November 2023 - Hidden Talents ABA

How to Pick the Best Setting for ABA Therapy for Children with Autism

Applied Behavior Analysis (ABA) therapy is one of the most effective and evidence-based treatments for children with autism. It focuses on improving specific behaviors such as social skills, communication, reading, and academics, as well as adaptive learning skills, such as fine motor dexterity, hygiene, grooming, domestic capabilities, punctuality, and job competence.

Choosing the best setting for ABA therapy services can significantly impact the effectiveness of the treatment. Here are some factors to consider when picking the right environment for your child’s ABA therapy.

Parent Setting her children for ABA therapy

Why the ABA therapy setting matters

Choosing the best setting for ABA therapy can significantly impact the effectiveness of the treatment. Here are some factors to consider when picking the right environment for your child’s ABA therapy.

The setting of ABA therapy plays a pivotal role as it can greatly influence a child’s comfort level and ability to absorb and retain learned behaviors. Optimal environments can enhance the child’s engagement and reduce potential distractions, thus facilitating more effective learning. A familiar setting, such as the child’s home, can provide a sense of safety and security which encourages active participation. Alternatively, a school setting might offer opportunities for social interaction and real-world application of new skills being learned. The right setting also allows ABA therapists to tailor strategies that align with the child’s unique needs, fostering a more personalized and effective therapeutic approach.

1. Home-Based ABA Therapy

Home-based ABA therapy happens in person in the comfort and familiarity of your own home. Therapists come to your house to work with your child.


Familiar Environment: Children tend to feel more comfortable in their homes, which can aid in their responsiveness to therapy.

Real-life Situations: Home-based therapy allows for real-life situations that can be used as teaching moments to practice.

Parent Involvement: Parents can observe the therapist and participate in sessions, which can help them understand how to apply techniques outside therapy sessions.

Sun Safety: Home-based ABA Therapy is also beneficial. As the summer season approaches, it’s crucial to consider sun safety, especially for individuals with autism. Many children and adults on the autism spectrum may have sensory sensitivities that make them more susceptible to discomfort from sun exposure.

baby in home based therapy


Limited Social Interaction: The home environment may not provide enough opportunities for social interaction with peers.

Distractions: The presence of toys, pets, or other family members might distract the child during therapy sessions.

2. Center-Based ABA Therapy

Center-based therapy takes place in a controlled environment outside the home, usually at a therapy center.


Structured Environment: Centers are designed to minimize distractions and maximize focus on learning.

Social Interaction: They offer more opportunities for social interaction with peers, which is critical for children with autism.

Consistency: Therapy centers often have a consistent schedule, which can help children with autism who tend to thrive on routine.


Less Parent Involvement: Parents may not be able to observe or participate in therapy sessions as much as they would at home.

Travel Time: Commuting to the center can take time and may disrupt family routines.

3. School-Based ABA Therapy

School-based ABA therapy integrates therapy into the child’s school day, either individually or in a group setting.


Integration: This setting allows for therapy to be incorporated into the child’s regular school day.

Social Interaction: There are ample opportunities for interaction with peers and practicing social skills.

 Children undergoing School based ABA therapy


Limited Control: Parents have less control over the therapy process and less opportunity to observe sessions.

Group Settings: If the therapy is done in a group setting, the individual attention your child gets form the ABA therapist might be limited.

Choosing an ABA Therapy Provider

Choosing the right ABA therapy provider is just as crucial as picking the appropriate clinical setting itself. Here are some aspects to consider when selecting a provider.

1. Certification and Training: Ensure the therapy provider has proper certification, such as being a Board Certified Behavior Analyst (BCBA). The therapists should also have a strong educational background and proper training in ABA therapy.

2. Experience with Autism: Look for a provider or program who specializes in treating autism spectrum disorder and has extensive experience working with children on the spectrum. They should be knowledgeable about autism-specific challenges and strategies for addressing them.

3. Individualized Treatment Plans: The provider should develop a personalized treatment plan that targets your child’s unique needs and goals. This plan should be flexible and adapt to changes in your child’s progress or circumstances.

4. Family Involvement: Consider providers who encourage family involvement. They should be willing to educate family members about how to reinforce therapy strategies at home and in other environments.

5. Communication: Choose a provider who maintains open communication, provides progress updates, and is responsive to your concerns. They should readily collaborate with and support you and your child’s other healthcare providers.

6. Positive Reinforcements: The provider should use positive reinforcement techniques to encourage desirable behaviors and help your child achieve their goals.

Remember, the goal is to find a provider with whom both you and your child feel comfortable and can build a trusting relationship to foster a successful therapy experience.

In conclusion, the best setting for ABA therapy depends on your child’s individual needs, the availability of services, and what works best for your family. It might even be that a combination of settings works best for your child.

Always remember that effective ABA therapy should be adaptable and catered to your child’s unique needs. Speak with your ABA provider, and together you can determine the best approach.

