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Rad N Bad Podcast

Published by Sean Yocum and Michael Carrero from Hickory Learning Group

  • Science
  • Social sciences

The Rad N' Bad Podcast by Sean Yocum and Michael Carrero isn’t your average ABA podcast, it’s a full-blown wake-up call. These two BCBAs from Hickory Learning Group are smashing through outdated norms and calling out the BS in the field. No fluff, no sugar-coating, just raw, unfiltered truth about what ABA should be. They challenge you to think, question the “why,” and push past complacency. If you're ready to disrupt the status quo and make this field better for clients and practitioners alike, buckle up, Rad N' Bad is here to raise hell and raise standards.

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  1. Number 166Social sciencesUnited States

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Recent episodes

The latest episodes published to this podcast’s own RSS feed. Titles and descriptions are the publisher’s.

  1. Episode 49: The Other Side of the Table: When "Trust the Process" Becomes Babysitting (w/ Kim Lambert) from Rad N Bad Podcast, opens in a new tab

    Sep 9, 20261 hr 26 min

    We love to say we value lived experience. We talk constantly about assent, compassionate care, social validity, and person-centered treatment. We’ve gotten really good at saying all the right words. But are we actually listening? When someone tells our field, "ABA helped me," we lean in. But when someone says, "ABA hurt me," or "ABA failed my family," we immediately jump into defense attorney mode: What kind of ABA was it? When did it happen? That’s not real ABA. On this inaugural episode of our new series, The Other Side of the Table, Sean Yocum and Mike Carrero stop explaining and start listening. We sit down with Kim Lambert, a single mother from North Carolina recently interviewed in the New York Times Article about ABA and whose son, spent years inside the ABA system. Kim pulls no punches as she shares the raw reality of navigating our field: The "Trust the Process" Trap: Why telling exhausted parents to "trust the process" often just means "hand over your judgment and stop asking questions." Graphs vs. Real Life: Why mastering "touch the blue square" at a clinic desk means nothing when a child still can't eat, sleep, use the bathroom, or leave the house without a 4-hour meltdown. The Fear of Telling the Truth: Why parents hide severe behaviors from BCBAs because they're terrified of being judged, blamed, or reported. From 30 Hours of "Babysitting" to True Independence: How moving away from cookie-cutter clinic quotas and into functional, parent-involved accountability completely transformed Rhett's future from institutional talk to sleepaway camp and public school.

  2. Episode 48: The Billable Hour, Driver’s Ed Ethics, and Making Therapy Unnecessary with Dr. Jon Bailey & Zachary Stevens from Rad N Bad Podcast, opens in a new tab

    Aug 31, 20261 hr 27 min

    Filing an ethics complaint against us would require actually citing the ethics code—and honestly, we’d appreciate the peer review. On this episode of Rad N Bad , Sean Yocum and Mike Carrero sit down with ethics heavy-hitters Dr. Jon Bailey (founder of the ABA Ethics Hotline) and Zachary Stevens (co-authors alongside Dr. Mary Burch of The Ethical Behavior Analyst ) for an unfiltered examination of modern behavioral healthcare. We move past checklist compliance and memorize-the-code ethics to ask the hard questions: What happens when ethical practice collides with corporate private equity and billable hour quotas? Why are we teaching supervisees like they’re taking driver’s ed instead of preparing them for the clinical highway? And why is the true goal of ABA not great therapy, but making therapy completely unnecessary? Key Discussion Points: Driver’s Ed Ethics vs. Ethical Judgment: Why memorizing the BACB ethics code doesn’t prepare clinicians for real-world clinical pressure. The Conflict of Interest Trap: How tying compensation to billable quotas, 25-to-40-hour minimums, and "drive-by supervision" undermines client care. Outcome-Based vs. Dosage-Based Models: Why the field must shift from billing hours to measuring functional, real-world skill acquisition. The Supervision Reality: Moving beyond checking off 2,000 fieldwork hours to modeling how to handle denials, mistakes, and true client advocacy. The Mirror Moment: Why behavior analysts must embrace feedback, kick out private equity exploitation, and never lose sight of the human being across the table. You can pick up a copy of the Ethical Behavior Analyst right here! https://www.routledge.com/The-Ethical-Behavior-Analyst/Stevens-Bailey-Burch/p/book/9781032988849?gad_source=1&gad_campaignid=23976946742&gbraid=0AAAAACWuhHWAw1T6SJ5lQNVEYoky-9B4T&gclid=CjwKCAjwtKrUBhAhEiwAr77Zol_NkaYtUw4k7TMT4rxYZUP2YiRttF1P7SXqJ_LyNZ6yf2Y28qkO7BoCzsAQAvD_BwE

