Therapists in California
![Photo of Mehwish Shahid - Dr Mehwish Shahid, Child Psychologist, PhD, Psychologist](https://photos.psychologytoday.com/4d1dee95-05b4-4940-bbca-5364f624f33e/2/320x400.jpeg)
I'm a licensed psychologist dedicated to helping children, adolescents, and young adults overcome anxiety and OCD. I use evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) to provide the most effective treatment. My passion extends to empowering parents, teaching them how to support their children with mental health concerns like anxiety disorders, ADHD, OCD, and behavioral challenges. I am committed to making a difference in the lives of young people and their families by providing compassionate, effective care and support.
I'm a licensed psychologist dedicated to helping children, adolescents, and young adults overcome anxiety and OCD. I use evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) to provide the most effective treatment. My passion extends to empowering parents, teaching them how to support their children with mental health concerns like anxiety disorders, ADHD, OCD, and behavioral challenges. I am committed to making a difference in the lives of young people and their families by providing compassionate, effective care and support.
![Photo of Dean Leav - Psychological Testing & Evaluations - Dr. Dean, PsyD, QME, Author, Psychologist](https://photos.psychologytoday.com/2c47475f-9e26-47c2-949e-1c6e0a12495f/2/320x400.jpeg)
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
Los Angeles, CA 90071
I'm Dr. Dean Leav, licensed psychologist and qualified medical evaluator (QME). I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I provide Evaluation Services, including (and not limited to): diagnostics (ADHD, Autism, Learning Dis.), cognitive/neuropsychological evaluations, workers' compensation (QME/AME), immigration-related evaluations, pre-adoption psychological evaluations, parenting/bonding assessments, drug & alcohol evaluations, pre-employment evaluations, and legal/forensics/criminal evaluations. These evaluations may be used to meet eligibility for certain services or accommodations.
I'm Dr. Dean Leav, licensed psychologist and qualified medical evaluator (QME). I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I provide Evaluation Services, including (and not limited to): diagnostics (ADHD, Autism, Learning Dis.), cognitive/neuropsychological evaluations, workers' compensation (QME/AME), immigration-related evaluations, pre-adoption psychological evaluations, parenting/bonding assessments, drug & alcohol evaluations, pre-employment evaluations, and legal/forensics/criminal evaluations. These evaluations may be used to meet eligibility for certain services or accommodations.
![Photo of Jacqueline King, PsyD, Psychologist](https://photos.psychologytoday.com/f7511dd9-c5ce-4f51-8761-30ecd139d54e/1/320x400.jpeg)
ADHD • Autism • Learning Disability • Giftedness • Academic Achievement • IQ Testing • Competency to Stand Trial • Criminal Mitigation/MH Diversion • Insanity (NGI) • Diagnostic Clarification • Firearm Possession • Immigration/Asylum • Malingering • Personality Assessment • Personal Injury • PreEmployment Screens/Fitness for Duty • PreSurgery Evaluations .
I specialize in psychological assessment. Whether you would benefit from accommodations at school or work, need testing for private school admission/gifted placement, require an evaluation for employment or a medical procedure, are facing legal problems due to mental health issues, are interested in clarifying a diagnosis, or simply desire more insight into yourself and your strengths and weakness, I can help you obtain the answers you need. I am one of several psychologists at CCES, a specialized practice committed to providing the most up-to-date, comprehensive and objective psychological evaluations. Types of evaluations include:
ADHD • Autism • Learning Disability • Giftedness • Academic Achievement • IQ Testing • Competency to Stand Trial • Criminal Mitigation/MH Diversion • Insanity (NGI) • Diagnostic Clarification • Firearm Possession • Immigration/Asylum • Malingering • Personality Assessment • Personal Injury • PreEmployment Screens/Fitness for Duty • PreSurgery Evaluations .
I specialize in psychological assessment. Whether you would benefit from accommodations at school or work, need testing for private school admission/gifted placement, require an evaluation for employment or a medical procedure, are facing legal problems due to mental health issues, are interested in clarifying a diagnosis, or simply desire more insight into yourself and your strengths and weakness, I can help you obtain the answers you need. I am one of several psychologists at CCES, a specialized practice committed to providing the most up-to-date, comprehensive and objective psychological evaluations. Types of evaluations include:
![Photo of Jasmin Loza, LEP, MA, EdS](https://photos.psychologytoday.com/6b5b2173-cb2e-40a3-8d69-43d411644eb5/1/320x400.jpeg)
Are you a parent seeking support for your adolescent or young adult with autism, ADHD, or anxiety? You want them to navigate social interactions better, manage emotions, and excel academically. You need a therapist who truly understands neurodiversity and can provide personalized, empathetic care. Your goal is to see your child flourish, gain self-confidence, and develop the skills needed for a successful and fulfilling life.
