Information Exchange Techniques: Social Stories in ABA Therapy

At Cardinal Pediatric Therapies, we understand that communication is the foundation of learning, connection, and growth. For many children with Autism Spectrum Disorder (ASD), communication can be a daily challenge. Difficulties understanding social cues, routines, or others’ emotions can make social situations feel confusing or overwhelming which can be reduced through Social Stories in ABA.

Through Applied Behavior Analysis (ABA) therapy, our team helps children strengthen their ability to exchange information, understand others, and participate in meaningful interactions. One of the most effective and accessible tools we use to support these goals is the Social Story. This structured yet creative technique teaches children how to navigate real-life social experiences with clarity and confidence.

What Are Social Stories in ABA?

Social Stories are short, personalized narratives that describe specific social situations in a clear, positive, and easy-to-understand way. Originally developed by Carol Gray in the 1990s, Social Stories were designed to help individuals with autism interpret social expectations and learn appropriate responses.

In ABA therapy, Social Stories serve as a bridge between understanding and action. By presenting situations step by step, they help children learn what to expect, why certain behaviors occur, and how to respond appropriately.

According to the National Institutes of Health (NIH), evidence supports the use of Social Stories as part of structured behavioral interventions for improving social understanding and reducing anxiety in individuals with ASD.

At Cardinal Pediatric Therapies, we integrate Social Stories into both In-Clinic ABA Therapy and In-Home ABA Therapy to help children apply learned concepts across school, home, and community settings.

Key Elements of Effective Social Stories 

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For Social Stories to work, they must be carefully designed to match the child’s developmental level, learning style, and communication needs. A well-crafted Social Story typically includes these components:

1. Descriptive Sentences
Each story begins with simple, factual statements that describe the situation. For example, “At lunch, I sit at the table with my classmates.” This provides context and sets the stage for understanding what is happening and why.

2. Perspective and Feelings
The story may include descriptions of how others feel or react in that scenario. “My friends are happy when I share my toys.” This helps children recognize emotions and viewpoints beyond their own, building empathy and perspective-taking.

3. Directive Sentences
These sentences offer guidance or model desired behaviors: “When I want to play, I can ask my friend, ‘Can I join you?’” Such clear instructions give the child concrete actions to follow.

4. Visual Supports
Images or visual cues enhance comprehension and engagement. For nonverbal or visual learners, these pictures help connect words to real-life experiences and make abstract ideas tangible.

5. Individualization
No two children are the same, which is why Social Stories are personalized for each child. Our Board Certified Behavior Analysts (BCBAs) and therapists at Cardinal tailor each story to reflect a child’s unique interests, strengths, and challenges.

By blending these elements, Social Stories become not just teaching tools but empowering aids for communication and understanding.

Benefits of Social Stories in ABA Therapy

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Social Stories provide far more than social scripts; they are structured tools for building awareness, reducing anxiety, and improving communication. When used consistently in ABA therapy, their impact can be profound.

1. Enhancing Social Understanding
Social Stories simplify complex social situations into manageable steps, helping children recognize what’s happening and how to respond. For example, a Social Story might describe what to expect during a doctor’s visit, helping reduce uncertainty and stress.

2. Increasing Predictability
Children with autism often thrive in structured, predictable environments. Social Stories create that structure by explaining routines in advance. Knowing what will happen next helps children feel secure, prepared, and confident.

3. Encouraging Positive Behaviors
Directive sentences guide children toward socially appropriate actions. When reinforced through Parent Coaching, these stories help families practice consistent responses at home, accelerating skill development.

4. Reducing Challenging Behaviors
When children understand expectations, frustration and confusion decrease. Fewer outbursts, less avoidance, and calmer transitions are common results of effective Social Story use.

5. Promoting Independence and Self-Advocacy
Over time, Social Stories help children internalize the skills they learn and eventually navigate new situations independently. This builds confidence and autonomy both inside and outside therapy.

A ResearchGate review of over 40 studies concluded that Social Stories significantly improve adaptive behaviors and social engagement when integrated into ABA programs, particularly when stories are customized and paired with positive reinforcement.

Creating and Implementing Social Stories in ABA

The creation process is a collaborative effort between ABA professionals and caregivers. Together, we identify real-life situations that present challenge, like greeting peers, taking turns, or following a classroom routine, and craft stories that teach appropriate behaviors in those contexts.

At Cardinal Pediatric Therapies, our therapists personalize each Social Story using the following approach:

  • Assessment: We evaluate your child’s communication level, sensory preferences, and motivation to determine the best story format.
  • Story Development: The BCBA writes a short, clear narrative, often accompanied by photos or drawings, to explain the situation.
  • Therapy Integration: The therapist introduces the story during in-clinic or in-home ABA sessions, pairing it with visual cues, modeling, and positive reinforcement.
  • Caregiver Collaboration: Families are encouraged to read and review stories at home to reinforce progress and help their child practice in familiar settings.

This consistency between the clinic and home environment strengthens the effectiveness of each story and supports generalization of learned skills.

Social Stories in Everyday Life

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While Social Stories are often introduced in therapy, they are equally powerful at school and at home. Teachers can use them to prepare students for new activities, transitions, or group interactions. Parents may use them before family outings, doctor visits, or holidays.

