Autism Psychiatrists in Golden, CO

Photo of Deirdre Brett Fraller, DNP, ANP, PMHNP, Psychiatric Nurse Practitioner
Deirdre Brett Fraller
Psychiatric Nurse Practitioner, DNP, ANP, PMHNP
Verified Verified
Golden, CO 80401
I have a warm, informal, non-judgmental approach that will help you relax and feel comfortable. I perform a thorough diagnostic evaluation and develop a holistic treatment plan combining cutting-edge pharmaceuticals, psychotherapy, TranscraniaI Magnetic Stimulation (TMS), and Ketamine Assisted Therapy with evidence based integrative treatments such as vitamins, supplements, yoga, and meditation. I’m the founder of Owl & Eagle Health and Wellness, and I treat patients ages 13 and up for depression, bipolar, OCD, PTSD, ADHD, anxiety, autism, psychotic disorders, issues with gender and sexuality, and addiction.
I have a warm, informal, non-judgmental approach that will help you relax and feel comfortable. I perform a thorough diagnostic evaluation and develop a holistic treatment plan combining cutting-edge pharmaceuticals, psychotherapy, TranscraniaI Magnetic Stimulation (TMS), and Ketamine Assisted Therapy with evidence based integrative treatments such as vitamins, supplements, yoga, and meditation. I’m the founder of Owl & Eagle Health and Wellness, and I treat patients ages 13 and up for depression, bipolar, OCD, PTSD, ADHD, anxiety, autism, psychotic disorders, issues with gender and sexuality, and addiction.
(720) 500-6970 View (720) 500-6970
Photo of Jordan Gardner, MD, Psychiatrist
Jordan Gardner
Psychiatrist, MD
Verified Verified
2 Endorsed
Golden, CO 80401
I am board certified in adult, child, & adolescent psychiatry. My goals are to alleviate suffering and focus on improving my patients' relationships, school or work-life balance, and ultimate acceptance of the self. My preference is to pursue wellness first through therapy, nutrition, exercise, and optimizing sleep. Medications may also be needed, and with my medical background I can prescribe them using safety and the newest evidenced based practices. I feel the therapeutic alliance, or the partnership between a psychiatrist and patient, is essential for an individual to receive the greatest possible benefits from the therapy.
I am board certified in adult, child, & adolescent psychiatry. My goals are to alleviate suffering and focus on improving my patients' relationships, school or work-life balance, and ultimate acceptance of the self. My preference is to pursue wellness first through therapy, nutrition, exercise, and optimizing sleep. Medications may also be needed, and with my medical background I can prescribe them using safety and the newest evidenced based practices. I feel the therapeutic alliance, or the partnership between a psychiatrist and patient, is essential for an individual to receive the greatest possible benefits from the therapy.
(720) 500-6993 View (720) 500-6993
Photo of Meghan Dow, DNP, PMHNP, CARN, Psychiatric Nurse Practitioner
Meghan Dow
Psychiatric Nurse Practitioner, DNP, PMHNP, CARN
Verified Verified
2 Endorsed
Golden, CO 80401
If you are struggling with unmanageable moods or emotions, maybe you have tried treatment in the past but it has not worked for you. Please come see me and we can build off your history, making sure not to repeat things that have failed you in the past but rather build from this knowledge and improve your symptoms and quality of life through different treatment modalities. If this is further complicated from substance use or maybe originated with substance use we are here to support you, and your recovery.
If you are struggling with unmanageable moods or emotions, maybe you have tried treatment in the past but it has not worked for you. Please come see me and we can build off your history, making sure not to repeat things that have failed you in the past but rather build from this knowledge and improve your symptoms and quality of life through different treatment modalities. If this is further complicated from substance use or maybe originated with substance use we are here to support you, and your recovery.
(720) 637-3822 View (720) 637-3822
Photo of Owl And Eagle Health And Wellness, MSN, DNP, ANP, PMHNP, Psychiatric Nurse Practitioner
Owl And Eagle Health And Wellness
Psychiatric Nurse Practitioner, MSN, DNP, ANP, PMHNP
Verified Verified
Golden, CO 80401
The Owl is a symbol of intuition, insight, wisdom, and life transitions, and the Eagle represents resilience, courage, hope, and healing. We can help you find and develop these strengths within yourself. Our psychiatric NPs are warm and welcoming, and help you feel at ease as you start your journey toward mental wellness. We will perform a thorough diagnostic evaluation, testing as needed, and will partner with you to create a holistic treatment plan that can include medication, therapy, Transcranial Magnetic Stimulation (TMS), Ketamine Treatment, nutritional interventions, stress management techniques, and more.
