ADHD Therapists in Arizona
![Photo of Rhonda L. Smith, PhD, NCSP, Psychologist](https://photos.psychologytoday.com/5423abf9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rhonda L. Smith
Psychologist, PhD, NCSP
Verified Verified
Tucson, AZ 85732 (Online Only)
Waitlist for new clients
I use a strength-based and acceptance approach, and I genuinely believe in a person’s ability to learn the skills and strategies needed to make positive change and growth in whatever areas a person would like. I provide therapy for adults, adolescents, children, and families experiencing challenges related to anxiety, depression, ADHD, learning difficulties, or other issues impacting them.
I use a strength-based and acceptance approach, and I genuinely believe in a person’s ability to learn the skills and strategies needed to make positive change and growth in whatever areas a person would like. I provide therapy for adults, adolescents, children, and families experiencing challenges related to anxiety, depression, ADHD, learning difficulties, or other issues impacting them.
![Photo of Kerry Diana, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/40c7257a-0552-4052-944c-86205a0cfe90/1/320x400.jpeg)
Accepting new clients! I can help you learn how to better manage your life. Are you ready to break free of the challenges that are holding you back from being the best version of yourself and living a better life? I help adults with ADHD, Anxiety, Panic, Depression, Self-Worth, and Life Transitions to gain greater self-awareness, develop healthy coping strategies, and improve their overall well-being. I specialize in Adult ADHD and can help your struggles with disorganization, impulsivity, procrastination, and controlling your emotions? As someone who also struggles with ADHD, I understand how it impacts our work and personal life.
Accepting new clients! I can help you learn how to better manage your life. Are you ready to break free of the challenges that are holding you back from being the best version of yourself and living a better life? I help adults with ADHD, Anxiety, Panic, Depression, Self-Worth, and Life Transitions to gain greater self-awareness, develop healthy coping strategies, and improve their overall well-being. I specialize in Adult ADHD and can help your struggles with disorganization, impulsivity, procrastination, and controlling your emotions? As someone who also struggles with ADHD, I understand how it impacts our work and personal life.
![Photo of Athena McKee, MS, LAC, CCTP, EMDR, Counselor](https://photos.psychologytoday.com/67f0e073-ffc2-4728-803e-fc2017270e6f/1/320x400.jpeg)
Athena McKee
Counselor, MS, LAC, CCTP, EMDR
Verified Verified
1 Endorsed
Scottsdale, AZ 85251 (Online Only)
Rather than conventional talk therapy or passive listening, I provide EMDR Therapy and Dialectical Behavioral Therapy (DBT). EMDR works on a physical level to resolve anxiety, depression, insecurities, ADHD, OCD, complex-PTSD and maladaptive behaviors, like people-pleasing, codependency, reactivity and outbursts. DBT is a structured, evidence-based, skills-building treatment for you to resolve limiting beliefs, build self-worth, and learn emotional regulation, communication and interpersonal skills. DBT Skills not only guide your healing today, they improve your emotional, mental and relational health, and your life overall.
Rather than conventional talk therapy or passive listening, I provide EMDR Therapy and Dialectical Behavioral Therapy (DBT). EMDR works on a physical level to resolve anxiety, depression, insecurities, ADHD, OCD, complex-PTSD and maladaptive behaviors, like people-pleasing, codependency, reactivity and outbursts. DBT is a structured, evidence-based, skills-building treatment for you to resolve limiting beliefs, build self-worth, and learn emotional regulation, communication and interpersonal skills. DBT Skills not only guide your healing today, they improve your emotional, mental and relational health, and your life overall.
![Photo of Anita M Neumann, NBCC, LAC, Counselor](https://photos.psychologytoday.com/3b2f51b3-9962-4b55-93f9-3e8293d9677e/2/320x400.jpeg)
Accepting New Clients- I work with children ages 5 years +, Adolescents, Individuals, Couples & Families. My specialties include: bereavement, anger management, stress management, anxiety, depression, ADHD and PTSD. In addition, I offer support for Alzheimers, Cancer, Cerebral Vascular Accidents, Heart Attacks, and Eating Disorders. If you need support and encouragement to develop coping strategies, I can assist you in improving your skills and meeting your goals. I am here to help you by using my experience, compassion, and training to create insight to a quality of life you desire.