Are you a parent seeking support for your adolescent or young adult with autism, ADHD, or anxiety? You want them to navigate social interactions better, manage emotions, and excel academically. You need a therapist who truly understands neurodiversity and can provide personalized, empathetic care. Your goal is to see your child flourish, gain self-confidence, and develop the skills needed for a successful and fulfilling life.
![Photo of Michal Twardowski, PA](https://photos.psychologytoday.com/fae312d0-2479-4dbc-bfc3-73b6388d23dc/1/320x400.jpeg)
Are you struggling with anxiety, depression or bipolar disorder? Perhaps there is something else, like issues with focus and you wonder whether you may have ADHD? As a psychiatric PA, I specialize in assessing, diagnosing, and treating a wide range of mental health conditions, including anxiety disorders, mood disorders, ADHD, substance use disorders, and more. I approach each patient with empathy, respect, and a dedication to personalized care.
Are you struggling with anxiety, depression or bipolar disorder? Perhaps there is something else, like issues with focus and you wonder whether you may have ADHD? As a psychiatric PA, I specialize in assessing, diagnosing, and treating a wide range of mental health conditions, including anxiety disorders, mood disorders, ADHD, substance use disorders, and more. I approach each patient with empathy, respect, and a dedication to personalized care.
![Photo of David Sol Meshel (Ph.d)., PhD, EdM, Psychologist](https://photos.psychologytoday.com/23c8bf93-2268-44d3-8abe-f0586ec815fa/4/320x400.jpeg)
David Sol Meshel (Ph.d).
Psychologist, PhD, EdM
Verified Verified
2 Endorsed
San Rafael, CA 94903 (Online Only)
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
![Photo of Zach B Melmet, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/1d85c6e5-5549-4dc9-be95-74a614b91c9e/1/320x400.jpeg)
Zach B Melmet
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
North Hollywood, CA 91601 (Online Only)
I work with a wide range of issues, including improving inter-personal relationships, working through relational trauma, ADD, Alternative Lifestyles, Anxiety, and Substance Use. I empower my clients to become more confident, achieve the goals they set for themselves, and to better communicate with the people around them. I aid my clients in gaining a better understanding of themselves and help them explore how to solve problems while staying aligned with their core values.
I work with a wide range of issues, including improving inter-personal relationships, working through relational trauma, ADD, Alternative Lifestyles, Anxiety, and Substance Use. I empower my clients to become more confident, achieve the goals they set for themselves, and to better communicate with the people around them. I aid my clients in gaining a better understanding of themselves and help them explore how to solve problems while staying aligned with their core values.
![Photo of Carrie Jaffe - Accurate Assessments of San Diego, PhD, Psychologist](https://photos.psychologytoday.com/3b88cdea-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
We provide the following Evaluations: Personality/Psych/Diagnosis;ADHD;Aviation/FAA/HIMS;Bariatric Surgery;Substance Abuse;Pre Employment;Forensic;Licensed professionals/ licensing Boards (Medical,Dental,Nursing,Psych/MFT/LPCC,Veterinary,California Bar, etc).
We offer expert Psychological and Substance Abuse Assessments to people aged 17 and older. We know that you are a unique individual and we evaluate your problems in the context of your individuality and life circumstances. When you work with us, you will be treated in a manner that reflects your individuality. You will receive: a high quality evaluation administered by a psychologist, a holistic picture of your problems, comprehensive answers to your questions, recommendations for the next steps, and direct referrals so you can follow up with other treatment providers as needed.
We provide the following Evaluations: Personality/Psych/Diagnosis;ADHD;Aviation/FAA/HIMS;Bariatric Surgery;Substance Abuse;Pre Employment;Forensic;Licensed professionals/ licensing Boards (Medical,Dental,Nursing,Psych/MFT/LPCC,Veterinary,California Bar, etc).
We offer expert Psychological and Substance Abuse Assessments to people aged 17 and older. We know that you are a unique individual and we evaluate your problems in the context of your individuality and life circumstances. When you work with us, you will be treated in a manner that reflects your individuality. You will receive: a high quality evaluation administered by a psychologist, a holistic picture of your problems, comprehensive answers to your questions, recommendations for the next steps, and direct referrals so you can follow up with other treatment providers as needed.
![Photo of Marissa Williams, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4024d3f6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Marissa Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Roseville, CA 95661
Not accepting new clients
I help children, teens, and caregivers facing a variety of challenges including anxiety, depression, anger/defiance, ADHD, Autism, sensory processing differences, learning differences, low self-esteem, life transitions, relational difficulties, and more.
