The hours- families can (and do) cancel last minute and you aren't paid, so your paycheck largely depends on the whims of the families. It's by nature a really lonely and stressful job which can really weigh on your mental health. Most RBTs stay for less than a year. Families can also have insane expectations and a lack of understanding that therapy takes time. There are also huge issues of boundaries- a parent called me on a Sunday evening to vent about the BCBA for over an hour. There is also literally no possibility to receive a raise or bonus, even if you're working on your BCBA license.
