Autism Therapists in Kenilworth, IL

Photo of Dr. Taylor Day, PhD, Psychologist
Dr. Taylor Day
Psychologist, PhD
Verified Verified
1 Endorsed
Kenilworth, IL 60043  (Online Only)
Although my primary specialty is in early child development and autism, I am also uniquely positioned to treat child anxiety and emotion regulation difficulties.
Did you know autism can be diagnosed in children as young as 14 months of age? So often parents are told to "wait and see" despite having concerns about their child's development. As a child psychologist, I have expertise in the early diagnosis and intervention of autism. I have over a decade of experience conducting gold-standard evaluations for autism and research to advance knowledge about early autism signs with over 25 peer-reviewed publications/book chapters. I offer both diagnosis and intervention services for families of young children via telehealth throughout the country (select states). Contact me for a FREE consult!
Although my primary specialty is in early child development and autism, I am also uniquely positioned to treat child anxiety and emotion regulation difficulties.
Did you know autism can be diagnosed in children as young as 14 months of age? So often parents are told to "wait and see" despite having concerns about their child's development. As a child psychologist, I have expertise in the early diagnosis and intervention of autism. I have over a decade of experience conducting gold-standard evaluations for autism and research to advance knowledge about early autism signs with over 25 peer-reviewed publications/book chapters. I offer both diagnosis and intervention services for families of young children via telehealth throughout the country (select states). Contact me for a FREE consult!
(412) 837-0965 View (412) 837-0965
Photo of Allegra Socki, LPC, ATR-P, Licensed Professional Counselor
Allegra Socki
Licensed Professional Counselor, LPC, ATR-P
Verified Verified
Kenilworth, IL 60043
My specialties include neurodivergency (ADHD/ Autism), twins (I'm a twin myself! I don't see twins together, but understand the nuances of being a twin), stress, anxiety, depression, LGBTQIA+, and life transitions.
Georgia O'Keefe once said "I found I could say things with colour and shapes that I couldn't say any other way - things I had no words for." Art therapy offers a fresh way to view challenges and explore solutions. Our therapy sessions will encourage you to see things from different angles, creating a deeper understanding of yourself and your mental health journey. As a neurodivergent practitioner, I can offer a safe space for you to unmask and give you tools to navigate challenges and embrace your strengths. Feel free to reach out today and we can set up a free consultation!
My specialties include neurodivergency (ADHD/ Autism), twins (I'm a twin myself! I don't see twins together, but understand the nuances of being a twin), stress, anxiety, depression, LGBTQIA+, and life transitions.
Georgia O'Keefe once said "I found I could say things with colour and shapes that I couldn't say any other way - things I had no words for." Art therapy offers a fresh way to view challenges and explore solutions. Our therapy sessions will encourage you to see things from different angles, creating a deeper understanding of yourself and your mental health journey. As a neurodivergent practitioner, I can offer a safe space for you to unmask and give you tools to navigate challenges and embrace your strengths. Feel free to reach out today and we can set up a free consultation!
(872) 808-7927 View (872) 808-7927
Photo of Wendy Joy Cohen, LCPC, MS, Counselor
Wendy Joy Cohen
Counselor, LCPC, MS
Verified Verified
Kenilworth, IL 60043
No client is an island but a connected member of a family, so I practice therapy with individuals, couples, and families. My style is practical, focusing on solutions. I am creative and evaluate each client’s unique needs in therapy. I often use hands-on therapy, such as making art or playing, to help with self expression. Parenting does not come with instructions. It is mysterious. The smallest successes can produce a profound sense of accomplishment. Helping you find their way through counseling and walking along side of you through that journey is part of my mission. I provide Ketamine Assisted Therapy for those who qualify.
No client is an island but a connected member of a family, so I practice therapy with individuals, couples, and families. My style is practical, focusing on solutions. I am creative and evaluate each client’s unique needs in therapy. I often use hands-on therapy, such as making art or playing, to help with self expression. Parenting does not come with instructions. It is mysterious. The smallest successes can produce a profound sense of accomplishment. Helping you find their way through counseling and walking along side of you through that journey is part of my mission. I provide Ketamine Assisted Therapy for those who qualify.
(847) 925-7368 View (847) 925-7368
Photo of Erin Braden, MA, LPC, Licensed Professional Counselor
Erin Braden
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Kenilworth, IL 60043  (Online Only)
Now Accepting New Clients! I aim to build a safe and supportive space for growth, handling difficult emotions and strengthening self-compassion. I strive to help clients understand and increase their own ability to navigate life's obstacles. I am a very open-minded practitioner and integrate a range of approaches into my practice to fit what works best for you. You are the expert on you and my job is to support you in your experience, you are not alone. If this sounds like it might be a good fit for you, please do not hesitate to reach out. I look forward to working with you!
