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This week on TWT, Rachel shares about her recent experience with a client who became aggressive, self-injurious, frustrated during a therapy session, and what she was thinking and feeling as the situation felt like it was slipping out of her control. Rachel and Chris discuss the wide variety of emotions and thoughts that can occur after an experience like this, and they consider how we can best support students with complex communication needs who also demonstrate challenging behaviors.

Key ideas this week include:

🔑 Chris wonders whether videotaping sessions with the client could be helpful in figuring out what may have caused the client’s aggressive outburst. 

🔑 Gradual exposure to a disliked item, like a particular food being moved closer to the client each session, can be effective in some cases where students become upset or disregulated interacting with it.

🔑It is worth considering whether we can we make therapy that is engaging and fun that in order to reduce aggressive behaviors overall?

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