Do you love your child, but find it difficult to connect with them? Do they seem to be more anxious or angry than other kids? Has your child been diagnosed with ADHD or Autism and your'e not sure how to support them? Then you have come to the right place. I specialize in working with children (3-17) and their caregivers. I offer an individualized approach that may include teaching age appropriate coping skills, positive communication techniques, parenting support and education, and more. I am a neurodiversity affirming therapist.
I help children, teens, and caregivers facing a variety of challenges including anxiety, depression, anger/defiance, ADHD, Autism, sensory processing differences, learning differences, low self-esteem, life transitions, relational difficulties, and more.
Do you love your child, but find it difficult to connect with them? Do they seem to be more anxious or angry than other kids? Has your child been diagnosed with ADHD or Autism and your'e not sure how to support them? Then you have come to the right place. I specialize in working with children (3-17) and their caregivers. I offer an individualized approach that may include teaching age appropriate coping skills, positive communication techniques, parenting support and education, and more. I am a neurodiversity affirming therapist.
![Photo of Ali Zandi, PsyD, MA, Psychologist](https://photos.psychologytoday.com/3f9944bc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a Licensed Psychologist and Marriage and Family Therapist that provides psychological, cognitive, and neuropsychological testing for children and adults. I conduct testing and evaluations for Psychological Disorders, Autism, Personality Disorders, ADHD, Fitness for Duty, Marital Concerns, and Learning Disorders. Testing involves a combination of state-of-the-art neuropsychological assessment instruments, psychological tests, and a thorough clinical interview. I place your unique experiences and story at the center of the evaluation in order to provide specific feedback and guidance at the conclusion of the evaluation.
I am a Licensed Psychologist and Marriage and Family Therapist that provides psychological, cognitive, and neuropsychological testing for children and adults. I conduct testing and evaluations for Psychological Disorders, Autism, Personality Disorders, ADHD, Fitness for Duty, Marital Concerns, and Learning Disorders. Testing involves a combination of state-of-the-art neuropsychological assessment instruments, psychological tests, and a thorough clinical interview. I place your unique experiences and story at the center of the evaluation in order to provide specific feedback and guidance at the conclusion of the evaluation.
![Photo of Stephanie Rosso, PhD, Psychologist](https://photos.psychologytoday.com/3c4a0ac4-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Are you worried about your child? Are they having trouble in school? Not making friends? Has being a parent become really stressful?
Parenting is always a challenge and can be even harder if your child is having emotional or behavioral difficulties. My goals are to help children reach their maximum potential emotionally, socially, and behaviorally and help parents be empowered and have more effective parenting skills. I specialize in working with children who have emotional, behavioral and academic difficulties including ADHD, anxiety, depression, poor frustration tolerance, loss of a loved one, trauma, family conflict, and interpersonal relationship difficulties.
Are you worried about your child? Are they having trouble in school? Not making friends? Has being a parent become really stressful?
Parenting is always a challenge and can be even harder if your child is having emotional or behavioral difficulties. My goals are to help children reach their maximum potential emotionally, socially, and behaviorally and help parents be empowered and have more effective parenting skills. I specialize in working with children who have emotional, behavioral and academic difficulties including ADHD, anxiety, depression, poor frustration tolerance, loss of a loved one, trauma, family conflict, and interpersonal relationship difficulties.
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![Photo of Simone Haupenthal, PsyD, Psychologist](https://photos.psychologytoday.com/4ade4e1a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a parent or guardian, you may have concerns about your child’s school performance, learning difficulties, and attention or hyperactivity. Dr. Haupenthal wants to help your child succeed academically and emotionally to the best of his/her abilities. Dr. Haupenthal is bilingual, English/Spanish and provides child, adolescent, and college student testing including concerns with ADHD, intellectual disability, autism, learning and language difficulties, behavior issues at home and/or school, low academic performance, anxiety, and depression. Dr. Haupenthal also provides IQ testing for school entrance and psychotherapy services.
As a parent or guardian, you may have concerns about your child’s school performance, learning difficulties, and attention or hyperactivity. Dr. Haupenthal wants to help your child succeed academically and emotionally to the best of his/her abilities. Dr. Haupenthal is bilingual, English/Spanish and provides child, adolescent, and college student testing including concerns with ADHD, intellectual disability, autism, learning and language difficulties, behavior issues at home and/or school, low academic performance, anxiety, and depression. Dr. Haupenthal also provides IQ testing for school entrance and psychotherapy services.
