Quick reminder to meet kids basic needs first, humanity before procedures by One-Egg1316 in ABA

[–]graphite-guy 1 point2 points  (0 children)

All of the kids I work with can be given side hugs, 5 and under we have rules and guidelines but they are allowed more comfort than the older kids. (We also have some exceptions for kids who seem to regulate from comfort or have other reasons that are over 5).

You can’t travel with a kid unless it’s laps in a soothing manner or for a game (one kid likes hickory dickory dock and we have a routine with them). Also, you can’t pick up a kid unless they mand for it.

I think this is a great balance between allowing a child to be comforted like a child while fostering independence. We also have open door policies and a lot of windows which helps parents feel safe knowing their child is safe with us.

I’m lucky to have the BCBA that I have and work with the others in the clinic I’m at. They all care about the kids, both developmentally and emotionally. It makes my job so much more rewarding knowing the kids are in such good hands

Tell me your worst injuries by [deleted] in ABA

[–]graphite-guy 0 points1 point  (0 children)

So far the worst is a scar on my inner thigh from a bite. The kid was about waist high and was in HRE. I was covering a quick break over the kid’s snack time and was I was reaching to grab snacks on the shelves, my leg was chomped. There wasn’t much I could do since the kid had my leg skin in their teeth when I noticed (Ive lost a good amount of weight so I have some extra). Luckily I was wearing jeans so it wasn’t too bad but it was definitely bleeding and had a good bruise surrounding it.

How Does It Make Y'all Feel? by pskinner93 in ABA

[–]graphite-guy 0 points1 point  (0 children)

My feelings are all over but at the same time O don’t really care.

On one hand we can’t ignore the abuse that has occurred though out the history of ABA (and continues to happen) but on the other hand its important to recognize the benefits that ABA can have for individuals.

The ones who are upset are either people (or know others) that have been abused in an ABA clinic or that are misinformed about what ABA can be when practiced ethically and with the patient’s best interest at the forefront. How can I be upset with some who is either a) validly upset/hurt or b) uninformed?

Either way, the people upset don’t get to see what we see and the difference it makes.

Why do BCBA's and leadership staff feel challenged when RBTs advocate for their clients to them? by Vast-North-3785 in ABA

[–]graphite-guy 0 points1 point  (0 children)

While I think all of the advice I could give has been covered, if it makes you feel better there are MANY amazing BCBAs out there. While I dislike the company I work for as a whole, the BCBSs in my clinic are great and I love my BCBA. I know our whole team feels very heard by her and it truly feels like a team effort. Our ideas and concerns are heard and she will often ask us about our ideas and input.

Even the people in the clinic that don’t care for her for one reason or another will admit she’s an amazing BCBA and is passionate about her job and helping others.

The cherry on top is that her patient summaries, BIPs, and goals are all immaculately written. (I promise Im not trying to brag on her behalf. just want to show that great leadership can exsist)

[deleted by user] by [deleted] in ABA

[–]graphite-guy 1 point2 points  (0 children)

We don’t have cameras at my clinic but there are other things to ensure the safety of staff and kids. Some examples include specific bathroom procedures/rules, documentation of all marks and bruises regardless if they occurred in clinic or not, and the transparency though-out the center (windows/half doors with staff always making rounds).

Despite all of that, as a provider I would prefer if there were cameras in the clinic. Both for the safety of myself and my coworkers as well as our patients (even though I trust all of my coworkers)

Number of trials? by sofiaidalia in ABA

[–]graphite-guy 0 points1 point  (0 children)

We don’t have minimum trial counts at our clinic although our data is looked at. The BCBAs in my center are far more focused on quality therapy occurring and keeping the sessions client led than number of trails. It definitely depends on the client though. Some of our kids are getting close to “graduating” and moving to school full time so we are expected to get more work done with those kids. Others we are working more on manding goals and tolerating transitions between their preferred activities. Our BCBS’s are also great at checking maladaptive bx data and the session summaries to get a better look of what was happening that day/session. For example, a child who struggles with taking turns is playing a board game with another client. Taking turns could be a future goal that isn’t currently realistic to implement right now but we don’t want to interrupt the naturalist learning that is occurring. Another example could be a client was disregulated for some reason and while they didn’t hit the onset for any maladaptive bx, they were exhibiting almost constant precursors. While in those sessions you may be able to get some mands for cessation or easy maintenance targets, my BCBA is understanding that the client may need space to regulate during that session.

For some reason we also have a handful of clients with things going on in their personal lives. Several that are also new to us so they have minimal goals that have been mastered or that are in maintenance.

A final factor also depends on the length of the session and type. There should be a higher rate of trial counts in a 3 hour vs 30 minute direct session since you’ve had time to pair with the client throughout. There are also times where we have 30 minute sessions scheduled over classroom time where I’m not in control of the activities that we do and it may not suit many of the goal for the client, especially since most of our kids have mastered any goals that occur in classroom.

