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What to Expect During Your Child’s First ABA Therapy Session?

  • Writer: Brianna Lauren
    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.

Child participating in first ABA therapy session

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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