Autism Therapists in Greenville, NC

Photo of Dana Cea, PhD, MS, CPSS, CRC, LCMHC, NCC, Counselor
Dana Cea
Counselor, PhD, MS, CPSS, CRC, LCMHC, NCC
Verified Verified
1 Endorsed
Greenville, NC 27858  (Online Only)
My autism assessments are affirming, transparent, and strength-based.
As of 09/2024 I am only scheduling autism assessments... Whether this is your first or the millionth therapist you have reached out to, you are taking the time to find the best fit. Have you diagnosed yourself with autism? Or felt an autism diagnosis is the missing part of your life? Maybe you have felt “different” your whole life, or perhaps you recently started exploring the possibility of neurodivergence. You may be struggling to connect with others or simply to survive day-to-day. Perhaps you’re feeling frustrated and want the answers you have been searching for.
My autism assessments are affirming, transparent, and strength-based.
As of 09/2024 I am only scheduling autism assessments... Whether this is your first or the millionth therapist you have reached out to, you are taking the time to find the best fit. Have you diagnosed yourself with autism? Or felt an autism diagnosis is the missing part of your life? Maybe you have felt “different” your whole life, or perhaps you recently started exploring the possibility of neurodivergence. You may be struggling to connect with others or simply to survive day-to-day. Perhaps you’re feeling frustrated and want the answers you have been searching for.
(252) 254-2510 View (252) 254-2510
Photo of Beth Sugar, LCMHC, Licensed Professional Counselor
Beth Sugar
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Greenville, NC 27858  (Online Only)
My areas of clinical training and experience are grief and loss, eating disorders, substance use, mood & anxiety disorders, autism, referrals for higher levels of care, parents & folks navigating treatment including Applied Behavioral Analysis - ABA.
Is life all of a sudden unfamiliar? Work or school, not the same? Are you feeling isolated from friends & family? It can be hard to know which foot to put in front of the other. You are not alone! All parts of you are welcome! I am here to help you learn to move with life again, not move on with life.
My areas of clinical training and experience are grief and loss, eating disorders, substance use, mood & anxiety disorders, autism, referrals for higher levels of care, parents & folks navigating treatment including Applied Behavioral Analysis - ABA.
Is life all of a sudden unfamiliar? Work or school, not the same? Are you feeling isolated from friends & family? It can be hard to know which foot to put in front of the other. You are not alone! All parts of you are welcome! I am here to help you learn to move with life again, not move on with life.
(919) 594-0370 View (919) 594-0370
Photo of Nicole M Hoffman Miller, PsyD, Psychologist
Nicole M Hoffman Miller
Psychologist, PsyD
Verified Verified
Greenville, NC 27858
Waitlist for new clients
Areas of special focus for me include supporting those with Autism Spectrum disorder, Anxiety, ADHD, and family work.
Parenting can be difficult. Children have their own personalities, ways of thinking, big feelings and struggle with healthy coping strategies. Children and adolescents often do not know how to communicate their thoughts and feelings and often act out in frustration. Youth are experiencing anxiety, self-doubt, low self confidence, social anxiety, stress, depression, and struggle with focusing. These can become negative self talk and can impact their families. Areas of special interest for me include working with youth and their families to help them flourish. I provide therapy and psychological evaluations.
Areas of special focus for me include supporting those with Autism Spectrum disorder, Anxiety, ADHD, and family work.
Parenting can be difficult. Children have their own personalities, ways of thinking, big feelings and struggle with healthy coping strategies. Children and adolescents often do not know how to communicate their thoughts and feelings and often act out in frustration. Youth are experiencing anxiety, self-doubt, low self confidence, social anxiety, stress, depression, and struggle with focusing. These can become negative self talk and can impact their families. Areas of special interest for me include working with youth and their families to help them flourish. I provide therapy and psychological evaluations.
(252) 899-3109 View (252) 899-3109
Photo of Colin B Bergeson, LCSW, Clinical Social Work/Therapist
Colin B Bergeson
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Greenville, NC 27858
I offer virtual individual, parenting/caregiver (with an emphasis on autism spectrum disorder), and family therapy sessions.
Accepting new clients both in person and virtually. Are you or your child struggling with mental health and school? Are you or your child struggling with anticipatory anxiety related to overwhelming workloads, talking to a teacher or coach, or interacting with peers? We all want to feel like we belong. We all want to find our place where we feel safe to be our true selves. Parents, have you been struggling with understanding why your child is struggling with negative behaviors, not listening, or disobeying rules? These are many, but not all, of the many impacts mental health can have on us individually and as a family unit.
