Understanding ABA Therapy: Answers to Frequently Asked Questions
Navigating the world of Applied Behavior Analysis (ABA) therapy can bring up many questions, and we’re here to provide you with the answers. Below, we’ve compiled answers to some of the most frequently asked questions to help you understand how ABA works and how it can benefit your child.


Questions and Answers About ABA
History of ABA Therapy
The History of Autism: A Timeline
The history of Autism Spectrum Disorder (ASD) spans over a century, evolving from early conceptualizations of behavior to a modern understanding of neurodevelopmental diversity. This timeline covers the key milestones in the recognition, diagnosis, and treatment of autism, providing insight into how perceptions of autism have changed. Explore the evolution of autism understanding through this detailed history. Read more here. Or “Learn more about the history of autism in this insightful article here.”
Introduction:
It has been more than 50 years since Leo Kanner first described his classic autistic syndrome. Since then, research and clinical work have helped us learn more about autism. More and more people are being diagnosed as autistic, although we still have a long way to go in creating a world that works for autistic people. The term “autism” was first used medically by Swiss psychiatrist Paul Eugen Bleuler in the early 20th Century. However, the meaning of the word has changed over the years. In this guide, we’ll explain the history of Autism and Autism Diagnosis.
Timeline of Key Milestones in Autism History:
Pre-20th Century: Early Observations
1801: Jean-Marc Gaspard Itard, a French physician, documented the case of Victor of Aveyron, a child raised in isolation with significant social and communication difficulties. While not an autism case by today’s standards, this marks one of the earliest recorded observations of a child displaying characteristics that might be seen in individuals with autism today.
1866: John Langdon Down, a British physician, publishes a study describing individuals with what we now recognize as Down Syndrome, but he also discusses some children with social and communication challenges that would later be associated with autism.
1887: Moriz Winkler, a German psychiatrist, describes a young boy with social difficulties, language delay, and a lack of emotional expression—traits that would later be recognized as autism.
1910s: Paul Eugen Bleuler
In the early 1900s, Swiss psychiatrist Paul Eugen Bleuler conducted research on schizophrenia. He first described the condition in a lecture in Berlin in 1908 and published his findings in 1911. He defined traits associated with autism as a “detachment from reality, together with the relative and absolute predominance of the inner life.” He described autism as a symptom of childhood schizophrenia. We know now that autism is not the same as childhood schizophrenia. However, children with autism were commonly diagnosed with childhood psychosis or childhood schizophrenia at this time.
1920s: Early Concepts and the Term “Autism”
1926: Grunya Sukhareva, a child psychiatrist in Kyiv, Russian Empire, writes about six children exhibiting behaviors like limited social interaction, restricted interests, and repetitive actions. Sukhareva’s observations were pioneering, though she did not use the term “autism.”
1908: Paul Eugen Bleuler coins the term “autism” (from the Greek word autos, meaning “self”) to describe a symptom of schizophrenia. He uses it to refer to extreme social withdrawal, but it is not directly related to the autism we understand today. His work laid the groundwork for future discussions about isolated behavior.
1940s: Recognition as a Distinct Disorder
1943: Leo Kanner, a psychiatrist at Johns Hopkins University, publishes a landmark paper describing 11 children with “autistic disturbances of affective contact.” He is credited with identifying early infantile autism, emphasizing a pattern of severe social withdrawal, repetitive behaviors, and communication challenges.
1944: Hans Asperger, an Austrian pediatrician, publishes his own work on children who exhibit traits resembling autism. However, his research largely goes unnoticed until the 1980s when his findings are translated into English. His work would later form the basis for Asperger’s Syndrome, a subtype of autism.
1950s: Early Diagnoses and Misconceptions
- 1952: DSM-I (Diagnostic and Statistical Manual of Mental Disorders) is released by the American Psychiatric Association. Autism is still considered a form of childhood schizophrenia, reflecting the dominant misconception at the time that autism was a psychological disorder caused by disturbed family environments.
