I'm not sure what to think of the analyst who has been assigned to us.
A little background: I was 17 when I had ds1 and he proved to be a superkinetic toddler/preschooler. I had no idea what I was doing but I knew I wanted to avoid meds, so his ped suggested ABA and I gave it a shot. It didn't work for us, but I do recall that the analysts (we went through several) would just coem and observe at first, for at least the first 4 sessions or so. Then after recording the antecedents, they would target the behaviors with consequences, thus the "ABC" approach to behavior modification. FWIW, this was more than a decade ago and the people we worked with all seemed to be childless recent graduates in their early to mid 20s.
Now, I have 17 years expereince as a mother. I know the ABA approach goes against my gut. (It reminds me of the NILIF dog training method.) However, I have a 9yo ds who has all the sign of "childhood onset" bipolar disorder. He has shown these signs since infancy. We trialed meds for about 9 or 10 months but they helped not a whit. Thus, his dr decided he did not have a mood disorder and recommended I take parenting classes.
Ds has been in counseling for anxiety but his counselor left and we got a new one. On her first visit to our home, she mentioned that she also had a background in ABA. I mentioned that I had considered trying it just for the fact that I would have someone else's observations of his behavior, as the dr seemed to think I was exaggerating everything I told him. She decided then and there to do ABA with him instead of CBT therapy. Ok, whatever, I was fine with that since the CBT wasn't working anyway.
So if you made it this far, here is the issue: She hasn't spent a single moment talking directly to ds. She ignores him completely. (I get that maybe she is trying to avoid drawing his attention to the fact that she is watching him.) What she has done is decided we need a schedule blocked out in 15-30 minute increments! WTH? I tried to explain that ds reacts violently to any direction form me. He is grandiose and arrogant and acts like he's too smart to be ordered about by an adult. But this women who has now spent a whopping total of 3 hours in my home is suggesting that I re-direct him 2-4 times an hour, all afternoon and evening. She admitted to me that she has no experience working with bipolar kids, just ADHD/ADD/ODD. I spent most of our last session gently trying to explain why this is unlikely to work for our family. My reasons range from ds's disposition all the way to my chronic fatigue. What happens if I have a bad day and need to just lay on the couch and watch TV with ds? TV is supposed to be the reward for him behaving appropriately all day! And what about the fact that his "bad" behavior isn't a choice; it's a freaking brain disorder!
She has told me plainly that if I am unwilling to trial her micro-managed plan there is nothing else she can offer me. WWYD? Give it a try in order to have more ammo for the next psychiatrist we try out? Or call her to thank her for her three hours and let her know she is free to move on down the waiting list?