Autism Counselling in Ware

Photo of Amber Bartlett, MA, HCPC-Art Therap., Psychotherapist
Amber Bartlett
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Ware SG12
I am a fully qualified, HCPC registered Art Psychotherapist. I specialise in supporting children, teenagers and young adults from age 4-18. I am a trauma informed therapist, I work with various issues including Anxiety and Panic attacks, Low self-esteem, Bereavement, Trauma, Health Anxiety, Behaviour and Communication needs. I am experienced with neurodivergent YP such as those with an autism or ADHD diagnosis, and supporting non-verbal children. I can offer sessions to parents who wish to be part of a collaborative thinking process. I offer art therapy students at Hertfordshire University clinical supervision or personal therapy.
I am a fully qualified, HCPC registered Art Psychotherapist. I specialise in supporting children, teenagers and young adults from age 4-18. I am a trauma informed therapist, I work with various issues including Anxiety and Panic attacks, Low self-esteem, Bereavement, Trauma, Health Anxiety, Behaviour and Communication needs. I am experienced with neurodivergent YP such as those with an autism or ADHD diagnosis, and supporting non-verbal children. I can offer sessions to parents who wish to be part of a collaborative thinking process. I offer art therapy students at Hertfordshire University clinical supervision or personal therapy.
01279 976897 View 01279 976897
Photo of Kathy Ann Bassett, MBACP, Counsellor
Kathy Ann Bassett
Counsellor, MBACP
Verified Verified
Ware SG12
Events within our lives can leave you feeling anxious depressed and lacking in confidence. Seeking help during these difficult times can often seem overwhelming and the world can seem a scary place. I am a qualified Counsellor experienced in working with clients with addictions, or who are trying to cope with the loss of a loved one. Circumstances have left some of my clients with low self esteem and generally feeling low.
Events within our lives can leave you feeling anxious depressed and lacking in confidence. Seeking help during these difficult times can often seem overwhelming and the world can seem a scary place. I am a qualified Counsellor experienced in working with clients with addictions, or who are trying to cope with the loss of a loved one. Circumstances have left some of my clients with low self esteem and generally feeling low.
01920 455423 View 01920 455423
Photo of Jane Lee, MBACP, Counsellor
Jane Lee
Counsellor, MBACP
Verified Verified
Ware SG12
Working with adults, children and young people, it's my intention to provide a warm, welcoming and safe environment for clients, helping you to gain understanding and clarity round your situation and difficulties, and to find a positive way forward.
Working with adults, children and young people, it's my intention to provide a warm, welcoming and safe environment for clients, helping you to gain understanding and clarity round your situation and difficulties, and to find a positive way forward.
01920 452589 View 01920 452589
Photo of Jacquie Chandler, MSc, MBABCP, Psychotherapist
Jacquie Chandler
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Ware SG12
Entering therapy can be anxiety provoking in itself thus I believe a positive therapeutic relationship is essential in ensuring clients feel comfortable to talk about whats happening for them. I have a calm, non-judgemental approach, working at the clients pace.
Entering therapy can be anxiety provoking in itself thus I believe a positive therapeutic relationship is essential in ensuring clients feel comfortable to talk about whats happening for them. I have a calm, non-judgemental approach, working at the clients pace.
01992 351481 View 01992 351481
Photo of Eleni Colocassis, MBACP, Counsellor
Eleni Colocassis
Counsellor, MBACP
Verified Verified
3 Endorsed
Ware SG11
I work with adults and young people, who are experiencing challenges that affect their day-to-day life. These include relationship and family issues, divorce, abuse, panic disorders and child related issues - to mention just a few. Sometimes these challenges can lead to feeling isolated or confused, depression, anxiety or stress. Maybe you have struggled with fitting into society or you have been struggling with low self esteem. Either way, I can offer you a safe space to gently explore your experiences.
I work with adults and young people, who are experiencing challenges that affect their day-to-day life. These include relationship and family issues, divorce, abuse, panic disorders and child related issues - to mention just a few. Sometimes these challenges can lead to feeling isolated or confused, depression, anxiety or stress. Maybe you have struggled with fitting into society or you have been struggling with low self esteem. Either way, I can offer you a safe space to gently explore your experiences.
01707 241842 View 01707 241842