Prioritizing your child’s Health and Wellness throughout their therapy journey is essential, ensuring that they receive the support and resources necessary to thrive both physically and mentally.

Understanding Elopement in Autism: Risks and Prevention

Elopement, a term often associated with running away or escaping, has a different connotation within the autism community. In the context of autism, elopement behavior refers to the tendency of individuals, particularly children, to wander off or leave safe environments without supervision.

a child with autism walking in the park | Understanding Elopement in Autism: Risks and Prevention

What is Elopement?

In the world of autism spectrum disorder (ASD), elopement is described as the urge to leave protected and safe surroundings – such as a home or school – without notifying anyone. It’s also known as wandering or running. This behavior is common among individuals with autism, affecting almost half of them.

Elopement can be a significant source of stress for parents and caregivers, as it can potentially lead kids to dangerous situations. Children on the Autism Spectrum are prone to eloping, leaving a safe and supervised environment for potentially unsafe ones.

Why do Children with Autism Elope?

There is not one simple answer as to why an autistic person might engage in these elopement behaviors. Each person with autism is unique and has different motives, skills, and behaviors.

Here are a few potential reasons why children with autism might engage in elopement:

  1. Seeking stimulation: Some children with autism may seek a specific sensory experience, such as a particular sound or sight. Elopement can occur when they are drawn to these sensory stimuli outside of their safe environment.
  2. Avoiding Overstimulation: Conversely, children might elope to escape overwhelming sensory input within their current setting. Loud noises, bright lights, or crowded spaces can be distressing for them.
  3. Pursuing Interests: Autistic children often have specific interests or obsessions. If something outside their safe zone aligns with these interests, they might be motivated to elope to reach it.
  4. Escape from Demands: Elopement can be a form of avoidance behavior. If an autistic child finds an activity or situation stressful, confusing or challenging, they might try to escape it by eloping.
  5. Seeking Independence: Some autistic children might elope as an assertion of independence or control over their environment. Their desire for exploration and curiosity might drive them away from their safe surroundings.

Understanding these potential motivations for elopement behavior can help families and caregivers develop effective strategies to manage this behavior and ensure the safety of children with autism spectrum disorder.

a kid with autism observing his steps | Understanding Elopement in Autism: Risks and Prevention

The Risks Associated with Elopement

The risks associated with elopement are significant. A child with intellectual disability who elopes may be unable to recognize danger or ask for help. They could encounter traffic, water bodies, or other hazardous situations. The Centers for Disease Control and Prevention (CDC) have partnered with other organizations to understand how common wandering or elopement is among children with ASD and other developmental disabilities.

Elopement Prevention

Preventing elopement begins with understanding and recognizing the signs. When a child shows an increased interest in a particular place, starts to walk towards exits, or becomes more agitated, it may signal that they’re about to elope.

Strategies to Prevent Elopement

Here are some strategies that might help in preventing elopement among children with autism:

  1. Safety Measures at Home: Install security systems, alarms, and locks on doors and windows. Fencing the yard can also provide a safe outdoor space for the child.
  2. Supervision: Ensure constant supervision, especially in unfamiliar environments. Never leave the child unattended.
  3. Communication Skills: Teach the child some basic communication skills, including how to ask for permission before leaving a safe space.
  4. Social Stories and Visual Aids: Use social stories or visual aids to teach the child about the dangers of leaving without an adult and the importance of staying within safe areas.
  5. Identification: Have the child wear an identification (ID) tag or a GPS tracking device. This can help locate them quickly if they do manage to elope.
  6. Therapies and Interventions: Consider therapies that may help manage elopement, such as Applied Behavior Analysis (ABA), which can help in understanding the triggers and teaching alternative behaviors.
  7. Inform Neighbors and Community: Make sure your neighbors and local community are aware of your child’s tendency to elope. They can keep an eye out and help ensure the child’s safety.
  8. Emergency Plan: Have an emergency plan in place. Make sure everyone in the family knows what to do and who to call if the child elopes.

Remember, each child is unique, and what works for one might not work for another. It’s crucial to understand the child’s motivations and tailor strategies to address their specific needs and behaviors.

a kid with autism embracing the wind | Understanding Elopement in Autism: Risks and Prevention

ABA therapy an elopement

Applied Behavior Analysis (ABA) is a form of therapy that can be particularly helpful in managing both elopement and autism, in children with autism. ABA therapy focuses on improving specific behaviors, including social skills, communication, reading, and academics as well as adaptive learning skills, such as fine motor dexterity, hygiene, grooming, domestic capabilities, punctuality, and job competence.

