Autism Therapists in Waialua, HI

Photo of Sonja Bigalke-Bannan, MSW, LCSW, Clinical Social Work/Therapist
Sonja Bigalke-Bannan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Waialua, HI 96791
I am here to support your healing and growth, with an emphases in complex trauma work. My approach is trauma focused, using EMDR and Structural Dissociation Theory, Equine Assisted Psychotherapy, Harm Reduction and Motivational Interviewing. I am a Licensed Clinical Social Worker, with a Master's of Social Work, from the University of Hawai'i, specializing in Mental Health.
I am here to support your healing and growth, with an emphases in complex trauma work. My approach is trauma focused, using EMDR and Structural Dissociation Theory, Equine Assisted Psychotherapy, Harm Reduction and Motivational Interviewing. I am a Licensed Clinical Social Worker, with a Master's of Social Work, from the University of Hawai'i, specializing in Mental Health.
(808) 400-4218 View (808) 400-4218
Photo of Noe Kamalani, MEd, BCBA, LBA
Noe Kamalani
MEd, BCBA, LBA
Verified Verified
Waialua, HI 96791
I am passionate about working with children and families who are navigating behavioral challenges. I value a collaborative treatment approach that considers the strengths of everyone involved in order to support lasting change.
I am passionate about working with children and families who are navigating behavioral challenges. I value a collaborative treatment approach that considers the strengths of everyone involved in order to support lasting change.
(808) 219-0611 View (808) 219-0611
Photo of Bernadette Heid, PsyD, ABSNP, Psychologist
Bernadette Heid
Psychologist, PsyD, ABSNP
Verified Verified
1 Endorsed
Waialua, HI 96791
Aloha! Thank you for considering me to work alongside with you in your journey towards self-discovery and positive well-being. I am a Licensed Clinical Psychologist in Hawaii and in California. I received a Master of Arts degree in Psychology (Marriage and Family Therapy Emphasis) from Pepperdine University and a Doctorate in Clinical Psychology from Hawaii School of Professional Psychology. My training and clinical experience covers a wide age range from infants/toddlers to adults and includes cognitive and neural developmental research, pediatric neuropsychology, school psychology, clinical psychology, and health psychology.
Aloha! Thank you for considering me to work alongside with you in your journey towards self-discovery and positive well-being. I am a Licensed Clinical Psychologist in Hawaii and in California. I received a Master of Arts degree in Psychology (Marriage and Family Therapy Emphasis) from Pepperdine University and a Doctorate in Clinical Psychology from Hawaii School of Professional Psychology. My training and clinical experience covers a wide age range from infants/toddlers to adults and includes cognitive and neural developmental research, pediatric neuropsychology, school psychology, clinical psychology, and health psychology.
(858) 266-9751 View (858) 266-9751
Photo of Maita Marks, LMFT, CSAC, Marriage & Family Therapist
Maita Marks
Marriage & Family Therapist, LMFT, CSAC
Verified Verified
Waialua, HI 96791
Aloha! My approach in therapy is client-centred and collaborative. I treat my clients with utmost respect and without judgment. I believe in the strengths of the clients and validate those strengths to help him or her navigate through life able to manage their emotions and thought processes. I am here to guide and assist clients to make their own informed decisions and empower them.
Aloha! My approach in therapy is client-centred and collaborative. I treat my clients with utmost respect and without judgment. I believe in the strengths of the clients and validate those strengths to help him or her navigate through life able to manage their emotions and thought processes. I am here to guide and assist clients to make their own informed decisions and empower them.
(808) 862-2822 View (808) 862-2822

More Therapists Nearby

Photo of Gil Winkelman - Gil Winkelman ND, ND, MA
Gil Winkelman ND
ND, MA
Verified Verified
Haleiwa, HI 96712
His primary interests are in Autism/ASD/Asperger's, OCD, ADD/ADHD, schizophrenia, migraines and bipolar disorders.
