Photo of Ariel E Katz, LICSW, MSc Ed, RPT, SEP, Clinical Social Work/Therapist
Ariel E Katz
Clinical Social Work/Therapist, LICSW, MSc Ed, RPT, SEP
Verified Verified
2 Endorsed
Pittsfield, MA 01201
I use techniques that are successful with highly verbal as well as less verbal clients, including people with autism.
Have you noticed patterns in your life you'd like to change? Negative moods? Unexplained pain? Often these are signs of unresolved trauma. Therapy can help us understand and integrate the meaning enabling us to make changes to our behavior so that we are more successful in our personal and professional lives. I work with adults, children from as young as 2 yrs old, and families. My work is strength based, empowering people to meet personal goals, improve relationships and develop a more comfortable, meaningful life. I attend to the mind body connection. My approach is solution focused and playful.
I use techniques that are successful with highly verbal as well as less verbal clients, including people with autism.
Have you noticed patterns in your life you'd like to change? Negative moods? Unexplained pain? Often these are signs of unresolved trauma. Therapy can help us understand and integrate the meaning enabling us to make changes to our behavior so that we are more successful in our personal and professional lives. I work with adults, children from as young as 2 yrs old, and families. My work is strength based, empowering people to meet personal goals, improve relationships and develop a more comfortable, meaningful life. I attend to the mind body connection. My approach is solution focused and playful.
(413) 359-6793 View (413) 359-6793
Photo of Brenda Morrill, MSW, LCSW, Clinical Social Work/Therapist
Brenda Morrill
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsfield, MA 01201
Growing up today is not easy, especially when connections and relationships are challenging. Communication can get complicated and even messy sometimes. Using compassionate curiousity, I work with others to identify strength based approaches, to support areas of challenge, sometimes using animals, plants, & eco therapy. Finding and protecting our peace is important work in our lives. I offer creative strategies to support balance, learn healthy choices and let go of what doesn't serve you. I'm grateful to share over 20 years of experience with you while holding the space for us to identify “the next right thing” for you together .
Growing up today is not easy, especially when connections and relationships are challenging. Communication can get complicated and even messy sometimes. Using compassionate curiousity, I work with others to identify strength based approaches, to support areas of challenge, sometimes using animals, plants, & eco therapy. Finding and protecting our peace is important work in our lives. I offer creative strategies to support balance, learn healthy choices and let go of what doesn't serve you. I'm grateful to share over 20 years of experience with you while holding the space for us to identify “the next right thing” for you together .
(413) 327-9709 View (413) 327-9709
Photo of Jennifer Kennard, Counselor
Jennifer Kennard
Counselor
Verified Verified
Pittsfield, MA 01201  (Online Only)
Reaching out for therapy and support is the hardest self-care task that anyone can take, and I first want to take a moment to reflect on this as you are taking your first step in seeking treatment. Finding the right therapist to build a therapeutic alliance is the most vital piece to having an effective therapeutic journey; therefore, I want to be there to help support you! I am Jenn, a Licensed Mental Health Clinician (LMHC) currently working in the state of Massachusetts through a Telehealth platform. I graduated from Boston University School of Medicine with a Masters in Mental Health Counseling and Behavioral Medicine.
Reaching out for therapy and support is the hardest self-care task that anyone can take, and I first want to take a moment to reflect on this as you are taking your first step in seeking treatment. Finding the right therapist to build a therapeutic alliance is the most vital piece to having an effective therapeutic journey; therefore, I want to be there to help support you! I am Jenn, a Licensed Mental Health Clinician (LMHC) currently working in the state of Massachusetts through a Telehealth platform. I graduated from Boston University School of Medicine with a Masters in Mental Health Counseling and Behavioral Medicine.