When applied to elopement, ABA therapy can help in several ways:

  1. Identifying Triggers: ABA therapy can be used to identify triggers or stimuli in the environment that may cause a child to elope. Once these triggers are identified, steps can be taken to minimize or manage them effectively.
  2. Teaching Replacement Behaviors: ABA therapy can help teach children replacement behaviors or skills that serve the same function as elopement but are safer and more socially acceptable. For instance, if a child elopes to seek out a specific sensory experience, they could be taught other ways to obtain the same experience that do not involve leaving a safe environment.
  3. Enhancing Communication: For some children, elopement may be a way of communicating a need or desire. ABA therapy can help these children learn more effective communication strategies, reducing the need for elopement.
  4. Increasing Awareness and Understanding: Through ABA therapy, children can be taught to better understand the dangers associated with elopement and the importance of staying safe.

The effectiveness of ABA therapy in managing elopement will depend on the individual child and their specific needs and behaviors. It’s essential to work with a qualified ABA therapist who can develop a personalized plan for the child.

Understanding this elopement behavior in the context of autism is critical to ensuring the safety of individuals with ASD. By being aware of this behavior, caregivers and educators can take appropriate steps to manage and prevent it, ultimately providing a safer environment for those children with autism to grow and thrive.


 Curriculum for Autism

Applied Behavior Analysis Edu

USA Today

Understanding Autism in Girls: Key Signs and Symptoms

Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior. While it can be diagnosed at any age, the signs typically appear in the first two years of life. Autism is commonly associated with boys, as they are four times more likely to be diagnosed than girls. However, recent studies suggest that women and girls may simply exhibit different symptoms, which often go unnoticed. Here is a closer look at the signs of autism in girls.

A child covered in paint | Understanding Autism in Girls

Autism traits in girls

Girls with autism often exhibit traits that are different from those typically seen in boys diagnosed with autism. These can include a high desire for social interaction and friendship, even though they might find it difficult to understand social norms. They may have intense interests, but these are often aligned with those of their peers, such as horses, dolls, or literature. Girls with autism also tend to be quiet and can be perceived as shy or introverted. They might have a highly developed imagination, leading to engaging in complex pretend play.

Moreover, they are often good at mimicking social behavior which can mask their difficulties, leading to a delay in diagnosis or a lack of recognition of their condition. These traits, however, vary from individual to individual, as autism spectrum disorder encompasses a wide range of symptoms and behaviors.

Challenges girls with autism spectrum disorder may face

Social Interaction Difficulties

Girls with autism might struggle with social interaction, but this could manifest in less obvious ways than in boys. They may have one or two close friends rather than a large group, and they might prefer to interact one-on-one than in larger groups. They might also find it challenging to initiate and maintain conversations.

Intense Interests in Specific Subjects

Girls with autism may have intense interests, but these are often aligned with those of their peers, making this sign of autism spectrum disorders less noticeable. For instance, if a girl is obsessed with horses, it might not raise flags. However, if her interest is consuming to the point where it’s all she talks about, it could be a sign of autism.

Sensory Sensitivities

Girls with autism often have sensory sensitivities. They might be bothered by certain textures, sounds, smells, or tastes. This could manifest as picky eating or an aversion to specific types of clothing.

2 girls reading a book | Challenges girls with autism spectrum disorder may face

Difficulty with Changes in Routine

Many girls with autism thrive on routine and predictability. Changes in their schedule or environment can cause them significant distress.

Imitation and Camouflaging

It’s been observed that many girls with autism are adept at ‘camouflaging’ their symptoms. They may observe and copy their peers’ behavior, expressions, and gestures to fit in. This mimicry, while a coping mechanism, can make it harder to identify autism.

Emotional Challenges

Girls with autism might struggle with managing their emotions. They may have difficulty identifying and expressing their feelings, leading to emotional outbursts or seeming overly sensitive.

Missed signs of autism in girls

A child playing his toy camera | Missed signs of autism in girls

In the context of autism screening, certain autism symptoms may tend to be overlooked in girls of young age due to social expectations or biases. These overlooked or missed symptoms can include:

Subtle Social Struggles

While girls with autism may struggle with social interaction, their difficulties in social situations may be more nuanced and less noticeable. They may seem shy or introverted, rather than displaying more overt social difficulties like their male counterparts.


The tendency for girls with autism to camouflage their symptoms, as mentioned earlier, is a significant factor leading to missed diagnoses. They may study body language and reproduce social behavior, which can mask their struggles with their social skills and interaction.

Anxiety and Depression

Girls with autism are often more prone to anxiety and depression. However, these conditions may be seen as standalone, leading to a missed autism diagnosis.

Intellectual Disability

While intellectual disability occurs in both genders with autism, research suggests it might not be recognized as a sign of autism in girls, leading to a delayed or missed diagnosis.

Less Obsessive Interests

While girls with autism do have intense interests, they’re often seen as less obsessive or unusual than those of boys with autism, leading to them being overlooked as an autism symptom.

Why Do Girls With Autism Go Undiagnosed?

Girls with Autism Spectrum Disorder (ASD) often go undiagnosed due to a variety of factors. Traditionally, most research and diagnostic criteria for autism have been based on male-centric symptoms and behavior. This leads to skewed understanding and recognition of female autism and the disorder, leaving many girls undetected.