- 1956: Leon Eisenberg, an American psychiatrist, writes extensively about the neurodevelopmental aspects of autism and contributes to the growing understanding that autism has a genetic and biological basis.
1960s: The Refrigerator Mother Theory
- 1960s: The theory that “refrigerator mothers”, cold, emotionally distant mothers, were the cause of autism gains popularity. This harmful theory persists until the 1970s, when researchers like Bernard Rimland challenge it, asserting that autism has a genetic and biological basis.
- 1964: Ole Ivar Lovaas begins developing Applied Behavior Analysis (ABA), a therapeutic technique that remains widely used today. While ABA helps many individuals with autism, its methods have also sparked controversy due to their focus on compliance.
1970s: The Spectrum Concept
- 1970s: Lorna Wing introduces the idea that autism exists on a spectrum, emphasizing the diverse nature of the condition. Her work leads to a more nuanced understanding of autism as a set of conditions with varying degrees of severity.
- 1975: The Education for All Handicapped Children Act (later renamed the Individuals with Disabilities Education Act, or IDEA) mandates that public schools provide education for children with disabilities, including autism. This pivotal law helps increase educational access for children with autism.
1980s & 1990s: Formalized Diagnosis
- 1980: The DSM-III includes autism as a formal diagnosis. This is the first time autism is officially recognized as a distinct condition, separate from schizophrenia and other childhood disorders.
- 1990s: The concept of the Autism Spectrum Disorder (ASD) begins to gain traction, highlighting the variation in traits and severity among individuals with autism. Americans with Disabilities Act (ADA), passed in 1990, increases protections for individuals with autism and other disabilities.
2000s: Advancements in Research
- 2000: Advances in genetics and neuroimaging provide new insights into the causes of autism, suggesting both genetic and environmental factors contribute to its development.
- 2013: The DSM-5 consolidates previous autism-related diagnoses (such as Asperger’s syndrome and PDD-NOS) into the umbrella term Autism Spectrum Disorder (ASD). This marks the modern conceptualization of autism as a broad spectrum, encompassing a range of traits and abilities.
Today: The Current Understanding of Autism
Autism is now understood as a neurodevelopmental condition that affects social communication, sensory processing, and behavior. Early interventions and individualized support systems, including therapies like Applied Behavior Analysis (ABA) speech therapy, and occupational therapy, can significantly improve quality of life. Today, there is an increasing emphasis on neurodiversity, recognizing that people with autism are part of the natural variation of human cognition and behavior.
Conclusion:
The history of autism reflects significant shifts in scientific understanding and societal attitudes. From its early roots in misunderstood behaviors to the current recognition of autism as a spectrum, ongoing research and advocacy continue to shape the ways in which individuals with autism are supported and celebrated. This evolving understanding is vital as we work toward greater inclusivity, acceptance, and empowerment for people with autism worldwide.
What is the evidence that ABA works?
ABA therapy is recognized as an evidence-based treatment by the U.S. Surgeon General, the American Psychological Association, and other reputable organizations. This means it has been rigorously tested and proven to be effective in improving outcomes for children with Autism Spectrum Disorder (ASD).
Key findings from over 20 studies include:
- Intensive and long-term ABA therapy—typically 25 to 40 hours per week over 1 to 3 years—has led to substantial improvements in intellectual functioning, language skills, daily living abilities, and social behaviors.
- ABA has demonstrated positive results not only in children, but also in adults with ASD, though studies in adults are fewer in number.
- ABA focuses on antecedents (what happens before a behavior) and consequences (what happens after a behavior) to promote positive behaviors and skill development.
In short, ABA is a scientifically backed treatment with proven outcomes for many children on the autism spectrum.
Is ABA covered by insurance?
Coverage for ABA therapy can vary based on your insurance plan and location. Here’s what you need to know:
- Many private insurance plans are required to cover ABA services, but coverage levels depend on your specific plan.
- Medicaid plans must cover ABA for children under the age of 21 if it is prescribed as medically necessary by a doctor.