I offer virtual individual, parenting/caregiver (with an emphasis on autism spectrum disorder), and family therapy sessions.
Accepting new clients both in person and virtually. Are you or your child struggling with mental health and school? Are you or your child struggling with anticipatory anxiety related to overwhelming workloads, talking to a teacher or coach, or interacting with peers? We all want to feel like we belong. We all want to find our place where we feel safe to be our true selves. Parents, have you been struggling with understanding why your child is struggling with negative behaviors, not listening, or disobeying rules? These are many, but not all, of the many impacts mental health can have on us individually and as a family unit.
(252) 618-7767 View (252) 618-7767
Photo of Megan Jernigan, MS, LCMHC, NCC
Megan Jernigan
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
Greenville, NC 27833
I graduated from East Carolina University with a Masters of Science degree in Counselor Education, an Autism Certificate, an undergraduate degree in Family Community Services.
There is hope, no matter what you are experiencing. Having someone listen without judgement, genuinely care and assist you in exploring your problems can help. I want to support you in exploring the issues that you are facing and encourage you to discover positive ways to manage your stressors and difficult life situations. Together we can develop a plan for treatment that's best for you. Your therapy will be unique to what you or your family needs. With children, parents will be involved in treatment.
I graduated from East Carolina University with a Masters of Science degree in Counselor Education, an Autism Certificate, an undergraduate degree in Family Community Services.
There is hope, no matter what you are experiencing. Having someone listen without judgement, genuinely care and assist you in exploring your problems can help. I want to support you in exploring the issues that you are facing and encourage you to discover positive ways to manage your stressors and difficult life situations. Together we can develop a plan for treatment that's best for you. Your therapy will be unique to what you or your family needs. With children, parents will be involved in treatment.
(252) 325-3049 View (252) 325-3049
Photo of Sherrita Rogers, EdD, Psychological Associate
Sherrita Rogers
Psychological Associate, EdD
Verified Verified
3 Endorsed
Greenville, NC 27836
I work specifically with children, adolescents, and adults with various concerns, including potential diagnoses of ADHD, learning disabilities, and mental health disorders. Please note that I do not conduct therapy/counseling with children, only assessments/testing to identify any diagnoses. Lastly, I provide spiritual coaching (Christian) to those would would like to set and achieve life goals from a spiritual perspective.
I work specifically with children, adolescents, and adults with various concerns, including potential diagnoses of ADHD, learning disabilities, and mental health disorders. Please note that I do not conduct therapy/counseling with children, only assessments/testing to identify any diagnoses. Lastly, I provide spiritual coaching (Christian) to those would would like to set and achieve life goals from a spiritual perspective.
(252) 516-6382 View (252) 516-6382
Photo of Alexis Askew, MS, LCMHCA, NCC, Counselor
Alexis Askew
Counselor, MS, LCMHCA, NCC
Verified Verified
Greenville, NC 27858
Do you feel like your mental health is in shambles, and you don't know where to start? Find yourself going down the "what if" rabbit hole. Are you grappling with the exhaustion and stress from day-to-day pressures? Do you feel like it's too much to handle? You're not alone! These feelings can arise when we neglect to give our minds and bodies the time they need to heal. I believe that we are strong alone but stronger together. Together, we can build a life that authentically reflects your values. I approach therapy with mutual trust and respect, tailoring it to meet you where you are in your journey.
Do you feel like your mental health is in shambles, and you don't know where to start? Find yourself going down the "what if" rabbit hole. Are you grappling with the exhaustion and stress from day-to-day pressures? Do you feel like it's too much to handle? You're not alone! These feelings can arise when we neglect to give our minds and bodies the time they need to heal. I believe that we are strong alone but stronger together. Together, we can build a life that authentically reflects your values. I approach therapy with mutual trust and respect, tailoring it to meet you where you are in your journey.
(252) 427-0242 View (252) 427-0242
Photo of Cierra Marsha' Jorden, LCSWA, Clinical Social Work/Therapist
Cierra Marsha' Jorden
Clinical Social Work/Therapist, LCSWA
Verified Verified
Greenville, NC 27834
Therapy is a gift. It offers a chance to be truly heard, understood, and supported. I am deeply passionate about providing therapeutic services to families, children, adolescents, and young adults (ages 5 to 26), as well as their caregivers. With over 13 years of experience, I specialize in helping individuals navigate anxiety, depression, parent-child relationship issues, social struggles, gender identity development, end-of-life issues, grief, and behavioral challenges.