More Therapists Nearby

Photo of Nicola Borthwick, MBACP, Counsellor
Nicola Borthwick
Counsellor, MBACP
Verified Verified
Welwyn AL6
I have worked with a broad client group who have experienced anxiety, depression, bereavement, abuse, trauma, relationship/family difficulties, suicidal feelings, anger issues, OCD and domestic violence, as well as many other issues, including personality disorders & Autism/ASC.
Hello, my name is Nicola and I am an Integrative counsellor. This means that I can integrate a range of counselling approaches tailored to your needs, to help you find a way through difficulties so that you find your own solutions. This includes the following types of counselling: Person Centred, Cognitive Behavioural therapy (CBT), Transactional Analysis (TA)/Communication. I am an accredited member of NCS and a member of BACP, in addition I am also a qualified Adult Community Co-ordinator in Further Education. I have worked in this sector for almost 30 years and offer training in Mental Health including Mindfulness.
I have worked with a broad client group who have experienced anxiety, depression, bereavement, abuse, trauma, relationship/family difficulties, suicidal feelings, anger issues, OCD and domestic violence, as well as many other issues, including personality disorders & Autism/ASC.
Hello, my name is Nicola and I am an Integrative counsellor. This means that I can integrate a range of counselling approaches tailored to your needs, to help you find a way through difficulties so that you find your own solutions. This includes the following types of counselling: Person Centred, Cognitive Behavioural therapy (CBT), Transactional Analysis (TA)/Communication. I am an accredited member of NCS and a member of BACP, in addition I am also a qualified Adult Community Co-ordinator in Further Education. I have worked in this sector for almost 30 years and offer training in Mental Health including Mindfulness.
07480 537495 View 07480 537495
Photo of Dr Sophie Oakes-Rogers, PhD, CPsychol, Psychologist
Dr Sophie Oakes-Rogers
Psychologist, PhD, CPsychol
Verified Verified
Hertford SG14
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
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Photo of Kroy Gabreil Ryder, MNCPS Acc., Counsellor
Kroy Gabreil Ryder
Counsellor, MNCPS Acc.
Verified Verified
2 Endorsed
London CM22
Everybody faces mental well-being challenges in their lifes, this is higher in neurodiverse individuals. I support the challenges faced by people with learning difficulties, this includes but is not limited to Autism, ADHD,Dyslexia,Dyscalculia and Rejection Sensitive Disorder (RSD). You may have a diagnosis or you may just want to explore the possibility of being neurodivergent. I also offer support to parents, partners or family of neurodiverse individuals as it can be hard knowing how to cope with the new needs. Speaking to a counsellor can be a transformative experience for people and can have a positive effect on the individual.
Everybody faces mental well-being challenges in their lifes, this is higher in neurodiverse individuals. I support the challenges faced by people with learning difficulties, this includes but is not limited to Autism, ADHD,Dyslexia,Dyscalculia and Rejection Sensitive Disorder (RSD). You may have a diagnosis or you may just want to explore the possibility of being neurodivergent. I also offer support to parents, partners or family of neurodiverse individuals as it can be hard knowing how to cope with the new needs. Speaking to a counsellor can be a transformative experience for people and can have a positive effect on the individual.
01292 430615 View 01292 430615
Photo of Victoria Richards, MBACP, Counsellor
Victoria Richards
Counsellor, MBACP
Verified Verified
London CM22  (Online Only)
I have extensive experience working with carers and adults with autism, on a range of topics.
Do you ever feel that life has become too overwhelming or that everyday tasks are a struggle? Is something from your past unresolved and affecting your life today? I believe we are all experts in our own lives and my role is to facilitate the exploration of those feelings with you together. I will support you in working towards any realistic goals that you would like to achieve. I understand that you may not know what support you need, what changes you want to happen or why you are feeling the way you do, but I am experienced to help you answer some of these questions so your life can begin to feel the way you would like it to.
I have extensive experience working with carers and adults with autism, on a range of topics.
Do you ever feel that life has become too overwhelming or that everyday tasks are a struggle? Is something from your past unresolved and affecting your life today? I believe we are all experts in our own lives and my role is to facilitate the exploration of those feelings with you together. I will support you in working towards any realistic goals that you would like to achieve. I understand that you may not know what support you need, what changes you want to happen or why you are feeling the way you do, but I am experienced to help you answer some of these questions so your life can begin to feel the way you would like it to.