If you’re unsure about your coverage, check with your insurance provider. You can also reach out to us for help navigating the insurance process.
Where can I find ABA services?
To get started with ABA therapy, follow these steps:
- Consult with your pediatrician or medical provider about whether ABA therapy is appropriate for your child. If needed, your doctor can provide a diagnosis of Autism Spectrum Disorder (ASD) and a referral or recommendation for ABA therapy to assist with insurance coverage. Beyond The Spectrum ABA Therapy and any of our locations is a preferred choice for many parents who recognize the high-quality care we provide.
- Check your insurance to see if ABA is covered and what benefits you may have.
- Ask your child’s doctor, social workers, or teachers for recommendations.
- Contact Beyond The Spectrum ABA Therapy at 678-404-7365 and request an intake evaluation with our intake specialists to assess how your child can benefit from our services. We encourage you to contact us early to avoid any waitlists, as our services can fill up quickly.
What questions should I ask when choosing an ABA provider?
Choosing the right ABA provider is essential for the success of therapy. Beyond The Spectrum ABA Therapy is a recognized and preferred choice of many parents. Here are some important questions to ask when evaluating potential providers:
- How many BCBAs (Board-Certified Behavior Analysts) do you have on staff?
- Are your BCBAs licensed through the Behavior Analyst Certification Board (BACB) and/or the state? (Some states require state licensure.)
- How many behavioral therapists work at your facility?
- How many therapists will be working with my child, and how are they assigned?
- What kind of training do your therapists receive, and how frequently is it updated?
- How much direct supervision do therapists receive from BCBAs each week?
- How do you handle safety concerns during therapy sessions?
- What does a typical ABA session look like?
- Do you offer home-based or clinic-based therapy? Which do you recommend for my child?
- How do you determine goals for my child, and how do you involve parents in the process?
- How often do you re-evaluate goals and adjust the treatment plan?
- How do you track and evaluate progress during therapy?
- What is your availability for therapy, and do you have a waitlist?
- What types of insurance do you accept?
Choosing an ABA Therapy provider that you feel comfortable with is essential, so trust your instincts and ask as many questions as needed to ensure the right fit for your family.
How long does ABA therapy last?
ABA Therapy Timeline for Autism
If you’re considering Applied Behavior Analysis (ABA) therapy for your child, you may be wondering how long the therapy will last. At Beyond The Spectrum ABA Therapy, we understand that the duration of therapy is an important factor in your decision-making process. A better understanding of the ABA therapy timeline can help you decide if it’s the right choice for your child with autism spectrum disorder.
How Long Does a Child Need ABA Therapy?
The length of ABA therapy varies for each child, as the approach is personalized to meet individual needs. On average, children may engage in ABA therapy for 3 to 5 years. Some children may begin with full-time therapy and transition to part-time sessions as they make progress. It’s important to note that ABA therapy is not a “one-size-fits-all” solution, and therapy duration is adjusted based on continuous assessments and updates to treatment plans.
How Long Are ABA Therapy Sessions?
At Beyond The Spectrum ABA Therapy, we understand that each child’s needs are unique, and the duration and frequency of their ABA therapy sessions are carefully tailored to meet those individual needs. Typically, ABA therapy sessions are scheduled 2 to 5 times a week (10-40 hours per week), with each session lasting anywhere from 3 to 7 hours. For children in full-time ABA programs, this can mean extended periods at the clinic each day, providing the consistent and immersive environment necessary for meaningful progress.
The duration and frequency of sessions are determined by a comprehensive assessment conducted by our Board Certified Behavior Analysts (BCBAs) and are outlined in your child’s personalized treatment plan. This plan is based on your child’s specific strengths, challenges, and goals, and it evolves over time as your child makes progress. Research shows that longer therapy durations can lead to more significant, long-term improvements in skills and behavior. By investing more time in therapy, children have more opportunities to practice new skills, reinforce positive behaviors, and generalize those skills across a variety of settings.