The Owl is a symbol of intuition, insight, wisdom, and life transitions, and the Eagle represents resilience, courage, hope, and healing. We can help you find and develop these strengths within yourself. Our psychiatric NPs are warm and welcoming, and help you feel at ease as you start your journey toward mental wellness. We will perform a thorough diagnostic evaluation, testing as needed, and will partner with you to create a holistic treatment plan that can include medication, therapy, Transcranial Magnetic Stimulation (TMS), Ketamine Treatment, nutritional interventions, stress management techniques, and more.
(720) 802-3156 View (720) 802-3156
Photo of Hallie Williams, PA-C, Physician Assistant
Hallie Williams
Physician Assistant, PA-C
Verified Verified
Golden, CO 80401
Each of us has a different background and unfolding story that makes us unique. As your provider, my goal is to listen and understand before we both move forward with any decisions about your own well-being. I have a deep appreciation for the mental health benefits provided by a comprehensive plan. This may include but is not limited to a well-rounded diet, daily movement, intentional therapy, and medication if needed.
Each of us has a different background and unfolding story that makes us unique. As your provider, my goal is to listen and understand before we both move forward with any decisions about your own well-being. I have a deep appreciation for the mental health benefits provided by a comprehensive plan. This may include but is not limited to a well-rounded diet, daily movement, intentional therapy, and medication if needed.
(720) 715-8941 View (720) 715-8941
Photo of Tracy Tyler - Mindfulness Psychiatry, PLLC, Tracy Tyler, PMHNP, Psychiatric Nurse Practitioner
Mindfulness Psychiatry, PLLC, Tracy Tyler
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Golden, CO 80403
Accepting New Patients for medication management of adult Colorado residents! Immediate Availability! I am a board certified Psychiatric Mental Health Nurse Practitioner, specializing in medication management of depression, ADHD, anxiety, and a variety of other mental health conditions. Please click on the “website” button to schedule an appointment. I look forward to meeting with you and helping you on your journey to optimal well-being!
Accepting New Patients for medication management of adult Colorado residents! Immediate Availability! I am a board certified Psychiatric Mental Health Nurse Practitioner, specializing in medication management of depression, ADHD, anxiety, and a variety of other mental health conditions. Please click on the “website” button to schedule an appointment. I look forward to meeting with you and helping you on your journey to optimal well-being!
(303) 590-3756 View (303) 590-3756
Photo of Monique Carrera, MSN, Psychiatric Nurse Practitioner
Monique Carrera
Psychiatric Nurse Practitioner, MSN
Verified Verified
2 Endorsed
Golden, CO 80401
My patients are actively seeking to improve their mental well-being and are open to a collaborative approach to treatment. They value the importance of mental health and understand the benefits of therapy, lifestyle changes, and medication when necessary. They are committed to engaging in the therapeutic process, willing to communicate openly with their providers, and are proactive in their care journey. Whether facing anxiety, depression, or other mental health challenges, my patients are ready to take the next step toward a better day.
My patients are actively seeking to improve their mental well-being and are open to a collaborative approach to treatment. They value the importance of mental health and understand the benefits of therapy, lifestyle changes, and medication when necessary. They are committed to engaging in the therapeutic process, willing to communicate openly with their providers, and are proactive in their care journey. Whether facing anxiety, depression, or other mental health challenges, my patients are ready to take the next step toward a better day.
(970) 329-9015 View (970) 329-9015
Photo of Regina Yvonne Leverrier, MD, Psychiatrist
Regina Yvonne Leverrier
Psychiatrist, MD
Verified Verified
Golden, CO 80401
Not living your best life due to struggling with anxiety, depression, substance abuse or other mental health issues? I can help. I am a Board Certified Psychiatrist with 30 years of clinical experience in all areas of psychiatry and addiction. I can help you if you have a mood disorder (such as Major Depression or Bipolar Disorder), an anxiety disorder (such as PTSD, OCD, Generalized Anxiety Disorder, Panic Disorder or Agoraphobia), ADHD, Schizophrenia, Schizoaffective Disorder, TBI or a developmental disability. I can also provide medication to help with addiction to drugs or alcohol. I see patients age 13 and up.
Not living your best life due to struggling with anxiety, depression, substance abuse or other mental health issues? I can help. I am a Board Certified Psychiatrist with 30 years of clinical experience in all areas of psychiatry and addiction. I can help you if you have a mood disorder (such as Major Depression or Bipolar Disorder), an anxiety disorder (such as PTSD, OCD, Generalized Anxiety Disorder, Panic Disorder or Agoraphobia), ADHD, Schizophrenia, Schizoaffective Disorder, TBI or a developmental disability. I can also provide medication to help with addiction to drugs or alcohol. I see patients age 13 and up.