Dr Winkelman's focus is on understanding patients personal traits and health history to customize treatments that have the maximum possible impact. With a focus on neurological (brain) health, he uses a combination of neurofeedback, Walsh Protocol, and other natural treatments to help patients with a variety of conditions including, but not limited to: migraines, digestive disorders, depression, anxiety, Aspergers/ Autism, OCD, ADD/ADHD, and Radical Attachment Disorder. Dr. Winkelman was trained in Neurofeedback by BCIA certified practitioners and utilizes the most up-to-date equipment in his practice. He has worked with veterans.
His primary interests are in Autism/ASD/Asperger's, OCD, ADD/ADHD, schizophrenia, migraines and bipolar disorders.
Dr Winkelman's focus is on understanding patients personal traits and health history to customize treatments that have the maximum possible impact. With a focus on neurological (brain) health, he uses a combination of neurofeedback, Walsh Protocol, and other natural treatments to help patients with a variety of conditions including, but not limited to: migraines, digestive disorders, depression, anxiety, Aspergers/ Autism, OCD, ADD/ADHD, and Radical Attachment Disorder. Dr. Winkelman was trained in Neurofeedback by BCIA certified practitioners and utilizes the most up-to-date equipment in his practice. He has worked with veterans.
(503) 451-6760 View (503) 451-6760
Photo of Koala Maksuoka, LMHC, Counselor
Koala Maksuoka
Counselor, LMHC
Verified Verified
Wahiawa, HI 96786  (Online Only)
Aloha! My name is Koala Matsuoka, I am a Licensed Mental Health Counselor and I grew up on the beautiful island of Oahu. As a therapist, my goal is to always show my clients support and provide a safe space for them to feel heard and understood. I am interested in working with different age ranges, from early childhood to adulthood. I would also like to work with athletes at different levels and those going through life transitions.
Aloha! My name is Koala Matsuoka, I am a Licensed Mental Health Counselor and I grew up on the beautiful island of Oahu. As a therapist, my goal is to always show my clients support and provide a safe space for them to feel heard and understood. I am interested in working with different age ranges, from early childhood to adulthood. I would also like to work with athletes at different levels and those going through life transitions.
(808) 272-5355 View (808) 272-5355
Photo of Donna Nazarchyk, LCMHC, Counselor
Donna Nazarchyk
Counselor, LCMHC
Verified Verified
Wahiawa, HI 96786
Aloha! I was born and raised on the island of Oahu. I hold licenses in HI, FL, and CO. I practice evidence-based modalities and am also a BCBA. I am Filipino, so I also understand how important cultural perspectives can be. I work with clients that fully participate and want to put in effort for a change! My perspective is from an eclectic Cognitive Behavior Model, combined with Solution Focused Therapy, ACT, and ABA, that recognizes the multiple aspects and levels within the human experience with the goal of individualization or wholeness.
Aloha! I was born and raised on the island of Oahu. I hold licenses in HI, FL, and CO. I practice evidence-based modalities and am also a BCBA. I am Filipino, so I also understand how important cultural perspectives can be. I work with clients that fully participate and want to put in effort for a change! My perspective is from an eclectic Cognitive Behavior Model, combined with Solution Focused Therapy, ACT, and ABA, that recognizes the multiple aspects and levels within the human experience with the goal of individualization or wholeness.
(808) 582-8197 View (808) 582-8197
Photo of Melissa Bowen, LCSW, Clinical Social Work/Therapist
Melissa Bowen
Clinical Social Work/Therapist, LCSW
Verified Verified
Wahiawa, HI 96786
Hello, my name is Melissa Bowen, and I am a licensed clinical social worker. I take a more integrative approach to therapy as I find everyone is different and unique and need techniques. My focus is trauma, severe mental illness in adults and children. I have worked mostly with children, teens, and adults who have experienced trauma. I have worked with people diagnosed with ADHD, Depression, Anxiety, PTSD, Substance Abuse, Schizophrenia, Bipolar, and ASD. I have worked with domestic violence survivors, child abuse victims, veterans, relationship issues, grief, and sexual issues.