Societal biases and stereotypes also play a considerable role, as girls are often expected to be more sociable and emotional. This expectation can mask the symptoms of ASD, as girls are more likely to camouflage their struggles to fit societal norms.

Moreover, the symptoms of ASD in girls are often misattributed to other conditions like anxiety or depression, further complicating the diagnosis. In some cases, girls might not exhibit the intense, narrow interests typically associated with ASD, or their interests align with those of their peers, making it less likely for these signs to raise alarm.

Additionally, girls with ASD often develop advanced imitation skills in early childhood, which help them camouflage their condition by mimicking their peers. This ‘camouflaging’ behavior can lead to a delay in diagnosis or even go undiagnosed, as it conceals the more classic symptoms of autism.

In conclusion, a combination of societal expectations of autistic traits, gender biases in diagnostic criteria, and the unique symptomatology of ASD in girls contributes to the under diagnosis and misdiagnosis of ASD in girls. It’s crucial for healthcare providers to understand these differences and adapt their diagnostic processes to ensure girls with ASD receive the support they need.

How is Autism Diagnosed in Girls?

Autism is diagnosed in girls in much the same way it is diagnosed in boys, but there are some unique considerations due to differences in behavior and social expectations. The diagnostic process typically involves a multi-disciplinary team of specialists and includes a combination of observations, interviews, and testing.

Here are the general steps:

Developmental Screening: This is a short test to tell if children are learning basic skills when they should, or if they might have delays. If the doctor sees any signs of a problem, a comprehensive diagnostic evaluation is needed.

Comprehensive Diagnostic Evaluation: This thorough review may include looking at the child’s behavior and development and interviewing the parents. It may also include a hearing and vision screening, genetic testing, neurological testing, and other medical testing.

Behavioral Evaluation: A specialist will observe the child’s behavior, communication abilities, and social interactions. They may use standardized autism-specific tools such as the Autism Diagnostic Observation Schedule (ADOS).

In girls, autism can sometimes be overlooked or misdiagnosed because they may exhibit different behaviors than boys. For example, girls with autism might be quieter, less aggressive, and more likely to blend in with their peers compared to boys. They might also have intense interests that seem typical for their gender, making it harder to recognize these as symptoms of autism.

It’s important for parents and health professionals to be aware of these differences to ensure girls with autism get the diagnosis, early intervention and support they need.

Exploring “How Grants in Texas Can Help Children with Autism” can provide families with additional resources and support to access early intervention services, therapies, and educational programs tailored to their child’s needs.

Remember, each individual is unique, and not everyone will fit the typical profile. The key is to look for persistent patterns of behavior that interfere with daily life and development.



 Beyond Autism

 Autism Awareness Centre

 VeryWell Health

 Autistic Girl Network

 Child Mind Institute

Recognizing the Signs of Autism in Boys

Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior . Although autism can be diagnosed at any age, it’s termed a “developmental disorder” because symptoms of developmental disorders generally appear in the first two years of life or early childhood.

It’s important to note that not all children with autism show all signs, and many children who don’t have autism show a few. Hence, professional evaluation is crucial. Here are some common early signs of autism in boys:

Children engaged in play | Recognizing Signs of Autism in Boys

Symptoms of autism

Based on the information gathered from various credible sources, the core symptoms of Autism Spectrum Disorder (ASD) can be broadly classified into two categories: social communication challenges and restricted repetitive behaviors.

Restricted interests and repetitive behaviors are also common symptoms of ASD. These might include repetitive movements like rocking, spinning, or hand flapping. Some people with autism spectrum disorder might engage in activities that could cause self-harm.

In children, signs of autism can include not responding to their name, avoiding eye contact, and not smiling when you smile at them. Repetitive behaviors like hand-flapping, rocking, jumping, or twirling are also common in children with autism.

People with autism especially children may find it hard to understand what others are thinking or feeling,
which might result in heightened anxiety and disruptions in sleep patterns.

Exploring “How Sleep Medication Can Help Children with Autism” may be one aspect of comprehensive treatment planning to address sleep disturbances that commonly occur in children with autism, improving their overall quality of life and well-being.

Symptoms of autism can range from mild to severely disabling, and every person is different. People with ASD often have problems with social communication and interaction, and restricted or repetitive behaviors or interests.

Please note that if you suspect someone might have autism, it’s important to seek professional medical advice for a proper diagnosis and treatment.

Challenges of children with autism spectrum disorder

Communication Difficulties

Boys with autism often struggle with both verbal and non-verbal communication. They may delay speaking or not speak at all. Some boys diagnosed autism might repeat certain words or phrases but don’t understand how to use them. Non-verbal communication difficulties include avoiding eye contact, not responding to their name or familiar voices, and not using gestures to point or show things to others.

Repetitive Behaviors

Boys with autism spectrum disorder often exhibit repetitive behaviors, known as “stimming.” These repetitive movements can include hand-flapping, rocking, jumping, or twirling. They might also develop specific routines or rituals and get upset at the slightest change.