Extended sessions also provide the opportunity to address a broader range of goals, from communication and social skills to more complex behavioral challenges. This intensive approach is especially beneficial for children who need more time to process, learn, and master new skills, helping them build a strong foundation for success both during and after therapy.
While each child’s path is different, the more time and commitment put into therapy, the greater the potential for sustainable improvement. At Beyond The Spectrum ABA Therapy, we are dedicated to supporting your child’s development with the appropriate amount of time and attention based on their unique assessment and treatment plan.
Factors That Impact the Duration and Frequency of ABA Therapy
Several factors influence how long and how often ABA therapy is needed. These factors vary based on the individual child, and include:
ABA Therapy Assessment
Every ABA therapy journey begins with a thorough assessment by a Board Certified Behavior Analyst (BCBA). This assessment helps us understand your child’s strengths, areas for growth, and the behaviors that need addressing. Based on the assessment, the BCBA will recommend whether your child would benefit from a full-time or part-time program.
Complexity of Behaviors
ABA therapy is effective at addressing a wide range of behaviors, and the complexity of these behaviors can impact the frequency and duration of therapy. For example, deeply ingrained behaviors may require more intensive and frequent sessions. In contrast, if your child is focusing on a smaller set of behaviors, less frequent therapy might be sufficient.
Age
A child’s age is a significant factor in structuring ABA therapy. Younger children, who tend to have shorter attention spans, may benefit from shorter, more frequent sessions. Older children and adolescents, on the other hand, may participate in longer sessions to focus on skill development and in-depth learning.
Insurance
Insurance coverage for ABA therapy can vary depending on the specifics of your plan. Many insurance providers acknowledge the effectiveness of ABA in treating autism and will cover therapy as long as it’s deemed medically necessary. Be sure to check with your insurance provider to understand the extent of coverage and any out-of-pocket costs associated with your child’s therapy.
When is a Good Time to Stop ABA Therapy?
While ABA therapy is not a lifelong commitment, it offers lifelong impact and is designed to help your child develop the skills needed for long-term success. Determining the right time to conclude therapy is a collaborative process involving your child, family, and the BCBA. Just as we conduct a careful assessment at the start of therapy, we do the same when considering if therapy should be concluded. The decision to stop therapy is made with the same level of care, and often aligns with a natural transition from therapy to school, where your child can begin applying the skills they’ve learned in a broader, more independent environment of academic learning.
- Achievement of Goals: ABA therapy continues until your child has made significant progress and reached the goals set in their personalized treatment plan. These goals often include improvements in communication, social skills, and behavioral regulation. Once these goals are met, your child may be ready to transition into a school setting where they can further practice and apply these skills in a new context.
- Consistency: It’s not just about reaching goals; your child must demonstrate the desired behaviors consistently across different settings and with various people. Consistency is a strong indicator that they are ready for the transition, but in some cases, additional time in therapy may be needed to ensure these behaviors become deeply ingrained and reliable in new environments, such as school.
- Family Input: Your family’s observations and input play a crucial role in determining when to end therapy. It’s important that you feel confident in your child’s ability to thrive outside of the therapy setting. However, your BCBA will continue to assess whether ongoing sessions are necessary for continued growth, making sure you’re fully supported at each stage of your child’s journey.
At Beyond The Spectrum ABA Therapy, we are committed to your child’s success. While we know it may seem tempting to conclude therapy once certain milestones are met, our experienced BCBAs will provide you with professional guidance on whether extending therapy for a little longer could lead to even more robust and lasting results. Our goal is to ensure that your child is fully equipped with the skills they need for independence and success, whether that’s in therapy, transitioning to school, or navigating life outside the therapy setting.
Common Questions About Autism and ABA Therapy
Explore our helpful resources to find answers to the most common questions related to autism and ABA therapy.
Browse through the different categories below to learn more about how ABA therapy can benefit your child and how we can support you on this journey.

Can You Help Me Schedule an Autism Diagnosis Appointment?
What Should I Do if My Child Has Been Diagnosed with Autism?
What Milestones Should My Child Be Reaching?
