Pathological Demand Avoidance (PDA) is a profile within autism marked by extreme resistance to everyday demands due to anxiety and a need for control. Though not officially recognized in the U.S., many families find PDA-informed strategies helpful. BCBA Amelia Dalphonse shares signs of PDA, like creative avoidance, surface sociability, and hidden anxiety and offers proven strategies focused on trust, flexibility, and indirect language. Understanding PDA can reduce power struggles and improve sup...
Aug 19, 2025•28 min•Ep. 323
Mary Barbera joins BCBA and autism mom Rachel Freedman, as she shares how recognizing early signs in her son Max led to an autism diagnosis at just 13 months, and how early intervention transformed his development. By acting quickly, Rachel helped Max go from nonverbal to thriving in preschool by age four. Her story highlights the importance of trusting your instincts, advocating early, and using compassionate, individualized ABA. Parents don’t need to wait for a doctor’s referral—early action c...
Aug 05, 2025•44 min•Ep. 322
Dr. Mary Barbera shares a proven 5-step approach to help parents and professionals start or restart potty training for children with autism or developmental delays. Assessing readiness, preparing with small steps, gathering the right tools and creating consistency across environments, it's all covered. This method focuses on positivity, not pressure. Whether your child is 2 or over 5, progress is possible with the right support.
Jul 22, 2025•27 min•Ep. 321
Dr. Mary Barbera talks with Suzanne Tucker of Generation Mindful about teaching emotional regulation to kids with autism. They go over how co-regulation, mindfulness, and compassionate routines can help children manage meltdowns and build emotional skills—especially when traditional methods fall short. Suzanne shares practical tools like calming corners, time-ins, and sensory strategies, while emphasizing that emotional regulation starts with the adults. Whether your child is verbal or nonverbal...
Jul 08, 2025•42 min•Ep. 320
Dr. Mary Barbera discusses how doctor visits can be overwhelming for children with autism, but systematic desensitization can make a big difference. This simple approach uses gradual exposure and positive reinforcement to reduce fear and build cooperation—even for kids with past medical trauma. Start with pretend play, visual schedules, and breaking visits into small steps. For emergencies, prep a go-bag and summary sheet in advance. With the right tools and a little planning, you can reduce mel...
Jun 24, 2025•26 min•Ep. 319
If your child has a speech delay or signs of autism, you don’t have to wait for a diagnosis to begin helping. Dr. Mary Barbera shares how parents can start speech therapy at home using simple daily routines like meals, getting dressed, and brushing teeth. These moments become powerful learning opportunities that build language skills, confidence, and connection. With tools like the BECA™ assessment and the Turn Autism Around® approach, parents can confidently support their child’s progress—right...
Jun 10, 2025•40 min•Ep. 318
If you're a parent, caregiver, or professional supporting a child with autism, you've likely asked: can nutrition and supplements really make a difference? Dr. Mary Barbera is joined by Functional Medicine Nutritionist Denise Voigt to explore how diet, nutrient deficiencies, and functional medicine approaches can significantly impact behavior, development, and overall wellness in children with autism. They break down the science behind picky eating, the critical role of zinc, and why a skewed zi...
May 27, 2025•41 min•Ep. 317
Is your child ready for autism daycare? In this podcast, Dr. Mary Barbera—autism mom, behavior analyst, and nurse—explains how to tell if your child is ready and how to help them thrive in a daycare environment. With special guest Kelsey General, we dive into how to assess daycare readiness, what core skills to teach at home, and how to reduce anxiety through visual supports and gradual exposure. We also talk about what makes a daycare autism-friendly, how to handle drop-off struggles, and how t...
May 13, 2025•41 min•Ep. 316
Looking for the best toys for children with autism—and how to actually use them to boost communication, play, and social skills? In this rebroadcast, Kelsey General and Dr. Mary Barbera dive into simple strategies and toy recommendations for children with autism or early signs of autism. But spoiler alert: it’s not just about the toys themselves. It’s about the procedures—how you play, how you teach, and how you engage. Whether you’re a parent or a professional, you’ll learn what to consider bef...
Apr 29, 2025•42 min•Ep. 315
Feeling overwhelmed by behavior challenges in your classroom or at home? In this video, we’re diving into practical, real-life strategies from Behavior Breakthrough by Bailey Payne—a must-read for parents, teachers, and therapists working with kids who have autism, ADHD, or developmental delays. Bailey, a behavior analyst and clinical psychologist, breaks down 12 foundational ABA principles in a way that’s approachable and impactful. We’ll explore key ideas like the First-Then Contingency (Prema...