Children making funny faces | Challenges of children with autism spectrum disorder

Limited Interests

Boys with ASD may show intense interest in a specific topic like numbers, details, or facts. However, they might be uninterested in others’ interests and not want to share their own, which can lead to social isolation.

Difficulty with Social Interaction

Boys with autism spectrum disorder may struggle with understanding other people’s feelings or talking about their own feelings. They may avoid or show little interest in social interaction with other children, and they might not seek comfort or respond to parents’ displays of affection.

Sensory Sensitivities

Many boys with autism are hyper-sensitive to sensory stimuli. They might react unusually to sounds, textures, tastes, or visual cues like lights or movement. On the other hand, they could be under-sensitive and show little or no reaction to pain or extreme temperatures.

Developmental Delays and Learning Deficiencies

Autism can lead to delays in motor development, such as delayed crawling or walking, clumsiness, or uncoordinated movement patterns. Boys with ASD might also struggle with learning in a traditional educational setting due to difficulties in their communication skills, and other social skills and interaction.

Remember, these signs are just indicators, not confirmation of autism spectrum disorder. If you notice any other signs of autism spectrum or these symptoms persistently in your child, consider seeking advice from a healthcare professional for an evaluation. Early intervention can make a significant difference in helping children with autism make progress.

A children jumping | Developmental Delays and Learning Deficiencies

Why are more boys than girls diagnosed with autism?

The higher prevalence of Autism Spectrum Disorder (ASD) diagnosis in boys compared to girls is a subject of continuous research. One prevailing theory is the “female protective effect,” suggesting that girls may require a greater accumulation of genetic mutations than boys to develop ASD. This implies that the threshold for autism is higher in females, leading to more males meeting the criteria for diagnosis. Additionally, societal and cultural factors could contribute to this discrepancy. Autism in girls often presents differently than in boys, potentially leading to underdiagnosis. For instance, girls might be better at masking their symptoms, mimicking social norms, or they may exhibit less noticeable repetitive behaviors. This makes their symptoms less recognizable using current diagnostic criteria, which are based predominantly on male characteristics of autism. Thus, the lower rate of ASD diagnosis in girls might not accurately reflect the true prevalence of the disorder among the female population.

Autism Therapies

Autism therapies are diverse, ranging from behavioral interventions to medicinal approaches. These treatments aim to reduce symptoms and improve the quality of life for those with autism.

  1. Behavioral Therapies: Applied Behavioral Analysis (ABA) is a widely used therapy for autism. It involves understanding specific behaviors and modifying them through reinforcement.
  2. Medicinal Approaches: Certain antipsychotic drugs like risperidone (Risperdal®) and aripiprazole (Abilify®) are found to help reduce emotional distress and aggression.
  3. Speech-Language Therapy: This therapy helps in improving communication development and language skills.
  4. Physical Therapy: It focuses on improving motor skills, strength, and coordination.
  5. Occupational Therapy: This therapy helps individuals with autism to perform daily tasks more independently.
  6. Play-based Therapy: It uses play activities to facilitate social interaction and communication.
  7. Alternative Therapies: Some people also explore alternative therapies like special diets, herbal supplements, chiropractic care, animal therapy, art therapy, mindfulness, or relaxation therapies.
  8. Sensory Stimulation Techniques: These involve using prism lenses, auditory integration training, and techniques such as “deep pressure”.

It’s crucial to remember that the effectiveness of these therapies can vary significantly from person to person. Therefore, it’s important to consult with healthcare professionals to determine the most suitable therapy for an individual with autism.

Autism is a spectrum disorder, meaning its symptoms, abilities, and characteristics can present themselves in a wide variety of combinations, from mild to severe in a child’s development. Although life with ASD can present extra challenges, with the right support, boys with autism can lead healthy, happy, and fulfilling lives.

Understanding the Levels of Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition that affects social interaction, communication, interests, and behavior. It’s called a spectrum disorder because people with ASD can have a range of symptoms, which can vary significantly in their severity. In 2013, the American Psychiatric Association released the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which introduced three levels of autism. These levels help clinicians better understand and communicate the severity of an individual’s ASD. Let’s explore these 3 levels of autism in detail.

Childrens with different levels of autisms | Autism spectrum disorder

Level 1: Requiring Support

At this level, individuals can generally communicate verbally and handle a good portion of daily life activities independently. However, they might struggle with flexibility, organization, and social situations. They may have difficulty initiating social interactions or responding appropriately to them. These individuals may seem socially awkward, often not understanding social norms or the subtleties of social interactions. Support may be needed to help them manage anxiety or depression and improve their social, verbal and nonverbal communication skills.

Level 2: Requiring Substantial Support

Individuals at this level have more severe symptoms and require more support. Their speech may be limited and they may struggle to change focus or behavior. They may exhibit repetitive behaviors and have significant difficulty coping with change. Social interactions are more challenging, and they may only interact in narrow, specific ways. These individuals may need support in various aspects of daily life, including school or work environments, to manage their behaviors and improve their communication skills.

