The Dosage Dilemma: Balancing Research, Reality, and Ethics

In this episode of Safe Space, the ABA Podcast, Michelle Zeman welcomes back the dynamic duo behind The Psychobabble BCBAs - Lauryn and Erica - for a thought-provoking conversation on one of the most debated topics in our field: dosage and medical necessity in ABA. Together, they unpack the history of the “40-hour standard,” explore what the research really says about intensity and outcomes, and challenge the field to reconsider blanket recommendations in favor of individualized, socially significant treatment planning. From unlearning outdated practices to tackling real-world barriers like family stress, naps, and system pressures, this discussion is equal parts eye-opening and practical. Whether you’re a new BCBA or a seasoned practitioner, you’ll walk away with fresh insights on how to ethically navigate dosage decisions that honor both clinical evidence and family values. Listeners can earn 1.5 Ethics CEUs by listening to the full episode and completing our Google Form with the two code words shared.