  3. Episode 47: Facing the Anti-ABA Contingency with B.F. Middleton from Rad N Bad Podcast, opens in a new tab

    Aug 21, 20262 hr 38 min

    Why is our field so terrified of its own critics? When people critique Applied Behavior Analysis, the knee-jerk reaction across clinics, message boards, and leadership panels is almost always defense: "They just misunderstand the science," "They're talking about old ABA," or "That's not real ABA." On this episode of Rad N Bad , Mike Carrero and Sean Yocum sit down with B.F. Middleton ( Oh Behave! Podcast / The Bearded Behaviorist) to stop playing defense attorney for our discipline and start applying behavior analysis to our own institutional practices. Instead of dismissing the Anti-ABA movement as irrational or misinformed, we analyze it for what it actually is: textbook Skinnerian counter-control. Anti-ABA Opposition as Environmental Data: Why public critique isn't an attack to be shut down—it’s critical environmental feedback signaling where our controlling practices have become coercive. The "Today's ABA" Trap: Why rebranding our methods as "compassionate" or "trauma-informed" fails if we don't alter the underlying corporate contingencies (billables, compliance, authorization metrics) driving clinician behavior. Albert Bandura & Moral Disengagement: How clinicians use verbal mechanisms—like comparing current practice to historical aversives—to insulate themselves from legitimate feedback about client distress. Rights Holders vs. Stakeholders: Re-centering Montrose Wolf's concept of Social Validity around client autonomy, assent, and human rights rather than insurance compliance or parent convenience. Beyond the Echo Chamber: How behavior analysis can transition from defending a static identity to creating a self-correcting science that continuously responds to neurodivergent self-advocates. Where to find BF Middleton: https://www.linkedin.com/in/beardedbehaviorist/

  4. Episode 46: Hover Before You Land: Building Cross-Disciplinary Standards in Autism Care with Dr. Robin McLeod from NSAP from Rad N Bad Podcast, opens in a new tab

    Aug 12, 20261 hr 35 min

    There is no shortage of organizations in autism—we have associations, credentialing bodies, coalitions, and advocacy groups. Yet, the field remains completely fragmented. Behavior analysts talk to behavior analysts, speech therapists talk to speech therapists, and physicians talk to physicians. While clinicians protect their turf, insurance companies write policy, legislators write laws, and private equity reshapes service delivery. In this episode of Rad N Bad , Sean Yocum and Mike Carrero sit down with Dr. Robin McLeod , founding CEO of the National Society of Autism Professionals (NSAP) , to address the missing element in autism care: cross-disciplinary leadership and standardized accountability. Dr. McLeod breaks down NSAP’s massive mission to unite clinical healthcare, education, policy, research, technology, and advocacy around meaningful, lifelong outcomes for autistic individuals and their families. Key Topics Covered in This Episode: The Fragmented Field: Why operating in professional silos leaves clinicians reactive to payer policies instead of driving care standards. The Two Engines of NSAP: How the Standards Engine (building a cross-disciplinary competency framework) powers the Influence Engine (advocating with payers and legislators). "Hover Before You Land": Dr. McLeod’s framework for cross-disciplinary perspective-taking and facilitating productive, respectful disagreement among experts. Compliance vs. Outcomes: Why an audit-proof treatment plan and high session attendance do not automatically equal clinically significant change. Value-Based Care & Reinforcement: How shifting away from volume-based hourly billing incentivizes true generalization, caregiver competence, and functional independence across the lifespan. If you are ready to stop performing leadership and help build an industry standard that holds providers and payers accountable, this episode is a must-listen. Learn More & Join NSAP: NSAP.org

