Main downside: clients get sick and you don't get paid. Since beginning a month ago I have had two clients miss an entire week, and as of today another client has gotten sick and will most likely be out for the rest of the week. There is no way to be compensated for this My availability had to be changed to accommodate for available clients, and my schedule is now from 10:30-8:30 After initial first session, there is not much guidance or feedback, so sessions can feel very unstructured and aimless. The efficacy of ABA can be debated. The history of ABA is concerning and some of the "compliance" goals seem unnecessary and can feel wrong to implement (withholding preferred item until desired phrase is said, which is incomprehensible to client. Teaches rote memorization for no purpose other than compliance?) Spending a lot of time driving to and from with not great compensation. Sometimes can feel more like a babysitter than a behaviorist.