I currently work as a BCBA for an in-clinic day treatment facility. One of the most common symptoms I have observed in a client is the need for certain items or activities to occur in a specific order. For example, if items that are typically found in a room are not in their “designated area” and the client is not able to put them back in their spot, then high rates and intensity of problem behavior will typically occur such as screaming, crying, flopping, aggression towards anyone around him and eloping in attempt to gain access to the item to return it to its intended location. The need to organize and place items in what this client sees as their intended location is high; when they are unable to meet that need, he struggles to be able to cope and move on to other activities or day to day life. 

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