The Autism Speaks Learning Resource Center provides helpful templates and examples for families interested in creating Social Stories tailored to their child’s needs. When used collaboratively, they become part of a broader communication support system, helping children connect meaningfully with others and participate more confidently in daily life.

Empowering Families Through ABA Therapy

At Cardinal Pediatric Therapies, Social Stories are just one example of how our team blends science and compassion to support families. Our ABA therapy services focus on helping children build independence through structured learning, personalized care, and collaborative partnerships.

Whether through in-clinic ABA therapy, in-home sessions, or group family coaching, we help families in Phoenix, Cary, Wilmington, and Clayton nurture stronger communication, emotional understanding, and social success.

If your family is searching for ABA therapy parent training in Arizona or North Carolina, we’re here to help.

Request a free consultation today to learn more about our evidence-based autism therapeutic services.

About the Author

Chief of Staff

Dr. Mike Henderson, Ph.D., BCBA-D, LBA

Regional Operations Director

North Carolina

Mike Henderson, PhD, LBA, BCBA-D, is the Regional Operations Director at Cardinal Pediatric Therapies. With over two decades of experience in behavior analysis and organizational leadership, he focuses on mentoring teams and fostering a culture of collaboration, growth, and excellence in client care. Mike believes strong leadership and supportive systems are essential for helping clients, families, and providers succeed together.

Felicia Freeman

Clinic Manager

I am Felicia Freeman, the Clinic Manager for Cardinal Pediatric Therapies. I have been in ABA for several years now and am passionate about the community that we serve. I started out as an RBT, decided to go the administrative route, and worked my way up to managing clinics. I choose this field every day because I enjoy making a meaningful impact in the lives of our clients and building strong teams that change lives.

Amanda Dean, MA, BCBA, LBA

Johnston County, NC

Amanda graduated from The Chicago School of Professional Psychology in 2018 with her Masters in Psychology. She proceeded to complete her graduate certificate in ABA and became a BCBA in November 2020. Amanda has a passion for behavior reduction, tolerance training and functional communication training. She enjoys spending as much time as she can with her 3 children and husband. When she’s not working, Amanda is very involved in her local Pop Warner Cheerleading program where she is the Assistant Cheer Director and a head coach.

Becky Fronheiser

Operations Director

Arizona

Becky has worked in behavioral health for 7 years. She joined Cardinal in the spring of 2024.  Becky is grateful for the opportunity to work with such a passionate group of people and looks forward to supporting families with their specific ABA needs.  In her personal time, she enjoys spending quality time with her husband, 6 kids and 4 grandkids and loves to travel and relax on the beach.

Matthew Wilkinson

Operations Director

Cary, NC

Matthew holds a bachelors degree from the University of Utah, Medical Degree from the Autonomous University of Guadalajara and an MBA from Western Governors University. He has worked in the pediatric field for the majority of his professional life and has a passion for helping bring the best care to children in need. He enjoys spending time with his wife and three children and day trips to the coast.

 

Trisha Iannotta Bieszczad, PsyD., BCBA

Triad, NC

Trisha is a Board Certified Behavior Analyst (BCBA) with extensive expertise since 2016 in applying behavior analytic principles to improve the lives of children and adolescents. Her professional journey began with a doctoral degree in clinical psychology, emphasizing child and adolescent development. This foundation has equipped her with a deep understanding of psychological theories and practices, which she seamlessly integrates into her work as a BCBA. Outside of her professional endeavors, Trisha enjoys reading, spending time outdoors with her family & trying out new restaurants. Trisha’s dedication to both her career and personal interests reflects her commitment to continual growth and enrichment, both professionally and personally. Her multifaceted background allows her to approach each aspect of her life with a blend of expertise, enthusiasm, and a genuine appreciation for learning and exploration.

Tina Lee

Director of Finance

Tina Lee is the Finance Director for Cardinal with a variety of experience in the Healthcare Industry for over 13 years. She is compassionate and always eager to assist where she can. In the ever-changing Healthcare environment, Tina has played a vital role in putting processes in place to obtain high efficiency outcomes to help our clients get the care they need. Tina enjoys the outdoors and loves spending time with her family.

William Evans

Director of Outreach and Recruitment

William is a UNCW Graduate who started his professional career working in Marketing and Recruiting for a local technology company before looking for an opportunity to take those skills and help others. In his spare time he plays hockey, including annually for the North Carolina Autism Hockey Tournament, which is dedicated to the raising money and awareness for organizations helping local families with children diagnosed with autism.

Alice Okamoto, MA, BCBA, LBA

Chief of Staff

Alice has been with Cardinal for over 4 years and has worn many hats along the way!  Alice has a passion for working with clients and families as a unit, supervising behavior analyst trainees, and collaborating on strategic initiatives to ensure clinical efficiencies.  Alice‘s professional experience began with ABA in a school setting, and has worked in schools, homes, and clinics throughout the years while enjoying collaboration with related providers.  In her free time, Alice enjoys traveling, exploring parks with her dog, Oliver, and trying new restaurants. 

Darrin Miller

CEO

Darrin has dedicated his education and career to the field of behavioral health. As a licensed therapist and master’s in clinical counseling he works to create solutions that improve the lives of those impacted by Autism Spectrum Disorder at a local, state, and national level. He strives to create a culture of caring and empathy while innovating solutions for improving families’ access to quality care as quickly as possible.