Accepting New Clients- I work with children ages 5 years +, Adolescents, Individuals, Couples & Families. My specialties include: bereavement, anger management, stress management, anxiety, depression, ADHD and PTSD. In addition, I offer support for Alzheimers, Cancer, Cerebral Vascular Accidents, Heart Attacks, and Eating Disorders. If you need support and encouragement to develop coping strategies, I can assist you in improving your skills and meeting your goals. I am here to help you by using my experience, compassion, and training to create insight to a quality of life you desire.
![Photo of Maya Duncan-Pope, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7382e0af-60c1-4b71-b1b5-de3fadd75b6b/2/320x400.jpeg)
Maya Duncan-Pope
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Scottsdale, AZ 85258
I have worked with individuals experiencing ADHD, ASD, depression, anxiety, PTSD, and other co-occurring disorders.
I am a Licensed Social worker with degrees in Psychology and Human & Family Development and a Master of Social Work. I am a queer and neurodivergent therapist. I specialize in working with teens, adults, and LGBT+ individuals.
I have worked with individuals experiencing ADHD, ASD, depression, anxiety, PTSD, and other co-occurring disorders.
I am a Licensed Social worker with degrees in Psychology and Human & Family Development and a Master of Social Work. I am a queer and neurodivergent therapist. I specialize in working with teens, adults, and LGBT+ individuals.
![Photo of Tena Thomas, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9fdb66cd-3c8f-4d27-84db-74b12c8ba05b/4/320x400.jpeg)
Tena Thomas
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Peoria, AZ 85381 (Online Only)
I specialize in helping teens and adults navigate the challenges of BPD, ADHD, Anxiety, and Trauma.
Has fighting with emotions, planning your day around triggers, or feeling distracted and overstimulated become part of your everyday life? Maybe it feels like you can't quite get things right and you're searching for a deeper understanding of what's holding you back. It can be difficult to keep moving, especially when you have frequent symptoms. In our sessions, we will dive deep to uncover the messages you have absorbed from other people and give your inner child some love. We will laugh, cry, and learn together, all while guiding you towards healing.
I specialize in helping teens and adults navigate the challenges of BPD, ADHD, Anxiety, and Trauma.
Has fighting with emotions, planning your day around triggers, or feeling distracted and overstimulated become part of your everyday life? Maybe it feels like you can't quite get things right and you're searching for a deeper understanding of what's holding you back. It can be difficult to keep moving, especially when you have frequent symptoms. In our sessions, we will dive deep to uncover the messages you have absorbed from other people and give your inner child some love. We will laugh, cry, and learn together, all while guiding you towards healing.
![Photo of Tamara Woodard, LCSW, ADHD-CS, ASDCS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d6c54a11-9893-4d71-88e3-ff114e3e96a1/1/320x400.jpeg)
Tamara Woodard
Clinical Social Work/Therapist, LCSW, ADHD-CS, ASDCS
Verified Verified
1 Endorsed
Mesa, AZ 85210
Tamara has helped 1000+ children, young adults, & couples struggling with anxiety, depression, trauma/PTSD, meltdowns, shutting down, low self-esteem, & symptoms related to ADHD, autism or neurodivergence.
Are you a young adult struggling with social anxiety or depression that gets in the way of you living your best life? Perhaps you are the parent who understands that your child needs more than a bandaid approach or a one-size-fits-all solution? Are outbursts, panic attacks, or shutting down preventing your child from truly thriving? Tamara offers diagnostic autism evaluations as well as individual, family, & group counseling for ages 12 months to young adults. She will help with, not only overcoming the immediate challenges of today, but making changes that will lead to thriving for the future.
Tamara has helped 1000+ children, young adults, & couples struggling with anxiety, depression, trauma/PTSD, meltdowns, shutting down, low self-esteem, & symptoms related to ADHD, autism or neurodivergence.