  5. Episode 45: Beyond Clinic Walls: 1,300 Sessions & a 1% Cancellation Rate with Melissa Kozak from Rad N Bad Podcast, opens in a new tab

    Aug 3, 20261 hr 22 min

    Most BCBAs are taught that high-integrity care requires a toddler sitting in a clinic 40 hours a week, locked into a screen, and managed by burned-out middle management. Melissa Kozak is here to prove that model completely wrong. As the founder of Kozak Consulting and Going Independent , Melissa has conducted over 1,300 direct caregiver sessions with an astounding 1% cancellation rate . The secret? She ditched the corporate assembly line, threw out the blanket hour prescriptions, and built a pure, caregiver-led practice that prioritizes human connection, Behavior Skills Training (BST), and soft skills over billable unit metrics. In this episode, Sean Yocum and Mike Carrero sit down with Melissa to tackle the uncomfortable truths holding the ABA field back: The Soft-Skills Deficit: Why so many clinicians struggle to talk to parents without hiding behind an iPad or a checklist—and how to build genuine, rapport-first relationships. The Caregiver-Led Blueprint: How targeting real-life family priorities (like a 3-second photo or a mealtime routine) leads to lower cancellations and faster, sustainable progress. Ditching the 40-Hour Prescription: Why massive, blanket hour authorizations are often driving burnout and revenue—not actual clinical necessity. Tech That Works for You: How tools like HiRasmus can be leveraged to streamline clinical workflows without losing the human element. Taking Control of Your Science: How burnt-out BCBAs can step off the corporate hamster wheel, cut out the middleman, and launch their own high-impact, independent practices. If you are ready to stop checking corporate boxes and start engineering real-world outcomes, hit play.

  6. Episode 44: Who the Hell Built the BCBA Industrial Complex? with Dr. Han-Leong Goh from Rad N Bad Podcast, opens in a new tab

    Jul 24, 20261 hr 29 min

    The BCBA credential has never been more valuable. So why do so many new clinicians feel completely unprepared? Sean Yocum and Mike Carrero welcome Dr. Han-Leong Goh for an unapologetic conversation about the systems shaping modern behavior analysis. From graduate education and supervision to insurance reform, billable hours, leadership, and mentorship, they examine how good intentions created incentives that don't always produce great clinicians. The conversation isn't about blaming universities, employers, or behavior analysts. It's about asking whether the profession has accidentally built a system that rewards the wrong behaviors—and what it would take to rebuild it.

  7. Episode 43: Who The Hell Is Steering This Profession? (With The ABA Accountability Project) from Rad N Bad Podcast, opens in a new tab

    Jul 15, 20261 hr 28 min

    The multi-billion-dollar corporate takeover of autism services has officially reached its breaking point. Over the last decade, we have watched private equity firms dump massive capital into the industry, swallowing up small community providers and mass-producing cookie-cutter clinic networks. Somewhere along the line, trade associations and self-appointed accreditation programs stepped behind closed doors and declared themselves the official voice of our science. But nobody asked the practitioners on the ground for a vote. In this explosive episode of Rad N Bad , Sean and Mike strip away the corporate marketing jargon to answer a simple, glaring question: Who the hell is actually driving this field? Joining the studio are Kirsten Hall and Aaron Gold , founders of the ABA Accountability Project , an organization dedicating itself to tracking power, governance, and transparency inside Applied Behavior Analysis. Together, they drop the ultimate "Umpire Analogy"—dissecting the massive conflict of interest where the same entities creating clinical standards are financially tied to the monopolies inspecting them, all while lobbying insurance payers to make those very inspections mandatory. They take a hard, behavior-analytic lens to the dangerous reality of corporate lobbying groups fighting against mandatory frontline RBT credentials under the guise of "improving access to care." This isn't a simple personal vendetta; it's a structural evaluation of an industry that treats kids like products and clinical decision-making like an asset portfolio. If you are an independent provider, a clinician drowning under corporate caseload targets, or a parent fighting for quality over volume, this episode is a blueprint for grassroots reform. Buckle up. Strong sciences don't fear questions—they invite them.