(917) 791-7170 View (917) 791-7170

More Psychiatrists Nearby

Photo of Kari Stemm-Wolf, MSN, PMHNP, BC, Psychiatric Nurse Practitioner
Kari Stemm-Wolf
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
1 Endorsed
Denver, CO 80212  (Online Only)
​I am a board certified Psychiatric Nurse Practitioner who specializes in treating mental health challenges and symptom management for children, teens and adults on the Autism Spectrum, and those with ADHD, Anxiety and OCD. Ages 3 and up. ​ I also have a background in the natural foods industry and can provide guidance with alternatives to pharmaceuticals as well. Being Non-Neurotypical myself with an ADHD diagnosis, I know about wrangling with mental health stigma. I want my clients to look forward to coming to see me and to feel better about who they are when they go
​I am a board certified Psychiatric Nurse Practitioner who specializes in treating mental health challenges and symptom management for children, teens and adults on the Autism Spectrum, and those with ADHD, Anxiety and OCD. Ages 3 and up. ​ I also have a background in the natural foods industry and can provide guidance with alternatives to pharmaceuticals as well. Being Non-Neurotypical myself with an ADHD diagnosis, I know about wrangling with mental health stigma. I want my clients to look forward to coming to see me and to feel better about who they are when they go
(720) 727-6465 View (720) 727-6465
Photo of Christopher Archer, PMHNP, GNP-BC, Psychiatric Nurse Practitioner
Christopher Archer
Psychiatric Nurse Practitioner, PMHNP, GNP-BC
Verified Verified
Lakewood, CO 80226
Accepting New Patients! Christopher Archer, Maj (ret), USAF, PMHNP/GNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Gerontological Nurse Practitioner (GNP) with nearly 16 years of experience. In 2000, he joined the United States Air Force, where he worked as a clinical nurse in Pediatrics, Family Practice, Flight/Aerospace Medicine, and also had the opportunity to be a team leader on Vice President Dick Cheney's medical support team. Chris is an expert in diagnosing and treating ADHD, Anxiety, Bipolar Disorder, Addiction, Stress, Trauma and PTSD - as well as many other conditions.
Accepting New Patients! Christopher Archer, Maj (ret), USAF, PMHNP/GNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Gerontological Nurse Practitioner (GNP) with nearly 16 years of experience. In 2000, he joined the United States Air Force, where he worked as a clinical nurse in Pediatrics, Family Practice, Flight/Aerospace Medicine, and also had the opportunity to be a team leader on Vice President Dick Cheney's medical support team. Chris is an expert in diagnosing and treating ADHD, Anxiety, Bipolar Disorder, Addiction, Stress, Trauma and PTSD - as well as many other conditions.
(720) 513-1177 View (720) 513-1177
Photo of Sean Elrod - Capstone Mental Health, PMHNP, Psychiatric Nurse Practitioner
Capstone Mental Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Arvada, CO 80005  (Online Only)
ADHD Certified! As nurse practitioners our primary goal is to help individuals overcome their mental health challenges and live a happy and fulfilling life. We understand that seeking help for mental health issues can be a difficult decision, and we want to assure you that you have made a brave and important step by considering professional support. Our approach is centered on a collaborative and personalized treatment plan that considers each patient's unique circumstances, needs, & goals. We believe that effective treatment requires an open and honest dialogue between the patient and the np, where the patient feels heard.
ADHD Certified! As nurse practitioners our primary goal is to help individuals overcome their mental health challenges and live a happy and fulfilling life. We understand that seeking help for mental health issues can be a difficult decision, and we want to assure you that you have made a brave and important step by considering professional support. Our approach is centered on a collaborative and personalized treatment plan that considers each patient's unique circumstances, needs, & goals. We believe that effective treatment requires an open and honest dialogue between the patient and the np, where the patient feels heard.
(720) 730-4242 View (720) 730-4242
Photo of Mary Beth Hutchinson, PMHNP, FNP, Psychiatric Nurse Practitioner
Mary Beth Hutchinson
Psychiatric Nurse Practitioner, PMHNP, FNP
Verified Verified
Lakewood, CO 80401
Are you depressed or anxious? I can help with your medication management. My name is Mary "Beth" Hutchinson. I am a board certified psychiatric mental health nurse practitioner, treating patients ages 4 and up. I am also certified as a family nurse practitioner, which provides a broad base to individualize age appropriate treatment. We can meet and have our sessions through video on our telemedicine platform, so you can be at the comfort of your home while we meet. We will evaluate your specific concerns, work with you to develop a practical plan, and I'll support you through the process of improving your life.
