Autism Psychiatrists in Woodbridge, NJ

Photo of Adedoyin T Kolawole - You Bridge Health, APN, PMHNP, BC, MSN, APRN, Psychiatric Nurse Practitioner
You Bridge Health
Psychiatric Nurse Practitioner, APN, PMHNP, BC, MSN, APRN
Verified Verified
6 Endorsed
Woodbridge, NJ 07095
Do You Truly Want a Quality Service & a Better Mental Health? Hi! Welcome! Yes We treat all Mental Health Conditions and provide supportive therapy and medication for ADHD, Anxiety, Depression, Bipolar etc - All diagnoses! If you want Right Mental Health Care! We're here for you! Yes! We are accepting all patients! All ages. Yes! You will be Supported. We provide Quality Mental Health Care - the Right way! Lets help you get to the bottom of your concerns. Feel free to Self schedule at You Bridge Health. Our clients testify to our approach (read our google reviews) and We are certain - so will you! Let Pave the path to a better YOU!
Do You Truly Want a Quality Service & a Better Mental Health? Hi! Welcome! Yes We treat all Mental Health Conditions and provide supportive therapy and medication for ADHD, Anxiety, Depression, Bipolar etc - All diagnoses! If you want Right Mental Health Care! We're here for you! Yes! We are accepting all patients! All ages. Yes! You will be Supported. We provide Quality Mental Health Care - the Right way! Lets help you get to the bottom of your concerns. Feel free to Self schedule at You Bridge Health. Our clients testify to our approach (read our google reviews) and We are certain - so will you! Let Pave the path to a better YOU!
(732) 479-1319 View (732) 479-1319
Photo of Akinlabi Sanusi, MD, MPH, Psychiatrist
Akinlabi Sanusi
Psychiatrist, MD, MPH
Verified Verified
Woodbridge, NJ 07095
I am a Board Certified Psychiatrist committed to providing comprehensive and compassionate care to patients. I completed a residency training in General and Adult Psychiatry at Richmond University Medical Center, Staten Island, New York, an affiliate program of the Mount Sinai Icahn School of Medicine, New York. My treatment approach is based on the understanding that every individual is unique in their experience and needs. After a careful assessment of your symptoms, I will work with you in creating the treatment plan that suits you best.
I am a Board Certified Psychiatrist committed to providing comprehensive and compassionate care to patients. I completed a residency training in General and Adult Psychiatry at Richmond University Medical Center, Staten Island, New York, an affiliate program of the Mount Sinai Icahn School of Medicine, New York. My treatment approach is based on the understanding that every individual is unique in their experience and needs. After a careful assessment of your symptoms, I will work with you in creating the treatment plan that suits you best.
(848) 206-3679 View (848) 206-3679
Photo of Alison DeLuca, MD, Psychiatrist
Alison DeLuca
Psychiatrist, MD
Verified Verified
Woodbridge, NJ 07095  (Online Only)
I look forward to working together to help you feel better and meet your goals.
I look forward to working together to help you feel better and meet your goals.
(732) 592-2574 View (732) 592-2574
Photo of Phenita Mouzon, PMHNP, Psychiatric Nurse Practitioner
Phenita Mouzon
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Woodbridge, NJ 07095  (Online Only)
Take the first step. Imagine how much better life will be without feelings of depression or anxiety. I can help whether you are suffering from anxiety, depression, OCD, schizophrenia, bipolar, ADHD or self confidence. My goal is to always build trusting relationships with my clients. Providing an environment that is comforting and safe. I have helped many clients become the best version of themselves again. Treatment is always individualized to your specific needs, with a holistic approach. Together we can work to come up with a plan that works best for you. Please feel free to call 732-998-7191 for appointments.
