RBT Professional Challenges and Insights: Leaving ABA Therapy for Children with Autism
As a Registered Behavior Technician (RBT) and Behavior Analyst (BCABA), my experience in providing Applied Behavior Analysis (ABA) intervention/therapy for children with autism was a mix of rewarding and challenging. This article explores the reasons behind my decision to leave this demanding role and shares insights that might help others in similar positions.
Why Did I Leave My Job as an RBT BCABA?
I made the decision to leave my job as an RBT BCABA primarily due to mental exhaustion and the mentally taxing nature of the job. Physical aggression from clients was a major issue. One instance involved a client who punched me in the stomach and pulled my hair, leaving me very anxious and on edge. Supervisors would often praise me, but I felt inadequate and unsatisfied with the job.
Another significant factor was financial instability. I did not get paid for symptomatic absences, which greatly affected my pay. On a particularly frustrating day, I only earned less than $6 for 30 minutes of waiting for my clients to show up. This lack of guaranteed income was stressful and pushed me to look for a more secure position.
Additionally, I desired more training and education. I felt I needed comprehensive strategies to deal with maladaptive behaviors such as tantrums, physical aggression, and property destruction. The limited training and mentoring I received did not meet these needs, leading me to seek more structured and educational avenues.
Reasons for Leaving the Field
Unreliable Hours and Unpredictability
The hours were unreliable, with parents canceling last-minute or changing their preferences, reducing guaranteed income. I often faced abrupt shifts that made it challenging to manage my time and resources, especially when I had multiple sessions within a day spread across different locations.
Safety Concerns and Neighborhood Issues
Working predominantly in clients' homes in various neighborhoods posed safety risks. Cat-calling and personal safety concerns made the commute and work environment stressful and uncomfortable. I experienced exposure to strong fragrances and cleaning products, which exacerbated pre-existing health issues such as allergies and psoriasis.
Low Energy and Ongoing Challenges
Some of the patients required high levels of energy and commitment, which was a strain for me due to my low energy levels. The anxiety and stress from dealing with these demanding situations often led to nightmares and a constant state of panic, which were hard to deal with mentally and emotionally.
Supervision and Mentorship Issues
Untimely challenges arose with my supervisor, who was cold and gossipy. This made me feel unsupported and undervalued. The lack of encouragement and resources to pursue RBT certification was another major drawback. Despite knowing the importance of these qualifications, the absence of a structured program and mentorship made it hard to advance professionally.
Lessons Learned and Future Perspective
Overall, despite the challenges, my experience was rewarding. Seeing the positive impact of ABA on these children was incredibly fulfilling. However, I learned that a more structured and supportive environment with better training and financial stability is essential for long-term success in this field.
For RBTs and BCABAs considering a similar path, it is crucial to seek a work environment that provides guaranteed hours, safety, and comprehensive training. Advocating for yourself, seeking mentorship, and choosing a company that offers steady benefits and support are key to navigating the complexities of this career effectively.
For those who are still in the RBT role, reflecting on your needs and career goals can help identify areas for improvement. Considering training and certification programs, working in clinics with benefits and steady hours, and engaging with supportive colleagues can make all the difference in a fulfilling RBT career.
Conclusion
The journey as an RBT BCABA has been both challenging and rewarding. Navigating the complexities of this role demands self-awareness, resilience, and proactive self-care. By addressing the key areas of concern and seeking supportive resources, one can find a balance that enhances both professional and personal well-being.