![Photo of Mary K Rotzien, PhD, Psychologist](https://photos.psychologytoday.com/3c52ca0f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Treatment approaches include Psychodynamic Therapy for challenges across the life span, Cognitive Behavioral Therapy for depression and anxiety disorders, specialized treatment for ADHD, Cogmed Working Memory Training for enhanced academic and professional performance.
I practice a holistic approach as emotions and behaviors are not only related to external environment and experiences, but are influenced by overall wellbeing. We function best when our bodies and brains are healthy and well balanced. My work with children and adolescents has informed my practice with adults as early experiences influence adult perceptions and decisions. I practice with a developmental perspective. My initial career in nursing informs my perspective to treat body, mind and spirit as a whole. Along with adult psychotherapy, I am committed to children and adolescents who are experiencing stress, anxiety, depression, and learning difficulties.
Treatment approaches include Psychodynamic Therapy for challenges across the life span, Cognitive Behavioral Therapy for depression and anxiety disorders, specialized treatment for ADHD, Cogmed Working Memory Training for enhanced academic and professional performance.
I practice a holistic approach as emotions and behaviors are not only related to external environment and experiences, but are influenced by overall wellbeing. We function best when our bodies and brains are healthy and well balanced. My work with children and adolescents has informed my practice with adults as early experiences influence adult perceptions and decisions. I practice with a developmental perspective. My initial career in nursing informs my perspective to treat body, mind and spirit as a whole. Along with adult psychotherapy, I am committed to children and adolescents who are experiencing stress, anxiety, depression, and learning difficulties.
![Photo of Matt Fleischman, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3c5261c5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Matt Fleischman
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Newport Beach, CA 92663
Hi, my name is Matt Fleischman. I am a Licensed Marriage and Family Therapist in Newport Beach. I have over 10 years of experience working with children, teens, young adults, families, and couples with a variety of mental heath issues. I specialize in working with children and teens with: Behavior problems, ADHD, Depression, Trauma, and relationship difficulties. I am currently taking new clients. I look forward to working with you!
Hi, my name is Matt Fleischman. I am a Licensed Marriage and Family Therapist in Newport Beach. I have over 10 years of experience working with children, teens, young adults, families, and couples with a variety of mental heath issues. I specialize in working with children and teens with: Behavior problems, ADHD, Depression, Trauma, and relationship difficulties. I am currently taking new clients. I look forward to working with you!
![Photo of Dr. Renata Way, PsyD, Psychologist](https://photos.psychologytoday.com/17bb3500-2d96-412f-b85c-f3f8b25211e0/3/320x400.jpeg)
I specialize in the assessment and treatment of neurodevelopmental disorders like learning differences and ADHD.
I am a licensed clinical psychologist with many years of experience working with children, adolescents, and their families, as well as adults. My interventions are heavily rooted in behavioral therapy and evidence-based practices including feminist and attachment theories. However, I tend to conceptualize clinical presentations from a multicultural and social justice perspective. While I employ empirically validated treatments to ignite change, I am also of the belief that there is no single story to any individual. Consequently, it is important to understand the social, cultural, political, and spiritual context of each individual.
I specialize in the assessment and treatment of neurodevelopmental disorders like learning differences and ADHD.
I am a licensed clinical psychologist with many years of experience working with children, adolescents, and their families, as well as adults. My interventions are heavily rooted in behavioral therapy and evidence-based practices including feminist and attachment theories. However, I tend to conceptualize clinical presentations from a multicultural and social justice perspective. While I employ empirically validated treatments to ignite change, I am also of the belief that there is no single story to any individual. Consequently, it is important to understand the social, cultural, political, and spiritual context of each individual.
![Photo of Tanya L Hilber - Hilber Psychological Services, PsyD, Psychologist](https://photos.psychologytoday.com/7f4883dc-ac88-4fe3-9f1b-7804bd4f63e3/1/320x400.png)
We specialize in Anxiety and ADHD in children, teens, and adults.
We are empathic and experienced San Diego therapists who provide practical, evidenced-based therapy to children, teens, and adults. We work together with you and your family to provide treatment, support and guidance to help you understand and navigate the difficult or stressful situations that may be impacting your life.
We specialize in Anxiety and ADHD in children, teens, and adults.
We are empathic and experienced San Diego therapists who provide practical, evidenced-based therapy to children, teens, and adults. We work together with you and your family to provide treatment, support and guidance to help you understand and navigate the difficult or stressful situations that may be impacting your life.
![Photo of Ann Gottuso, PhD, ABPP-CN, Psychologist](https://photos.psychologytoday.com/3ffe3893-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
, brain injury, Alzheimer's disease, stroke, ADHD), medical, or psychological issues.