  8. Episode 42: Who The Hell Is That Again, with Lou Sandler: The Illusion of Progress: Flashcards, Seismograph Graphs, and Real Industry Reform from Rad N Bad Podcast, opens in a new tab

    Jul 6, 20262 hr 26 min

    The Titanic has officially struck the iceberg, and the music is starting to stop behind closed doors. Following the explosive New York Times investigation exposing fraud, seven-minute nap billings, and hyper-inflated center-based hours across the autism therapy sector, the industry is entering its ultimate "prove it" era. But how did a pure, data-driven behavioral science transform into an industrialized, multi-billion-dollar corporate machine virtually overnight? In this massive, unfiltered, two-and-a-half-hour episode of Rad N Bad , Sean and Mike strip away the corporate marketing language, the toxic positivity, and the social media binaries to perform a brutal behavioral analysis of the contingencies that broke the field. Joining the conversation is an industry icon, Dr. Lou Sandler , who brings 45 years of clinical history from the trenches of Kennedy Krieger to pull back the curtain on what went wrong. Together, the guys dissect the concept of "Medical School Envy"—the dangerous structural delusion that behavior analysis can function as a standalone, isolated medical discipline rather than an integrated, instructional resource. Dr. Lou drops a nuclear take on why Discrete Trial Training (DTT) needs to die, exposes the total lack of clinical oversight in the mass-produced BCBA pipeline, and calls out the absolute corporate absurdity of offering financial bonuses to supervisors for hitting billing percentage targets. This isn't an attack on clinicians, and it's not a blind defense of a broken system. It’s a raw, battle-tested manifesto detailing how we pivot away from a service maintenance dependency model and go "back to the future" by prioritizing homes over centers, treating the family structure as the ultimate clinical environment, and measuring success solely by our ability to work ourselves out of a job. Buckle up. The filters are completely off, the labels are being torn down, and it's time to get radical.

  9. Episode 41: DTT is Not a Permanent Residence: Mapping the Real Middle Ground of Structure vs. Autonomy from Rad N Bad Podcast, opens in a new tab

    Jun 26, 202644 min

    Are we using clinical structure to build real-world independence, or are we just using it as an excuse for corporate and intellectual laziness? This week, Sean and Mike step right into the crossfire of the industry’s loudest, most polarizing argument to map out the definitive middle ground on Discrete Trial Training (DTT). Depending on who you ask on social media, DTT is either the only way to successfully teach complex skills or it’s the absolute poster child for everything wrong with modern, compliance-driven therapy. Both sides are completely right about the execution failures, but they are completely wrong about the science. Sean and Mike strip away the corporate marketing crap, toxic positivity, and traditionalist dogma to expose the reality of engineering behavior that actually leaves the clinical room. They break down: The Illusion of the Table: Why high acquisition numbers on a tablet can be a clinical lie if the behavior doesn't survive when the theatrical props, cards, and contrived rewards go away. The Workflow Over Science Trap: Tearing down why clinics stay stubbornly codependent on tabletop drills—not because the science demands it, but because it’s cheap to train, easy to score, and simple to audit for insurance funders. The True Middle Ground: How to ruthlessly apply intense structural repetition to build prerequisite skills in isolation, while simultaneously programming for prompt fading and Natural Environment Teaching (NET) from day one. The Generalization Mandate: Why if you cannot describe exactly how a target response transfers across new settings, novel materials, and organic contingencies, you are fundamentally not done designing the clinical program. Stop hiding behind rigid procedural brands or superficial, positive-only marketing labels to avoid the messy, complex work of real-world generalization. DTT should serve as a powerful clinical ladder—but a ladder is meant to be climbed off of, not lived on. Tune in, audit your current setups, and help us reclaim the true spirit of radical behaviorism. Stay bold. Stay contrarian. Stay Rad N Bad.