Now Accepting New Clients! I aim to build a safe and supportive space for growth, handling difficult emotions and strengthening self-compassion. I strive to help clients understand and increase their own ability to navigate life's obstacles. I am a very open-minded practitioner and integrate a range of approaches into my practice to fit what works best for you. You are the expert on you and my job is to support you in your experience, you are not alone. If this sounds like it might be a good fit for you, please do not hesitate to reach out. I look forward to working with you!
(872) 713-6560 View (872) 713-6560
Photo of Tara Ouillette, MA, LCPC
Tara Ouillette
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Kenilworth, IL 60043
Waitlist for new clients
I believe that long- lasting, meaningful growth thrives in self-compassion, honoring shame, and creating purpose. Inherited and experienced trauma can remain in the body and inform our choices, so one of my goals is to offer a guiding hand in disentangling negative core beliefs from the body and sense of self. My therapeutic practice is filtered through a strengths-based and feminist lens, and as a queer therapist, I aim to foster an LGBTQIA+ affirming space, challenge racist systems, encourage body empowerment at every size, and promote sex-positivity.
I believe that long- lasting, meaningful growth thrives in self-compassion, honoring shame, and creating purpose. Inherited and experienced trauma can remain in the body and inform our choices, so one of my goals is to offer a guiding hand in disentangling negative core beliefs from the body and sense of self. My therapeutic practice is filtered through a strengths-based and feminist lens, and as a queer therapist, I aim to foster an LGBTQIA+ affirming space, challenge racist systems, encourage body empowerment at every size, and promote sex-positivity.
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Photo of Erik Schuster, MA, LPC, Licensed Professional Counselor
Erik Schuster
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kenilworth, IL 60043
“How is this therapist going to help me?” Fair question. From over 10,000 hours in my broad clinical career to my own harrowing lived experiences, I will bring you a time-tested perspective ready to address your real-life concerns in therapy. The clients I serve come from diverse ethnic, economic and cultural backgrounds, but share the essential similarity of readiness for change. Furthermore, the clinical issues I help individuals and couples to address range from chronic mental illness, neurodivergent struggles, substance misuse, gender/sexuality development, general life "stuck-ness" and differing forms of infidelity.
“How is this therapist going to help me?” Fair question. From over 10,000 hours in my broad clinical career to my own harrowing lived experiences, I will bring you a time-tested perspective ready to address your real-life concerns in therapy. The clients I serve come from diverse ethnic, economic and cultural backgrounds, but share the essential similarity of readiness for change. Furthermore, the clinical issues I help individuals and couples to address range from chronic mental illness, neurodivergent struggles, substance misuse, gender/sexuality development, general life "stuck-ness" and differing forms of infidelity.
(312) 606-7352 View (312) 606-7352
Photo of Genevieve Wolff, LCPC, NCC, Counselor
Genevieve Wolff
Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Kenilworth, IL 60043
Not accepting new clients
I believe that therapy is about the process of exploring the questions of being human - what makes us connected or disconnected to ourselves and others, and how we can live in a way that is authentic and meaningful. I hope to provide a supportive and challenging space for clients who are seeking to understand the issues that are holding them back from living their fullest lives. I am direct and active in session, while allowing people the space to develop their own insights.
I believe that therapy is about the process of exploring the questions of being human - what makes us connected or disconnected to ourselves and others, and how we can live in a way that is authentic and meaningful. I hope to provide a supportive and challenging space for clients who are seeking to understand the issues that are holding them back from living their fullest lives. I am direct and active in session, while allowing people the space to develop their own insights.
(224) 204-0856 View (224) 204-0856

More Therapists Nearby

Photo of Lorra Rudman, MA, NCC, LPC, ACRE, Counselor
Lorra Rudman
Counselor, MA, NCC, LPC, ACRE
Verified Verified
Evanston, IL 60201  (Online Only)
I have significant experience working with people across the Autism Spectrum as well their parents and families.
Pursuing self knowledge takes courage. Sometimes it isn’t possible to do on one’s own. Doing so, however, leads to self- acceptance and clarity about the choices one can make to live the best life they can. Developing insight into your emotions, past experiences, and recognizing the you have choices empower you to feel more in-control of your life, capitalize on your strengths find the direction you want to take, to eventually discover and become who you want to be, as a parent, a partner, a friend, an employee, as your SELF. Every person deserves not just to survive, but to THRIVE,
I have significant experience working with people across the Autism Spectrum as well their parents and families.