Hello, my name is Melissa Bowen, and I am a licensed clinical social worker. I take a more integrative approach to therapy as I find everyone is different and unique and need techniques. My focus is trauma, severe mental illness in adults and children. I have worked mostly with children, teens, and adults who have experienced trauma. I have worked with people diagnosed with ADHD, Depression, Anxiety, PTSD, Substance Abuse, Schizophrenia, Bipolar, and ASD. I have worked with domestic violence survivors, child abuse victims, veterans, relationship issues, grief, and sexual issues.
(808) 646-7071 View (808) 646-7071
Photo of Jessica Brazil - Mindful Living Group, LCSW, Clinical Social Work/Therapist
Mindful Living Group
Clinical Social Work/Therapist, LCSW
Verified Verified
10 Endorsed
Mililani, HI 96789
Offering video therapy sessions. Life is a journey. Sometimes at peaks and others valleys. In times of struggle, compassionate, effective therapy can help. If you're experiencing a life transition, struggling with isolation, depression, trauma, anxiety, sleep, having a hard time overcoming a life challenge, exploring spirituality or deeper meaning to life, feeling overly sensitive, experiencing relating challenges, struggling with purpose/direction, dealing with anxiety, communication problems, parenting, struggling with substance misuse, or wanting to connect more deeply to self or others, you are not alone. We are here to help.
Offering video therapy sessions. Life is a journey. Sometimes at peaks and others valleys. In times of struggle, compassionate, effective therapy can help. If you're experiencing a life transition, struggling with isolation, depression, trauma, anxiety, sleep, having a hard time overcoming a life challenge, exploring spirituality or deeper meaning to life, feeling overly sensitive, experiencing relating challenges, struggling with purpose/direction, dealing with anxiety, communication problems, parenting, struggling with substance misuse, or wanting to connect more deeply to self or others, you are not alone. We are here to help.
(808) 725-2130 View (808) 725-2130
Photo of Maile Kimura Ho, NCC, CSAC, LMHC, LMFT, BCBA, Marriage & Family Therapist
Maile Kimura Ho
Marriage & Family Therapist, NCC, CSAC, LMHC, LMFT, BCBA
Verified Verified
Mililani, HI 96789
Hello! Thank you for stopping by. Taking the steps to identify the desire for support and to reach out to someone to seek guidance takes a lot of courage. Counseling can be intimidating; however, my goal is to provide a space that embodies safety, comfort, and growth. I view the therapeutic relationship as a collaborative one which requires active participation from all parties. My methodologies will vary based on individual needs.
Hello! Thank you for stopping by. Taking the steps to identify the desire for support and to reach out to someone to seek guidance takes a lot of courage. Counseling can be intimidating; however, my goal is to provide a space that embodies safety, comfort, and growth. I view the therapeutic relationship as a collaborative one which requires active participation from all parties. My methodologies will vary based on individual needs.
(808) 435-7129 View (808) 435-7129
Photo of Tyra Gardner, MS, MEd, Pre-Licensed Professional
Tyra Gardner
Pre-Licensed Professional, MS, MEd
Verified Verified
Schofield Barracks, HI 96857
Tyra S. Gardner is a Psychotherapist and CEO of At A Moments Notice, LLC. Tyra is a passionate scholar-practitioner in the field of mental health, who divides her time between clinical practice, training and business consulting. In her clinical practice, she delivers cognitive behavioral therapy and other evidence-based treatments to adults and adolescent clients with a range of emotional behavioral and adjustment problems including anger management, anxiety, stress, depression and relationship issues.
