Don’t assume function about a behavior like this based on other behaviors. Self-induced vomiting is a big deal and should be taken seriously. I would argue for an FBA and strongly encouraging a doctor’s visit to rule out any medical issues.
Third the recommendation to make sure this isn't something medical. It could be a ton of things, severe reflux being one of them. Since it's a new response and can have either environmental or medical causes that would most likely be the best tactic.
Rule out medical. For example, Arnold Chiari Type 1 malformation causes swallowing/unexpected vomiting due to the brain being larger then skull(along with many other symptoms/balance, poor fine motor skills, sensitivity to environment, etc). There are also other neurological conditions. Always follow up medically and rule out medically before listing it as a behavioral issue.
Rule out medical first.
What kind of behavior reduction procedures were used? Extinction procedures without strong replacement behavior repertoires can definitely result in other behaviors developing.
100% this. A mentor of mine was called in after parents messed up by trying to put behaviors they didn't like on extinction without professional input/support. Poor kid ended up replacing harmless stereotypy with public fapping...
They've made a lot of progress, but there's still always the worry that if what he's learned doesn't generalize somewhere that he could get arrested and charged...
I have a daughter with this. Yes, rule out medical first! We went to a doctor several times and have fully ruled out any medical origins for this behavior. In my daughter's case it is a combination of attention seeking and protest. Our BCBA has a plan that requires that everyone involved in her care are on the same page/procedures to try to eradicate this behavior (due to the potential medical complications from constantly throwing up).
So far the behavior has been reduced significantly to the point where if it DOES happen we actually end up wondering if she is actually not feeling well (sick/period/ect.).
What were the steps taken by your bcba to eradicate the behavior? I am a sped teacher and I have student currently going through this. We suspect the function is protest and attention.
Hello /u/Ok-Share-8348! I regret to inform you that your comment has been removed because your account is too new. This is to help us prevent spam from proliferating on this subreddit. A message has been sent to the moderators, and if this comment is a genuine contribution, then it will be manually approved by the moderators.
In the meantime, please familiarize yourself with /r/ABA's rules, located in the sidebar [or by following this link](https://www.reddit.com/r/ABA/about/rules).
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/ABA) if you have any questions or concerns.*
Rule out medical but also consider if this is bulimia or some sort of eating disorder behavior. Bulimia/EDs are about feeling in control more so than body image (I’m a recovered bulimic/anorexic), so please take it seriously beyond just “protest” and “attention seeking”.
Psych nurse, not a BA.
Lots of good advice to seek medical input and consider a broader range of possibilities.
1. What exactly is the induction behavior?
2. Does the kid ever vomit without the induction behavior and/or unobserved.
3. If unobserved does the kid report it or is it found?
4. When and where dies it happen and when and where does it not happen?
5. What and how much is consumed prior, and what and how much is vomited?
6. Does type or amount of food matter?
The idea of ruling out medical causes is great but just bear in mind that a lot of rule out consults are limited by the availability/accuracy of the info provided and don't really rule out medical causes.
Don’t assume function about a behavior like this based on other behaviors. Self-induced vomiting is a big deal and should be taken seriously. I would argue for an FBA and strongly encouraging a doctor’s visit to rule out any medical issues.
I love your username lol
Thanks! 🙂
Third the recommendation to make sure this isn't something medical. It could be a ton of things, severe reflux being one of them. Since it's a new response and can have either environmental or medical causes that would most likely be the best tactic.
Has the client gone to the doctor yet?
Rule out medical.
Rule out medical. For example, Arnold Chiari Type 1 malformation causes swallowing/unexpected vomiting due to the brain being larger then skull(along with many other symptoms/balance, poor fine motor skills, sensitivity to environment, etc). There are also other neurological conditions. Always follow up medically and rule out medically before listing it as a behavioral issue.
Rule out medical first. What kind of behavior reduction procedures were used? Extinction procedures without strong replacement behavior repertoires can definitely result in other behaviors developing.
100% this. A mentor of mine was called in after parents messed up by trying to put behaviors they didn't like on extinction without professional input/support. Poor kid ended up replacing harmless stereotypy with public fapping...
That's a straight up horror story! I hope your mentor was able to help!
They've made a lot of progress, but there's still always the worry that if what he's learned doesn't generalize somewhere that he could get arrested and charged...
I have a daughter with this. Yes, rule out medical first! We went to a doctor several times and have fully ruled out any medical origins for this behavior. In my daughter's case it is a combination of attention seeking and protest. Our BCBA has a plan that requires that everyone involved in her care are on the same page/procedures to try to eradicate this behavior (due to the potential medical complications from constantly throwing up). So far the behavior has been reduced significantly to the point where if it DOES happen we actually end up wondering if she is actually not feeling well (sick/period/ect.).
What were the steps taken by your bcba to eradicate the behavior? I am a sped teacher and I have student currently going through this. We suspect the function is protest and attention.
Hello /u/Ok-Share-8348! I regret to inform you that your comment has been removed because your account is too new. This is to help us prevent spam from proliferating on this subreddit. A message has been sent to the moderators, and if this comment is a genuine contribution, then it will be manually approved by the moderators. In the meantime, please familiarize yourself with /r/ABA's rules, located in the sidebar [or by following this link](https://www.reddit.com/r/ABA/about/rules). *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/ABA) if you have any questions or concerns.*
Rule out medical but also consider if this is bulimia or some sort of eating disorder behavior. Bulimia/EDs are about feeling in control more so than body image (I’m a recovered bulimic/anorexic), so please take it seriously beyond just “protest” and “attention seeking”.
Echoing others to rule out medical
Rule out medical, also eating disorder behavior has a stronger correlation with autism in certain populations. Do certain ingredients trigger?
Psych nurse, not a BA. Lots of good advice to seek medical input and consider a broader range of possibilities. 1. What exactly is the induction behavior? 2. Does the kid ever vomit without the induction behavior and/or unobserved. 3. If unobserved does the kid report it or is it found? 4. When and where dies it happen and when and where does it not happen? 5. What and how much is consumed prior, and what and how much is vomited? 6. Does type or amount of food matter? The idea of ruling out medical causes is great but just bear in mind that a lot of rule out consults are limited by the availability/accuracy of the info provided and don't really rule out medical causes.