Take the first step. Imagine how much better life will be without feelings of depression or anxiety. I can help whether you are suffering from anxiety, depression, OCD, schizophrenia, bipolar, ADHD or self confidence. My goal is to always build trusting relationships with my clients. Providing an environment that is comforting and safe. I have helped many clients become the best version of themselves again. Treatment is always individualized to your specific needs, with a holistic approach. Together we can work to come up with a plan that works best for you. Please feel free to call 732-998-7191 for appointments.
(732) 998-7191 View (732) 998-7191

More Psychiatrists Nearby

Photo of Farah Asim Khan, MD, Psychiatrist
Farah Asim Khan
Psychiatrist, MD
Verified Verified
Highland Park, NJ 08904
Specialized in children with ASD ( Autism spectrum disorder) ADHD and other behavioral problems. Learning how to treat children with behavioral problems has equipped me with a unique perspective and an invaluable tool with which I can provide the best care for my patients. A good psychiatrist not only needs to be competent and knowledgeable in the discipline, but also empathetic and sensitive towards patients. My training from New York Medical College and Robert Wood Johnson University hospital has enhanced my the ability and given me the experience to deal with diverse patient population ranging from children to adolescents and adults.
Specialized in children with ASD ( Autism spectrum disorder) ADHD and other behavioral problems. Learning how to treat children with behavioral problems has equipped me with a unique perspective and an invaluable tool with which I can provide the best care for my patients. A good psychiatrist not only needs to be competent and knowledgeable in the discipline, but also empathetic and sensitive towards patients. My training from New York Medical College and Robert Wood Johnson University hospital has enhanced my the ability and given me the experience to deal with diverse patient population ranging from children to adolescents and adults.
(908) 741-4589 View (908) 741-4589
Photo of Khushbu Shah, MD, Psychiatrist
Khushbu Shah
Psychiatrist, MD
Verified Verified
Iselin, NJ 08830
Dr. Khushbu Shah is a trained Child and Adolescent Psychiatrist. She completed her fellowship in child and adolescent psychiatry at Rutgers-Robert Wood Johnson Medical School in New Jersey and her residency training in general psychiatry at Richmond University Medical Center in Staten Island, New York. She has extensive experience working with mood and anxiety disorders, psychotic disorders, attention deficit hyperactive disorders, autism spectrum disorders, learning disorders, and many others. She has worked closely with school-based mental health, with a special interest in providing current, innovative treatments.
Dr. Khushbu Shah is a trained Child and Adolescent Psychiatrist. She completed her fellowship in child and adolescent psychiatry at Rutgers-Robert Wood Johnson Medical School in New Jersey and her residency training in general psychiatry at Richmond University Medical Center in Staten Island, New York. She has extensive experience working with mood and anxiety disorders, psychotic disorders, attention deficit hyperactive disorders, autism spectrum disorders, learning disorders, and many others. She has worked closely with school-based mental health, with a special interest in providing current, innovative treatments.
(848) 315-1829 View (848) 315-1829
Hightower Medical Services LLC
Psychiatric Nurse Practitioner, RN, BSN, PMHNP, - BC
Verified Verified
Hillside, NJ 07205  (Online Only)
Autism, Spectrum, ADHD, Sleep disorders, and Grief.
Hightower Medical Services is an organization that specializes in tailored mental health care. Since, untreated mental illness can cause severe emotional, behavioral and physical health problems, our aim is to assist client to achieve optimal health to function and enjoy a quality life. We approach this through comprehensive evaluation, diagnosis and diagnostic with interpretation, medication management, and a multi disciplinary intervention. Also, to enhance self-esteem with evidence based modalities through goals focused on self-perception, self-worth, and challenging negative self-beliefs. Our clientele is across the life span.
Autism, Spectrum, ADHD, Sleep disorders, and Grief.
Hightower Medical Services is an organization that specializes in tailored mental health care. Since, untreated mental illness can cause severe emotional, behavioral and physical health problems, our aim is to assist client to achieve optimal health to function and enjoy a quality life. We approach this through comprehensive evaluation, diagnosis and diagnostic with interpretation, medication management, and a multi disciplinary intervention. Also, to enhance self-esteem with evidence based modalities through goals focused on self-perception, self-worth, and challenging negative self-beliefs. Our clientele is across the life span.