Pursuing self knowledge takes courage. Sometimes it isn’t possible to do on one’s own. Doing so, however, leads to self- acceptance and clarity about the choices one can make to live the best life they can. Developing insight into your emotions, past experiences, and recognizing the you have choices empower you to feel more in-control of your life, capitalize on your strengths find the direction you want to take, to eventually discover and become who you want to be, as a parent, a partner, a friend, an employee, as your SELF. Every person deserves not just to survive, but to THRIVE,
(847) 242-8669 View (847) 242-8669
Photo of Terry-Ann Adjmul-Hislop (Neuropsychology), PhD, Psychologist
Terry-Ann Adjmul-Hislop (Neuropsychology)
Psychologist, PhD
Verified Verified
Evanston, IL 60201
Dr. Terry-Ann Adjmul-Hislop is a graduate from the Chicago School of Professional Psychology. She is a pediatric neuropsychologist with extensive experience working with the pediatric and adolescent population both domestically and internationally. She organizes and conducts positive parenting seminars, psychosocial workshops, and has worked especially with children who have been diagnosed with ADHD, Autism Spectrum Disorder, learning disability, language disorders, mood disorders, behavioral problems, developmental delays, trauma, adjustment disorders, depression, and anxiety.
Dr. Terry-Ann Adjmul-Hislop is a graduate from the Chicago School of Professional Psychology. She is a pediatric neuropsychologist with extensive experience working with the pediatric and adolescent population both domestically and internationally. She organizes and conducts positive parenting seminars, psychosocial workshops, and has worked especially with children who have been diagnosed with ADHD, Autism Spectrum Disorder, learning disability, language disorders, mood disorders, behavioral problems, developmental delays, trauma, adjustment disorders, depression, and anxiety.
(224) 257-3898 View (224) 257-3898
Photo of Monica Guilhot-Chartrand - SamaraCare, LCSW, Clinical Social Work/Therapist
SamaraCare
Clinical Social Work/Therapist, LCSW
Verified Verified
Winnetka, IL 60093
SamaraCare helps clients from diverse backgrounds be happier and healthier, regardless of who they are, where they're from, or what they're facing. Everyone sometimes finds themselves struggling without knowing how to cope, what to do or where to get help. SamaraCare is a non-profit mental health provider offering, counseling, psychiatric and autism services. With over 26 counselors and 7 psychiatrists as well as a psychiatric nurse practitioner we use a variety of client-focused and goal-oriented therapeutic techniques in a broad range of specialty areas.
SamaraCare helps clients from diverse backgrounds be happier and healthier, regardless of who they are, where they're from, or what they're facing. Everyone sometimes finds themselves struggling without knowing how to cope, what to do or where to get help. SamaraCare is a non-profit mental health provider offering, counseling, psychiatric and autism services. With over 26 counselors and 7 psychiatrists as well as a psychiatric nurse practitioner we use a variety of client-focused and goal-oriented therapeutic techniques in a broad range of specialty areas.
(331) 254-4282 View (331) 254-4282
Suzanne Carey
Counselor, LCPC
Verified Verified
Evanston, IL 60201
I specialize in working with children and all types of families dealing with developmental issues (including autism), behavioral problems, social skill deficits, loss, attachment, parenting and marital issues.
I am a Licensed Clinical Professional Counselor with over 10 years of experience working with children, adolescents, adults and families. My goal is to create an atmosphere that is open and nurturing to everyone. I believe that by looking honestly at where we are, everyone has the potential for positive change, regardless of where we find ourselves. I use an eclectic approach in therapy and personalize interaction with each client.
I specialize in working with children and all types of families dealing with developmental issues (including autism), behavioral problems, social skill deficits, loss, attachment, parenting and marital issues.
I am a Licensed Clinical Professional Counselor with over 10 years of experience working with children, adolescents, adults and families. My goal is to create an atmosphere that is open and nurturing to everyone. I believe that by looking honestly at where we are, everyone has the potential for positive change, regardless of where we find ourselves. I use an eclectic approach in therapy and personalize interaction with each client.
(708) 945-6359 View (708) 945-6359
Photo of Aditi Tunstall, LPC, intern, Pre-Licensed Professional
Aditi Tunstall
Pre-Licensed Professional, LPC, intern
Verified Verified
Evanston, IL 60201
I offer individual and family sessions for concerns such as trauma, depression, anxiety, behavioral issues, ADHD, Autism, family and relationship conflict, and grief/loss.
I offer individual and family sessions for concerns such as trauma, depression, anxiety, behavioral issues, ADHD, Autism, family and relationship conflict, and grief/loss.
