Why ABA Therapy Might Not Be Working (And How to Get It Back on Track)

Learn the two main functions of behavior in ABA, why they matter, and how understanding them guides effective, meaningful behavior support strategies.

Navigating daily life with autism spectrum disorder can present unique challenges that often lead to stress and anxiety. Fortunately, Applied Behavior Analysis (ABA) therapy offers a powerful and supportive path toward managing these feelings. This approach uses proven techniques to help individuals develop coping skills, improve communication, and gain confidence. In this guide, we will explore how ABA therapy works to reduce stress and empower autistic individuals to thrive in their everyday lives. Understanding Stress in Children with Autism Children with autism spectrum disorder often experience stress more intensely and frequently than their neurotypical peers. This is due to a combination of unique challenges, including sensory sensitivities and difficulties with social skills. Understanding the root causes of their stress is the first step toward effective stress management. By recognizing how their individual needs and unique challenges contribute to stress, parents and therapists can better support them. This understanding allows for the creation of tailored strategies that address challenging behaviors at their source, rather than just managing the symptoms. The following sections will explain why this stress occurs and how to spot it. Why Children with Autism Experience Higher Stress Levels Individuals with autism spectrum disorder process the world differently, which can lead to higher levels of stress. A primary reason is sensory overload . Everyday sights and sounds, like bright lights or loud noises, can feel overwhelming and trigger significant anxiety. This constant barrage of intense sensory input makes it difficult to feel calm and regulated. Another major factor is social anxiety. Navigating social situations can be incredibly challenging due to difficulties interpreting nonverbal cues like body language or tone of voice. This can lead to misunderstandings, feelings of isolation, and a persistent fear of social missteps. Finally, a strong preference for routine means that unexpected changes can be a major source of stress. The unpredictability of daily life, from a different route to school to a canceled activity, can disrupt their sense of security. These unique needs for predictability and sensory calm contribute to heightened stress levels. Common Signs of Stress During Therapy Sessions Recognizing the signs of rising stress levels during therapy sessions is key to providing effective support. Children with autism may not express their discomfort verbally, so paying attention to their body language and behavior is essential. These signs can be subtle and are often the first indication that a child is entering a challenging situation. An observant therapist will notice shifts in behavior that suggest a child is feeling overwhelmed. These changes can manifest physically, emotionally, or through an increase in certain patterns of behavior. Being attuned to these cues allows for immediate adjustments to the therapy process. Common signs of stress to watch for include: Increased repetitive behaviors (stimming) Avoidance of tasks or eye contact Changes in behavior, such as becoming withdrawn or more agitated Difficulty sleeping after therapy sessions Physical signs like fidgeting or tense muscles Emotional Challenges Faced by Autistic Individuals Living with autism spectrum disorder often involves navigating a complex emotional landscape. Many individuals experience significant anxiety symptoms, which can be triggered by social interactions, sensory overload, or changes in routine. These feelings can be compounded by difficulties with emotional regulation, making it hard to manage frustration or disappointment. These challenges can also lead to feelings of isolation. When you struggle to understand social cues or communicate your needs effectively, it's easy to feel disconnected from others. This sense of being on the outside looking in can be a heavy emotional burden to carry through everyday life. If not tailored properly, ABA therapy itself can sometimes feel demanding and increase stress. That is why creating a supportive environment is so important. A well-designed therapy plan focuses on the child's individual needs, moves at a comfortable pace, and uses positive reinforcement to build confidence, ensuring the process is empowering, not overwhelming.