  10. Episode 40: Who the Hell is Dr. Erin Moran? From Backpacking Kazakhstan to Dismantling Corporate ABA from Rad N Bad Podcast, opens in a new tab

    Jun 17, 20261 hr 15 min

    Most people in the tech space claim they understand the frontline trenches. They haven’t. This week, Sean and Mike pull back the curtain on the corporate contingencies crippling clinical quality, and they are joined by someone who has lived a literal clinical Odyssey: Dr. Erin Moran, Director of Clinical Innovation at Hi-Rasmus. Dr. Moran didn’t just climb a corporate tech ladder. She has been thrown into a room with 38 six-year-olds in a Thai port city with zero support. She has backpacked into the freezing winter of Eastern Kazakhstan with nothing but shorts and a tank top to build parent-led behavior programs from scratch, getting her passport stamped in a dark back alley just to help moms who were told their children's autism was their fault. She has sat on the highly critical academic stages of London as the only BCBA in the room, defending the core science against massive systemic stigma. Sean, Mike, and Erin strip away the marketing fluff and toxic positivity to expose the systemic failures of modern, commercialized operations, including: The Rebrand Trap: Why the anti-ABA movement isn't attacking our scientific principles, but rather a rigid, high-hour commercialized therapy model that operates like a corporate religion. The 40-Hour Checkbox Crisis: Tearing down the passive, uninspiring video training models that are producing catastrophic 18% RBT exam pass rates across major national providers, and why real Behavior Skills Training (BST) cannot be scaled through a computer screen. The Circus Trick of Dependency: Why an intervention that only works when a clinician is standing in the room is a total failure, and how Erin used pure science to train Kazakhstani mothers to become the university professors training the next generation of therapists. Engineering Software with Science: How Erin is taking her global, boots-on-the-ground experience to design data systems that eliminate administrative headaches, supercharge supervisor feedback loops, and give BCBAs their time back to focus on the work that actually matters. Stop hiding behind empty corporate buzzwords and traditionalist dogma. If your therapy requires rigid compliance and endless paperwork, your environmental engineering is broken. The science doesn’t choose a side—it analyzes contingencies. Tune in to hear how a global perspective is rewriting the status quo of standard industry technology. Stay bold. Stay contrarian. Stay Rad N Bad. https://www.linkedin.com/in/emoran1/

  11. Episode 39: No Man's Land-The Forbidden E-Word: Why You Can’t Escape Extinction from Rad N Bad Podcast, opens in a new tab

    Jun 8, 202638 min

    In this episode of the No Man’s Land series, Sean and Mike tackle the 'forbidden E-word' of ABA: Extinction. While cancel culture and critics often paint extinction as cold or outdated, the guys pull the curtain back to show that it’s not a trend—it’s a law of behavior. Whether you call it 'planned ignoring' or 'compassionate support,' if you change a reinforcement contingency, you’re implementing extinction. Sean and Mike dive into the messy reality of extinction bursts, the 'vending machine' analogy of human behavior, and the controversial rise of 'Kind Extinction.' They argue that the science hasn't changed; our clinical skill just finally caught up. Stop avoiding the uncomfortable and start understanding the mechanics of how learning actually happens when the 'house rules' change.

  12. Episode 38: No Man's Land-The Myth of Ascent: Why Choice is Just a Contingency from Rad N Bad Podcast, opens in a new tab

