#dirfloortime

As a parent navigating the world of autism, you’ve likely heard about the "Great Debate": Floortime vs. ABA. It can feel like you’re being forced to choose between a data-driven clinical approach and a relational, play-based one. At Tellos, we know that the most effective path forward involves looking at all available autism treatment options and therapy to find the specific blend that resonates with your child’s unique needs.

We don't believe in picking sides. We believe in what works. When you integrate Floortime DIR therapy with the structure of ABA, you create a powerful, tactical synergy that addresses both the skill and the soul of your child.1

What Exactly is Floortime DIR?

DIR stands for Developmental, Individual-differences, and Relationship-based. Instead of following a strict, adult-led curriculum, you literally get on the floor and "follow the child’s lead."

The goal is to enter your child’s world and pull them into a "shared world" to build emotional connection, joint attention, and complex thinking.

The Tactical Mashup: ABA + Floortime DIR

While traditional ABA is often viewed as "top-down" (the therapist leads), and Floortime is "bottom-up" (the child leads), modern therapy proves they work better together. This is often called a Naturalistic Developmental Behavioral Intervention (NDBI).

How they collaborate in practice:

Floortime DIR provides the "Why": It builds the emotional motivation for the child to want to engage.

ABA provides the "How": It breaks down complex social or communication goals into measurable, achievable steps.

Why Parents Love the Combo

For a busy parent, a Floortime-informed ABA approach is often more sustainable because:

It’s Integrated: You don’t have to "stop your day" to do therapy; it happens during blocks, cars, or even bath time.

It Reduces Resistance: Because the child leads the activity, they are less likely to engage in "escape behaviors" or meltdowns.

Human Connection: You get the data-driven results of ABA with the heart-led connection of play.

Tactical Tips for Busy Parents 

You don't need a certification to use these principles at home. Start here:

The 2-Minute Entry: Before asking your child to transition to a task (like dinner), sit on the floor and do what they are doing for 2 minutes. If they are lining up cars, you line up cars. This "joins" their world first.

Open "Circles of Communication": A "circle" is a back-and-forth interaction.2 If your child rolls a ball, you roll it back. That’s one circle. Aim to keep the circle open as long as possible by waiting for their response.

Narrate, Don't Interrogate: Instead of asking "What color is the truck?", try narrating: "Oh, the fast red truck is zooming! It’s going up the hill!" This reduces performance pressure and encourages natural speech.

Be the "Gatekeeper" of Fun: In ABA, we use reinforcers.3 In Floortime, you and the play are the reward. If they love bubbles, you be the one holding the wand. Make the interaction the most exciting part of the room.

The Tellos Take

Your child is a human being, not a set of data points. By integrating the relational focus of Floortime DIR therapy with the tactical structure of ABA, you aren't just teaching "behaviors"—you are building a relationship.

Is your child getting enough sleep?  Preschoolers typically sleep 10-13 hours/night, pre-teens need 9-12 hours/night, and teens need 8-10 hours/night. Poor or inadequate sleep can lead to mood swings, behavioral problems, and cognitive problems that impact your child’s ability to learn in school. Establishing a bedtime routine that works for your family, and sticking to it, is one of the best ways you can help your child get the sleep he/she needs to grow and learn.

“Sleep is especially important for children as it directly impacts mental and physical development.”  (National Sleep Foundation, 2019) 

The routine should end in the room where the child sleeps. The sleeping environment should be the same every night, ideally a room that is cool, quiet, and dark.

Power down electronics (TV, phone, tablet, and computer) 1-2 hours before bedtime so their bodies can start producing more melatonin. **

Avoid caffeine and sugary snacks that can make it harder to fall asleep and stay asleep.

Stick to the same bedtime and wake-up schedule even on weekends – consistency is key!

As always, feel free to make adjustments to fit your child’s sensitivities. Please contact your occupational therapist if you need more individualized support.

Thank you!