Are you a young adult struggling with social anxiety or depression that gets in the way of you living your best life? Perhaps you are the parent who understands that your child needs more than a bandaid approach or a one-size-fits-all solution? Are outbursts, panic attacks, or shutting down preventing your child from truly thriving? Tamara offers diagnostic autism evaluations as well as individual, family, & group counseling for ages 12 months to young adults. She will help with, not only overcoming the immediate challenges of today, but making changes that will lead to thriving for the future.
![Photo of Aleesha Gosal, LMSW, RSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b47fe6f-715b-4b04-b523-5a103ca2c1e6/3/320x400.png)
Aleesha Gosal
Clinical Social Work/Therapist, LMSW, RSW
Verified Verified
1 Endorsed
Scottsdale, AZ 85251
Aleesha has served a diverse population(s) including those living with Autism, trauma, abuse/neglect, depression, self esteem issues, grief, anger, emotional dysregulation, ADHD, impulsive behaviours, social/emotional struggles, transitions, parent/family dynamics.
Aleesha is a neuro affirming therapist who works with children between 3-13 years of age. Aleesha works to create a therapeutic environment that is inclusive and supports individuals in understanding and embracing their identities while also addressing difficulities and challenges that may arise. Aleesha tailors the interventions and strategies used throughout her sessions to meet the specific needs and strenghts of your child. Her continued training and supervision in play therapy and EMDR afford her the opportunity to create an environment that fosters a sense of self acceptance, self adovcacy, and well being.
Aleesha has served a diverse population(s) including those living with Autism, trauma, abuse/neglect, depression, self esteem issues, grief, anger, emotional dysregulation, ADHD, impulsive behaviours, social/emotional struggles, transitions, parent/family dynamics.
Aleesha is a neuro affirming therapist who works with children between 3-13 years of age. Aleesha works to create a therapeutic environment that is inclusive and supports individuals in understanding and embracing their identities while also addressing difficulities and challenges that may arise. Aleesha tailors the interventions and strategies used throughout her sessions to meet the specific needs and strenghts of your child. Her continued training and supervision in play therapy and EMDR afford her the opportunity to create an environment that fosters a sense of self acceptance, self adovcacy, and well being.
![Photo of Sera Gray - Online Trauma Therapy, LCSW, CCTS-I, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f961bc27-e44e-466a-a9eb-47889935e2ef/4/320x400.jpeg)
Sera Gray - Online Trauma Therapy
Clinical Social Work/Therapist, LCSW, CCTS-I
Verified Verified
5 Endorsed
Prescott Valley, AZ 86314 (Online Only)
Are you a neurodivergent or highly sensitive person (HSP) who struggles with feeling overwhelmed and exhausted all the time? Does it feel like you get hijacked by your emotions and past trauma plays over and over in your mind? I get it. The world leads us to believe that if we struggle with intense emotions, overwhelm or letting go of the past, there must be something wrong with us. I’m here to tell you that nothing is wrong with you. You’re not broken, the way you feel is not your fault, and healing is possible. I’m Sera, and as a neurodivergent therapist with ADHD I understand the struggle.
Are you a neurodivergent or highly sensitive person (HSP) who struggles with feeling overwhelmed and exhausted all the time? Does it feel like you get hijacked by your emotions and past trauma plays over and over in your mind? I get it. The world leads us to believe that if we struggle with intense emotions, overwhelm or letting go of the past, there must be something wrong with us. I’m here to tell you that nothing is wrong with you. You’re not broken, the way you feel is not your fault, and healing is possible. I’m Sera, and as a neurodivergent therapist with ADHD I understand the struggle.
![Photo of Renee Walden-Shea, LAC, Pre-Licensed Professional](https://photos.psychologytoday.com/8040708e-6bb2-40fa-94b8-65cd3c16eb0e/1/320x400.jpeg)
I'm looking for a client who is open to a holistic approach to mental wellness. They might be dealing with anxiety, depression, ADHD, or facing challenges in school or adjusting to new life changes. They're interested in incorporating yoga and meditation into their therapy, and they might even be open to exploring Ketamine Assisted Therapy. They prefer in-person sessions and are truly ready to embrace change, seeking practical strategies to enhance their daily life and improve their overall mental health in a supportive and understanding environment.