Understanding your child’s development milestones is crucial to tracking their progress. It’s important to track developmental milestones. If your child is not meeting typical milestones, consult your pediatrician for further evaluation and potential autism screening.
Below are typical milestones children should be reaching by certain ages:
9-Month-Old Milestones
- Bears weight on legs with support
- Sits with help
- Babbles (“mama,” “baba,” “dada”)
- Responds to their name
- Transfers toys from hand to hand
1-Year-Old Milestones
- Crawls
- Stands with support
- Searches for hidden objects
- Says single words
- Points to objects
18-Month-Old Milestones
- Points to show others things
- Understands the use of familiar items
- Copies others
- Knows at least six words
- Aware when a caregiver leaves or returns
2-Year-Old Milestones
- Uses two-word phrases
- Knows how to use common objects (brushes, phones, forks)
- Follows simple instructions
- Copies actions and words
3-Year-Old Milestones
- Takes turns during games
- Follows 2-3 step instructions
- Says their name and age
4-Year-Old Milestones
- Enjoys trying new things
- Prefers playing with other children
- Can name colors and numbers
- Predicts what will happen next in a story
If your child is not meeting milestones for their age, it’s essential to consult with their doctor as an autism screening may be needed.
What Is SBT in ABA Therapy?
SBT, or Skill-Based Treatment, is a personalized and systematic approach to teaching children important skills across various settings. It focuses on making learning engaging and ensuring that therapy sessions remain a positive experience. At Beyond The Spectrum ABA Therapy, we prioritize the principles of SBT to ensure effective and compassionate treatment.
For More Information

We Are Here to Answer Any of Your Questions
What is a BCBA (Board Certified Behavior Analyst)?
A Board Certified Behavior Analyst (BCBA) is a highly trained professional who holds certification in Applied Behavior Analysis (ABA) from the Behavior Analyst Certification Board. BCBAs utilize ABA techniques to support children with autism in improving behaviors and achieving their fullest potential. At Beyond the Spectrum, BCBAs play a key role in designing, implementing, and assessing personalized ABA therapy plans for each child. They lead the development of strategies tailored to address each child’s individual strengths and challenges, ensuring the most effective outcomes possible.
What is a Behavior Technician?
A Behavior Technician is a trained professional who works directly with children with autism, helping them practice and apply skills to manage everyday activities. At Beyond the Spectrum, our Behavior Technicians are thoroughly trained in Applied Behavior Analysis (ABA) techniques. ABA therapy breaks down complex behaviors and tasks into manageable steps, which our technicians use to support children in learning and developing essential skills for everyday life.
How soon can my child begin ABA therapy?
The timeline for starting ABA therapy can vary based on your location and preferred session times. In most cases, we can begin therapy within two weeks. After completing the Initial Assessment and developing a Treatment Plan, your Client Service Manager will reach out to your Health Insurance provider to secure ABA coverage. We will also be working to assign a Behavior Technician who is well-suited to your child’s needs. In addition, your Supervising Clinician will oversee the treatment plan and the Behavior Technician moving forward. Once the team is in place and the insurance provider authorizes coverage, we’re ready to start therapy!
What are the operating hours for Beyond The Spectrum ABA Therapy (BTS)?
Is it necessary to complete all the recommended hours of therapy?
How long do ABA therapy sessions typically last?
How many hours of therapy will my child need?

Are parents involved in the ABA therapy treatment planning?
What is Telesupervision, and does Beyond The Spectrum ABA Therapy (BTS) offer it?
What is the M-Chat?
Where does ABA therapy take place?
Are there different types of autism?
In the school support model, can the BCBA instruct my child’s teacher on how to accommodate my child?
Is there a test for autism?
What is the process to receive ABA therapy for my child?
There are five typical steps involved in starting ABA therapy for your child. Beyond The Spectrum ABA Therapy (BTS) will assist you throughout this process and provide support every step of the way.
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Step 1: Screening
A screening tool, such as the M-CHAT™, can help identify whether your child may have autism. Please note that screenings are not a formal diagnostic tool and should be followed up with a formal evaluation.