(630) 552-6833 View (630) 552-6833
Photo of Shayna Duval, MA, CAGS, Pre-Licensed Professional
Shayna Duval
Pre-Licensed Professional, MA, CAGS
Verified Verified
Wilmette, IL 60091
I primarily work with children and teens struggling with anxiety, OCD, depression, ADHD, and autism. I utilize a range of therapeutic interventions including Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (CBT/ERP), Dialectical Behavioral Therapy (DBT), Art and Play therapy, and Person-Centered therapy. If working with a child/adolescent, I believe in bridging the therapy space to the home, and will closely collaborate with caregivers to enhance therapeutic progress.
I primarily work with children and teens struggling with anxiety, OCD, depression, ADHD, and autism. I utilize a range of therapeutic interventions including Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (CBT/ERP), Dialectical Behavioral Therapy (DBT), Art and Play therapy, and Person-Centered therapy. If working with a child/adolescent, I believe in bridging the therapy space to the home, and will closely collaborate with caregivers to enhance therapeutic progress.
(224) 427-6277 View (224) 427-6277
Photo of Idalia Karolina Walo, Ed D, LPC, Licensed Professional Counselor
Idalia Karolina Walo
Licensed Professional Counselor, Ed D, LPC
Not Verified Not Verified
Skokie, IL 60077
I am a licensed professional counselor providing individual and family therapy in Polish and English language. I like to establish an open communication and trust with my clients, so we can better understand each other. Through an effective communication, I can help my clients develop guidelines for making accurate life decisions. I like working with children to help them achieve their full potential in life. I use variety of psychological testing to better understand my client's behavior, skills, thoughts, and personality. Autism spectrum disorder (ASD) behavioral therapy program.
I am a licensed professional counselor providing individual and family therapy in Polish and English language. I like to establish an open communication and trust with my clients, so we can better understand each other. Through an effective communication, I can help my clients develop guidelines for making accurate life decisions. I like working with children to help them achieve their full potential in life. I use variety of psychological testing to better understand my client's behavior, skills, thoughts, and personality. Autism spectrum disorder (ASD) behavioral therapy program.
(847) 744-8712 View (847) 744-8712
Photo of Marc Pechter, LCSW, Clinical Social Work/Therapist
Marc Pechter
Clinical Social Work/Therapist, LCSW
Verified Verified
Winnetka, IL 60093
I specialize in ADHD, mood disorders, anxiety, trauma, grief, and Autism Spectrum Disorders.
I believe an open and honest therapeutic relationship is the foundation of success in therapy. I work to provide trusting and consistent relationships with clients to explore feelings and develop coping strategies. With 20+ years of experience and training in several modalities of therapy, I provide a safe environment that is designed to help facilitate healing and change. I feel that therapy is a unique partnership that focuses on your personal goals and objectives. My ability to engage individuals in the change process through talk, play, and art therapies contributes to working out long-term solutions.
I specialize in ADHD, mood disorders, anxiety, trauma, grief, and Autism Spectrum Disorders.
I believe an open and honest therapeutic relationship is the foundation of success in therapy. I work to provide trusting and consistent relationships with clients to explore feelings and develop coping strategies. With 20+ years of experience and training in several modalities of therapy, I provide a safe environment that is designed to help facilitate healing and change. I feel that therapy is a unique partnership that focuses on your personal goals and objectives. My ability to engage individuals in the change process through talk, play, and art therapies contributes to working out long-term solutions.
(773) 609-6528 View (773) 609-6528
Photo of Tami Nadine Meer, LCSW, Clinical Social Work/Therapist
Tami Nadine Meer
Clinical Social Work/Therapist, LCSW
Verified Verified
Evanston, IL 60201
I have been a certified private practitioner since 1987. I believe in having a warm, friendly, and open approach to wellbeing. I have extensive experience with children, adolescents, adults, older adults, couples and families. One area of expertise is with special education and special needs children. I am certified as both a school social worker and a principal. Another area of expertise is with the caregivers of both older adults and children with disabilities. I am certified by Ross Greene, in his CPS approach. I have private practice in Evanston/Skokie. I work primarily through telehealth. I participate in many insurance panels.
I have been a certified private practitioner since 1987. I believe in having a warm, friendly, and open approach to wellbeing. I have extensive experience with children, adolescents, adults, older adults, couples and families. One area of expertise is with special education and special needs children. I am certified as both a school social worker and a principal. Another area of expertise is with the caregivers of both older adults and children with disabilities. I am certified by Ross Greene, in his CPS approach. I have private practice in Evanston/Skokie. I work primarily through telehealth. I participate in many insurance panels.
