Behavior Modification Using Either
    ABA or CBT

    The key to changing behaviors is understanding the function or
    purpose - in other words, what need of the child is being met
    through the behavior. We perform a Functional Behavior
    Assessment (FBA) in order to identify those needs. Adults often
    assume that inappropriate behaviors are attention-seeking or an
    attempt to "get back" at adults for something they have said or
    done. However, this is often not the case. Many children act in
    ways which will get legitimate needs met. For example, every
    child has the need for adequate sleep, healthy and sufficient
    food and water, feeling safe, getting attention from adults,
    feeling accepted by peers, exploring the environment, learning,
    managing sensory input, and finding ways to self-soothe or
    maintain a state of well-being.

    It is also important to identify what might be reinforcing or
    causing the child to continue the inappropriate behavior. Through
    skilled observation of the child and thorough interview of the
    parent and/or teacher,these important factors can be
    ascertained,and a behavior modification plan can be developed,
    thus shaping new behaviors by providing positive reinforcement
    for desired behaviors and setting reasonable limits with
    consistent consequences in order to extinguish undesirable
    behaviors.

    Following is a list of "red flags" which are behaviors that possibly
    signal the need for further evaluation and professional help:

    1. Difficulty in either making or keeping friends.

    2. Delay in development compared to other children of the same
    age—walking, talking, potty training, feeding himself/herself,
    being able to ride a bicycle.

    3. Preoccupation with parts of objects rather than using objects
    the way they are intended (such as fingering or feeling Legos
    rather than building with them).

    4. Difficulty in maintaining eye contact—often doesn’t look at
    people when conversing with them.

    5. Trouble understanding the intention of others—thinks others
    are out to hurt him/her.

    6. Poor behavior control—is easily provoked and gets into physical
    fights or tantrums.

    7. Doesn’t seem to know how to make believe in play.

    8. Difficulty in having a two-way conversation with people.

    9. Having a limited set of interests.

    10.Difficulty accepting changes in routine.

    11.Trouble sitting still for even short periods of time, trouble
    concentrating, or trouble maintaining attention.

    12.Displays sexual behavior that seems advanced for his/her age.

    13.Often doing things like rocking, flapping hands, wringing
    hands, banging head, or repeating unusual finger/hand movements.

    14.No longer doing developmentally appropriate things even
    though he/she used to do them.

    15.Bad grades, trouble with specific subjects such as reading or
    math, or difficulty in completing homework.

    16.Change in eating, sleeping, or activity level.

    17.Talk of wanting to die or harm himself/herself.

    18.Seeing or hearing things that aren’t there (other than in make
    believe play).

    19.Repeatedly engages in elaborate routines or rituals.

    20.Deliberately cuts himself/herself.

    21.Engages in delinquent behaviors like vandalism, stealing, lying,
    being mean to animals or people, skipping school, or running away.

    22.Eats unusual things which are not food.

    23.Frequently pulls out his/her hair.

    24.Has strange movements, walks in an awkward way, or
    spontaneously makes awkward sounds.

    25.Frequent nightmares, bedwetting, worrying, or refusal to go
    places.

    If your child displays any of these behaviors with some
    regularity, you may wish to consider an evaluation. Parents often
    are advised by well-meaning family, friends, teachers, and even
    physicians to wait and see if the child outgrows these behaviors;
    however, please keep in mind that early intervention can make a
    difference in your child's development and future success.

    We provide behavior modification through several different
    therapeutic approaches.These include Applied Behavior Analysis
    (ABA) therapy, Cognitive Behavioral Therapy (CBT), and Parent
    Education and Support for Behavior Management (based upon the
    principles of ABA) depending upon which method (or combination
    thereof) best fit the individual's needs.