(908) 503-3988 View (908) 503-3988
Photo of Dr. Jordan Metsky, DO, Psychiatrist
Dr. Jordan Metsky
Psychiatrist, DO
Verified Verified
2 Endorsed
Scotch Plains, NJ 07076
Hello, I’m Dr. Jordan Metsky, a double Board Certified child and adult psychiatrist. I am currently welcoming new patients into my practice including children, teens, and adults and can get you or your child scheduled from our initial phone call. My areas of expertise include treating depression, anxiety, OCD, PTSD, Bipolar Disorder, and tics. I evaluate and treat autism and ADHD in children and adults and I can work with your child's school to help get them the accommodations they need to succeed. I offer patients psychiatric medication as well as other non-pharmacologic treatment options.
Hello, I’m Dr. Jordan Metsky, a double Board Certified child and adult psychiatrist. I am currently welcoming new patients into my practice including children, teens, and adults and can get you or your child scheduled from our initial phone call. My areas of expertise include treating depression, anxiety, OCD, PTSD, Bipolar Disorder, and tics. I evaluate and treat autism and ADHD in children and adults and I can work with your child's school to help get them the accommodations they need to succeed. I offer patients psychiatric medication as well as other non-pharmacologic treatment options.
(908) 840-8045 View (908) 840-8045
Photo of Dr. Denise Chase, FNP-BC, PMHNP, PhD, Psychiatric Nurse Practitioner
Dr. Denise Chase
Psychiatric Nurse Practitioner, FNP-BC, PMHNP, PhD
Verified Verified
Edison, NJ 08818  (Online Only)
With an extensive background in nursing and psychiatric care, I am a seasoned Family Nurse Practitioner and Psychiatric Nurse Practitioner, dedicated to providing compassionate and comprehensive mental health services. My journey began with a solid foundation in nursing education at Gwynedd Mercy University, where I developed and revised curricula for various nurse practitioner programs, ensuring that future healthcare providers are well-equipped to meet the needs of their patients. My commitment to excellence in mental health care is reflected in my work as a consultant for various organizations, where I've played a key role in it.
With an extensive background in nursing and psychiatric care, I am a seasoned Family Nurse Practitioner and Psychiatric Nurse Practitioner, dedicated to providing compassionate and comprehensive mental health services. My journey began with a solid foundation in nursing education at Gwynedd Mercy University, where I developed and revised curricula for various nurse practitioner programs, ensuring that future healthcare providers are well-equipped to meet the needs of their patients. My commitment to excellence in mental health care is reflected in my work as a consultant for various organizations, where I've played a key role in it.
(609) 507-0364 View (609) 507-0364
Photo of Dr. Victor G Grosu, MD, Psychiatrist
Dr. Victor G Grosu
Psychiatrist, MD
Verified Verified
East Brunswick, NJ 08816  (Online Only)
Quick appointments are available. I am board certified in Child & Adolescent psychiatry and provide medication management and psychotherapy services to children, adolescents and young adults, ages 6-22, with mental health conditions, including but not limited to ADHD, Depression, OCD, Panic, Mood Disorder, Stress, and Anxiety. I have been practicing psychiatry for over 17 years and was recognized by the NJ Top Doctor magazine as a Top Psychiatrist in 2019. I provide help using a comprehensive approach to treatment. I have frequent sessions with patients which allows me to monitor them closely to minimize side effects.
Quick appointments are available. I am board certified in Child & Adolescent psychiatry and provide medication management and psychotherapy services to children, adolescents and young adults, ages 6-22, with mental health conditions, including but not limited to ADHD, Depression, OCD, Panic, Mood Disorder, Stress, and Anxiety. I have been practicing psychiatry for over 17 years and was recognized by the NJ Top Doctor magazine as a Top Psychiatrist in 2019. I provide help using a comprehensive approach to treatment. I have frequent sessions with patients which allows me to monitor them closely to minimize side effects.