Therapy is a gift. It offers a chance to be truly heard, understood, and supported. I am deeply passionate about providing therapeutic services to families, children, adolescents, and young adults (ages 5 to 26), as well as their caregivers. With over 13 years of experience, I specialize in helping individuals navigate anxiety, depression, parent-child relationship issues, social struggles, gender identity development, end-of-life issues, grief, and behavioral challenges.
(252) 501-6761 View (252) 501-6761
Photo of Christina Witmer, MA, LCMHC, NCC
Christina Witmer
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Greenville, NC 27858
Congratulations on taking the step to consider therapy! My approach to the process is Person-Centered, neurodiverse affirming, and unique to your specific needs. Founded in scientifically proven theory, a holistic approach is considered which include biological, psychological, emotional, social and spiritual aspects. I often use techniques from Cognitive-Behavioral Therapy, Mindfulness and Internal Family Systems. Operating from these perspectives I offer you a tailored experience. Your needs and well-being will always be the focus, in a safe and non-judgmental space for exploring, learning, and fostering deeper connections.
Congratulations on taking the step to consider therapy! My approach to the process is Person-Centered, neurodiverse affirming, and unique to your specific needs. Founded in scientifically proven theory, a holistic approach is considered which include biological, psychological, emotional, social and spiritual aspects. I often use techniques from Cognitive-Behavioral Therapy, Mindfulness and Internal Family Systems. Operating from these perspectives I offer you a tailored experience. Your needs and well-being will always be the focus, in a safe and non-judgmental space for exploring, learning, and fostering deeper connections.
(252) 300-0916 View (252) 300-0916
Photo of Kimberly Clark, LCSW-A
Kimberly Clark
LCSW Associate, LCSW-A
Verified Verified
2 Endorsed
Greenville, NC 27858
Have feelings of stress, anxiety, overwhelm, and frustration become the everyday norm lately? Whether difficulties with family, parenting, relationships, or work related stress let's look at it together. I have a passion for working with children and adults throughout different stages of life. Therapy is a safe place where you and I can partner in meeting your goals, learn and understand your stress responses, and develop coping skills to manage stress in a way that feels natural for you. As your therapist, I believe the therapeutic relationship, feeling of safety, and genuine connection are vital for growing on your journey.
Have feelings of stress, anxiety, overwhelm, and frustration become the everyday norm lately? Whether difficulties with family, parenting, relationships, or work related stress let's look at it together. I have a passion for working with children and adults throughout different stages of life. Therapy is a safe place where you and I can partner in meeting your goals, learn and understand your stress responses, and develop coping skills to manage stress in a way that feels natural for you. As your therapist, I believe the therapeutic relationship, feeling of safety, and genuine connection are vital for growing on your journey.
(252) 300-3547 View (252) 300-3547
Photo of Anasya Silver, MS, LCMHC, NCC
Anasya Silver
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
2 Endorsed
Greenville, NC 27834
Can we agree that sometimes life has a way of lifing and knocking us off balance. Reaching out to find a therapist can be daunting and often times the first step you take. Congratulations in taking that first step! I have experience working with individuals and families (ages 5+) with all manners of mental health diagnosis and external stressors especially past and current traumatic experiences, depression, anxiety, grief, stress, life adjustments, anger management, and oppositional behaviors.
Can we agree that sometimes life has a way of lifing and knocking us off balance. Reaching out to find a therapist can be daunting and often times the first step you take. Congratulations in taking that first step! I have experience working with individuals and families (ages 5+) with all manners of mental health diagnosis and external stressors especially past and current traumatic experiences, depression, anxiety, grief, stress, life adjustments, anger management, and oppositional behaviors.
(252) 549-2179 View (252) 549-2179
Photo of Alana Pipkin, LCMHCA, MA
Alana Pipkin
LCMHCA, MA
Verified Verified
Greenville, NC 27858
Many of us go through periods in life where things feel heavy and seem uncertain. We are capable of much more than we believe especially when we feel off. Mental health symptoms can alter our perception and understanding of ourselves, others, and the world. I understand that meeting with a stranger to talk about life can feel uncomfortable. I strive to build a welcoming therapeutic space for clients of all ages.
Many of us go through periods in life where things feel heavy and seem uncertain. We are capable of much more than we believe especially when we feel off. Mental health symptoms can alter our perception and understanding of ourselves, others, and the world. I understand that meeting with a stranger to talk about life can feel uncomfortable. I strive to build a welcoming therapeutic space for clients of all ages.
