sensory stimuli, and intense interests in specific topics or activities. If you suspect that you may have autism, it's important to seek guidance from medical professionals who specialize in diagnosing and treating the disorder.

Can self-diagnosed individuals receive accommodations at school or work?

While some accommodations may be available without an official diagnosis, having a formal diagnosis from a medical professional can make it easier to access accommodations and support services at school or work. Additionally, some employers or schools may require official documentation in order to provide accommodations.

Should I tell others about my self-diagnosed autism status?

The decision to disclose one's self-diagnosed autism status is personal and should be made on an individual basis. It's important to consider the potential risks and benefits before making a decision. Some individuals may choose to disclose in order to advocate for themselves or to connect with others who have similar experiences, while others may prefer to keep their diagnosis private.

Summary

Self-diagnosed autism is a complex topic that has generated a lot of discussion and debate. While there are potential benefits to self-diagnosis, it's important to remember that a formal diagnosis by a medical professional is the most reliable way to determine whether an individual has autism. If you suspect that you or someone you know may have autism, it's important to seek out a qualified medical professional who can provide an accurate diagnosis and help you access appropriate care and 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