(866) 738-3081 View (866) 738-3081
Photo of Melanie Snyder - Tri-State Psychotherapy Group, Clinical Social Work/Therapist
Tri-State Psychotherapy Group
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Pittsfield, MA 01201
We Serve Clients in MA, NY, and CT! Visit our website to request a consultation. Our ideal client may be navigating the challenges of depression, anxiety, ADHD, or experiencing the impacts of trauma, including PTSD/C-PTSD. They could be college students facing academic stress, parents managing family dynamics, individuals adjusting to career changes, or anyone in the midst of personal growth. Their goals include seeking understanding, healing, and strategies to improve their mental health and well-being. They desire a compassionate space where their unique experiences are understood and valued.
We Serve Clients in MA, NY, and CT! Visit our website to request a consultation. Our ideal client may be navigating the challenges of depression, anxiety, ADHD, or experiencing the impacts of trauma, including PTSD/C-PTSD. They could be college students facing academic stress, parents managing family dynamics, individuals adjusting to career changes, or anyone in the midst of personal growth. Their goals include seeking understanding, healing, and strategies to improve their mental health and well-being. They desire a compassionate space where their unique experiences are understood and valued.
(413) 269-5589 View (413) 269-5589
Photo of Liza Bove' - Liza Bove LCSW-R - Psychotherapy PLLC , LCSW-R, LICSW, Clinical Social Work/Therapist
Liza Bove LCSW-R - Psychotherapy PLLC
Clinical Social Work/Therapist, LCSW-R, LICSW
Verified Verified
1 Endorsed
Pittsfield, MA 01201
My focus is on assessing the entire person holistically. I want to acknowledge you for taking this brave and difficult step. Getting to this place has not been easy, but I assure you, you will get through this. Most importantly, you should not feel ashamed for seeking help. We are all imperfect, flawed in our own way. Only we control our journey to realizing our own best self. We need to listen and hear our higher self, clearing the noise and emotional interference that keeps us from achieving mental and spiritual peace. As a therapist, my purpose is to mirror, mentor and persist in helping you transform your soul.
My focus is on assessing the entire person holistically. I want to acknowledge you for taking this brave and difficult step. Getting to this place has not been easy, but I assure you, you will get through this. Most importantly, you should not feel ashamed for seeking help. We are all imperfect, flawed in our own way. Only we control our journey to realizing our own best self. We need to listen and hear our higher self, clearing the noise and emotional interference that keeps us from achieving mental and spiritual peace. As a therapist, my purpose is to mirror, mentor and persist in helping you transform your soul.
(845) 262-2051 View (845) 262-2051
Photo of Rebecca Walsh
Rebecca Walsh
Verified Verified
Pittsfield, MA 01201
I work with a diverse group of individuals. In my experience,​ the people who find their way to me are the people I work best with.
I work with a diverse group of individuals. In my experience,​ the people who find their way to me are the people I work best with.
(413) 728-5657 View (413) 728-5657
Photo of Kaye Shaddock, MA, ATR-BC, Art Therapist
Kaye Shaddock
Art Therapist, MA, ATR-BC
Verified Verified
1 Endorsed
Pittsfield, MA 01201
If you are feeling stuck, I am here to help you navigate the process of getting un-stuck. Maybe you are running into the same problems repeatedly, feeling dissatisfied with life, or dealing with anxiety and depression. So many of the challenges we face comes from the stories we tell ourselves about ourselves. I work with my clients from a trauma-informed lens to reframe and re-author their stories. We work with curiosity to understand the places where pain emerges. We are a team in this process with you, the client as the expert on your life. Together we work to build confidence, emotional regulation, self-esteem, and processing.
If you are feeling stuck, I am here to help you navigate the process of getting un-stuck. Maybe you are running into the same problems repeatedly, feeling dissatisfied with life, or dealing with anxiety and depression. So many of the challenges we face comes from the stories we tell ourselves about ourselves. I work with my clients from a trauma-informed lens to reframe and re-author their stories. We work with curiosity to understand the places where pain emerges. We are a team in this process with you, the client as the expert on your life. Together we work to build confidence, emotional regulation, self-esteem, and processing.