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Step 2: Diagnosis
You will work with a medical professional, such as a pediatrician or licensed psychologist, to complete a diagnostic evaluation. This assessment will determine if your child has an official diagnosis of Autism Spectrum Disorder (ASD).
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Step 3: Insurance Navigation
We’ll assist you in working with your insurance provider to verify if coverage is available. We’ll help ensure that all necessary paperwork is submitted to secure authorization for ABA therapy as a covered benefit.
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Step 4: Assessment
A Supervising Clinician from Beyond The Spectrum ABA Therapy (BTS) will conduct an assessment with you and your child. This assessment helps determine the appropriate therapy level (often referred to as “treatment intensity”) and the recommended hours of ABA therapy per week.
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Step 5: Treatment Planning
After your insurance provider approves the assessment and therapy hours, a Supervising Clinician will work with you and your child to develop an individualized treatment plan. This plan is tailored to your child’s unique needs, with your input and involvement throughout the process.
How long has ABA therapy been around?
Is ABA therapy effective?
What is the age range Beyond The Spectrum ABA Therapy (BTS) provides ABA therapy for?
What languages can Beyond The Spectrum ABA Therapy (BTS) provide ABA therapy in?
Will I learn how to provide ABA therapy?
Are services offered in-home?
At Beyond The Spectrum ABA Therapy (BTS), we primarily recommend and prefer center-based ABA therapy, as it allows your child to benefit from a structured environment designed to minimize distractions and maximize focus. Center-based therapy offers a comprehensive range of resources, including specialized equipment, materials, and access to a full team of professionals.
However, we also offer in-home ABA therapy services to accommodate families who prefer therapy in a home setting. Both options can be effective, but we find that center-based therapy often leads to faster progress due to the consistency and structure it provides.
What is SBT in ABA Therapy?
What’s the difference between in-home and center-based ABA therapy?
The primary difference between in-home and center-based ABA therapy is the location where the therapy takes place.
- In-home therapy occurs in your child’s home, where a Behavior Technician visits to provide therapy. This option can be convenient for families who prefer therapy in the comfort of their home.
Center-based therapy takes place in specialized ABA therapy centers designed specifically for children with autism. At Beyond The Spectrum ABA Therapy (BTS), we prefer center-based therapy because it offers several key advantages:
- Structured environment: Our centers provide a controlled, distraction-free setting, which helps children focus and engage better in therapy.
- Access to specialized resources: Centers are equipped with a variety of tools, materials, and resources designed to support your child’s learning and development.
- Comprehensive team support: Children benefit from a full team of professionals, including BCBAs, Behavior Technicians, and other specialists, ensuring a well-rounded approach to therapy.
The most suitable setting is determined by a Board Certified Behavior Analyst (BCBA) based on your child’s treatment goals and needs. While we recommend center-based therapy for its many benefits, we offer in-home therapy as an alternative to accommodate family preferences.
What’s the difference between a Behavior Technician and a Registered Behavior Technician?
A Behavior Technician works directly with children with autism, implementing ABA therapy techniques to help them navigate daily activities. All of our Behavior Technicians are trained in the principles of Applied Behavior Analysis (ABA), a therapy that breaks behaviors and tasks into small, manageable steps for more effective learning.
A Registered Behavior Technician (RBT) is a Behavior Technician who has completed additional training and certification to earn the RBT credential. This certification involves specialized training and testing in ABA therapy, ensuring that RBTs are qualified to provide effective therapy under the supervision of a Board Certified Behavior Analyst (BCBA).
Is ABA therapy covered by insurance?
ABA therapy is typically covered by most insurance plans, though coverage can vary depending on the payer and location. To determine if ABA therapy is covered under your specific plan, it’s best to reach out to your insurance provider directly. At Beyond The Spectrum ABA Therapy (BTS), we accept most insurance policies, though acceptance may vary by state. Feel free to contact us at info@btsabatherapy.com to confirm if your insurance is accepted.