The Most Important Autism Therapist Is Already at Home

The autism care system is not built to scale. Across the world, families face long waitlists, a shortage of professionals, and high costs—making access unequal. Caregivers, who spend the most time with the child, often lack tools. What if we are centering the wrong person? Mariana Greub, behavior analyst, founder of Beyou Behavior Therapy, and mother of two autistic children, introduces a caregiver-led model. By training caregivers to use evidence-based strategies in daily routines, therapy happens in real life. This approach expands access, reduces costs, and allows clinicians to support more families through telehealth and coaching. This is not only better care—it is a system redesign.