(413) 553-1190 View (413) 553-1190

More Therapists Nearby

Photo of Elizabeth V Roberts, PsyD, Psychologist
Elizabeth V Roberts
Psychologist, PsyD
Verified Verified
Lenox, MA 01240
People come to psychologists to find answers, get help, and feel better. Often the true nature and deep complexity of any challenge take time to reveal themselves. As a psychologist and neuropsychologist, I help children, families, and adults with the tools of psychotherapy, neuropsychological testing, legal/forensic evaluation, and consultation. My background in human development is central to my person-centered approach. My special interests include girls and women, autism spectrum disorder, ADHD, learning disabilities, neurologic conditions, employment, and life transitions.
People come to psychologists to find answers, get help, and feel better. Often the true nature and deep complexity of any challenge take time to reveal themselves. As a psychologist and neuropsychologist, I help children, families, and adults with the tools of psychotherapy, neuropsychological testing, legal/forensic evaluation, and consultation. My background in human development is central to my person-centered approach. My special interests include girls and women, autism spectrum disorder, ADHD, learning disabilities, neurologic conditions, employment, and life transitions.
(413) 728-5023 View (413) 728-5023
Photo of Jessica Drohan - Behavior Support/Executive Function-Jessica Drohan, MA, BCBA, LABA
Behavior Support/Executive Function-Jessica Drohan
MA, BCBA, LABA
Verified Verified
Lenox, MA 01240
Waitlist for new clients
About Me: I am a behavior consultant and child and parent coach. My specialty and passion is providing in depth Behavior Support and Executive Functioning Coaching to both parents and their children. I specialize in Autism, ADHD, Executive Functioning Challenges and general behavior support. I also provide support for IEP, 504, and other school meetings, sleep training support, and toilet training support. Now offering virtual and in-person friendship groups. E-mail or call for more information.
About Me: I am a behavior consultant and child and parent coach. My specialty and passion is providing in depth Behavior Support and Executive Functioning Coaching to both parents and their children. I specialize in Autism, ADHD, Executive Functioning Challenges and general behavior support. I also provide support for IEP, 504, and other school meetings, sleep training support, and toilet training support. Now offering virtual and in-person friendship groups. E-mail or call for more information.
(413) 324-4427 View (413) 324-4427
Photo of Christopher Morrison, LPC, MT-BC , Licensed Professional Counselor
Christopher Morrison
Licensed Professional Counselor, LPC, MT-BC
Verified Verified
3 Endorsed
Dalton, MA 01226  (Online Only)
Whether navigating workplace balance or addressing severe anxiety, I am committed to supporting individuals across a spectrum of challenges. With more than a decade of experience as a therapist, I've cultivated a deep passion and expertise in applying diverse evidence-based practices tailored to the unique needs of each individual I work with. As a compassionate guide, I accompany clients on their transformative journey toward healing, growth, and self-discovery.
Whether navigating workplace balance or addressing severe anxiety, I am committed to supporting individuals across a spectrum of challenges. With more than a decade of experience as a therapist, I've cultivated a deep passion and expertise in applying diverse evidence-based practices tailored to the unique needs of each individual I work with. As a compassionate guide, I accompany clients on their transformative journey toward healing, growth, and self-discovery.
(267) 651-0605 View (267) 651-0605

Online Therapists

Photo of Paul Harris Sandman, EdD, LMHC, Counselor
Paul Harris Sandman
Counselor, EdD, LMHC
Verified Verified
Worcester, MA 01605
My ideal clients are interested in improving their self awareness of their thoughts, feelings, and behaviors. I treat any of the following issues: depression, anxiety, anger, substance abuse, relationship issues, sexual behaviors, trauma, domestic violence, low self-esteem, eating disorders, attention deficit difficulties, autism, schizophrenia, stress management, Post-Traumatic Stress Disorder, child behavior and attitude problems, school behavior, low motivation, weight loss, quitting smoking, grief and loss of a loved one, divorce, parenting issues, co-dependency, pain management, social skills development, bi-polar disorder, abusive family situations, work problems, shame/inappropriate guilt, and negative thinking but treat many more issues.