    May 29, 202636 min

    Is "assent" the future of ethical ABA, or is it a clinical retreat into "fragile tolerance"? In this installment of the No Man’s Land series, Sean Yocum and Mike Carrero step directly into one of the most emotionally charged debates in behavioral health. While the field currently treats assent as an ethical evolution, Sean and Mike strip away the marketing and the buzzwords to look at the raw mechanics underneath. From a radical behaviorist perspective, does "assent" even exist? Or is it simply a hypothetical construct—a label we’ve placed on behavior that is actually being shaped by environmental contingencies? Sean and Mike dive deep into: The Reality Gap: Are we preparing learners for a world that requires persistence and resilience, or are we engineering "safe spaces" that fail to translate to the real world? Buzzwords vs. Science: Why "Trauma-Informed Care" and "Assent-Based Care" are often just rebrands for what should have been good behavioral design all along. The Middle Ground: Moving past the extremes of forced compliance and unlimited refusal to focus on shaping, reinforcement schedules, and functional communication. The Radical Lens: Reframing refusal not as a philosophical choice, but as critical data that tells us exactly where our behavioral design is failing. Stop asking if your learner "assents" and start asking what your environment is reinforcing. It’s time to move beyond the "feel-good" terminology and get back to the science of shaping independence.

  13. Episode 37: Who the Hell is This? Solving the Access to Care Bottleneck with Amol Deshpande from Frontera Health from Rad N Bad Podcast, opens in a new tab

    May 20, 20261 hr 4 min

    The ABA industry has an access problem, and throwing generic corporate software at it isn't fixing a damn thing. In this episode of Rad N Bad , Sean and Mike sit down with Amol Deshpande, the founder of Frontera Health, a Silicon Valley veteran who is injecting radical disruption into the behavioral health tech space. Driven by his personal experience as a parent of an autistic son who achieved a life-changing outcome through high-quality early intervention, Amol isn't here to build another corporate tool. He’s here to dismantle the bottlenecks keeping families stuck on waitlists for months just to get a label. We strip away the marketing crap and dive deep into what it actually takes to scale access to quality care without burning clinicians into the ground. We talk about utilizing advanced, clinician-built AI to obliterate the administrative nightmare of report writing, and why billing platforms do absolutely nothing to change what happens in a child's home on a Tuesday night. Amol pulls no filters as we tackle the toxic tech trends plaguing the sector—specifically software providers who attempt to build a business "moat" by hoarding clinical data and blocking integrations. We unpack the line between clinical augmentation and replacement, why parent-mediated therapy models are the next major frontier, and how passive data collection through video could revolutionize accountability and RBT supervision. Stop letting corporate billing convenience dictate your clinical priorities. It’s time to use technology to eliminate the noise so we can get back to what actually matters: human connection, clinical depth, and radical behavior change. www.fronterahealth.com

  14. Episode 36: Who The Hell Is That with Dr Lou Sandler-Dosing Disruption & Why 40 Hours is the Gummy Bear of ABA from Rad N Bad Podcast, opens in a new tab

    May 11, 202639 min

    In this "Who the Hell is That?" episode, Sean and Mike welcome Dr. Lou Sandler , a 45-year veteran of the field who isn't afraid to take a sledgehammer to the industry’s "sacred cows." The trio dives deep into the "40-hour work week" obsession, the private equity takeover of behavioral health, and why we’ve traded clinical precision for billable presence. From the "seismograph" data of failing center-based programs to the "pink dumbbell" of low-intensity dosing, this conversation is an unapologetic call to return to the human side of human behavior.

