Therapy Tips 6 min read

How to Prepare Your Child for Their First ABA Session

BI

Behavioral Insights Team

January 5, 2025

Physiotherapist doing sensory exercises with children

Starting therapy can feel overwhelming. Here's how to make the first session smooth and stress-free for your child.

The anticipation of your child's first ABA therapy session can bring up a mix of emotions—excitement, hope, and perhaps a bit of nervousness. Will my child feel comfortable? What if they don't want to participate? These concerns are completely normal.

The good news is that with a little preparation, you can help your child feel confident and ready. Here's your complete guide to making that first session a positive experience for everyone.

Before the Session: Preparation Steps

1. Talk About It in Advance

A few days before the session, start introducing the idea to your child in a positive, age-appropriate way.

What to Say:

  • "We're going to visit a special place where you'll play games and learn new things!"
  • "You'll meet a very nice person who loves to play and wants to be your friend."
  • "We'll bring your favorite toy/snack and I'll be right there with you."

2. Use Visual Supports

If possible, show your child pictures of the therapy space or create a simple social story about what will happen.

Visual Schedule:

  • 1. Drive to therapy
  • 2. Meet the therapist
  • 3. Play and learn
  • 4. Go home

Social Story Example:

"Today I am going to therapy. My therapist's name is [Name]. We will play games together. When we're done, Mom/Dad will take me home."

3. Gather Important Information

Have these items ready for the therapist:

  • List of current medications
  • Recent evaluations or assessments
  • Your child's favorite activities and interests
  • Any triggers or sensitivities to be aware of
  • Your top 3 goals for therapy

Day of the Session: What to Bring

Comfort Items

  • • Favorite toy or stuffed animal
  • • Comfort snacks (check for allergies)
  • • Familiar blanket or item
  • • Water bottle

Practical Items

  • • Change of clothes (just in case)
  • • Diapers/pull-ups if needed
  • • Insurance card and ID
  • • Completed intake forms

During the Session: Tips for Success

1

Stay Positive and Calm

Children pick up on our emotions. Even if you're nervous, project confidence and enthusiasm. Your child will take cues from you.

2

Let the Therapist Lead

Trust the professional to build rapport with your child. The therapist is trained to make the session engaging and will go at your child's pace.

3

Don't Force Participation

It's okay if your child needs time to warm up. Some children dive right in, while others observe first. Both are normal!

4

Ask Questions

This is your time too! Ask about strategies, what you observed, and how you can support learning at home.

What to Expect During the First Session

🏠 Tour & Introduction (5-10 min)

The therapist will show you around, explain the space, and start building rapport with your child in a gentle, friendly way.

🎮 Play-Based Assessment (20-30 min)

Through games and activities, the therapist will observe your child's skills, interests, and learning style. It won't feel like a test—just play!

💬 Parent Discussion (10-15 min)

Time to discuss your observations, ask questions, and talk about next steps and scheduling.

After the Session: Reinforcing Positivity

  • Celebrate the Achievement

    Praise your child for trying something new, regardless of how it went.

  • Offer a Reward

    Plan something fun afterward—a trip to the park, favorite snack, or special activity.

  • Talk About It Positively

    "You did such a great job today! Your therapist can't wait to play with you again!"

  • Establish a Routine

    Consistency helps. Put therapy on the calendar and make it part of your regular schedule.

What If It Doesn't Go Perfectly?

Let's be real: not every first session goes smoothly, and that's completely okay. If your child cries, refuses to participate, or seems uncomfortable, this is normal and expected.

Remember: The therapist is experienced with this and will adjust their approach. Building trust takes time, and every child is different. Give it a few sessions before deciding if it's the right fit.

Ready to Schedule Your First Session?

Our compassionate team is here to make this transition as smooth as possible for your family.