(847) 727-2017 View (847) 727-2017
Photo of Kennedy Weaver, Pre-Licensed Professional
Kennedy Weaver
Pre-Licensed Professional
Verified Verified
Evanston, IL 60201
I believe that the first step in getting help is asking for help. It is during this process that I have learned that creating a safe and comfortable place for my clients to work towards their goals is my ultimate passion. The therapeutic process should be goal driven and worked on by both people in the room. Through an increased awareness, I will help my clients understand their core beliefs about themselves and the world in which they navigate. I am here to help my clients enhance their communication and emotional intelligence in a sensitive, structured and collaborative way.
I believe that the first step in getting help is asking for help. It is during this process that I have learned that creating a safe and comfortable place for my clients to work towards their goals is my ultimate passion. The therapeutic process should be goal driven and worked on by both people in the room. Through an increased awareness, I will help my clients understand their core beliefs about themselves and the world in which they navigate. I am here to help my clients enhance their communication and emotional intelligence in a sensitive, structured and collaborative way.
(224) 413-3041 View (224) 413-3041
Photo of Charles Weiss, LCPC
Charles Weiss
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Evanston, IL 60203
How many of those faulty narratives do you hold in your head, that are keeping you from moving forward? You are the one who knows yourself better than anyone else. So how does this process works? By sharing your story and being curious, I can help you connect the dots between your thoughts, emotions, impulses, behaviors and blind spots. I want to understand what shaped you and the patterns that contributed to how you see yourself. We will embrace this excursion collaboratively.
How many of those faulty narratives do you hold in your head, that are keeping you from moving forward? You are the one who knows yourself better than anyone else. So how does this process works? By sharing your story and being curious, I can help you connect the dots between your thoughts, emotions, impulses, behaviors and blind spots. I want to understand what shaped you and the patterns that contributed to how you see yourself. We will embrace this excursion collaboratively.
(224) 478-0791 View (224) 478-0791
Photo of Rebecca Stern, LCSW, MAT, PEL, Clinical Social Work/Therapist
Rebecca Stern
Clinical Social Work/Therapist, LCSW, MAT, PEL
Verified Verified
2 Endorsed
Evanston, IL 60201
Whether you are seeking therapeutic support to find new perspectives on old issues or have been confronted with a new crisis, finding the right therapist can seem daunting. Regardless of your presenting problem, you will be welcomed into a safe, nonjudgmental environment. We will work thru the dilemma and come to a resolution that enables you to feel better. I began my career specializing in children and adolescents in the school setting and subsequently have expanded to young adults, adults, couples, and families. A particular focus and thread throughout my career has been the ongoing support and advocacy of the LGBTQIA+ community.
Whether you are seeking therapeutic support to find new perspectives on old issues or have been confronted with a new crisis, finding the right therapist can seem daunting. Regardless of your presenting problem, you will be welcomed into a safe, nonjudgmental environment. We will work thru the dilemma and come to a resolution that enables you to feel better. I began my career specializing in children and adolescents in the school setting and subsequently have expanded to young adults, adults, couples, and families. A particular focus and thread throughout my career has been the ongoing support and advocacy of the LGBTQIA+ community.
(847) 558-6349 View (847) 558-6349
Photo of Blake D Osborne, LCSW, Clinical Social Work/Therapist
Blake D Osborne
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmette, IL 60091
Hi! I'm Blake D. Osborne, L.C.S.W. I am mainly doing Telehealth but can meet in person when necessary in the Skokie/Glenview area. I have over twenty-five years experience. I enjoy what I do! I am easy-going, flexible, accepting and down-to-earth. I use research-supported methods. Specialties: Kids and Teens, including ADHD, anger, anxiety, behavioral issues, depression, homework, learning issues, OCD, panic, social skills, toileting. Adults: Mood issues, relationship problems, work issues, and grief. My goal: to make progress simply and efficiently. You should see some change in five-ten sessions.
Hi! I'm Blake D. Osborne, L.C.S.W. I am mainly doing Telehealth but can meet in person when necessary in the Skokie/Glenview area. I have over twenty-five years experience. I enjoy what I do! I am easy-going, flexible, accepting and down-to-earth. I use research-supported methods. Specialties: Kids and Teens, including ADHD, anger, anxiety, behavioral issues, depression, homework, learning issues, OCD, panic, social skills, toileting. Adults: Mood issues, relationship problems, work issues, and grief. My goal: to make progress simply and efficiently. You should see some change in five-ten sessions.
(847) 416-2689 View (847) 416-2689
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.