Are you depressed or anxious? I can help with your medication management. My name is Mary "Beth" Hutchinson. I am a board certified psychiatric mental health nurse practitioner, treating patients ages 4 and up. I am also certified as a family nurse practitioner, which provides a broad base to individualize age appropriate treatment. We can meet and have our sessions through video on our telemedicine platform, so you can be at the comfort of your home while we meet. We will evaluate your specific concerns, work with you to develop a practical plan, and I'll support you through the process of improving your life.
(720) 712-1467 View (720) 712-1467
Photo of Derenda Beasley, CRNP, PMHNP, Psychiatric Nurse Practitioner
Derenda Beasley
Psychiatric Nurse Practitioner, CRNP, PMHNP
Verified Verified
Denver, CO 80212  (Online Only)
I specialize in providing a comprehensive secure psychiatric mental health evaluation and medication management for children, teens, and adults who are struggling with a variety of symptoms. These include anxiety, depression, ADHD, unstable moods, personality disorders, trauma, sleep disturbances, substance use, OCD and psychosis. Patients seek privacy and educated treatment within a non-judgmental space to ultimately lead to a more healthy, productive and positive experience with the management of mental health concerns.
I specialize in providing a comprehensive secure psychiatric mental health evaluation and medication management for children, teens, and adults who are struggling with a variety of symptoms. These include anxiety, depression, ADHD, unstable moods, personality disorders, trauma, sleep disturbances, substance use, OCD and psychosis. Patients seek privacy and educated treatment within a non-judgmental space to ultimately lead to a more healthy, productive and positive experience with the management of mental health concerns.
(720) 740-1124 View (720) 740-1124
Photo of Michael Chism - Mile High Psychiatry, PMHNP, Psychiatric Nurse Practitioner
Mile High Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
14 Endorsed
Lakewood, CO 80227
Ideal clients for Mile High Psychiatry are individuals who are seeking comprehensive psychiatric care and mental health services. They may be experiencing a wide range of mental health issues, including anxiety disorders, mood disorders, ADHD, or PTSD. Their needs may vary, but they generally seek expert evaluation, diagnosis, and treatment to address their symptoms and improve their quality of life.
Ideal clients for Mile High Psychiatry are individuals who are seeking comprehensive psychiatric care and mental health services. They may be experiencing a wide range of mental health issues, including anxiety disorders, mood disorders, ADHD, or PTSD. Their needs may vary, but they generally seek expert evaluation, diagnosis, and treatment to address their symptoms and improve their quality of life.
(833) 920-3302 View (833) 920-3302
Photo of Charolette Lippolis Condon, DO, MPH, FAPA, Psychiatrist
Charolette Lippolis Condon
Psychiatrist, DO, MPH, FAPA
Verified Verified
Lakewood, CO 80226
Accepting New Patients in Colorado - Are you struggling to get the help you need for yourself or your child? Have you seen professionals already, but things are not getting better? I am Board certified in child, adolescent & adult psychiatry and specialize in complex cases and second opinions. I work together with patients and families, to achieve goals as quickly and effectively, as possible. It begins with an accurate diagnosis and a plan that is clear, measurable and understandable. We will work together to track progress and make changes to treatment, as needed, in order to achieve your treatment goals.
Accepting New Patients in Colorado - Are you struggling to get the help you need for yourself or your child? Have you seen professionals already, but things are not getting better? I am Board certified in child, adolescent & adult psychiatry and specialize in complex cases and second opinions. I work together with patients and families, to achieve goals as quickly and effectively, as possible. It begins with an accurate diagnosis and a plan that is clear, measurable and understandable. We will work together to track progress and make changes to treatment, as needed, in order to achieve your treatment goals.
(720) 575-3772 View (720) 575-3772
Photo of Elizabeth Kirt, NP, Psychiatric Nurse Practitioner
Elizabeth Kirt
Psychiatric Nurse Practitioner, NP
Verified Verified
1 Endorsed
Denver, CO 80002  (Online Only)
I specialize in integrating functional, holistic, and conventional methods to support clients on their mental health journey. During our first appointment, we'll discuss your goals and create a personalized plan together.
I specialize in integrating functional, holistic, and conventional methods to support clients on their mental health journey. During our first appointment, we'll discuss your goals and create a personalized plan together.