(848) 600-5264 View (848) 600-5264
Photo of Akosua Ababio Constance Ababio - Clear Healthy Mind LLC, FNP-BC, PMHNP-C, Psychiatric Nurse Practitioner
Clear Healthy Mind LLC
Psychiatric Nurse Practitioner, FNP-BC, PMHNP-C
Verified Verified
Matawan, NJ 07747
Akosua C. Ababio is a licensed board-certified Psychiatric Mental Health Nurse practitioner. She trained at Northern Kentucky University in both medication management and psychotherapy. Akosua is also a trained Family Nurse Practitioner-BC. She treats patients of all ages, from children and adolescents to adults and seniors. Her non-judgemental approach to her practice in mental health is what makes her unique.
Akosua C. Ababio is a licensed board-certified Psychiatric Mental Health Nurse practitioner. She trained at Northern Kentucky University in both medication management and psychotherapy. Akosua is also a trained Family Nurse Practitioner-BC. She treats patients of all ages, from children and adolescents to adults and seniors. Her non-judgemental approach to her practice in mental health is what makes her unique.
(732) 365-4448 View (732) 365-4448
Photo of Nixon Oloo, APN-BC, CDDN, CDP, Psychiatric Nurse Practitioner
Nixon Oloo
Psychiatric Nurse Practitioner, APN-BC, CDDN, CDP
Verified Verified
Edison, NJ 08837  (Online Only)
My goal is to democratize mental health treatment and ensure that all my clients are stabilized and assisted to return back to their prior baseline pre-illness. The client is a crucial member of the treatment team and is included in all discussions pertaining to their care. I meet all my clients where they are clinically. Each clinical goal is based on the needs and wishes of the client. A stable mental health will certainly promote optimum physical wellbeing.
My goal is to democratize mental health treatment and ensure that all my clients are stabilized and assisted to return back to their prior baseline pre-illness. The client is a crucial member of the treatment team and is included in all discussions pertaining to their care. I meet all my clients where they are clinically. Each clinical goal is based on the needs and wishes of the client. A stable mental health will certainly promote optimum physical wellbeing.
(848) 253-3860 View (848) 253-3860
Photo of Doris Chukwu, MSN, PMHNP, APN-C, Psychiatric Nurse Practitioner
Doris Chukwu
Psychiatric Nurse Practitioner, MSN, PMHNP, APN-C
Verified Verified
1 Endorsed
South Plainfield, NJ 07080  (Online Only)
Top Choice Medical Consult provides a wide range of psychiatric mental health services to a diverse client population. With over 10 years experience in psychiatric and mental health, my experience and educational background have prepared me in providing the required services for mental health needs. I utilize a comprehensive approach in formulating a patient's diagnosis and treatment plan. Our services includes providing detailed psychiatric evaluation, establishing appropriate diagnosis, working with the client in choosing individualized suitable treatment and therapy.
Top Choice Medical Consult provides a wide range of psychiatric mental health services to a diverse client population. With over 10 years experience in psychiatric and mental health, my experience and educational background have prepared me in providing the required services for mental health needs. I utilize a comprehensive approach in formulating a patient's diagnosis and treatment plan. Our services includes providing detailed psychiatric evaluation, establishing appropriate diagnosis, working with the client in choosing individualized suitable treatment and therapy.
(732) 733-6745 View (732) 733-6745
Photo of Ernst Renondeau, PMHNP, Psychiatric Nurse Practitioner
Ernst Renondeau
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Edison, NJ 08817  (Online Only)
Ernst is a Board-Certified Psychiatric Nurse Health Nurse Practitioner (PMHNP-BC). Trained and experience in treating individuals (ages 5-99) struggling with depression, anxiety, sleep disorders, bipolar disorders, thoughts disorders and many other mental illnesses. Ernst is a caring and empathetic practitioner who uses pharmacologic and non-pharmacologic options to deliver optimal care to clients. Ernst has been in the nursing field for two decades and has provided mental health services to clients at various healthcare settings.
