Does Remote ABA Therapy Really Work?

ABA Therapist with Rising Palms Behavioral Ashley Kiser speaks with a child through an effective virtual consultation.

A question I often get related to Rising Palms is, Can meaningful progress and connection really occur through a screen? ABA therapy has historically been done in person, but in recent years, notably since Covid in 2020, virtual ABA therapy has become more and more available.  After years of supporting individuals virtually of all ages – children, teens, and adults – I can confidently say to this question – yes, and today I’d like to share what a typical day in my virtual clinic looks like. Upon first screen or phone contact with an individual or family, I’m focused on creating connection and pairing; some examples of this are as follows:

  • a warm greeting and casual check-in
  • eye contact, positive body language, and full attention to the person or people on screen
  • a silly dance to break the ice (for pediatric clients)

Technology quickly becomes our tool, not our barrier. I use interactive strategies that meet clients where they are and support skill-building across the lifespan, such as the following:

  • Visual supports: digital token boards, reminders, or schedules tailored for children or adults
  • On-screen activities: games, scenarios, or functional role-play exercises that reinforce communication, daily living skills, and coping strategies
  • Parent and caregiver coaching: guiding families or support staff in real time as they help their loved one practice new skills
  • Natural environment observations: seeing the client’s real-life routines and helping them apply strategies where it matters most (home, work, or community settings)

It’s amazing to watch trust grow between a client and therapist, even over a screen. Clients learn that I’m a consistent, supportive presence, and they engage because we make learning safe, respectful, and meaningful. Individuals I’ve worked with often report that having sessions virtually puts them at ease, not just physically for minimizing the need to travel to or from a session, but also emotionally, as being present over a screen reduces pressure felt during a session when discussing and working on challenging issues. 

Remote ABA therapy isn’t just effective, it’s empowering, helping clients and families create positive change right where they are.

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