  15. Episode 35: Prove It: The Policy Shift That’s Forcing ABA to Grow Up from Rad N Bad Podcast, opens in a new tab

    May 1, 202648 min

    ABA is under pressure—and a lot of it is deserved. In this episode of Rad N Bad , Sean and Mike break down the real impact of North Carolina’s recent Medicaid policy changes and what they signal for the future of the field. This isn’t speculation. This is a direct response to rising costs, federal audits, and growing questions about how ABA services are delivered and justified. For years, the industry has been highly effective at getting services authorized—but far less consistent at proving meaningful, real-world outcomes. Now, states are starting to ask better questions: Why this many hours? What is actually changing outside the session? Can caregivers implement the intervention independently? Where is the plan to fade services? North Carolina didn’t eliminate ABA. They challenged it. And in doing so, they introduced a new reality: Telehealth is being restricted Supervision is being defined and enforced Parent training is no longer optional High-intensity services must be justified—monthly Exceptions for rural and underserved areas must be proven, not assumed This episode goes beyond the policy language and gets into what it actually means for providers, BCBAs, and organizations trying to navigate the shift. Sean and Mike also call out the uncomfortable truth: At some point, hours became the product. Instead of focusing on independence, generalization, and caregiver competency, parts of the field leaned into volume—and now the system is correcting it. But this isn’t just criticism. They break down what a defensible, outcome-driven model actually looks like, including: Lower direct hours with higher impact Parent-Mediated Intervention (PMI) Caregivers as the primary agents of change Measuring outcomes through adaptive functioning and real-world performance Building models that lead to titration and discharge—not dependency The takeaway is simple: This isn’t the end of ABA. It’s a filter. And the field is being asked one question: Does what you do actually create independence? Because the future of ABA won’t be defined by how many hours are provided… It will be defined by what changes because of them. Here is the policy if you would like to read it: https://webservices.ncleg.gov/ViewBillDocument/2025/7815/0/H696-PCCS10584-LUXR-3

  16. Episode 34: Beyond the Clinic Walls with Dr. Nick Green-Breaking the Iron Ceiling With Data, Discipline, and the Science of Moving from Rad N Bad Podcast, opens in a new tab

    Apr 22, 20261 hr 5 min

    In this episode, Mike Carrero sits down with Dr. Nick Green , a behavior analyst who traded the clinic for the gym. As the founder of BehaviorFit , Dr. Green is on a mission to prove that ABA isn't just for autism—it's the secret weapon for human performance. They dissect the "Autism Industrial Complex," explore why only 20% of adults worldwide meet physical activity guidelines, and reveal why your "lack of motivation" is actually an environmental design flaw. Whether you're a "reconditioning athlete" chasing former glory or a professional trying to find time for a treadmill, this conversation reframes fitness as a sustainable behavioral contingency.

  17. Episode 33: Who the Hell is That? The High-Tech Future of Autism Diagnostics with Dr. Cheryl Tierney, Chief Medical Officer at EarlyPoint from Rad N Bad Podcast, opens in a new tab

    Apr 13, 202647 min

    In this episode of the Rad N Bad Podcast , Sean Yocum and Mike Carrero sit down with Dr. Cheryl Tierney , Chief Medical Officer at EarlyPoint, to discuss a technological seismic shift in the world of autism evaluations. For decades, the diagnostic process has been a subjective, "bottlenecked mess" relying on antiquated tools (some still asking if kids can use a VCR!). Dr. Tierney introduces EarlyPoint , the first FDA-cleared eye-tracking biomarker designed to provide an objective "yes/no" diagnostic aid for children aged 16 to 95 months. Sean, Mike, and Dr. Tierney dive deep into how 12 minutes of passive video watching can capture tens of thousands of data points , comparing a child's social visual engagement to a normative sample with clinical precision. Key highlights include: Beyond the "Wait and See" Trap: How EarlyPoint helps pediatricians in rural America skip the two-year waitlist and diagnose within the medical home. The "Subjective-Objective" Problem: A critical look at why traditional tools like the ADOS can be influenced by clinician bias or cultural/language barriers. Proactive vs. Reactive: Using eye-tracking to identify neurodivergent learning patterns before "outward symptoms" even fully emerge, allowing for intervention during peak neuroplasticity. The "Billion-Dollar Fridge": The story of how this tech shrunk from the size of a refrigerator to a portable, handheld device. Neurodiversity & Eye Gaze: Clarifying that the goal isn't "training eye contact," but ensuring children don't miss vital social learning opportunities. Is technology finally catching up to the science of behavior? Join the guys as they vet the innovators turning the "Autism Industrial Complex" on its head. To better understand how EarlyPoint works, it tracks where a child focuses during social interactions. While neurotypical children often focus on "social anchors" like eyes and mouths to gather information, children with autism may focus on non-social or peripheral details, leading to different data clusters. https://earlipointhealth.com/

  18. Episode 32-Your Programming Sucks: How to Stop Chasing Milestones and Start Engineering Freedom from Rad N Bad Podcast, opens in a new tab