020 3893 2883 View 020 3893 2883
Photo of Anna Faff, MSc, GMBPsS, Psychotherapist
Anna Faff
Psychotherapist, MSc, GMBPsS
Verified Verified
London CM22
I specialised in Autism in Adults, attachment disorder and trauma.
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed so I can relate to NT and ND. I understand how life-changing could be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability. Along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem and difficulties in life in general. I offer a non-judgemental, welcoming space where you can find your own solutions and paths that would lead you to growth and building resilience.
I specialised in Autism in Adults, attachment disorder and trauma.
I am a psychotherapist on the spectrum with ADHD. I have been late diagnosed so I can relate to NT and ND. I understand how life-changing could be for anyone to be diagnosed with Autism. I am helping people who are experiencing detachment, unexplained pain, and lack of stability. Along with high levels of emotional distress, mood difficulties, shame, guilt, difficulties with self-esteem and difficulties in life in general. I offer a non-judgemental, welcoming space where you can find your own solutions and paths that would lead you to growth and building resilience.
0161 524 0507 View 0161 524 0507
Photo of Nina Jellinek, DCounsPsych, MNCPS Acc., Counsellor
Nina Jellinek
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
Farnham CM23
Accredited Counsellor for adults, young people, and couples. Counselling Supervisor. LGBTQ+ and neurodiverse friendly (with lived and professional experience of both, including experience of autism, PDA profile, ADHD, OCD). I am experienced in working with clients with a wide range of concerns such as anxiety, depression, support for neurodiversity, support re sexuality or identity, trauma, bereavement, childhood issues, domestic violence. I am a Systemic Counsellor, which means I believe in understanding your inner beliefs but also your wider context. I offer a safe space to explore feelings and to look at coping strategies.
Accredited Counsellor for adults, young people, and couples. Counselling Supervisor. LGBTQ+ and neurodiverse friendly (with lived and professional experience of both, including experience of autism, PDA profile, ADHD, OCD). I am experienced in working with clients with a wide range of concerns such as anxiety, depression, support for neurodiversity, support re sexuality or identity, trauma, bereavement, childhood issues, domestic violence. I am a Systemic Counsellor, which means I believe in understanding your inner beliefs but also your wider context. I offer a safe space to explore feelings and to look at coping strategies.
01252 986156 View 01252 986156
Photo of Dr Sonia Borghino, MSc, CPsychol, Psychologist
Dr Sonia Borghino
Psychologist, MSc, CPsychol
Verified Verified
Stevenage SG1
I use Neurofeedback (EGG Biofeedback) to promote well-being and a person's ability to cope and for a variety of symptoms including insomnia, addiction, ADHD, PTSD, Autism and more.
I am a licensed Psychologist registered with the BPS and HCPC. I worked in a clinical setting for over 22 years with a variety of client groups including community, outpatients and inpatients hospital. I have worked extensively with clients with mental disorders and neuro-developmental conditions even when these are strongly affected by childhood trauma. I offer talking therapy and also a unique approach to health and wellness including EMDR, neurofeedback an body biofeedback technology to help the body and the brain to better self-regulate and heal naturally without medication or with less reliance on medication.
I use Neurofeedback (EGG Biofeedback) to promote well-being and a person's ability to cope and for a variety of symptoms including insomnia, addiction, ADHD, PTSD, Autism and more.
I am a licensed Psychologist registered with the BPS and HCPC. I worked in a clinical setting for over 22 years with a variety of client groups including community, outpatients and inpatients hospital. I have worked extensively with clients with mental disorders and neuro-developmental conditions even when these are strongly affected by childhood trauma. I offer talking therapy and also a unique approach to health and wellness including EMDR, neurofeedback an body biofeedback technology to help the body and the brain to better self-regulate and heal naturally without medication or with less reliance on medication.
020 3893 2192 View 020 3893 2192
Photo of Karen Bolton, DCounsPsych, MBACP, Counsellor
Karen Bolton
Counsellor, DCounsPsych, MBACP
Verified Verified
Waltham Cross EN7
I value the uniqueness of each individual experience and will tailor my approach to meet you where you are in your life – working with you so that you no longer feel stuck, unhappy or alone, reducing your anxiety, stress or depression and finding ways to make positive changes that improve your self-acceptance, self-esteem and personal confidence. We can work together so that you are able to address difficult past experiences and gain positive ways to manage your future thoughts, feelings and behaviour. I work with people who are neurodivergent, adapting my practice to ensure specific needs of autism and ADHD are met.