I'm looking for a client who is open to a holistic approach to mental wellness. They might be dealing with anxiety, depression, ADHD, or facing challenges in school or adjusting to new life changes. They're interested in incorporating yoga and meditation into their therapy, and they might even be open to exploring Ketamine Assisted Therapy. They prefer in-person sessions and are truly ready to embrace change, seeking practical strategies to enhance their daily life and improve their overall mental health in a supportive and understanding environment.
![Photo of Allison Wilson, MAC, LAC, CCTP, Counselor](https://photos.psychologytoday.com/ffc1dadd-ccea-418a-b6b7-3473ef6ce138/3/320x400.jpeg)
I also enjoy helping with ADHD, overcoming pornography or sex addictions, depression, stress, anxiety, and emotional regulation.
Is there a time in your life when you've felt alone, betrayed, unhappy or lost? Difficulties often leave us feeling helpless, isolated, and overwhelmed. As we unpack the trauma, anger, pain, and loss, you will learn tools for living authentically, transforming the way you connect, and experience healing and growth. On this journey of emotional healing and recovery I love seeing the progression one experiences as they show up and commit to working through life’s difficulties. We will walk down this path together, at your pace, implementing various techniques and tools that work best for you.
I also enjoy helping with ADHD, overcoming pornography or sex addictions, depression, stress, anxiety, and emotional regulation.
Is there a time in your life when you've felt alone, betrayed, unhappy or lost? Difficulties often leave us feeling helpless, isolated, and overwhelmed. As we unpack the trauma, anger, pain, and loss, you will learn tools for living authentically, transforming the way you connect, and experience healing and growth. On this journey of emotional healing and recovery I love seeing the progression one experiences as they show up and commit to working through life’s difficulties. We will walk down this path together, at your pace, implementing various techniques and tools that work best for you.
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![Photo of Mark S Anton, MA, LPC, NCC-BC, LCS, Licensed Professional Counselor](https://photos.psychologytoday.com/985f497a-db7b-4b75-a5a6-6ee53934b804/3/320x400.jpeg)
Mark S Anton
Licensed Professional Counselor, MA, LPC, NCC-BC, LCS
Verified Verified
1 Endorsed
Flagstaff, AZ 86001
As a general mental health therapist, I am trained to treat and offer support for all difficulties, however, I also specialize in adolescent ADHD, trauma, addiction disorders, and faith-based counseling.
As an independently licensed therapist, and the owner of Northern Bliss Counseling Services my goal is to help you create and live out the best version of yourself. I am confident that we all have this inside, but might not know how to find it. Together, we will identify your goals and values and create a plan to live congruent with these values. We will identify what is important to you in life and find a way to get there together.
As a general mental health therapist, I am trained to treat and offer support for all difficulties, however, I also specialize in adolescent ADHD, trauma, addiction disorders, and faith-based counseling.
As an independently licensed therapist, and the owner of Northern Bliss Counseling Services my goal is to help you create and live out the best version of yourself. I am confident that we all have this inside, but might not know how to find it. Together, we will identify your goals and values and create a plan to live congruent with these values. We will identify what is important to you in life and find a way to get there together.
![Photo of Shannon Worle, LAMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/cb48f3de-facf-4159-beaf-bc0640d5fa42/1/320x400.png)
I work with a variety of client needs, including depression, anxiety, relationship distress, life transitions, ADHD and neurodiversity, faith transitions/deconstruction, and family conflict.
I am a Licensed Associate Marriage and Family Therapist at Therapy With Heart in Scottsdale, AZ. My goal is to provide a safe, welcoming, and supportive environment for each and every couple, family, or individual I have the privilege of working with. Life can feel overwhelming at times, but I also know how much relief can come with having someone listen to you in a way that genuinely makes you feel heard. I believe that every person deserves to feel seen and understood, and when those needs are met, we can truly feel loved by others. Together, we can work to restore secure connection within your relationships and within yourself.
I work with a variety of client needs, including depression, anxiety, relationship distress, life transitions, ADHD and neurodiversity, faith transitions/deconstruction, and family conflict.