(970) 650-5344 View (970) 650-5344
Photo of Kandace Andorka, PA-C, Psychiatrist
Kandace Andorka
Psychiatrist, PA-C
Verified Verified
Lakewood, CO 80226
I specialize in medication management, and have experience in all ages and diagnoses. I especially have a heart for littles and young adults, but no matter what age I am here to listen. I aim to collaborate closely with patients and their families to address a wide range of mental health challenges, creating a supportive environment where patients feel valued and understood.
I specialize in medication management, and have experience in all ages and diagnoses. I especially have a heart for littles and young adults, but no matter what age I am here to listen. I aim to collaborate closely with patients and their families to address a wide range of mental health challenges, creating a supportive environment where patients feel valued and understood.
(720) 712-2953 View (720) 712-2953
Photo of Dr. Richard Alldin Oddy, MD, ABPN, ABAM, Psychiatrist
Dr. Richard Alldin Oddy
Psychiatrist, MD, ABPN, ABAM
Verified Verified
Denver, CO 80002
Dr. Richard Oddy has 20+ years of expertise as a psychiatrist and psychotherapist, operating a thriving private practice in Denver, previously established in Fort Collins in 2005. His medical education was accomplished at the University of Cambridge in England, followed by a residency in psychiatry at Cornell Medical Center-New York Hospital in 2000. Dr. Oddy holds board certifications in General Psychiatry, Consultation-Liaison Psychiatry, and is a distinguished lifetime fellow of the American Society of Addiction Medicine. Dr. Oddy is also experienced in the use of buprenorphine for opioid dependence.
Dr. Richard Oddy has 20+ years of expertise as a psychiatrist and psychotherapist, operating a thriving private practice in Denver, previously established in Fort Collins in 2005. His medical education was accomplished at the University of Cambridge in England, followed by a residency in psychiatry at Cornell Medical Center-New York Hospital in 2000. Dr. Oddy holds board certifications in General Psychiatry, Consultation-Liaison Psychiatry, and is a distinguished lifetime fellow of the American Society of Addiction Medicine. Dr. Oddy is also experienced in the use of buprenorphine for opioid dependence.
(720) 802-0702 View (720) 802-0702
Photo of Chris Archer, PMHNP, GNP-BC, Psychiatric Nurse Practitioner
Chris Archer
Psychiatric Nurse Practitioner, PMHNP, GNP-BC
Verified Verified
Arvada, CO 80005
Accepting New Patients! Christopher Archer, Maj (ret), USAF, PMHNP/GNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Gerontological Nurse Practitioner (GNP) with nearly 16 years of experience. In 2000, he joined the United States Air Force, where he worked as a clinical nurse in Pediatrics, Family Practice, Flight/Aerospace Medicine, and also had the opportunity to be a team leader on Vice President Dick Cheney's medical support team. Chris is an expert in diagnosing and treating ADHD, Anxiety, Bipolar Disorder, Addiction, Stress, Trauma and PTSD - as well as many other conditions.
Accepting New Patients! Christopher Archer, Maj (ret), USAF, PMHNP/GNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Gerontological Nurse Practitioner (GNP) with nearly 16 years of experience. In 2000, he joined the United States Air Force, where he worked as a clinical nurse in Pediatrics, Family Practice, Flight/Aerospace Medicine, and also had the opportunity to be a team leader on Vice President Dick Cheney's medical support team. Chris is an expert in diagnosing and treating ADHD, Anxiety, Bipolar Disorder, Addiction, Stress, Trauma and PTSD - as well as many other conditions.
(720) 745-6631 View (720) 745-6631
Photo of Grace Ann Pittari, PMHNP, Psychiatric Nurse
Grace Ann Pittari
Psychiatric Nurse, PMHNP
Verified Verified
5 Endorsed
Arvada, CO 80007  (Online Only)
Hi there! I am a board-certified Psychiatric Nurse Practitioner with over 10 years of overall nursing experience with an emphasis on mental health. I see adult clients between the ages of 18-64 for a variety of psychiatric illnesses including depression, anxiety, schizophrenia, and bipolar disorder. In my free time, I prioritize my own mental health through exercise, spending quality time with loved ones, and getting out into nature.
Hi there! I am a board-certified Psychiatric Nurse Practitioner with over 10 years of overall nursing experience with an emphasis on mental health. I see adult clients between the ages of 18-64 for a variety of psychiatric illnesses including depression, anxiety, schizophrenia, and bipolar disorder. In my free time, I prioritize my own mental health through exercise, spending quality time with loved ones, and getting out into nature.
(720) 796-9529 View (720) 796-9529
Autism Psychiatrists

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.