SkyBreak Therapy

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ABA/Behavior Therapy

What is ABA or Behavior Therapy?

Applied Behavior Analysis is an evidence-based approach that uses techniques and strategies to improve socially appropriate behaviors. ABA uses applied research and principles of learning to reduce challenging behaviors, improve communication and language skills, improve interaction and play with peers, and develop other skills to enable and support learning at home or school. 

What is the difference between Behavior Therapy and Occupational Therapy in pediatrics?

The roles of a Board Certified Behavior Analyst (BCBA) and an Occupational Therapist (OT) are distinct but can sometimes overlap in therapeutic settings. Here are a few key differences

Board Certified Behavior Analyst (BCBA)


  • Focus: Specialize in behavior analysis. They work to understand and modify behaviors, often using principles of Applied Behavior Analysis (ABA)
  • Training: Requires a master’s degree in behavior analysis, education, or psychology, completion of specific coursework in behavior analysis, supervised practical experience, and passing the BCBA exam
  • Approach: Uses data-driven techniques to increase positive behaviors and decrease negative or harmful behaviors (aka maladaptive behaviors). Interventions are often highly structured.

Occupational Therapist (OT)


  • Focus: OT’s help children to gain skills for playing, social situation, educational skills, attention, sensory regulation, emotional regulation and support them achieve independence in all daily activities
  • Training: Requires a master’s or doctoral degree in Occupational Therapy and many courses are focused on human function and development, brain development, structure and organization, and psychology. They must complete and pass fieldwork rotations and pass the National Board of for Certification in Occupational Therapy exam.
  • Approach: Uses play based activities, tasks and exercises to improve fine & gross motor skills, coordination, oculomotor skills, sensory integration, feeding, and everyday life skills.

Overlap and Collaboration


  • Collaboration: BCBA’s and OT’s often work together. For instance, a child with autism may receive behavior therapy from a BCBA to address behavior challenges and occupational therapy to improve motor skills and sensory processing.
  • Overlap: Both professions may work on similar goals like improving social skills, behaviors or daily living activities but from different perspectives. For example, BCBA’s might use reinforcement strategies to encourage a child to complete a task, while an OT might use a sensory-based approach to make the tasks more manageable.

In summary, while both BCBA’s and OT’s aim to improve the lives of each child they work with, they do so through different methodologies and areas of expertise. 

How do I know if ABA or Behavior Therapy is appropriate?

If you are noticing increased challenges in any of the following areas, behavior therapy may be appropriate for your child:

Challenges in communicating their own needs;

  • They have difficulty interacting with others in a variety of settings
  • They are demonstrating negative and harmful behaviors (also known as maladaptive behaviors), such as: excessive tantrums, aggression, self-injury at much higher rates or intensity compared to other children their age;
  • They are having difficulty with and demonstrating increased behaviors during independent living skills activities such as: eating, toileting, food preparation, bathing and/or other hygienic activities

When should I get a referral?

Most insurances need an Autism Spectrum Disorder (ASD) diagnosis in order to bill for ABA services. School-aged children with IEPs can sometimes contract with a BCBA through their special education programs. The school would need to reach out to SkyBreak Therapy to get this set up. Private pay options are also available for those without an ASD diagnosis. 

What do BCBAs or RBT’s do?

A Board Certified Behavior Analyst (BCBA) has a master's degree in a relevant field and has passed a national certification exam with the Behavior Analyst Certification Board. BCBAs will complete a detailed intake assessment to identify skill deficits, negative and harmful behaviors, maladaptive behaviors, and client/family goals and preferences. Following the intake process, they will create an individualized program tailored to the needs of the client that targets skill acquisition, as well as teach replacement skills to decrease and replace negative behaviors. Typically, a Registered Behavior Technician (RBT) is supervised and works collaboratively with a BCBA to implement programs and therapy with each client. The BCBA continues oversees each case, analyzes results and monitor date to support progress. 

What does the intake and evaluation or screening process look like?

Our BCBA’s will conduct an initial Functional Behavior Assessment (FBA), which combines both indirect and direct assessments. Caregiver interviews and observations, are utilized to identify, define, and measure behaviors to target in collaboration with the family. This process may include a Functional Analysis, which involves the adaptation of various environmental factors to measure behavior changes. Utilizing this information, an individualized program will be designed to target and improve skills and a Behavior Intervention Plans (BIP) will help support target negative behaviors. Our company uses a plethora of screening options during the assessment process to best identify all skill deficits. 

Types of ABA & Behavior Therapy services:

  • Early Intensive Behavioral Intervention for children younger than 5
  • Comprehensive Therapy: Covering a broad range of activities for those with decreased skills appropriate to their age
  • Focused Therapy: Tailored for targeting just a few specific behaviors that need support for school, home, and/or parent/caregiver training.

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