I value the uniqueness of each individual experience and will tailor my approach to meet you where you are in your life – working with you so that you no longer feel stuck, unhappy or alone, reducing your anxiety, stress or depression and finding ways to make positive changes that improve your self-acceptance, self-esteem and personal confidence. We can work together so that you are able to address difficult past experiences and gain positive ways to manage your future thoughts, feelings and behaviour. I work with people who are neurodivergent, adapting my practice to ensure specific needs of autism and ADHD are met.
07480 821478 View 07480 821478
Photo of Debbie Hague, DCounsPsych, MBACP, Counsellor
Debbie Hague
Counsellor, DCounsPsych, MBACP
Verified Verified
Knebworth SG3
I have been an Integrative Counsellor/Therapist for over 20 years and I have a background in Mental health management, Autism and Addiction issues.
Hi, I’m Debbie and I have expertise and proven experience of helping clients, from all walks of life and diversity, move forward with their lives. Perhaps your issues come from a difficult past or childhood abuse or trauma? I help with self esteem and identity, stress and sleep issues. Or maybe you are struggling with your relationship or the aftermath of COVID 19? I provide a calm and safe environment in which to explore what is important to you and at your own pace.
I have been an Integrative Counsellor/Therapist for over 20 years and I have a background in Mental health management, Autism and Addiction issues.
Hi, I’m Debbie and I have expertise and proven experience of helping clients, from all walks of life and diversity, move forward with their lives. Perhaps your issues come from a difficult past or childhood abuse or trauma? I help with self esteem and identity, stress and sleep issues. Or maybe you are struggling with your relationship or the aftermath of COVID 19? I provide a calm and safe environment in which to explore what is important to you and at your own pace.
01438 584449 View 01438 584449
Photo of Rebecca Hunt - Private Child Autism Assessment, PsychD, HCPC - Clin. Psych., Psychologist
Private Child Autism Assessment
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hertford SG14
We conduct specialist assessments for Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) for school aged children. We are a multidisciplinary team of clinicians based in Hertfordshire. Our assessments are all conducted in line with the NICE Guidelines.
We conduct specialist assessments for Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) for school aged children. We are a multidisciplinary team of clinicians based in Hertfordshire. Our assessments are all conducted in line with the NICE Guidelines.
01920 455449 View 01920 455449
Photo of Louisa Levy, MBACP, Counsellor
Louisa Levy
Counsellor, MBACP
Verified Verified
Harlow CM18
Louisa appreciates it may feel a little daunting to be here. As a qualified and experienced counsellor she is able to support with a range of issues including bereavement, depression anxiety, relationship difficulties and Autism. While exploring with you difficulties or changes life may present. Her approach is to come alongside you in a non-judgmental and empathic manner to work through these challenges together. In working in a flexible and integrative way we move towards your goals. Sessions are of a 50 minute duration.
Louisa appreciates it may feel a little daunting to be here. As a qualified and experienced counsellor she is able to support with a range of issues including bereavement, depression anxiety, relationship difficulties and Autism. While exploring with you difficulties or changes life may present. Her approach is to come alongside you in a non-judgmental and empathic manner to work through these challenges together. In working in a flexible and integrative way we move towards your goals. Sessions are of a 50 minute duration.
07481 341867 View 07481 341867
Photo of Helen Joy Neale, MBACP, Counsellor
Helen Joy Neale
Counsellor, MBACP
Verified Verified
Stansted Mountfitchet CM24
I work with children, and adults covering various issues including anxiety, addiction, depression, bereavement, relationship difficulties, ADHD, autism and other neurodivergent conditions.
It might feel like it is hard to talk to someone you have never met about your feelings, and life's difficulties. Perhaps you are feeling lost, and unable to move on? Or you are anxious, hurt, angry or depressed? It can bring both relief and acceptance to talk about past experiences, or future worries; to help make sense of them and to accept and grow. Therapy can help you find a way forward, at a time when you cannot see how to break through and feel more control of your emotions and experiences.
I work with children, and adults covering various issues including anxiety, addiction, depression, bereavement, relationship difficulties, ADHD, autism and other neurodivergent conditions.