Tyra S. Gardner is a Psychotherapist and CEO of At A Moments Notice, LLC. Tyra is a passionate scholar-practitioner in the field of mental health, who divides her time between clinical practice, training and business consulting. In her clinical practice, she delivers cognitive behavioral therapy and other evidence-based treatments to adults and adolescent clients with a range of emotional behavioral and adjustment problems including anger management, anxiety, stress, depression and relationship issues.
(808) 400-7049 View (808) 400-7049
Photo of Brian Kehoe - National Center for Psychological Services, Inc, PhD, MSCP, PsyD, Psychologist
National Center for Psychological Services, Inc
Psychologist, PhD, MSCP, PsyD
Verified Verified
Wahiawa, HI 96786
Are you struggling with issues related to depression, trauma, grief, divorce, addiction, anxiety, or major life changes? There comes a time when help is needed from a licensed professional to cope with many of life’s challenges. We are licensed Psychologists serving populations nationwide. We are here to support you on your journey toward healing and self-discovery.
Are you struggling with issues related to depression, trauma, grief, divorce, addiction, anxiety, or major life changes? There comes a time when help is needed from a licensed professional to cope with many of life’s challenges. We are licensed Psychologists serving populations nationwide. We are here to support you on your journey toward healing and self-discovery.
(808) 824-4960 View (808) 824-4960
Photo of Michael Kukahiwa-Haruno, LMHC, Counselor
Michael Kukahiwa-Haruno
Counselor, LMHC
Verified Verified
Wahiawa, HI 96786
Aloha, my name is Mike Kukahiwa-Haruno, and I am a Licensed Mental Health Counselor based on the beautiful island of Oahu. I work with individuals ages 5 to 25 and specialize in anxiety, stress, behavioral concerns, and LGBTQIA+. My inspiration for becoming a counselor is my wonderful siblings who taught me the importance of support which I hope to be for you. I found that my style works well with children and adolescents who may be dealing with life transitions, difficulties with peers, family, or schools, anxiety, stress, and lack of coping strategies.
Aloha, my name is Mike Kukahiwa-Haruno, and I am a Licensed Mental Health Counselor based on the beautiful island of Oahu. I work with individuals ages 5 to 25 and specialize in anxiety, stress, behavioral concerns, and LGBTQIA+. My inspiration for becoming a counselor is my wonderful siblings who taught me the importance of support which I hope to be for you. I found that my style works well with children and adolescents who may be dealing with life transitions, difficulties with peers, family, or schools, anxiety, stress, and lack of coping strategies.
(808) 427-5358 View (808) 427-5358
Photo of Tanya Phillips, LMHC, Counselor
Tanya Phillips
Counselor, LMHC
Verified Verified
Wahiawa, HI 96786
Hello, my name is Tanya Phillips, I am a License Mental Health Counselor and a Clinical Therapist. I have lived in Hawaii for over 16 years and spent 8+years working with many diverse populations in my community. I am passionate about helping clients through various relational challenges and/or traumatic experiences by supporting them through their process of healing and recovery. The goal is to gain healthy coping skills in a safe space for clients. I have experience working with trauma, depression, anxiety, relationship issues, and dual diagnosis.
Hello, my name is Tanya Phillips, I am a License Mental Health Counselor and a Clinical Therapist. I have lived in Hawaii for over 16 years and spent 8+years working with many diverse populations in my community. I am passionate about helping clients through various relational challenges and/or traumatic experiences by supporting them through their process of healing and recovery. The goal is to gain healthy coping skills in a safe space for clients. I have experience working with trauma, depression, anxiety, relationship issues, and dual diagnosis.
(808) 400-6841 View (808) 400-6841
Photo of Amber Alexander, LCMHC, Counselor
Amber Alexander
Counselor, LCMHC
Verified Verified
Wahiawa, HI 96786
Aloha. I'm Amber Alexander, a Licensed Mental Health Counselor (LMHC) with a passion for guiding individuals through their healing journeys. My approach is rooted in a blend of evidence-based practices, primarily focusing on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS) therapy, and a strong client-centered foundation. This fusion allows me to create a personalized therapeutic experience that not only aims to modify unhelpful thought patterns but also deeply respects and validates the internal parts of each individual, facilitating a path toward self-compassion and lasting change.
