February 1, 2024

What is Pairing? Advice for Pediatric Therapists

Pairing is a very important part of starting a therapy program with a child. It helps you, as a therapist, build rapport with the child and establish a pairingrelationship. When working with a child, one of the main things you want to do is pair yourself with fun and reinforcing items.

Pairing is a very important part of starting a therapy program with a child.  It helps you, as a therapist, build rapport with the child and establish relationship.  When working with a child, one of the main things you want to do is pair yourself with fun and reinforcing items.  You want the child to find you, and the environment, exciting and pleasing.  If the child is having fun and likes being with you, then he will be more motivated to come to therapy to work and play.

6 tips to help with pairing:

  1. Play!  When you first meet a child show him the different toys, games, and activities that are available.  Allow him to play with the different items to familiarize himself.
  2. Use Preference or Reinforcer Assessments.  To find out the items that might be possible reinforcers/motivators, conduct preference/reinforcer assessments to get a better idea of what toys/activities are reinforcing to the child.
  3. Place Items Out of Reach.  Place items up on shelves or in cabinets where the child can see them.  By putting the toys/activities up, the child needs to come to you to get access to the items they want.
  4. Give!  Make sure to deliver reinforcement and preferred items non-contingently.  This means you provide the child with new toys, fun activities, and games without placing demands on him.  Using an apron or wearing clothes with pockets can help you have access to small reinforcers as you move from room to room.
  5. Don’t Take!  When pairing yourself as a reinforcer, remember that you do not want to place demands on the child.  In addition, you do not want to stop the fun.  Allow the child to explore and to find new, exciting toys/activities.  Be sure to join in playing with him.  If the child becomes uninterested in a toy/activity, then find a new toy/activity that will be enjoyable.
  6. Set The Table/Work Area Up with Reinforcement.  It is also very important to pair the table/work area with reinforcement.  You want the child running to the table/work area because it has been well-paired with reinforcement.  If the child is avoiding the table/work area or trying to escape from it, then it has not been paired well, and you should work on making the table/work area more reinforcing.

When doing pairing, make sure to keep the above tips in mind.  It is critical that a therapist develop a strong rapport with the child in therapy for success to occur.  At the end of the day, it is about therapist and client having fun and learning!

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
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The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

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Testimonials

Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

Matt Nakanishi

My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

Jennie Meyer

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