First ABA Therapy Session: What Happens and How to Prepare

Why Choose ABA Therapy for Autism Spectrum Disorder?

Starting ABA therapy for your child can feel overwhelming, especially if this is your first experience with Applied Behavior Analysis (ABA). Many parents have the same questions: What will happen in the first session? Will my child cooperate? How do I prepare?

At RightWay ABA, we support families from day one. This guide explains what happens in a first ABA therapy session, how to prepare, and how parent involvement helps your child make progress over time.

What Happens During the First ABA Therapy Session?

Most families are surprised by how calm and supportive the first visit feels. The first ABA therapy session is typically focused on building comfort and understanding your child, not pushing demands.

Depending on your child’s needs and where you are in the process, the first visit may include parts of an ABA assessment(also called an ABA evaluation) or early therapy-style activities.

During the session, your child’s therapist may:

  • Observe how your child plays, communicates, and responds to everyday situations
  • Test simple skills (like following instructions, transitions, and communication attempts) in a gentle way
  • Take notes on strengths, interests, and areas where support could help
  • Begin establishing rapport and trust

Many sessions look like play, conversation, or shared activities. That is intentional. For many children, especially those new to therapy, feeling safe comes first.

Is the First ABA Session an Assessment or Therapy?

In many cases, the early stage includes an ABA assessment to understand your child’s current skills and challenges. That information helps the clinical team create goals that are realistic, meaningful, and measurable.

If your child is already approved for services, the first session may be more focused on pairing (building a positive relationship with the therapist) and starting early routines that support progress.

If you’re not sure which stage you’re in, ask the clinic whether the first visit is:

  • an ABA evaluation/assessment,
  • a parent intake session,
  • or the first direct therapy session.

Who Will Work With My Child? BCBA vs RBT

Parents commonly hear titles like BCBA and RBT and wonder what they mean.

  • A BCBA (Board Certified Behavior Analyst) typically leads clinical programming, assessments, goal-setting, and parent guidance.
  • An RBT (Registered Behavior Technician) often works directly with your child during sessions and follows the plan designed by the BCBA.

At RightWay ABA, we make sure families understand who is on the team and what each role does, so therapy never feels confusing or unclear.

Do Parents Stay During ABA Therapy?

Often, yes, especially at the beginning. Many parents stay nearby, observe, or participate in parts of the session. Your presence can help your child feel safe, and your input helps the team build a plan that fits real life.

Parent involvement does not mean you have to “do everything perfectly.” It means we collaborate so therapy strategies can carry over into home routines.

How to Prepare for the First ABA Session

You do not need to over-prepare. The goal is to help your child feel comfortable and help the team learn what works best.

First ABA Session Checklist

Consider bringing:

  • A favorite toy, book, or comfort item
  • Snacks and water (if allowed)
  • Any communication supports your child uses (AAC device, picture cards, etc.)
  • Notes on routines, triggers, and what helps your child calm down
  • A short list of goals or concerns (sleep, aggression, communication, transitions, etc.)

If your child has strong preferences (specific toys, songs, or activities), share them. These details help the therapist build rapport faster.

Questions to Ask at Your Child’s First ABA Therapy Session

Parents often want to ask questions but forget in the moment. Here are a few that help you feel oriented right away:

  • What is the plan for the first few sessions?
  • What goals are we starting with, and how will progress be measured?
  • How will you communicate updates (weekly notes, parent meetings, data summaries)?
  • What can we practice at home between sessions?
  • Who do I contact if I have concerns?

Clear communication is a key part of effective ABA therapy.

What If My Child Cries, Refuses, or Has a Tough Session?

This is more common than many parents expect, and it does not mean therapy “isn’t working.” New environments can be stressful. The team will focus on safety, comfort, and gradually building cooperation.

Progress is rarely instant. ABA therapy is a process, and the first session is simply the start of learning what your child needs.

The Goal of the First Session: Connection and a Plan

Your child’s first ABA session is about building trust, learning your child’s strengths, and starting a plan that fits your family. There is no rush and no expectation of immediate change.

With patience, consistency, and collaboration, meaningful progress can happen over time.


FAQs About the First ABA Therapy Session

How long is the first ABA therapy session?

It varies by provider and your child’s plan, but first sessions are often 60–120 minutes, especially if an ABA assessment is included.

What should I bring to ABA therapy?

A comfort item, snacks (if allowed), and any notes about routines, triggers, and goals are usually most helpful.

Is ABA therapy play-based?

Many early sessions use play and preferred activities to build engagement and teach skills in a natural way.

How soon will we see results?

Some children show early improvements quickly, but meaningful progress is typically gradual and measured over weeks and months.

Can ABA therapy be done in-home?

If your provider offers in-home ABA therapy, sessions may happen at home to support real-life routines. Some families also choose center-based services.

 

If you have questions about starting ABA therapy or want to schedule an ABA assessment, RightWay ABA is here to help. Contact us to discuss your child’s needs and the next steps.

If you’re looking for ABA therapy in Jersey City, Piscataway, or Paramus, RightWay ABA is here to help. Call (201) 540-8704 or reach out to schedule an ABA assessment and get answers before your child’s first session.

If you’d like to contact a specific location, here are our New Jersey offices:

Jersey City: 568 Communipaw Avenue, Jersey City, NJ 07304

Piscataway: 1642 Stelton Rd, Suite 403, Piscataway, NJ 08854

Paramus: 11 Park Pl, Paramus, NJ 07652

 

RightWay ABA

ABA Therapy, Done the Right Way for Every Child

Our team is ready to answer your questions and help you find the right ABA support for your family in New Jersey.

Rachelle Wisotsky, MS, BCBA, LBA

Rachelle Wisotsky is a Board Certified and Licensed Behavior Analyst with a Master of Science in Applied Behavior Analysis from Daemen University. As founder of Rightway ABA, she is committed to providing compassionate, individualized, and evidence-based ABA therapy for children and families.