Life can bring about many obstacles - whether stressors or a medical condition - and a therapist can facilitate change or healing. Through psychotherapy, we can journey towards growth and peace, to improve your adjustment to an illness or stressor, anxiety, depression, trauma, or a spiritual crisis. If you have cognitive difficulties, we can develop cognitive rehabilitation and executive skills to strengthen your mental abilities to engage in home and work. At times, neurological injury brings behavioral changes. We can jointly develop a behavioral plan to manage behaviors to improve relationships and ensure safety.
, brain injury, Alzheimer's disease, stroke, ADHD), medical, or psychological issues.
Life can bring about many obstacles - whether stressors or a medical condition - and a therapist can facilitate change or healing. Through psychotherapy, we can journey towards growth and peace, to improve your adjustment to an illness or stressor, anxiety, depression, trauma, or a spiritual crisis. If you have cognitive difficulties, we can develop cognitive rehabilitation and executive skills to strengthen your mental abilities to engage in home and work. At times, neurological injury brings behavioral changes. We can jointly develop a behavioral plan to manage behaviors to improve relationships and ensure safety.
![Photo of Marcelene Camou, MS LPCC, LPC, Counselor](https://photos.psychologytoday.com/501ee0f1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
When you or a family member has an emotional challenge it significantly impacts the family unit. I'm here to support improved self-concept, confidence and personal interactions. Currently, I am available for long-distance therapy through video conferencing for those living in CA. This technique has been found to be ideal for those individuals with high functioning Autism, OCD, ADHD, Social Phobia, Anxiety and Depression.
When you or a family member has an emotional challenge it significantly impacts the family unit. I'm here to support improved self-concept, confidence and personal interactions. Currently, I am available for long-distance therapy through video conferencing for those living in CA. This technique has been found to be ideal for those individuals with high functioning Autism, OCD, ADHD, Social Phobia, Anxiety and Depression.
![Photo of Lea Zweig, PsyD, Psychologist](https://photos.psychologytoday.com/45bb7e4d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I understand that it can be hard to ask for help and I applaud you for taking this step. I hope that I will be able to work with you, your child, or your family in finding the answers that you are seeking through the therapy process. As a licensed clinical psychologist, I specialize in working with children, adolescents, and adults and couples who are experiencing life stressors, depression, anxiety, Attention-Deficit/ Hyperactivity Disorder (ADHD), learning differences, addiction, anger, grief and bereavement, life transitions, family conflict, and personal growth. I look forward to working with you. Lea Zweig, PsyD PSY29254
I understand that it can be hard to ask for help and I applaud you for taking this step. I hope that I will be able to work with you, your child, or your family in finding the answers that you are seeking through the therapy process. As a licensed clinical psychologist, I specialize in working with children, adolescents, and adults and couples who are experiencing life stressors, depression, anxiety, Attention-Deficit/ Hyperactivity Disorder (ADHD), learning differences, addiction, anger, grief and bereavement, life transitions, family conflict, and personal growth. I look forward to working with you. Lea Zweig, PsyD PSY29254
![Photo of Deborah Pontillo - San Diego Kids First, PhD, Psychologist](https://photos.psychologytoday.com/b31613a7-4a42-4a56-9073-d5b0b20264ce/3/320x400.jpeg)
We provide comprehensive evaluations and multi-modal therapies for ADHD, Autism Spectrum Disorders, Learning Disabilities, mood/anxiety, emotional regulation, & trauma.
Every child is unique. To help children overcome social, emotional, behavioral, developmental, and/or academic challenges, we can't be preoccupied with simply signing labels. Rather, we need to identify a child's individual strengths as well as their weaknesses in order to design effective strategies that suit their needs. We work closely with parents, schools, and other professionals to establish a comprehensive picture of the whole child. It's from this highly individualized approach along with the collaboration with those that know the child/teen well, that we are able to create the most significant and dramatic change!
We provide comprehensive evaluations and multi-modal therapies for ADHD, Autism Spectrum Disorders, Learning Disabilities, mood/anxiety, emotional regulation, & trauma.
Every child is unique. To help children overcome social, emotional, behavioral, developmental, and/or academic challenges, we can't be preoccupied with simply signing labels. Rather, we need to identify a child's individual strengths as well as their weaknesses in order to design effective strategies that suit their needs. We work closely with parents, schools, and other professionals to establish a comprehensive picture of the whole child. It's from this highly individualized approach along with the collaboration with those that know the child/teen well, that we are able to create the most significant and dramatic change!