(252) 651-6353 View (252) 651-6353
Photo of Starr Odom, MSW, LCSWA, Clinical Social Work/Therapist
Starr Odom
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
7 Endorsed
Greenville, NC 27858
Are you are stuck in an endless cycle of worry or depression? You are not alone. Life can be hard; it is common to feel overwhelmed or out of control. Whether you are struggling with anxiety, lack of motivation, or difficulty with new life transitions, I believe that therapy can be greatly beneficial in your life. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
Are you are stuck in an endless cycle of worry or depression? You are not alone. Life can be hard; it is common to feel overwhelmed or out of control. Whether you are struggling with anxiety, lack of motivation, or difficulty with new life transitions, I believe that therapy can be greatly beneficial in your life. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
(252) 888-3221 View (252) 888-3221
Photo of Dr. Leon Johnson, ThD, DBC, MA, LCMHC-S, Licensed Professional Counselor
Dr. Leon Johnson
Licensed Professional Counselor, ThD, DBC, MA, LCMHC-S
Verified Verified
Greenville, NC 27858
As a Licensed Professional Counselor and a State Certified School Counselor with over 20 years of experience. I have established a holistic approach in counseling that cater to all ages. Although I am a mental health professional, I explore a divine approache that impacts an individual's faith and spirituality. I believe everyone has the ability to heal through appropriate techniques, personal development and modality of counseling. However, God is the only healing component that makes all things possible through spiritual manifestation. If you feel spiritual counseling is what you need, please allow me to assist with your growth and development toward your goal(s).
As a Licensed Professional Counselor and a State Certified School Counselor with over 20 years of experience. I have established a holistic approach in counseling that cater to all ages. Although I am a mental health professional, I explore a divine approache that impacts an individual's faith and spirituality. I believe everyone has the ability to heal through appropriate techniques, personal development and modality of counseling. However, God is the only healing component that makes all things possible through spiritual manifestation. If you feel spiritual counseling is what you need, please allow me to assist with your growth and development toward your goal(s).
(252) 392-9457 View (252) 392-9457
Photo of Takesha Briggins, LCMHC, Counselor
Takesha Briggins
Counselor, LCMHC
Verified Verified
Greenville, NC 27834  (Online Only)
Hello! My name is Takesha Briggins and I am a Licensed Clinical Mental Health Counselor in North Carolina. I have been a professional counselor for 12 years and have worked in a variety of settings with diverse populations. I have worked with adolescents in schools, adults in community settings, and families as an intensive in-home clinician. I am passionate about helping others navigate through issues related to anxiety, depression, stress management, life transitions, interpersonal relationships, mindfulness, self compassion, academia, and career to name a few.
Hello! My name is Takesha Briggins and I am a Licensed Clinical Mental Health Counselor in North Carolina. I have been a professional counselor for 12 years and have worked in a variety of settings with diverse populations. I have worked with adolescents in schools, adults in community settings, and families as an intensive in-home clinician. I am passionate about helping others navigate through issues related to anxiety, depression, stress management, life transitions, interpersonal relationships, mindfulness, self compassion, academia, and career to name a few.
(980) 737-9134 View (980) 737-9134
Photo of Macie Bateman, LCSW, LCAS, Clinical Social Work/Therapist
Macie Bateman
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Greenville, NC 27834  (Online Only)
I enjoy working with individuals who are wanting to reconnect to themselves and live more authentically. Stress and trauma can lead to a disconnect from our authentic self and lead to unwanted automatic behaviors such as people-pleasing, tendency for perfectionism, and denying one’s own needs. It is my passion to help clients feel like someone can understand and to help them reconnect with their own selves again to live more authentically. My experience includes the following: depression, anxiety, trauma, neurodivergence, substance and behavioral addictions, life transitions, and identity development and change.
I enjoy working with individuals who are wanting to reconnect to themselves and live more authentically. Stress and trauma can lead to a disconnect from our authentic self and lead to unwanted automatic behaviors such as people-pleasing, tendency for perfectionism, and denying one’s own needs. It is my passion to help clients feel like someone can understand and to help them reconnect with their own selves again to live more authentically. My experience includes the following: depression, anxiety, trauma, neurodivergence, substance and behavioral addictions, life transitions, and identity development and change.