My ideal clients are interested in improving their self awareness of their thoughts, feelings, and behaviors. I treat any of the following issues: depression, anxiety, anger, substance abuse, relationship issues, sexual behaviors, trauma, domestic violence, low self-esteem, eating disorders, attention deficit difficulties, autism, schizophrenia, stress management, Post-Traumatic Stress Disorder, child behavior and attitude problems, school behavior, low motivation, weight loss, quitting smoking, grief and loss of a loved one, divorce, parenting issues, co-dependency, pain management, social skills development, bi-polar disorder, abusive family situations, work problems, shame/inappropriate guilt, and negative thinking but treat many more issues.
(774) 768-0617 View (774) 768-0617
Photo of Fran Peterson, MEd , CAGS, LMHC, Counselor
Fran Peterson
Counselor, MEd , CAGS, LMHC
Verified Verified
Worcester, MA 01602
I am accepting new clients ages 4 years old to 10 years old in office sessions. As well as continued support on line for teens and adults. I use Cognitive Behavioral Therapy (CBT) and Behavioral Therapy. I work with adults who suffer from major depression, generalized anxiety as well as other diagnoses. I specialize in working with individuals on the Autism Spectrum. I work with children of all ages and I am strong in Behavioral Therapy and can help with strategies to deal with the difficulties of tantrums and meltdowns. Finally, I use humor in all areas of work, as life can be tough and sometimes you just need to laugh.
I am accepting new clients ages 4 years old to 10 years old in office sessions. As well as continued support on line for teens and adults. I use Cognitive Behavioral Therapy (CBT) and Behavioral Therapy. I work with adults who suffer from major depression, generalized anxiety as well as other diagnoses. I specialize in working with individuals on the Autism Spectrum. I work with children of all ages and I am strong in Behavioral Therapy and can help with strategies to deal with the difficulties of tantrums and meltdowns. Finally, I use humor in all areas of work, as life can be tough and sometimes you just need to laugh.
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Photo of Rhonda L Ward, LICSW, Clinical Social Work/Therapist
Rhonda L Ward
Clinical Social Work/Therapist, LICSW
Verified Verified
West Springfield, MA 01089
Feeling stressed, overwhelmed, depressed, anxious? Having a hard time focusing and concentrating? Perhaps your life isn't going in the direction you had hoped it would. Life can get difficult at times…. Therapy can offer many opportunities to help relieve emotional pain, to improve our relationships, to overcome the ways we feel stuck, and ultimately to build a more meaningful life as we come to understand ourselves more deeply. I am a neurodiversity-affirming therapist. I specialize in ADHD, Anxiety, Autism, Sensory challenges, Trauma, Family and couple support.
Feeling stressed, overwhelmed, depressed, anxious? Having a hard time focusing and concentrating? Perhaps your life isn't going in the direction you had hoped it would. Life can get difficult at times…. Therapy can offer many opportunities to help relieve emotional pain, to improve our relationships, to overcome the ways we feel stuck, and ultimately to build a more meaningful life as we come to understand ourselves more deeply. I am a neurodiversity-affirming therapist. I specialize in ADHD, Anxiety, Autism, Sensory challenges, Trauma, Family and couple support.
(413) 216-4685 View (413) 216-4685
Photo of Jonathan Brody, LICSW, Clinical Social Work/Therapist
Jonathan Brody
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
I have seventeen years of experience specializing in the treatment of adolescents and adults struggling with stress, anxiety, trauma, depression and bipolar, autism-spectrum experiences, psychosis and substance use.