Aloha. I'm Amber Alexander, a Licensed Mental Health Counselor (LMHC) with a passion for guiding individuals through their healing journeys. My approach is rooted in a blend of evidence-based practices, primarily focusing on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS) therapy, and a strong client-centered foundation. This fusion allows me to create a personalized therapeutic experience that not only aims to modify unhelpful thought patterns but also deeply respects and validates the internal parts of each individual, facilitating a path toward self-compassion and lasting change.
(808) 378-1871 View (808) 378-1871
Photo of Dr. Brian Kehoe - Dr. Brian Kehoe, Ph.D., LLC, PhD, Psychologist
Dr. Brian Kehoe, Ph.D., LLC
Psychologist, PhD
Verified Verified
Wahiawa, HI 96786
Not accepting new clients
Dr. Kehoe is a licensed clinical psychologist working with Dr. Brian Kehoe, Ph.D., LLC and North Shore Mental Health. Dr. Kehoe offers community based mental health services in 7 convenient offices located in Aiea, Ewa, Honolulu, Kahuku, Kaneohe, Makaha and Wahiawa. Dr. Kehoe specializes in adult, family and child psychology and offers a number of services including behavioral health treatment, child, adolescent, individual and family counseling, behavioral modification therapy, testing and assessment, psychotherapy, and skills training (ST). Outpatient substance abuse treatment and supportive services as well as face-to-face mental health crisis support is available 24 hours a day, 7 days a week.
Dr. Kehoe is a licensed clinical psychologist working with Dr. Brian Kehoe, Ph.D., LLC and North Shore Mental Health. Dr. Kehoe offers community based mental health services in 7 convenient offices located in Aiea, Ewa, Honolulu, Kahuku, Kaneohe, Makaha and Wahiawa. Dr. Kehoe specializes in adult, family and child psychology and offers a number of services including behavioral health treatment, child, adolescent, individual and family counseling, behavioral modification therapy, testing and assessment, psychotherapy, and skills training (ST). Outpatient substance abuse treatment and supportive services as well as face-to-face mental health crisis support is available 24 hours a day, 7 days a week.
(808) 542-9599 View (808) 542-9599

Online Therapists

Photo of Carmenne Anne Chiasson, PhD, Psychologist
Carmenne Anne Chiasson
Psychologist, PhD
Verified Verified
Honolulu, HI 96813
I specialize in working with adults with anxiety, depression, ADHD grief and with children of all ages treating anxiety, depression, ADHD, Autism and pervasive developmental delay.
I believe that all people are equal and deserve respect regardless of your history or your circumstances. I will collaborate with you towards positive change. I treat most diagnoses including anxiety, depression, PTSD, ADHD, and Autism. I treat clients of all ages and offer individual, couple, family and play therapy and Neurofeedback. I completed my APA approved internship at Kapiolani Counseling Center for women and children and I have previously worked as the child and adolescent psychologist at Kahi Mohala. I was the lead psychologist at my last position, providing consultation for child, adolescent and adult therapists.
I specialize in working with adults with anxiety, depression, ADHD grief and with children of all ages treating anxiety, depression, ADHD, Autism and pervasive developmental delay.
I believe that all people are equal and deserve respect regardless of your history or your circumstances. I will collaborate with you towards positive change. I treat most diagnoses including anxiety, depression, PTSD, ADHD, and Autism. I treat clients of all ages and offer individual, couple, family and play therapy and Neurofeedback. I completed my APA approved internship at Kapiolani Counseling Center for women and children and I have previously worked as the child and adolescent psychologist at Kahi Mohala. I was the lead psychologist at my last position, providing consultation for child, adolescent and adult therapists.