Apr 15, 2025•35 min•Ep. 314
Join Dr. Mary Barbera for an inspiring conversation with three incredible autism advocates: Kate Swenson of Finding Cooper’s Voice, Adrian Wood from Tales of an Educated Debutante, and Carrie Cariello. We dive into their powerful new book Autism Out Loud: Life with a Child on the Spectrum from Diagnosis to Young Adulthood, where they share deeply personal stories of raising children with autism. Through their diverse experiences, they provide insight into topics like caregiving, anxiety, indepen...
Apr 01, 2025•44 min•Ep. 313
Dr. Mary Barbera discusses practical strategies for expanding intraverbals, feature function class (FFC), and language skills in children with autism or speech delays. Learn effective techniques to improve your child’s conversational abilities, including using songs, real-life objects, and category-based language building. Dr. Mary Barbera also covers fluency training and how to integrate language practice into everyday activities. These actionable steps will help move your child forward in lang...
Mar 18, 2025•24 min•Ep. 312
Dr. Mary Barbera shares five key lessons she has learned from working with high-wealth families navigating autism. These insights are applicable to all parents, regardless of financial status, and offer strategies for managing an autism diagnosis, implementing therapy options, and addressing problem behaviors. Dr. Barbera also explains the creation of her High Touch Coaching program, a personalized, hands-on support system that bridges the gap between learning and real-world application for fami...
Mar 04, 2025•29 min•Ep. 311
Dr. Mary Barbera and Julie Matthews, a leading expert in autism nutrition, discuss the critical connection between nutrition and autism management. With over 22 years of experience, Julie shares insights on how diet can significantly influence behavior, cognitive function, and overall well-being for children with autism. She covers the importance of gut health, inflammation, and mitochondrial function, as well as practical dietary tips for parents looking to make positive changes. Julie also hig...
Feb 18, 2025•33 min•Ep. 310
Dr. Mary Barbera sits down with Kaelynn Partlow, an autistic therapist, author, and advocate, to discuss her inspiring journey from being diagnosed with autism at age ten to becoming a Registered Behavior Technician (RBT) and public speaker. Kaelynn shares her experiences navigating the challenges of autism, her work at the Project Hope Foundation, and how she uses social media to advocate for inclusion and understanding. She also discusses her new book, Life on the Bridge, her appearance on Net...
Feb 04, 2025•33 min•Ep. 309
Dr. Mary Barbera discusses what Autism Spectrum Disorder (ASD) looks like in 2025, breaking down its definition, rising prevalence, causes, and early signs. She goes over the diagnostic process, common controversies, and the power of early intervention in supporting children on the spectrum. She also touches on the controversial topics in the autism community—such as changing definitions, acceptance vs. awareness, and the lifelong impact of autism.
Jan 21, 2025•31 min•Ep. 308
Dr. Mary Barbera shares her personal journey with autism safety and introduces an incredible tool that has transformed the way families like hers protect their loved ones—AngelSense. Joined by fellow BCBA and mom, Melissa Schiefelbein, we discuss how AngelSense's GPS tracking and safety features help prevent elopement, enhance independence, and provide peace of mind. From real-time tracking to two-way voice communication, AngelSense can support children and adults with autism, special needs, or ...
Jan 07, 2025•34 min•Ep. 307
Dr. Mary Barbera covers the role of adaptive skills in creating meaningful futures for individuals with autism. In this conversation with Dr. Peter Gerhardt and Dr. Shanna Bahry, we talk about the importance of focusing on these skills from an early age, especially in the preschool years. We will go over how to set meaningful goals, teach life skills for independence, and balance academic progress with essential self-care tasks. Dr. Gerhardt shares insights on how adaptive skills can pave the wa...
Dec 24, 2024•32 min•Ep. 306
Dr. Mary Barbera discusses how virtual autism evaluations are helping reduce the long wait times for diagnoses, with insights from Dr. Cheryl Tierney, a board-certified developmental pediatrician. Dr. Tierney talks about her work at Meliora Health, which offers virtual autism and ADHD evaluations in multiple states. With waitlists stretching up to two years, virtual evaluations provide a faster, convenient option for families. There is a high importance on thorough assessments, what tools are us...
Dec 10, 2024•46 min•Ep. 305
Teaching prepositions to children with autism or speech delays can be challenging, especially if introduced too early. Dr. Mary Barbera goes over three common mistakes parents and educators often make when teaching prepositions, like "in," "on," and "under." Learn how to avoid these pitfalls and set your child up for success with clear, structured approaches and practical strategies.