Mother teaching their children showing substantial support

Level 3: Requiring Very Substantial Support

This level includes individuals with severe symptoms of ASD. They may have very limited verbal skills or may not speak at all. Their ability to function independently is significantly impacted, and they may have extreme difficulty with change or new situations. They may exhibit repetitive or restrictive behaviors that are difficult to redirect. These individuals require significant support in all areas of life, including constant supervision and assistance with daily activities.

It’s important to note that these levels are not rigid categories but rather a tool for understanding an individual’s needs. An individual’s level can change over time with intervention and support. Early diagnosis and intervention can make a significant difference in the lives of those with ASD.

Building blocks | Levels of Autism

Outlook for All Levels of Autism

The outlook for individuals with Autism Spectrum Disorder (ASD) varies widely and depends on many factors, including the level of autism, the individual’s unique abilities and challenges, and the level and quality of support they receive. Despite the challenges ASD presents, many individuals live fulfilling and productive lives.

For individuals at Level 1, timely interventions and support can significantly enhance their social interactions and ability to function independently. With appropriate support, they can excel in their chosen careers and maintain successful relationships.

Individuals at Level 2, when given substantial support, can make considerable progress in managing their behaviors and improving their social communication and skills. This support often includes specialized education for effective learning and strategies to cope with their difficulties in flexibility and social interaction.

For those at Level 3, while the challenges are intense, the right therapy and support measures, such as speech and occupational therapy, can significantly improve their quality of life. They may need lifelong care but can enjoy more independence in their daily routines with targeted interventions.

Across all levels of autism, it’s vital to remember that every individual is unique and possesses their strengths. With early diagnosis, appropriate interventions, and ongoing support, individuals with ASD can lead meaningful lives while achieving their full potential.

2 Girls in a hammock | Autism Levels and Applied Behavior Analysis

Autism Levels and Applied Behavior Analysis (ABA) Therapy

Applied Behavior Analysis (ABA) therapy is a widely recognized treatment approach for individuals with Autism Spectrum Disorder (ASD) at all levels. This evidence-based therapy focuses on improving specific behaviors, such as social skills, communication, and adaptive learning skills.

For individuals at Level 1 ABA therapy can help improve social interactions and alleviate anxiety or depression. It can teach them how to initiate and respond to social interactions more effectively and understand social norms.

In Level 2, where individuals require substantial support, ABA therapy may focus on reducing repetitive behaviors, broadening focus on social cues, and enhancing communication skills. The therapy can also aid in managing behaviors in different life aspects, such as school or work environments.

For those at Level 3, requiring very substantial support, ABA therapy plays a crucial role in teaching basic skills like looking, listening, and imitating, as well as complex skills like reading, conversing, and understanding another person’s perspective.

ABA therapy’s goal is to improve an individual’s functional behaviors and quality of life, regardless of where they fall on the autism spectrum. The intensity and specific focus of ABA therapy can be adjusted to meet the unique needs of each individual.

However, it’s also essential to consider complementary therapies that may further enhance treatment outcomes. For example, exploring Hyperbaric Oxygen Therapy for treating autism alongside ABA therapy could offer additional benefits and support for individuals with ASD.

Remember, every individual with autism is unique, with their own strengths, abilities, and challenges. While these levels provide a framework, they don’t define a person. Understanding and support can go a long way in improving the quality of life for individuals with ASD.



The Place for Children with Autism




 Autism Speaks

Exploring the Connection Between Motor Skills and Autism

Autism, also known as Autism Spectrum Disorder (ASD), is a complex neurodevelopmental disorder characterized by challenges with social skills, repetitive behaviors, speech, and nonverbal communication. However, another aspect of autism that’s often overlooked, but equally significant, is its relationship with motor skills.

Child with autism on fine motor skills

Understanding Motor Skills in Autism

Motor skills refer to our ability to move and control our bodies. They are categorized into two main types: fine motor skills and gross motor dexterity. Fine motor skills involve small movements such as holding a pencil or buttoning a shirt, whereas gross motor skills include the motor control of larger movements like running or jumping.

Children with ASD often experience difficulties with both fine and gross motor skills. These challenges can range from issues with balance and coordination to problems with tasks that require dexterity, such as tying shoelaces or using cutlery.

The Impact of Motor Skill Challenges

The impact of these motor skill difficulties can be far-reaching. For instance, a child with poor motor skills may struggle to participate in physical activities, which can lead to feelings of isolation and affect their social interactions. It can also be motor problems that have practical implications, such as difficulty with handwriting, which can hinder academic progress.

Moreover, research has shown that motor skill difficulties in children with ASD are associated with more severe autism symptoms, particularly in the areas of social interaction and communication. This suggests that improving motor skills could potentially have a positive impact on autism traits in other areas of development.