It might feel like it is hard to talk to someone you have never met about your feelings, and life's difficulties. Perhaps you are feeling lost, and unable to move on? Or you are anxious, hurt, angry or depressed? It can bring both relief and acceptance to talk about past experiences, or future worries; to help make sense of them and to accept and grow. Therapy can help you find a way forward, at a time when you cannot see how to break through and feel more control of your emotions and experiences.
01799 611291 View 01799 611291
Photo of Cami Jessica Daligand - Neurodiversity Coaching by Cami, Counsellor
Neurodiversity Coaching by Cami
Counsellor
Verified Verified
London CM22  (Online Only)
My client profile is mainly ADHD, autism, anxiety and trauma with the last few years trying to focus mainly on neurodiversity coaching because there is such a need for this type of support.
My aim is to create a safe and non-judgmental space that focuses on an individual's strengths to help them grow and promote their own wellbeing. I am a neurodiversity coach and counsellor. I have over 13 years of experience in the mental health and neurodiversity field. I run my own practice and provide counselling and neurodiversity coaching. Autism and ADHD have been the areas of expertise in which my passion and dedication has grown. I have worked with both neurodiverse children and adults, with my focus being more with adults in the last 4 years.
My client profile is mainly ADHD, autism, anxiety and trauma with the last few years trying to focus mainly on neurodiversity coaching because there is such a need for this type of support.
My aim is to create a safe and non-judgmental space that focuses on an individual's strengths to help them grow and promote their own wellbeing. I am a neurodiversity coach and counsellor. I have over 13 years of experience in the mental health and neurodiversity field. I run my own practice and provide counselling and neurodiversity coaching. Autism and ADHD have been the areas of expertise in which my passion and dedication has grown. I have worked with both neurodiverse children and adults, with my focus being more with adults in the last 4 years.
01483 968822 View 01483 968822
Photo of Susan ( Suki ) Heath, MUKCP, Psychotherapist
Susan ( Suki ) Heath
Psychotherapist, MUKCP
Verified Verified
Bishop's Stortford CM23
Much of my work is with people suffering from very early trauma, creative artists such as writers, actors and musicians, and undiagnosed processing issues - dyslexia, autism and ADD or ADHD for instance.
Jungian psychotherapy, sometimes known as depth psychology, is a form of deep reflection. It isn't problem centred but it does help to resolve deep rooted problems. The things that affect our waking life may be hidden from consciousness and experienced as a bewildering array of symptoms that appear to have no obvious cause. To complicate matters, these symptoms may be emotional, psychological or physical. Jung viewed symptoms not as problems to be fixed, but as signposts pointing to the need for change. I work on the basis that our minds and bodies have a natural drive towards healing.
Much of my work is with people suffering from very early trauma, creative artists such as writers, actors and musicians, and undiagnosed processing issues - dyslexia, autism and ADD or ADHD for instance.
Jungian psychotherapy, sometimes known as depth psychology, is a form of deep reflection. It isn't problem centred but it does help to resolve deep rooted problems. The things that affect our waking life may be hidden from consciousness and experienced as a bewildering array of symptoms that appear to have no obvious cause. To complicate matters, these symptoms may be emotional, psychological or physical. Jung viewed symptoms not as problems to be fixed, but as signposts pointing to the need for change. I work on the basis that our minds and bodies have a natural drive towards healing.
01279 594649 View 01279 594649
Photo of Chemene Victoria Game - Self - Person Centred Counselling , MNCPS Acc., Counsellor
Self - Person Centred Counselling
Counsellor, MNCPS Acc.
Verified Verified
Stevenage SG1
Whether you're and adult or young person experiencing a difficult time in your life. Struggling with anxiety, depression, low self-esteem. Coping with difficult emotions through self-harming. A couple or a family experiencing relational difficulties and estrangement. Transitioning through peri-menopause and menopause and feel out of control or invisible? Suffering Trauma from previous or recent sexual assault. Suffered a bereavement or complex grief and struggling to grieve and want to be able to manage that loss. Are you neurodivergent and want to be able to thrive in your relationship and understand your pre/post/self diagnosis.
Whether you're and adult or young person experiencing a difficult time in your life. Struggling with anxiety, depression, low self-esteem. Coping with difficult emotions through self-harming. A couple or a family experiencing relational difficulties and estrangement. Transitioning through peri-menopause and menopause and feel out of control or invisible? Suffering Trauma from previous or recent sexual assault. Suffered a bereavement or complex grief and struggling to grieve and want to be able to manage that loss. Are you neurodivergent and want to be able to thrive in your relationship and understand your pre/post/self diagnosis.
01462 419195 View 01462 419195