Nov 26, 2024•15 min•Ep. 304
Dr. Mary Barbera is joined by occupational therapist and Feeding Matters’ Director of Strategic Initiatives, Cuyler Romeo. They discuss the connection between Avoidant/Restrictive Food Intake Disorder (ARFID) and autism, and how these feeding challenges impact children and families. Cuyler shares valuable insights from her clinical experience, as well as actionable tips for navigating feeding issues, from picky eating to severe food avoidance and how to identify ARFID and differentiate it from t...
Nov 12, 2024•26 min•Ep. 303
Is your child or client not responding to their name? Dr. Mary Barbera shares three essential steps to help teach a child to respond, drawing from her experience as both a parent and professional. Response to name is a key skill for safety, social development, and communication. She'll also discuss a common concern: does this mean autism? Learn practical tips to reinforce name response in a positive way and ensure your child stays engaged and safe.
Oct 29, 2024•21 min•Ep. 302
Dr. Mary Barbera sits down with Dr. Jamie Hughes-Lika, a Board Certified Behavior Analyst, to talk about effective strategies for fostering joint attention, social engagement, and motivation in young children with autism. Learn how to meet children where they are, engage them in meaningful ways, and build foundational skills that support their social and communicative development. Implementing these strategies today can help enhance your interactions with children with autism and help them thriv...
Oct 15, 2024•37 min•Ep. 301
Dr. Mary Barbera shares her top 3 pieces of advice for parents and professionals supporting children with autism, from toddlers through teens. Drawing from decades of experience, Dr. Barbera explains the importance of starting with a comprehensive assessment, preventing problem behaviors by fostering positive environments, and building strong collaboration between parents and professionals.
Oct 01, 2024•27 min•Ep. 300
Dr. Mary Barbera discusses the 10 early signs of autism in young children. Drawing from her personal experience as a mom and professional background as a registered nurse and behavior analyst, she breaks down common signs such as speech delays, lack of pointing, repetitive behaviors, and more. She also shares practical strategies that parents and caregivers can use to support children showing early developmental delays, regardless of diagnosis. Tune in to learn how early intervention can make a ...
Sep 24, 2024•29 min•Ep. 299
Dr. Mary Barbera explores the growing conversation around virtual autism—a term used to describe autism-like symptoms in young children, potentially linked to excessive screen time. Is virtual autism real, and can it be prevented? She'll share insights from my professional experience and personal journey with my son, Lucas, as well as real-life examples from my clients. She explain the potential effects of too much screen time on children’s development and provide actionable strategies to preven...
Sep 17, 2024•23 min•Ep. 298
Dr. Mary Barbera discusses the controversial cry-it-out method often used in sleep training. As a behavior analyst and mother, Dr. Mary Barbera has seen firsthand how this method can negatively impact a child’s emotional development, particularly for children with autism or speech delays. She explains why she doesn't recommend the cry-it-out method, explores its potential downsides, and shares alternative strategies that focus on positive reinforcement and building secure attachments. She also d...
Sep 10, 2024•23 min•Ep. 297
Dr. Mary Barbera reviews the popular parenting book "Good Inside" by Dr. Becky Kennedy, which has gained significant attention in the gentle parenting community. As both a parent and a professional working with children with autism, Dr. Barbera has wanted to explore how Dr. Becky’s insights can be adapted to support kids with autism and speech delays. She'll share the five big ideas from the book that resonated with me the most and offer practical strategies on how to modify these concepts for c...
Sep 03, 2024•23 min•Ep. 296
Dr. Mary Barbera discusses the critical role that parents play in multidisciplinary teams, especially during IEP meetings and autism therapy sessions. As both a parent and professional, Dr. Mary Barbera shares practical strategies on how to partner effectively with parents to create the most impactful IEP goals and intervention plans for children with autism. Learn about the importance of assessing not just the child’s needs but the entire family’s needs across home, school, and community settin...
Aug 27, 2024•28 min•Ep. 295
Dr. Mary Barbera guides you through the essential autism screening process by exploring and comparing key assessment tools, including the M-CHAT, ADOS, Vineland, and her own BECA assessment. She'll discuss how each tool functions—whether it's identifying early signs of autism, diagnosing developmental delays, or crafting effective intervention plans. She also shares how the BECA assessment she developed can help provide a comprehensive view of a child’s developmental baseline, making it easier t...
Aug 20, 2024•21 min•Ep. 294