(919) 769-3094 View (919) 769-3094
Photo of David Knappenberger, MA, MS, LMFT, Marriage & Family Therapist
David Knappenberger
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
Greenville, NC 27858  (Online Only)
Seeing clients through the Psychology Today Telehealth portal allows me to assist clients throughout NC. I work with individuals struggling with depression, anxiety, adjustment disorders, anger issues, PTSD and Asperger's disorder. I work with couples to improve their communications & the overall quality of their relationships. I assist couples whose relationships have suffered from infidelity. I also help families deal with the challenges of divorce, step family formation, and parent/teenager conflicts. I have experienced divorce, remarriage, and step family issues, thus I understand the emotional impact of these life changes.
Seeing clients through the Psychology Today Telehealth portal allows me to assist clients throughout NC. I work with individuals struggling with depression, anxiety, adjustment disorders, anger issues, PTSD and Asperger's disorder. I work with couples to improve their communications & the overall quality of their relationships. I assist couples whose relationships have suffered from infidelity. I also help families deal with the challenges of divorce, step family formation, and parent/teenager conflicts. I have experienced divorce, remarriage, and step family issues, thus I understand the emotional impact of these life changes.
(910) 817-4395 View (910) 817-4395
Photo of Sarah Dietz, PsyD, FT, Psychologist
Sarah Dietz
Psychologist, PsyD, FT
Verified Verified
Greenville, NC 27834
Having spent over a decade working in University Counseling Centers, I enjoy working with individuals at points in their life of growth or transition, whether forced upon them or chosen. Change is hard, when it's chosen and even more so when it's not. Having support can empower you to use the momentum created by change to create the life you want for yourself, instead of feeling overwhelmed and paralyzed by all that life changes require. Whether in a moment of distress or a desire to grow beyond the past, I value the opportunity to support clients in finding choices that allow them to live a more balanced and genuine life.
Having spent over a decade working in University Counseling Centers, I enjoy working with individuals at points in their life of growth or transition, whether forced upon them or chosen. Change is hard, when it's chosen and even more so when it's not. Having support can empower you to use the momentum created by change to create the life you want for yourself, instead of feeling overwhelmed and paralyzed by all that life changes require. Whether in a moment of distress or a desire to grow beyond the past, I value the opportunity to support clients in finding choices that allow them to live a more balanced and genuine life.
(910) 225-4347 View (910) 225-4347
Photo of Cameron K Collins Phd, PhD, HSP-P, Psychologist
Cameron K Collins Phd
Psychologist, PhD, HSP-P
Verified Verified
Greenville, NC 27833  (Online Only)
This life is hard! Are you or your child feeling overwhelmed, anxious, and stressed? Struggling with daily tasks at school, home, or work? Living with ADHD, anxiety/fears, OCD, trauma, or a mood disorder (depression, bipolar disorder)? Going through a difficult transition (e.g. starting college, adjusting adulthood)? You don't have to face these challenges alone - I'm here to help. Work with me to gain personal insight, learn coping strategies, build resilience, and realize your strengths. Together, we can find a way toward a happier and more balanced life.
This life is hard! Are you or your child feeling overwhelmed, anxious, and stressed? Struggling with daily tasks at school, home, or work? Living with ADHD, anxiety/fears, OCD, trauma, or a mood disorder (depression, bipolar disorder)? Going through a difficult transition (e.g. starting college, adjusting adulthood)? You don't have to face these challenges alone - I'm here to help. Work with me to gain personal insight, learn coping strategies, build resilience, and realize your strengths. Together, we can find a way toward a happier and more balanced life.
(252) 302-4955 View (252) 302-4955

More Therapists Nearby

Photo of Julie A Smith - Making Headway Counseling Services PLLC, LCMHC
Making Headway Counseling Services PLLC
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Winterville, NC 28590  (Online Only)
Life can be challenging at times, do you feel your alone in this? Struggling with parenting your child? Does your child need help? Struggling in your marriage? Struggling with difficult feelings? I'm here to help. I find that making people comfortable helps them through the process of discovering how to be the best them they can be. In this journey we call life there are times we need someone to listen and help us through the storms. Sometimes we need to explore our past to understand our present. Let me help you along the way. Please reach out to talk and ask questions .
Life can be challenging at times, do you feel your alone in this? Struggling with parenting your child? Does your child need help? Struggling in your marriage? Struggling with difficult feelings? I'm here to help. I find that making people comfortable helps them through the process of discovering how to be the best them they can be. In this journey we call life there are times we need someone to listen and help us through the storms. Sometimes we need to explore our past to understand our present. Let me help you along the way. Please reach out to talk and ask questions .
(252) 254-2919 View (252) 254-2919

Nearby Autism Therapists Searches for Greenville

See More Autism Therapists
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.