Child with autism on gross motor skill

Fine Motor vs Gross Motor Skills in Autism

When comparing fine motor and gross motor dexterity in children with autism, different challenges and impacts can be observed. Fine motor skills involve more nuanced movements that require greater precision and control, such as picking up small objects between the thumb and finger, or manipulating a pencil to write. Children with ASD might struggle with these tasks, which could potentially affect their educational performance, as these skills are crucial for tasks such as handwriting or craftwork in the classroom.

On the other hand, gross motor skills encompass larger, more general movements such as walking, running, or jumping. Difficulties for individuals with autism in this area might manifest as clumsiness, uncoordinated movements, or difficulty with tasks like climbing or catching a ball. These challenges can make it hard for children with autism to participate in group sports or physical activities, possibly leading to social isolation and decreased opportunities for social interaction.

It’s important to note that these motor difficulties can vary greatly among children with autism, emphasizing the “spectrum” aspect of ASD. Some children might have trouble with both fine and gross motor skills, while others might struggle more with one or the other. Thus, individualized assessment and intervention strategies are crucial for supporting motor skill development in children with autism.

Motor skill challenges in children with autism

Children with autism often face motor skill challenges, ranging from an atypical gait to problems with handwriting. Recent research reports that some children with Autism Spectrum Disorder (ASD) experience some motor development difficulty and delay. Early signs of motor skill challenges in infants or toddlers with autism include delayed developmental milestones such as crawling.

A significant percentage of autistic children, up to 87%, exhibit motor challenges. However, only a small number, about 15%, receive a motor-specific diagnosis. Children on the autism spectrum may have difficulties with posture, coordination, and motor planning. These issues arise from differences in brain wiring that affect sensorimotor integration, motor learning, and execution.

Fine motor skills can be particularly challenging to address because children with ASD can become overwhelmed by the different aspects of an activity. Moreover, higher rates of difficulties in motor abilities, as well as in social communication skills, were found in ASD children at 18 months of age. According to one study, 79% of autistic children had definite challenges with movement.

In conclusion, motor skill challenges are common in children with autism, affecting a wide range of their abilities, from gross motor dexterity like walking to fine motor skills like handwriting. It’s important to identify and address these challenges early to help them improve their motor skills and overall quality of life.

Ways to Improve Motor Skills in Children with Autism

There are several strategies for helping children with ASD develop their motor skills:

Physical Therapy: Working with a physical therapist can provide children with targeted exercises to improve both their gross motor function and fine motor skills.

Occupational Therapy: Occupational therapists can help children improve their fine motor skills, particularly motor coordination and those necessary for daily living activities like dressing and eating.

Sports and Physical Activities: Encouraging participation in sports and physical activities can also help enhance motor skills while promoting social interaction.

Mother helping her children to improve motor skills

The Role of Early Intervention

Early identification and intervention plays a crucial role in addressing motor skill difficulties in children with ASD. The earlier these issues are identified and addressed, the better the potential outcome for the child. Therefore, it’s important for parents and professionals to be aware of the signs of motor skill difficulties and take action as soon as possible.


While much focus is put on the social and communication challenges associated with autism, it’s important not to overlook the significant impact of motor skill difficulties. By recognizing and addressing these issues, we can help children with ASD improve their quality of life and reach their full potential.

Applying Learning Principles to achieve meaningful results, such as breaking down tasks into smaller, manageable steps and providing consistent reinforcement, can significantly enhance motor skill development in children with autism.

The Power of Art Therapy in Autism Treatment

Art therapy is a form of expressive therapy that utilizes the creative process of making art to improve a person’s physical, mental, and emotional well-being. For individuals with autism, it can be an incredibly impactful tool. Let’s dive into this topic and explore the benefits of art therapy for those on the autism spectrum. The Beauty in standing out shines through as individuals express themselves uniquely through art, embracing their differences and celebrating their creativity.”

a child with autism expressing herself through art

Understanding Autism

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition that affects social skills, communication skills, and behavior. Individuals with autism often experience difficulties understanding social cues and expressing their feelings verbally. This can lead to feelings of frustration, isolation, and anxiety during social interactions.

The Role of Art Therapy

Art therapy offers a unique approach to autism treatment by providing an alternative means of communication and self expression. It helps those with autism express their thoughts and emotions in a non-verbal way, creating a bridge between their inner world and the outside environment.

Art therapy doesn’t rely on verbal communication, which can be challenging for some with ASD. Instead of body language, it uses visual and tactile experiences, allowing individuals to communicate through colors, shapes, and textures.

Art therapy can also be helpful for individuals with Macrocephaly, just as it can be beneficial for individuals with various neurodevelopmental conditions.

Art therapy offers a non-verbal means of expression, allowing individuals to communicate thoughts, emotions, and experiences through creative activities such as drawing, painting, sculpting, and other forms of artistic expression.

a used paint brush | The Role of Art Therapy

How does Art Therapy Work?