I believe in the inherent potential of all people. Despite the challenges of life, we have an incredible capacity to persevere. Obstacles can be opportunties as we are often braver, stronger and more capable than we give ourselves credit for.
I have seventeen years of experience specializing in the treatment of adolescents and adults struggling with stress, anxiety, trauma, depression and bipolar, autism-spectrum experiences, psychosis and substance use.
I believe in the inherent potential of all people. Despite the challenges of life, we have an incredible capacity to persevere. Obstacles can be opportunties as we are often braver, stronger and more capable than we give ourselves credit for.
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Photo of Brittany Godden, LMHC, SAC, MA, Counselor
Brittany Godden
Counselor, LMHC, SAC, MA
Verified Verified
2 Endorsed
Westfield, MA 01085  (Online Only)
I am a neuro-affirming therapist, who specializes in working with children and teens with Autism, ADHD, anxiety, depression, and trauma. I have experience working with children and youth in clinical and educational settings including as an outpatient therapist, school-based therapist, early childhood mental health consultant, school counselor, and as a therapeutic mentor. I also work closely with parents and caregivers as they learn more about the unique ways their child interacts with their world, which can also include advising or advocating for school services if your child is currently struggling in school.
I am a neuro-affirming therapist, who specializes in working with children and teens with Autism, ADHD, anxiety, depression, and trauma. I have experience working with children and youth in clinical and educational settings including as an outpatient therapist, school-based therapist, early childhood mental health consultant, school counselor, and as a therapeutic mentor. I also work closely with parents and caregivers as they learn more about the unique ways their child interacts with their world, which can also include advising or advocating for school services if your child is currently struggling in school.
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Photo of Fanny Mlawer, PhD, Psychologist
Fanny Mlawer
Psychologist, PhD
Verified Verified
Wellesley, MA 02482
I am a Licensed Psychologist with a wide range of childhood and adolescent behavioral and emotional concerns, including behavioral and emotional outbursts, anxiety, picky eating, and coping with stressful life events. I have a particular expertise working with children and adolescents with neurodevelopment concerns (e.g. ADHD, Autism) and chronic medical conditions, as well as treating sleep difficulties, distress during medical appointments/procedures (e.g. injections/blood draws, imaging, dentist), treatment adherence (e.g. pill swallowing), feeding concerns, and parenting concerns/difficulties.
I am a Licensed Psychologist with a wide range of childhood and adolescent behavioral and emotional concerns, including behavioral and emotional outbursts, anxiety, picky eating, and coping with stressful life events. I have a particular expertise working with children and adolescents with neurodevelopment concerns (e.g. ADHD, Autism) and chronic medical conditions, as well as treating sleep difficulties, distress during medical appointments/procedures (e.g. injections/blood draws, imaging, dentist), treatment adherence (e.g. pill swallowing), feeding concerns, and parenting concerns/difficulties.
(774) 224-5368 View (774) 224-5368
Photo of Beril Bayrak, MD , FAAP
Beril Bayrak
MD , FAAP
Verified Verified
Chelmsford, MA 01824
I am trained in Infant Mental Health and autism diagnosis, and will be launching Circle of Security parenting groups to empower parents and strengthen their bond with their children.
My primary goal is to provide assistance and guidance to parents facing any concerns or conflicts related to parenting, with a strong emphasis on promoting the mental well-being of both the child and the entire family. I specialize in offering prenatal and newborn consultations, aiming to establish and nurture caregiver-child relationships from the very beginning, with a focus on prevention. I have extensive experience working with families who have encountered postpartum depression, anxiety, and premature birth, as well as children who face regulation challenges during early childhood and beyond.
I am trained in Infant Mental Health and autism diagnosis, and will be launching Circle of Security parenting groups to empower parents and strengthen their bond with their children.