I am a Licensed Associate Marriage and Family Therapist at Therapy With Heart in Scottsdale, AZ. My goal is to provide a safe, welcoming, and supportive environment for each and every couple, family, or individual I have the privilege of working with. Life can feel overwhelming at times, but I also know how much relief can come with having someone listen to you in a way that genuinely makes you feel heard. I believe that every person deserves to feel seen and understood, and when those needs are met, we can truly feel loved by others. Together, we can work to restore secure connection within your relationships and within yourself.
![Photo of Dr. Nathan Hale, PsyD, Psychologist](https://photos.psychologytoday.com/df4911a3-9286-4b98-8bc3-a3be019d43d7/1/320x400.jpeg)
I specialize in working with patients to live better with anxiety, depression and ADHD.
Are you bothered by constant worry, fear, nervousness or anxiety? Feeling down, depressed, hopeless or like life is always going wrong? Having difficulty focusing or concentrating and feeling like you are always on the move? Is procrastinating or always putting things off until the last minute something you struggle with? These are all a part of being human, and there is nothing wrong with you. Let me help you better how to understand these thoughts, and feelings and drop the struggle against them. I can help you better understand how you can change behaviors and live a better life, even with these thoughts and feelings.
I specialize in working with patients to live better with anxiety, depression and ADHD.
Are you bothered by constant worry, fear, nervousness or anxiety? Feeling down, depressed, hopeless or like life is always going wrong? Having difficulty focusing or concentrating and feeling like you are always on the move? Is procrastinating or always putting things off until the last minute something you struggle with? These are all a part of being human, and there is nothing wrong with you. Let me help you better how to understand these thoughts, and feelings and drop the struggle against them. I can help you better understand how you can change behaviors and live a better life, even with these thoughts and feelings.
![Photo of Anna Bernasconi, LPC, Counselor](https://photos.psychologytoday.com/844b7ad5-91e7-4490-94f1-affbeaaee115/2/320x400.jpeg)
Accepting New Clients. Welcome! I have over six years of experience working with teenagers and adults. I specialize in working with clients who have gender identity issues, including transgender, those on the Autism spectrum, ADHD, sex and pornography addiction, Men's issues, family relationship problems, personality disorders, self-harming and suicidal ideation. My therapeutic approaches I use include supportive counseling, person-centered, strengths-based, CBT, DBT and trauma informed. I am a gender affirming therapist.
Accepting New Clients. Welcome! I have over six years of experience working with teenagers and adults. I specialize in working with clients who have gender identity issues, including transgender, those on the Autism spectrum, ADHD, sex and pornography addiction, Men's issues, family relationship problems, personality disorders, self-harming and suicidal ideation. My therapeutic approaches I use include supportive counseling, person-centered, strengths-based, CBT, DBT and trauma informed. I am a gender affirming therapist.
![Photo of Christina Vasquez - Tucson Neuropsycholgy Institute, Psychologist](https://photos.psychologytoday.com/67499116-249f-45ec-985b-563e5ead44ba/1/320x400.jpeg)
Tucson Neuropsychology Institute (TNI) offers comprehensive evaluations for both children and adults. Our psychologists have experience with a range of neurological, neurodevelopmental, psychiatric, and chronic health issues. We provide evaluations to assess ADHD, autism, TBI, memory loss, and learning disorders. With over 50 years of combined experience serving the greater Tucson area, TNI’s mission is to provide the highest quality care to our patients, to actively contribute to the advancement of the field of neuropsychology, and to improve the lives of those in our community.
Tucson Neuropsychology Institute (TNI) offers comprehensive evaluations for both children and adults. Our psychologists have experience with a range of neurological, neurodevelopmental, psychiatric, and chronic health issues. We provide evaluations to assess ADHD, autism, TBI, memory loss, and learning disorders. With over 50 years of combined experience serving the greater Tucson area, TNI’s mission is to provide the highest quality care to our patients, to actively contribute to the advancement of the field of neuropsychology, and to improve the lives of those in our community.
![Photo of Mark Treegoob, PhD, Psychologist](https://photos.psychologytoday.com/3de201e1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I also have specialized in ADHD, adult and children; Bipolar Disorder; Asperger's Disorder; Depression; Anger Management; and Stress Management.
