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FIRST – THEN Visuals for Autism: How to use?

Ash Bhattacharya By 5 min read
WatchFIRST – THEN Visuals for Autism: How to use?
Video: Autism360

A first-then visual is a simple two-part picture that shows your child what is happening now and what comes next. It’s helpful for toddlers and older kids who find transitions hard, and it works well for non-speaking children and AAC users because the plan is shown, not just said. Watch the short video, then use the steps below to make your own at home.

What is a first-then visual?

 ** FIRST ➠ THEN Strategy ** – here is a quick and easy strategy to help kids with Autism:

  • Transition between activities
  • Feel motivated to complete an activity
  • Follow through on a particular task

Many kids with Autism find these things hard, especially when they can’t see what is coming next. Simple visual strategies like First -> Then make the plan clear and predictable, which can make everyday routines easier for both children and parents. First-then boards are also a handy tool when teaching life skills to an autistic child, one step at a time.

Wondering what this strategy is all about? Watch this video from our Autism Coach, Stacy Badon.

To get started, show two pictures side by side: the “first” activity (keep it short and achievable) and the “then” activity (something your child loves). Say just a few words, such as “first teeth, then story”, and always follow through with the “then” so your child learns they can trust the plan.

How to use this with your child

  1. Make a simple board. Fold a piece of card in half and label one side “First” and the other “Then”. Use photos, drawings or symbols your child knows, or download our printable first then visual.
  2. Start with an easy win. Pair a quick, familiar “first” (shoes on) with a “then” your child loves (trampoline).
  3. Show and say it. Point to each picture and use the same short phrase every time: “First shoes, then trampoline.”
  4. Follow through every time. As soon as the “first” is done, move straight to the “then” so your child learns the plan is reliable.
  5. Use it for transitions. Once it’s familiar, use it to show what’s next, such as “first park, then car”, so changes feel more predictable. Our guide to helping an autistic child cope with change has more ideas.
  6. Grow it into a schedule. When two steps feel easy, add a third picture or move to a full visual schedule.

If your child pushes the board away or gets upset, check the “first” step. It may be too long, too hard or too overwhelming right now. Make it smaller, offer help, or try again when your child is calm. Many autistic adults recall how much predictability mattered to them as children; our Autistic Adults Experiences masterclass shares those perspectives.

Tips and variations

  • Laminate the board and use Velcro so you can swap pictures quickly.
  • Keep a set of common pictures (bath, dinner, car, park, iPad) ready to go.
  • Make a small version for your bag or the car.
  • Pair it with a visual timer when the “first” takes a while.
  • Let your child choose the “then” from two options, using a simple choice board, to give them a say in the plan.

First-then FAQs

What age are first-then visuals for?

They can be used from toddlerhood upward. Older kids may prefer written words or a checklist instead of pictures.

Is “then” always a reward?

No. “Then” can simply be the next part of the day, like “first lunch, then school pickup”. Using it for ordinary transitions helps your child see what’s coming.

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