Collaborative ABA Therapy for Global Developmental Delay (GDD)

About GDD & How We Support Your Child

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Understanding GDD

Global Developmental Delay is a term used when a child under the age of 5 shows significant delay in at least two areas of development, such as:

Global Developmental Delay (GDD) does not mean that a child cannot learn. It means that, at this stage, development is progressing more slowly than expected for their age, and that more structured support may be needed to build essential skills.

For many children, GDD is a working diagnosis in the early years. As children grow older (often around ages 5–6), clinicians may refine the diagnosis to something more specific, such as Autism Spectrum Disorder (ASD), Specific Learning Disorder, or ADHD, or, in some cases, remove the diagnosis altogether if development has caught up sufficiently.

What matters most is early recognition and appropriate support. With the right approach, children with developmental delays can learn new skills, gain greater independence, and participate meaningfully at home, in school, and in the community.

Gain an in-depth understanding of GDD, navigating the support landscape in Singapore, and options for your child in our in-depth GDD guide.

How ABA Therapy Helps

Applied Behaviour Analysis (ABA) is a well-researched, systematic approach that breaks down skills into small steps and uses positive reinforcement to help children learn. 

For children with GDD, ABA therapy is:

Parents often find ABA especially effective because it breaks down complex skills into manageable steps, making learning clear and achievable for children who may otherwise struggle in group settings.

Why Families Choose Tesserae for GDD Support

At Tesserae, we believe that collaborative ABA is highly effective for children with Global Developmental Delay (GDD) because it focuses on building foundational, functional skills in a structured and developmentally appropriate way.

For children with GDD, this evidence-based approach supports progress across key developmental areas, such as communication, learning readiness, adaptive skills, and emotional regulation, by breaking skills down into manageable steps and teaching them systematically across different settings.

We focus on helping you see improvements in: 

Communication & Understanding 

Support your child in understanding language and expressing needs, wants, and ideas through speech, gestures, or alternative communication.

Learning Readiness & Engagement

Help your child attend to activities, follow simple instructions, and stay engaged long enough to participate meaningfully in learning.

Adaptive & Daily Living Skills

Build practical skills such as feeding, dressing, toileting readiness, and following daily routines that support independence.

Emotional Regulation & Transitions

Guide your child to cope with changes, manage frustration, and feel more secure during transitions and unfamiliar situations.

Social Participation

Support your child in interacting with adults and peers, taking turns, sharing attention, and participating in group routines.

School Readiness

Develop early skills such as sitting with a group, following classroom routines, imitating actions, and responding to simple expectations that prepare your child for preschool and school environments.

Key tenets of ABA therapy at Tesserae

Respect for your child’s autonomy

We empower children through choice and collaboration, never by forcing compliance.

Positive 1-1 reinforcement only

Our 1-1 home-based or centre-based therapy is compassionate and engaging, with zero use of punishment or aversive methods.

Neurodiversity-affirming

We celebrate strengths, focus on quality of life, and never aim to “fix” GDD or suppress natural behaviours.

Clinical excellence

All programmes are carried out by highly qualified BCBAs and BCBA-Ds, ensuring ethical, evidence-based care.

Holistic collaboration for continuity of support

Our collaborative ABA model works closely with our ecosystem of partners in speech therapy, occupational therapy, and more, giving families consistent, coordinated support. 

Our Process

Book a free discovery call

Get in touch with us and book your initial discovery call. We’ll respond within 1 working day so we can start supporting your child without delay.

20-min Discovery Call

Meet with one of our BCBAs to gain a preliminary understanding of your child’s background, strengths, and challenges, as well as how we can support your child.

Detailed Screening & Consultation (if necessary)

Our team uses structured tools and observations to assess your child’s current skills. From this, we design a customised plan that matches your child’s needs, learning style, and personality.

Therapy Begins

Once therapy starts, we set clear goals (IEP) and review progress regularly. Parents receive updates through monthly reports and session notes, so you know exactly how your child is growing. Data is recorded daily to ensure progress is measurable and consistent.

Click to learn more about GDD or our screening process.

FAQs

Yes, Global Developmental Delay is generally recognised as a developmental disability when it significantly affects a child’s daily functioning. That may sound worrying at first, but in practice, this classification helps open doors to:

  • Government-funded early intervention programmes (such as EIPIC)
  • School-based support through Special Educational Needs (SEN) services
  • Access to specialised education placements (SPED schools) where appropriate
  • Subsidised therapy services and social support schemes

Thinking of GDD as a developmental disability is not about labelling your child negatively. It is about ensuring they are eligible for the resources and support they need to develop to their fullest potential.

Children with GDD benefit most from structured, consistent and intensive early intervention that targets multiple developmental domains.

The 3 main types of therapy that support children with GDD are:

  1. Applied Behavior Analysis (ABA) Therapy is a well-researched approach that breaks learning into small, achievable steps and uses positive reinforcement to support skill acquisition. For children with GDD, ABA focuses on developing communication, learning-to-learn skills, daily living skills, play, and early readiness for group learning.

  2. Speech and Language Therapy supports children in understanding and using language to communicate effectively. This includes following instructions, expressing needs and ideas, developing vocabulary and sentences, and building early social communication skills. For children who are non-speaking or minimally speaking, speech therapists may also introduce alternative and augmentative communication (AAC) to support functional communication.
  3. Occupational Therapy focuses on the physical, sensory, and functional aspects of development. It support gross and fine motor skills, balance and coordination, sensory processing, and everyday skills such as feeding, dressing, and toileting, while also building the motor foundations needed for future school participation.

 

At Tesserae, we take a collaborative ABA approach, working closely with other therapists to support children with GDD. By building strong foundations for learning, such as attention, engagement, and readiness to learn, ABA helps enable the work of other disciplines and supports children in making steady progress and participating more meaningfully across everyday environments.

A screening involves using questionnaires and rating scales to identify individuals who might have GDD. It’s a preliminary step that helps determine if a full diagnostic evaluation is necessary, and provides good guidance on the support required.

A diagnosis, on the other hand, is a clinical process conducted by a qualified healthcare professional, such as a psychiatrist or clinical psychologist. It involves a thorough evaluation that includes:

  • Detailed interviews with the individual and their family to gather information about symptoms, developmental history, and functional impairment.
  • Review of medical and school records to identify early signs and rule out other conditions.
  • Psychological testing to assess for co-occurring conditions like anxiety or learning disabilities.
 

This comprehensive approach helps to confirm the presence of GDD and rule out other potential causes of the symptoms.


If your primary goal is to understand whether your child may benefit from additional support and what types of intervention might be helpful, a screening is often a sufficient first step. A formal diagnosis may be appropriate when there is a need for clearer clinical clarity, official documentation, or access to specific services and supports.

Want to find out more about supporting your child with GDD?

Disclaimer: This article is for informational purposes only and should not replace professional medical advice. If you have concerns about your child’s development, please consult with a qualified healthcare professional for proper assessment and guidance.

Book a free discovery call with us