I work with children 13 or over through adolescence, and adults of all ages.
I also have specialized in ADHD, adult and children; Bipolar Disorder; Asperger's Disorder; Depression; Anger Management; and Stress Management.
I work with children 13 or over through adolescence, and adults of all ages.
![Photo of John Peters, LMFT, MAS-MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0ca21d04-3262-4a61-b7a0-3969899e0c7b/1/320x400.jpeg)
John Peters
Marriage & Family Therapist, LMFT, MAS-MFT
Verified Verified
3 Endorsed
Scottsdale, AZ 85260
Back to school can mean increased stress, especially for atypical learners. I work best with individuals that are having difficulty fitting into settings such as school, extracurricular activities, and/or even at home. I have had success working with children and young adults that have not been successful during past experiences with therapy, or are reluctant to participate. Our practice specializes in working with atypical development so I have experience working with clients that have been diagnosed with ADHD, dyslexia, and Autism as well as those that have been identified as being gifted.
Back to school can mean increased stress, especially for atypical learners. I work best with individuals that are having difficulty fitting into settings such as school, extracurricular activities, and/or even at home. I have had success working with children and young adults that have not been successful during past experiences with therapy, or are reluctant to participate. Our practice specializes in working with atypical development so I have experience working with clients that have been diagnosed with ADHD, dyslexia, and Autism as well as those that have been identified as being gifted.
![Photo of Rebecca Tunnicliff, MSMFT, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/7dc53d9f-b0c0-43b8-8687-fd719fcec0a3/2/320x400.jpeg)
Rebecca Tunnicliff
Marriage & Family Therapist, MSMFT, LMFT
Verified Verified
1 Endorsed
Chandler, AZ 85286 (Online Only)
Waitlist for new clients
I also brings specialized experience in working with children, adults, and their families with autism, ADHD, and challenging behaviors; providing parent training as needed and therapeutic interventions.
I will be accepting new clients starting in September! My desire is to create a safe space where you are able to fully express and experience your thoughts, feelings, and behaviors without judgment. I hope that through this journey you become more aligned with your authentic self and experience the freedom to be fully seen. As a collaborative therapist, I will work with you to create a treatment plan that aligns with your unique goals. I work with adults experiencing a variety of issues including neurodivergence, anxiety, depression, trauma, self-esteem, and life transitions.
I also brings specialized experience in working with children, adults, and their families with autism, ADHD, and challenging behaviors; providing parent training as needed and therapeutic interventions.
I will be accepting new clients starting in September! My desire is to create a safe space where you are able to fully express and experience your thoughts, feelings, and behaviors without judgment. I hope that through this journey you become more aligned with your authentic self and experience the freedom to be fully seen. As a collaborative therapist, I will work with you to create a treatment plan that aligns with your unique goals. I work with adults experiencing a variety of issues including neurodivergence, anxiety, depression, trauma, self-esteem, and life transitions.
![Photo of Carol McLean, PhD, Psychologist](https://photos.psychologytoday.com/3e17a0e1-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
In addition, Dr McLean and her team evaluate and treat ADHD and learning difficulties.
Dr. Carol McLean, Ph.D., has been in private practice since 2003. She specializes in development throughout the lifespan. Developmental & Educational Psychological Services provides high quality comprehensive assessments to identify numerous psychological and developmental conditions. Psychological assessment is a valuable tool for exploring issues to determine treatment and access intervention and support. Without accurate identification of a developmental or psychological condition it is difficult to effectively treat symptoms. Get a clear understanding of your child’s psychological or developmental issues.
In addition, Dr McLean and her team evaluate and treat ADHD and learning difficulties.
Dr. Carol McLean, Ph.D., has been in private practice since 2003. She specializes in development throughout the lifespan. Developmental & Educational Psychological Services provides high quality comprehensive assessments to identify numerous psychological and developmental conditions. Psychological assessment is a valuable tool for exploring issues to determine treatment and access intervention and support. Without accurate identification of a developmental or psychological condition it is difficult to effectively treat symptoms. Get a clear understanding of your child’s psychological or developmental issues.