What to Expect During Your Child’s First ABA Therapy Session?
- Brianna Lauren
- Apr 3
- 2 min read
Starting ABA therapy can feel overwhelming for parents. Many families wonder what will happen during their child’s first ABA therapy session, how their child will respond, and what role they will play in the process.
The good news is that the first session is typically focused on building comfort, trust, and connection not intense instruction.

The First ABA Therapy Session Is About Relationship Building.
During your child’s first ABA therapy session, the primary goal is pairing. Pairing means the therapist builds a positive relationship with your child by:
Following your child’s interests
Playing preferred games
Using favorite toys or activities
Creating a safe, welcoming environment
This foundation helps your child feel secure and supported before structured teaching begins.

How Therapists Ensure Your Child Feels Comfortable?
Ethical ABA providers prioritize patient assent in ABA therapy, meaning your child’s willingness to participate matters. Therapists look for signs that your child feels comfortable and engaged, such as:
Approaching the therapist
Participating willingly
Positive affect (smiling, relaxed body language)
Engaging with materials
If a child shows signs of discomfort or withdrawal, therapists adjust the environment, modify demands, or pause activities. The goal is to support, not force participation.
What Parents Can Expect?
Parents play an important role during the first ABA therapy session. You may:
Share information about your child’s strengths and challenges
Discuss goals and priorities
Observe parts of the session
Ask questions about the therapy plan
This is a collaborative process. Your input helps guide individualized treatment planning.
Will My Child Be Tested?
In early sessions, therapists may conduct informal assessments to understand:
Communication skills
Social interaction
Play skills
Behavioral patterns
However, assessments are typically blended with play to reduce stress and build rapport.
What Happens After the First Session?
After the first ABA therapy session, your BCBA will:
Review observations
Develop or refine treatment goals
Discuss next steps
Outline session frequency and structure
As therapy progresses, structured skill-building gradually increases while maintaining a supportive and motivating environment.
A Positive Start Makes a Difference.
The first ABA therapy session sets the tone for future learning. When children feel respected, understood, and supported, they are more likely to:
Build communication skills
Develop independence
Strengthen emotional regulation
Engage in meaningful learning
If you have questions about starting ABA therapy, we’re here to help.



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