See more therapy options for Ware

Autism Counsellors

What is the most effective treatment for autism?

Applied Behavior Analysis (ABA) has come to be considered the standard treatment for children with autism spectrum disorder, and research has confirmed its effectiveness for many children. Therapists trained in ABA techniques work with children (and their parents) on developing social skills, communication and learning abilities, and everyday habits of hygiene and grooming. The clinician will tailor their program to the child’s particular need but the overarching goal will be to help them advance as far as possible toward independence based on their level of symptoms and decrease the need for additional special services. Families should seek a mental health professional specifically trained in ABA, and holding special certification in the technique, who has extensive experience not only with the approach but in using it with children with the same level of symptoms as the child who needs care.

How does ABA work?

Applied Behavior Analysis (ABA) sessions, which typically focus on positive reinforcement, can be intensive, lasting two or more hours several times a week, and continuing for two years or more. Therapists can also be expected to ask parents to take an active role in reinforcing lessons. Research has found that the technique can lead to major improvements that decrease the need for additional special services.

How does treatment for autism work?

Therapy sessions based on Applied Behavior Analysis will likely be frequent, intensive, and highly structured. After a thorough assessment, a therapist will help a child understand and develop skills in a range of areas, including communication, motor skills, social skills, self-care, play, and academic skills, as well as routines of daily living like hygiene. Typically, the therapist will help a child break down the components of a behavior—often referred to as the antecedent (what prompts an action), the behavior, and the consequence(what immediately follows)—and then reward the child at every step, while also asking parents to reinforce the lessons, and the rewards, throughout the day. This core therapy may be supplemented by occupational or speech therapy, and antidepressants, antipsychotics, and anticonvulsants may be prescribed to address specific severe symptoms.

How long does therapy for autism take?

Some people with autism spectrum disorder may be engaged in some level of therapy for many years, but research shows that treatment will be most effective if it is begun early and delivered intensively. When therapy begins by age 3, children tend to be better able to grasp and adopt the skills needed to manage everyday life, including attending school and establishing social relationships. This type of early-intervention treatment regimen is highly structured, typically involving 20 to 40 hours of one-on-one therapy per week, along with additional hours of engagement managed by parents, for a period of two years or more, although the duration of treatment is dependent on the child’s level of symptoms and pace of progress.