    Apr 3, 202638 min

    We need to talk about the "copy-paste" problem in our field. Across the industry, too many of us have become "milestone chasers"—clicking and dragging generic goals from standardized assessments into plans without ever considering the messy, beautiful reality of the family living them. An assessment is not a curriculum, and a milestone is not a program. If your intervention plan ignores the individual, you aren’t doing behavior analysis; you’re running an assembly line. In this episode, we’re tearing down the template. We discuss why we’ve become so obsessed with checking boxes that we’ve forgotten how to engineer behaviors that actually grant our clients their freedom. We’re diving into the "Three Pillars of Better Programming": The Roadmap: Why your goals must be justified 3, 5, and 10 years down the road, and how to build a roadmap that actually captures family buy-in. Domains vs. Targets: Why a score going up doesn't mean life is getting easier, and how to stop treating targets like ends rather than means. Generalization as a Design Constraint: Why generalization should never be an afterthought, and how to define "mastery" by how a skill survives after the therapist leaves the room. We’re done apologizing for how powerful this science is. It’s time to stop performing "circus tricks" in ideal conditions and start programming for the real world.

  19. Episode 31: The Billion-Dollar Jackpot- Is the "Autism Industrial Complex" Facing a Reckoning? from Rad N Bad Podcast, opens in a new tab

    Mar 23, 20261 hr 21 min

    In this hard-hitting episode of the Rad N Bad Podcast , Sean Yocum and Mike Carrero dissect the explosive Wall Street Journal investigation that has sent shockwaves through the ABA industry: "The Boom in Autism Therapy Is Medicaid’s Fastest-Growing Jackpot." Sean and Mike pull back the curtain on a system they’ve long warned was "hollowing out." They tackle the "Gold Rush" in North Carolina and beyond, where private equity firms have allegedly traded clinical rigor for "capacity utilization" and "frozen marathons." From the $340,000-per-child billing scandals in Indiana to the "ghost supervision" of bloated caseloads, this is a "clinical autopsy" of a field at a breaking point. The duo doesn't stop at the headlines. They also analyze the Council of Autism Service Providers (CASP) 's defensive response, questioning whether proposed "policy guardrails" are a genuine fix or a silent admission of systemic failure. Key highlights include: The 40-Year-Old Ghost: Why a 1987 study is still being used to justify 40-hour work weeks for toddlers. EBITDA vs. Outcomes: How the "strip and flip" private equity model creates "RBT factories." The Documentation Crisis: Why 99% of billing in some states is being flagged as "improper." The Exit Strategy: Why Sean and Mike believe a quality ABA model should plan for its own ending from Day 1. It’s time to stop chasing ghosts and start building a model that empowers families instead of billing for seat time. Let’s get radical.

  20. Episode 30- Beyond the Clinic Walls: Using Behavior Analysis in Marketing with Matt Harrington from Rad N Bad Podcast, opens in a new tab

    Mar 18, 202647 min

    Welcome to the kickoff of our new series, Beyond the Clinic Walls , where we explore the raw, unpolished reality of applying ABA outside of traditional autism care. In this episode, we’re joined by Matt Harrington, BCBA and the engine behind an ABA-focused Digital Marketing Agency. Matt has taken our most lethal clinical tools—reinforcement schedules, stimulus control, and motivating operations—and turned them into a blueprint for shaping consumer behavior and scaling brands. We’re diving deep into: The Science of the Click: How to identify the "function" of why your customers are actually hitting that button. The Marketing SD: How to craft the perfect "call out" to ensure your audience raises their hand. Reinforcement Loops: Why marketing doesn’t end when the customer buys—it’s where the real behavior change begins. The "Florida Man" Factor: How understanding deprivation and environmental context (even during a hurricane) explains why people buy what they buy. If you’ve ever wondered how your clinical background translates to the digital marketplace, listen up. We’re done apologizing for how powerful this science actually is. Find Matt on Linkedin at: https://www.linkedin.com/in/matthew-harrington-bcba-8157b11b9/

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Observed September 20, 2026.

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