What to Expect in Your Child’s First ABA Therapy Session – A Step-by-Step Guide

Starting therapy for your child can feel both hopeful and overwhelming. If your child has been recommended for ABA Therapy, you might have many questions. Don’t worry—this step-by-step guide will walk you through what to expect during the first session, helping you feel more prepared and confident.

What Is ABA Therapy?

ABA (Applied Behavior Analysis) Therapy is a science-based approach used to improve specific behaviors in children, especially those with autism. It focuses on communication, social skills, daily routines, and reducing challenging behavior. Therapists use rewards, repetition, and structured learning to help children grow in positive ways.

The Importance of the First Session

The first ABA session is like a foundation. It sets the tone for future learning. This session is more about observation, comfort, and getting to know your child than teaching new skills right away.

Step 1: Warm Welcome and Introduction

The therapist will greet you and your child in a friendly and relaxed manner. This helps to create a safe, calm environment where your child feels comfortable. The goal is to build trust before beginning any therapy activities.

Step 2: Parent and Therapist Discussion

Before working directly with your child, the therapist may talk to you about your child's strengths, challenges, and daily routine. They may ask you questions like:

• What does your child enjoy?
  
  

• What causes them stress?
  
  

• What behaviors concern you most?
  
  

This helps the therapist plan the best strategies.

Step 3: Building a Relationship with Your Child

Next, the therapist will spend time playing and interacting with your child. This is called "pairing." The therapist might join in activities your child enjoys—like puzzles, drawing, or playing with toys. The goal is to connect and become someone your child wants to be around.

Step 4: Observation and Assessment

During the session, the therapist will quietly observe how your child responds to different situations. They will look at:

• How your child communicates
  
  

• How they react to changes
  
  

• How they respond to praise or requests
  
  

This is not a test—it’s a gentle way to learn more about your child’s behavior in real-time.

Step 5: Trying Simple Tasks

Depending on your child’s comfort level, the therapist may introduce simple tasks. These could be as basic as:

• Making eye contact
  
  

• Pointing to pictures
  
  

• Responding to their name
  
  

Each task is done with care, and the therapist will praise or reward your child for participating.

Step 6: Noting Behavioral Responses

The therapist will make notes on what works and what doesn’t. If your child becomes upset or avoids a task, that’s okay. The therapist is learning how to adjust the plan to match your child's needs.

Step 7: Explaining the Plan to Parents

At the end of the session, the therapist will sit down with you and share what they observed. They might explain:

• What your child responded well to
  
  

• What areas need support
  
  

• What the next sessions will focus on
  
  

They may also give tips you can try at home.

Step 8: Involving Parents for Long-Term Success

Many therapy programs include aba therapy training for parents. This training helps you understand the methods used during sessions so you can support your child at home. It can include how to handle meltdowns, reward good behavior, and communicate more effectively.

Step 9: Scheduling Future Sessions

You and the therapist will decide how often therapy should take place—usually several times a week. Sessions may be at home, in a clinic, or even in school. The schedule will depend on your child’s needs and your availability.

Step 10: What Happens After the First Session?

After the first session, therapists will continue building a custom plan for your child. They’ll create goals, track progress, and update you regularly. As your child gets used to therapy, you'll likely see changes in communication, behavior, and confidence.

Tips for a Smooth First Session

• Bring a favorite toy or snack for your child.
  
  

• Be honest with the therapist about your concerns.
  
  

• Don’t worry if your child has a meltdown—therapists are trained for that.
  
  

• Stay calm and patient. It’s okay if progress feels slow at first.
  
  

The Emotional Side – For Parents and Kids

Starting therapy can be emotional. It’s normal to feel hopeful, nervous, or even sad. Remember that you’re not alone. Many parents have walked this path and found great success. ABA Therapy is not just about changing behavior—it’s about opening new doors for your child’s growth.

Conclusion

Your child’s first ABA session is just the beginning of a journey toward growth and independence. It may feel new and uncertain, but with time, the structure and support of therapy can bring real progress. With love, patience, and ABA Therapy, you and your child can take hopeful steps forward—together.