(808) 419-3414 View (808) 419-3414
Photo of Lyann Sugai-Kauhini, MA, MFT, Marriage & Family Therapist
Lyann Sugai-Kauhini
Marriage & Family Therapist, MA, MFT
Verified Verified
3 Endorsed
Waipahu, HI 96797
My experience includes working with couples and families to improve their relationships; individuals on coping strategies; children who have Autism; children who have been physically and sexually abused; providing stress management, parenting education, anger management and domestic violence education.
Are you feeling sad, frustrated, or stressed? Are you tired of your problems weighing you down? Are you having difficulties in your relationship? Therapy can enhance self-growth and self-actualization. Let's work together to overcome barriers and improve your life to an optimistic outlook.
My experience includes working with couples and families to improve their relationships; individuals on coping strategies; children who have Autism; children who have been physically and sexually abused; providing stress management, parenting education, anger management and domestic violence education.
Are you feeling sad, frustrated, or stressed? Are you tired of your problems weighing you down? Are you having difficulties in your relationship? Therapy can enhance self-growth and self-actualization. Let's work together to overcome barriers and improve your life to an optimistic outlook.
(808) 419-7246 View (808) 419-7246
Photo of Dr. Pedro Luis Benach, PsyD, Psychologist
Dr. Pedro Luis Benach
Psychologist, PsyD
Verified Verified
Honolulu, HI 96813
I cover common concerns such as ADHD, Autism, cognitive and learning, and neuropsychological functioning in assessments designed for school-aged children and adults, in addition to psychological and neurocognitive evaluations for adults and aging adults.
Aloha and mahalo visiting my page! I welcome individuals and families who want answers to their difficult questions. I specialize in treatment and evaluations that cover a variety of concerns in toddlers, children, adolescents, adults, and aging adults. Your concerns may be related to Alzheimer's, Autism Spectrum Disorder, Anxiety, ADHD, behavioral problems, developmental delays, Dementia, Depression, Intellectual Disability, Dissociation, Traumatic Stress, and many other concerns that impact your daily life. I combine a humanistic approach with cognitive behavioral interventions to maximize your time and treatment.
I cover common concerns such as ADHD, Autism, cognitive and learning, and neuropsychological functioning in assessments designed for school-aged children and adults, in addition to psychological and neurocognitive evaluations for adults and aging adults.
Aloha and mahalo visiting my page! I welcome individuals and families who want answers to their difficult questions. I specialize in treatment and evaluations that cover a variety of concerns in toddlers, children, adolescents, adults, and aging adults. Your concerns may be related to Alzheimer's, Autism Spectrum Disorder, Anxiety, ADHD, behavioral problems, developmental delays, Dementia, Depression, Intellectual Disability, Dissociation, Traumatic Stress, and many other concerns that impact your daily life. I combine a humanistic approach with cognitive behavioral interventions to maximize your time and treatment.
(808) 809-9463 View (808) 809-9463
Photo of Emely Suazo - STEPS, LLC, BCBA
STEPS, LLC
BCBA
Verified Verified
Kailua, HI 96734
We specialize in working with individuals with autism spectrum disorder, RAD, ODD, ADHD, ADD and other diagnosis.
Behavioral and developmental needs need not limit the lives of the individuals diagnosed with them or their families. At our center, we provide behavioral support to individuals and their families so they can ultimately live their best life. Our comprehensive program helps identify each individuals needs and formulate a plan that will ultimately help them reach those behavioral and developmental goals.
We specialize in working with individuals with autism spectrum disorder, RAD, ODD, ADHD, ADD and other diagnosis.
Behavioral and developmental needs need not limit the lives of the individuals diagnosed with them or their families. At our center, we provide behavioral support to individuals and their families so they can ultimately live their best life. Our comprehensive program helps identify each individuals needs and formulate a plan that will ultimately help them reach those behavioral and developmental goals.
(808) 353-6124 View (808) 353-6124

See more therapy options for Waialua

Autism Therapists

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.