Fort Myers autism treatment
Those trained to provide ABA Therapy will understand well the concept of “pairing.” Play and pairing is the foundation of instructional control in any behavioral therapy session. Simply put, pairing is a way for ABA therapists and technicians to help build a rapport with a child by finding out what interests them and then linking whoever is working with the child to that interest/activity/object so that we can facilitate positive reinforcements in each session. It’s a means of letting the child guide us to what motivates them. When we know what that is, we use it as a positive reinforcer for expected behaviors.
So for example, a child who is new to ABA therapy will begin with a few “pairing” sessions with their ABA therapist/RBT (registered behavior technician). This is a time when we simply play together, we’ll let the child lead, allowing free access to toys, games, songs, and other stimuli. It may look like we’re just “playing,” but remember two things:
- Play is how kids learn.
- By discovering what they love to play with, we can help motivate them to learn important skills and promote helpful behaviors.
Let’s say the child falls in love with a toy train set. We then restrict play with that train set to only our sessions. The child earns play with the trains as a positive reinforcer for expected behaviors.
Speech therapy uses a similar technique in motivating kids to talk. Such toys are so-called “communication temptations,” something we’ve written about extensively in prior speech therapy blog posts.
Pairing is also important because it lets the child and therapist establish a positive, trusting relationship where they come to understand that even when learning can be challenging at times, it’s also fun and ultimately benefits them (by giving them what they want). Parent input during pairing is very important too! We will spend time interviewing caregivers about what their child is really into, and we can then build on those ideas.
From there, we’ll work on trying to teach mands/requests. (Think of a mand as short for “demand.” It’s how a person requests something. For example, we may hold a piece of that toy trainset or car until he/she asks for it or a turn with it.
Autism is a neurological condition characterized, in part, by restricted, repetitive patterns of behavior, interests, or activities. Someone with autism may insist on adhering to the same routines and rituals – and any attempt at changing the slightest element can set off a major meltdown. But the fact is: We live in an ever-changing world. As Fort Myers occupational therapists, one of our primary goals when treating children with autism spectrum disorder is to teach them flexibility.
Flexibility is the quality of being easily bent but not broken. It’s not a natural skill for any of us. Think about your reactions when events take a sudden, unexpected (and unwanted) turn. But the ability to be flexible is what allows us to move on from the big emotions of that and continue with the task or the rest of the day.
Change is just an inherent part of the world we’re in. Lots of kids with autism struggle with this – and often for seemingly very minor things. Helping them learn to get themselves “unstuck” is critical for functioning in daily life.