In an art therapy session for someone with autism, the art therapist would typically tailor the activities to the individual’s interests, abilities, and therapeutic goals. They may use a variety of art materials and techniques, such as drawing, painting, collage, and sculpture.

Benefits of Art Therapy for Individuals with Autism

Enhanced Communication and Expression

Art therapy and art making allows individuals with autism to express their thoughts, feelings, and experiences without the need for words. Through their artwork, they can communicate complex emotions, ideas, and experiences that they might struggle to articulate verbally.

Improved Social Skills

Group art therapy sessions can help improve social skills by encouraging cooperation, turn-taking, and shared experiences. It also creates a safe and supportive environment with art materials where individuals can interact with others without the pressure of verbal communication.

Increased Self-esteem and Confidence

By creating art, individuals on the autism spectrum can gain a sense of achievement and pride in their work. This can boost their self-esteem and confidence, which can positively impact other areas of their life.

Reduction in Anxiety and Stress

The process of creating art can be very calming and therapeutic. It provides a distraction from stressful thoughts and situations, helping to reduce anxiety and promote relaxation.

In conclusion, art therapy can be a powerful tool in the treatment of autism, with art therapists offering a unique way for individuals to communicate, express themselves, and interact with others. While it’s not a cure for autism spectrum disorder, it can significantly improve quality of life and help individuals with autism lead more fulfilling lives.

a child with autism creating an artwowrk | Art Therapy

When should a child start art therapy?

There isn’t a set age for a child to start art therapy. The timing of autism and art therapy is unique to each child and depends on their individual needs and readiness. However, early intervention is often beneficial in addressing developmental challenges and enhancing communication skills. It’s recommended to consult with a healthcare provider or a professional art therapist to determine the appropriate time to introduce art therapy. Keep in mind that the child’s willingness to engage in the process is equally important to ensure the effectiveness of the therapy.

How to select an art therapist

Choosing an art therapist for the art projects of a child with autism is a decision that requires careful consideration. Here are some steps to guide you through this process:

  1. Check Qualifications: Ensure that the art therapist holds a master’s degree in Art Therapy or a related field, and is registered or board certified by a reputable art therapy association such as the American Art Therapy Association (AATA) or the Art Therapy Credentials Board (ATCB).
  2. Specialization in Autism: Look for therapists who have experience or specialize in working with children on the autism spectrum. They’ll be best equipped to understand the unique needs of your child and adapt the therapy accordingly.
  3. Approach and Techniques: Every therapist has a unique approach to art therapy. Ask about the techniques they use and how they adapt these to cater to the needs of children with autism.
  4. Comfort Level: The rapport between the therapist and your child is crucial for successful therapy. It’s a good idea to visit the therapist with your child before making a decision. Observe how your child reacts to the therapist and the environment.
  5. Logistics: Consider practical aspects like the location of the therapist’s office, session timings, and the cost of therapy. These factors can significantly impact the sustainability of the therapy.

Remember, the goal of art sessions is to find a therapist who your child feels comfortable with, and who can effectively use art therapy to help your child express their thoughts and feelings in a supportive environment.

If you or a loved one is affected by ASD and interested in exploring art therapy, please consult with a healthcare professional or a certified art therapist to guide you through this journey.

Linking Art Therapy and ABA Therapy for Children with Autism

Art therapy and Applied Behavior Analysis (ABA) therapy are both beneficial for children with Autism Spectrum Disorder (ASD). They provide different but complementary approaches to supporting these children’s development and well-being.

Art therapy is a form of psychotherapy that uses art media as its primary mode of communication. It allows children with ASD to express themselves through different media, enhancing their communication and expression skills. This approach also helps improve a child’s imagination and ability to communicate.

Art therapy can provide a safe and controlled environment for individuals with autism to explore different textures, colors, and materials. It empowers expression and can be an effective method to help children with autism express their needs, emotions, and thoughts in a stress-free environment.

On the other hand, ABA therapy is a type of therapy that improves social, communication, and learning skills through reinforcement strategies. While I couldn’t find a direct link between ABA therapy and art therapy in my research, it’s reasonable to infer that combining these two could be highly beneficial.

For example, art therapy can be incorporated into ABA therapy sessions to provide a more holistic approach. The creativity encouraged in art therapy can complement the structured learning of ABA, offering children a balanced therapeutic experience.

However, it’s important to note that every child with autism is unique and what works best will vary from individual to individual. Therefore, a tailored approach that considers each child’s specific needs and interests would likely yield the best results.

Research indicates a potential benefit of art therapy for children diagnosed with autism. However, it’s crucial to understand that this evidence doesn’t hold the same weight as more recognized treatments such as Applied Behavior Analysis (ABA) or speech therapy. 

Alternatively, one could say that there is some indication that art therapy can provide benefits for certain children with autism, but it should be viewed as an auxiliary therapy rather than the main or sole treatment. It’s advisable for parents and caregivers to collaborate with skilled professionals and contemplate a variety of proven interventions along with art therapy to meet the unique needs of their autistic child.