My primary goal is to provide assistance and guidance to parents facing any concerns or conflicts related to parenting, with a strong emphasis on promoting the mental well-being of both the child and the entire family. I specialize in offering prenatal and newborn consultations, aiming to establish and nurture caregiver-child relationships from the very beginning, with a focus on prevention. I have extensive experience working with families who have encountered postpartum depression, anxiety, and premature birth, as well as children who face regulation challenges during early childhood and beyond.
(339) 215-3204 View (339) 215-3204
Photo of Hannah Gilbert, MSW, LCSW, Clinical Social Work/Therapist
Hannah Gilbert
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chelmsford, MA 01824
Hannah earned her Master’s Degree in Social Work at Simmons University in Boston, and her Bachelor’s Degree in Psychology from Rivier University, in Nashua New Hampshire. Hannah enjoys working with children, adolescents, college aged individuals, and adults. She has experience in anxiety and depression, adjustment disorders, Autism Spectrum Disorders, Intellectual Disabilities, as well as Schizophrenia in addition to normal life stressors.
Hannah earned her Master’s Degree in Social Work at Simmons University in Boston, and her Bachelor’s Degree in Psychology from Rivier University, in Nashua New Hampshire. Hannah enjoys working with children, adolescents, college aged individuals, and adults. She has experience in anxiety and depression, adjustment disorders, Autism Spectrum Disorders, Intellectual Disabilities, as well as Schizophrenia in addition to normal life stressors.
(413) 206-6752 View (413) 206-6752
Photo of Tyler Pietras - Lighthouse Educational Assessments LLC, LEP, NCSP, EdS
Lighthouse Educational Assessments LLC
Educational Psychologist, LEP, NCSP, EdS
Verified Verified
Webster, MA 01570
I specialize in assessing learning disabilities, complex social-emotional needs / trauma, ADHD, Autism Spectrum Disorder, and more.
I work with students of all ages and their families, from preschool to college, who are looking for either special education in grade school or accommodations for higher education. I provide consultation, advocacy, and psychoeducational evaluation services designed to meet the needs of my clients and properly represent their concerns for all involved parties. If you are a parent who is concerned that your child may have a learning disability, that your child's needs are not being met by their school, or a college student concerned about being able to keep up with your college's curriculum, I can help!
I specialize in assessing learning disabilities, complex social-emotional needs / trauma, ADHD, Autism Spectrum Disorder, and more.
I work with students of all ages and their families, from preschool to college, who are looking for either special education in grade school or accommodations for higher education. I provide consultation, advocacy, and psychoeducational evaluation services designed to meet the needs of my clients and properly represent their concerns for all involved parties. If you are a parent who is concerned that your child may have a learning disability, that your child's needs are not being met by their school, or a college student concerned about being able to keep up with your college's curriculum, I can help!
(508) 413-6750 View (508) 413-6750
Photo of Amanda Hart - Next Steps Therapies, MOT, OTR/L, Occupational Therapist
Next Steps Therapies
Occupational Therapist, MOT, OTR/L
Verified Verified
Northborough, MA 01532
Waitlist for new clients
I value seeing the child as part of the whole family system and want to be able to support the child and family the natural environment to increase carryover and build faster success. This is why I offer home based pediatric occupational therapy or utilize a parent coaching method. I love working with parents to support their child and make everyone’s everyday life easier. My background is in ADHD, Autism, learning disabilities and building successful daily routines, including mealtimes, dressing, bath time, etc. while also incorporating executive functioning skills and/or sensory and self regulation using an interoception method.
I value seeing the child as part of the whole family system and want to be able to support the child and family the natural environment to increase carryover and build faster success. This is why I offer home based pediatric occupational therapy or utilize a parent coaching method. I love working with parents to support their child and make everyone’s everyday life easier. My background is in ADHD, Autism, learning disabilities and building successful daily routines, including mealtimes, dressing, bath time, etc. while also incorporating executive functioning skills and/or sensory and self regulation using an interoception method.
(508) 715-6704 View (508) 715-6704
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.