Ernst is a Board-Certified Psychiatric Nurse Health Nurse Practitioner (PMHNP-BC). Trained and experience in treating individuals (ages 5-99) struggling with depression, anxiety, sleep disorders, bipolar disorders, thoughts disorders and many other mental illnesses. Ernst is a caring and empathetic practitioner who uses pharmacologic and non-pharmacologic options to deliver optimal care to clients. Ernst has been in the nursing field for two decades and has provided mental health services to clients at various healthcare settings.
(848) 294-2719 View (848) 294-2719
Photo of Rachael Olayemi Borishade, PMHNP, BC, Psychiatric Nurse Practitioner
Rachael Olayemi Borishade
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Edison, NJ 08820
I am a nurse with over 12 years' experience in acute care mental health psychiatrist hospital, long-term memory care facility and post-acute care facility caring for clients dealing with depression, mood disorders, bipolar disorder, anxiety, schizophrenia, PTSD, anxiety, ADHD, OCD, Dementia and Alzheimer’s disease. As a psychiatrist mental health nurse practitioner, my goal is to restore individual mental health well-being through holistic care. I treat each individual with compassion and respect.
I am a nurse with over 12 years' experience in acute care mental health psychiatrist hospital, long-term memory care facility and post-acute care facility caring for clients dealing with depression, mood disorders, bipolar disorder, anxiety, schizophrenia, PTSD, anxiety, ADHD, OCD, Dementia and Alzheimer’s disease. As a psychiatrist mental health nurse practitioner, my goal is to restore individual mental health well-being through holistic care. I treat each individual with compassion and respect.
(732) 410-5904 View (732) 410-5904
Photo of Marina Moshkovich, MD, Psychiatrist
Marina Moshkovich
Psychiatrist, MD
Verified Verified
Sayreville, NJ 08871
I am Board Certified in General Adult Psychiatry and have had training and experience in Child and Adolescent Psychiatry. I have practiced psychiatry in different settings. My professional knowledge and interests include treatment of a broad spectrum of psychiatric disorders, including mood, anxiety, psychotic, impulse control and substance abuse. I focuse on stabilization of patient's condition with medication and educate patients about their disorder and available treatments. I work with patients and their families in order to improve patients' adjustment and functioning in community. I help my patients build up confidence and enable them to change their lives for better.
I am Board Certified in General Adult Psychiatry and have had training and experience in Child and Adolescent Psychiatry. I have practiced psychiatry in different settings. My professional knowledge and interests include treatment of a broad spectrum of psychiatric disorders, including mood, anxiety, psychotic, impulse control and substance abuse. I focuse on stabilization of patient's condition with medication and educate patients about their disorder and available treatments. I work with patients and their families in order to improve patients' adjustment and functioning in community. I help my patients build up confidence and enable them to change their lives for better.
(732) 387-3076 View (732) 387-3076
Photo of Nicole Hraniotis, MD, Psychiatrist
Nicole Hraniotis
Psychiatrist, MD
Verified Verified
Metuchen, NJ 08840
I am a Board Certified and experienced adolescent, adult, and child psychiatrist who has helped patients just like you build richer more rewarding lives for over 6 years. Through a combination of therapeutic techniques, I help identify limiting beliefs and outmoded coping mechanisms that may be standing in your way.
I am a Board Certified and experienced adolescent, adult, and child psychiatrist who has helped patients just like you build richer more rewarding lives for over 6 years. Through a combination of therapeutic techniques, I help identify limiting beliefs and outmoded coping mechanisms that may be standing in your way.
