ABA vs. DIRFloortime™: Why Child-Led Therapy is the Future of Pediatric Occupational Therapy in Sioux Falls
When parents search for occupational therapy services for their children in Sioux Falls, South Dakota, they often encounter two popular approaches: Applied Behavior Analysis (ABA) and DIRFloortime™. While both methods aim to support children with developmental differences, the philosophies behind these approaches could not be more different. As a cash-based occupational therapy clinic specializing in child-led, neurodiversity-affirming care, we believe the DIRFloortime™ model provides a more compassionate and holistic path to helping children thrive.
Understanding ABA Therapy
ABA therapy focuses on modifying behavior through repetition, reinforcement, and structured interventions. It is often used with children diagnosed with Autism Spectrum Disorder (ASD). The goal is to reduce behaviors deemed “undesirable” while encouraging “appropriate” behaviors. ABA programs often involve intensive sessions where therapists use reward-based systems to prompt specific actions.
While ABA therapy may lead to measurable behavior changes, critics argue it can prioritize compliance over a child’s emotional well-being. Many autistic self-advocates and families express concern that ABA therapy may overlook the unique sensory, social, and emotional needs of neurodivergent children.
What Is DIRFloortime™?
DIR stands for Developmental, Individual Differences, Relationship-based model. This play-based approach focuses on supporting a child’s natural emotional and developmental growth through meaningful relationships. Rather than using rigid protocols, DIRFloortime™ meets the child where they are and builds on their strengths and interests.
Key principles of DIRFloortime™ include:
Child-Led Play: Therapists follow the child’s lead to foster curiosity, creativity, and connection.
Emotional Regulation: Supporting the child in understanding and managing their sensory and emotional experiences.
Developmental Milestones: Encouraging progress through natural stages of social, emotional, and cognitive growth.
Collaboration: Involving families as active partners in the therapeutic journey.
Why DIRFloortime™ Is a Better Fit for Many Families
For parents seeking pediatric occupational therapy in Sioux Falls, the DIRFloortime™ model offers several key advantages over traditional ABA therapy:
Respects the Child’s Autonomy: Instead of focusing on eliminating behaviors, DIRFloortime™ prioritizes understanding why a child behaves a certain way. This empowers children to develop self-advocacy and emotional awareness.
Tailored to Each Child: DIRFloortime™ recognizes that no two children are the same. Our occupational therapists consider individual sensory profiles, communication styles, and developmental needs to craft personalized therapy sessions.
Strengthens Relationships: Building trust and connection is at the heart of DIRFloortime™. We work closely with families to create nurturing environments where children feel seen and valued.
Long-Term Emotional Growth: Rather than focusing on short-term behavioral outcomes, DIRFloortime™ encourages emotional regulation, problem-solving skills, and social engagement that last a lifetime.
Choosing the Right Occupational Therapy Approach in Sioux Falls
When considering occupational therapy for your child, it’s essential to choose a model that aligns with your values and your child’s unique needs. At our cash-based pediatric occupational therapy clinic in Sioux Falls, we are proud to offer DIRFloortime™ as a relationship-centered, neurodiversity-affirming alternative to ABA therapy.
If you’re looking for an approach that honors your child’s individuality and fosters meaningful growth, we’re here to support you every step of the way. Contact us today to learn more about our child-led occupational therapy services in Sioux Falls, South Dakota. We offer free 20 minute consults or 1 hour long treatments catered to your child and their specific needs. Request an appointment here.