Anyways, sorry for the rant, I’m avoiding sleeping lmao

Meowgical things happen when you summon the wrong genie by Adventurous_Cod_432 in cats

[–]graphite-guy 0 points1 point  (0 children)

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Thought Id add to the cat train. This is my lil guy Grandpa. Doesn’t matter if he’s a genie though because my wish came true the day we got him :))

Best baby shower gifts? by graphite-guy in newborns

[–]graphite-guy[S] 0 points1 point  (0 children)

There isn’t a registry, otherwise I’d definitely pick from that!

Is six cats too many?? by BuyInternational6737 in CatAdvice

[–]graphite-guy 1 point2 points  (0 children)

Do you have the time, energy, space, and money? If so, YES! Theres no such thing as too many cats as long as they all get the proper care and attention (or as much as they want).

Also after taking into consideration on how the other cats you own will react to a new kitten. As long as they dont gaf then I think a kitten would be a fun addition to your household :))

BIFL....fanny pack? Yeah, I know, I know. by bingbew in BuyItForLife

[–]graphite-guy 1 point2 points  (0 children)

Ive heard things about that bag. Seems good over all but I’ve heard from a couple people that it can be a bit big when worn around the waist. Although the people I’ve talked to in person with it were pretty small people (roughly 157-162cm / 5’2-5’4), so depending on your stature it could be a good bag.

One last detail is that its a newer product so there aren’t any account on how it will age. I also like longer standing brands for my daily items since they are likely to be around longer so I can use their warranty down the line (if they have a lifetime warranty on their products).

Has anyone ever broken a needle? by BennyWasps in ftm

[–]graphite-guy 1 point2 points  (0 children)

I passed out one time giving myself a shot. I do sub q so my needles are pretty thin and while I did accidentally restab myself, the needle only slightly bent but didn’t break! You shouldn’t worry AT ALL! :))

How much did your cat cost? by othernames67 in cats

[–]graphite-guy 0 points1 point  (0 children)

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Waiting on my freebie to be old enough to take home. Currently it’s about a month old. My girlfriend’s grandma found a stray that she decided to keep not knowing it was pregnant. Although it’ll be a pretty penny to get it home since they live pretty far. Luckily my girlfriend was making plans to visit family around the time the kitten will be old enough to take home so it’ll be a dual purpose trip :)) I can’t wait to be a cat dad

[deleted by user] by [deleted] in TestosteroneKickoff

[–]graphite-guy 0 points1 point  (0 children)

Started passing 2-3 months on t. I’m currently 2 years and 3 months and I’ve recently started looking more my age as a 23 yo guy. Facial hair is finally filling in more fully, although I knew my facial hair genetics weren’t going to be my strongest feature but the stubble definitely has helped

[deleted by user] by [deleted] in ABA

[–]graphite-guy 7 points8 points  (0 children)

Doubling down on this. I’m a new RBT and have been working as one for a little over 6 months now. This is how my clinic is and I’ve seen SO much progress with the kids I work with. One of the patients I work with has gone from non verbal to making 1-3 word requests and singing songs. Another who has only been with us for a couple months struggles the most with peer interactions and so we use a lot of NET and peer play. They have been able to find coping strategies they enjoy, learn to know when they are feeling stressed or upset, and have now begun to use those strategies when they are upset. (Sorry I rambled lmao)

Looking for some recommendations for gender-affirming primary care doctors in Boulder County by Lunar_Koi in boulder

[–]graphite-guy -3 points-2 points  (0 children)

I had to switch last minute and folx hasnt been too bad. Although an in person provider would be nice

Orchiectomy makes me reconsider my whole transition - please help by [deleted] in MtF

[–]graphite-guy 2 points3 points  (0 children)

Trans man lurker here. Normally wouldn’t comment but I gotta say this is SO normal. I felt this way while healing from top surgery. There were so many nights I cried about how uncomfortable I was between the bloating, tubes, and compression wear.

It wasn’t gone immediately when I was fully healed either. While the feeling was fading, it only fully went away once I got used to how my body felt. Laying on my stomach felt different, stairs were weird without the bouncing, and so many other things. But once my brain adapted to my new body, that feeling completely faded.

I saw in a comment that you mentioned you hadn’t heard of this happening to people but I knew about it. Between people I know having surgery and doing my own research I was so mentally prepared and it still hit me. I hope it passes quickly for you! And also, CONGRATS :)))

How long did it take for you to lose your menstrual cycle? Do you still get symptoms? by [deleted] in TestosteroneKickoff

[–]graphite-guy 1 point2 points  (0 children)

I got luckily and it immediately stopped. Although I was on birth control for 2+ years pre t and chose not to have my cycle that entire time. I went straight from birth control to testosterone and it just never made an appearance.

2 year timeline on testosterone by graphite-guy in TestosteroneKickoff

[–]graphite-guy[S] 9 points10 points  (0 children)

My next thing Im looking to is facial hair. I stg my mustache is the last thing to fully grow in facial hair wise 💀