(732) 603-1298 View (732) 603-1298
Photo of Michelle Matusalem, APN, PMHNP, Psychiatric Nurse Practitioner
Michelle Matusalem
Psychiatric Nurse Practitioner, APN, PMHNP
Verified Verified
12 Endorsed
Edison, NJ 08820
As a Board-Certified Psychiatric Nurse Practitioner, I specialize in diagnosing and managing psychiatric conditions such as anxiety, bipolar disorder, depression, ADHD, sleep disorders, mood disorders, and more. I am licensed to prescribe medication and offer medication management to individuals of all ages seeking to improve their mental health. I am committed to providing compassionate and evidence-based care, and I believe in building trusting relationships with my patients through active listening and honest communication.
As a Board-Certified Psychiatric Nurse Practitioner, I specialize in diagnosing and managing psychiatric conditions such as anxiety, bipolar disorder, depression, ADHD, sleep disorders, mood disorders, and more. I am licensed to prescribe medication and offer medication management to individuals of all ages seeking to improve their mental health. I am committed to providing compassionate and evidence-based care, and I believe in building trusting relationships with my patients through active listening and honest communication.
(732) 978-9127 View (732) 978-9127
Photo of Gordon Kusi - Godbridge Integrated Health, DNP, PMHNP, ANP-BC, APN-c, Psychiatric Nurse Practitioner
Godbridge Integrated Health
Psychiatric Nurse Practitioner, DNP, PMHNP, ANP-BC, APN-c
Verified Verified
2 Endorsed
New Brunswick, NJ 08901
As a board certified provider in both Psychiatry and Internal Medicine, Dr. Gordon Kusi not only provides comprehensive care, but also care that is compassionate, patient-centered, knowledgeable and evidence based. He received his bachelor’s master’s and doctoral education from Rutgers University and a post-masters from Wilkes University. Dr. Kusi is highly esteemed among his clients who speak well of his respect, love for his profession, and compassion he expressed while providing care. He believes the client is the most important person in the treatment arena and not only should be listened to, but also the focus should be on.
As a board certified provider in both Psychiatry and Internal Medicine, Dr. Gordon Kusi not only provides comprehensive care, but also care that is compassionate, patient-centered, knowledgeable and evidence based. He received his bachelor’s master’s and doctoral education from Rutgers University and a post-masters from Wilkes University. Dr. Kusi is highly esteemed among his clients who speak well of his respect, love for his profession, and compassion he expressed while providing care. He believes the client is the most important person in the treatment arena and not only should be listened to, but also the focus should be on.
(732) 889-5420 View (732) 889-5420
Photo of Ramandeep Kaur, MD, Psychiatrist
Ramandeep Kaur
Psychiatrist, MD
Verified Verified
Linden, NJ 07036
Welcome to my practice. I am a dual board-certified Adult and Child- Adolescent Psychiatrist. I completed my General Psychiatry residency and Fellowship in Child- Adolescent Psychiatry from Icahn School of Medicine at Mount Sinai, New York, where I was appointed as chief fellow. I have been working as an attending psychiatrist with Rutgers University Behavioral Health Care, in the school-based programs, where I provide full range of psychiatric services to youths (5-21) in out of district therapeutic schools. I also work with Robert Wood Johnson- Barnabas Health, covering psychiatric emergency room and consultation services.
Welcome to my practice. I am a dual board-certified Adult and Child- Adolescent Psychiatrist. I completed my General Psychiatry residency and Fellowship in Child- Adolescent Psychiatry from Icahn School of Medicine at Mount Sinai, New York, where I was appointed as chief fellow. I have been working as an attending psychiatrist with Rutgers University Behavioral Health Care, in the school-based programs, where I provide full range of psychiatric services to youths (5-21) in out of district therapeutic schools. I also work with Robert Wood Johnson- Barnabas Health, covering psychiatric emergency room and consultation services.
(732) 334-3281 View (732) 334-3281

See more therapy options for Woodbridge

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.