Autism Therapists in Patchogue, NY

Photo of Irene F Dashiell - Hope Begins Here Psychotherapy - Irene Dashiell, LCSW, Clinical Social Work/Therapist
Hope Begins Here Psychotherapy - Irene Dashiell
Clinical Social Work/Therapist, LCSW
Verified Verified
Patchogue, NY 11772  (Online Only)
My name is Irene Dashiell, I’m a therapist and I have Cerebral Palsy. As a person with a disability I know firsthand what it feels like to be different and how it feels to be treated differently by other people. And that is why I work with kids, teens and young adults who have physical disabilities, ADD/ADHD, autism and anxiety. So I understand why on Monday mornings you push the snooze button five times and don’t want to get out of bed. As a parent or an adult you just feel exhausted, overwhelmed and don’t want to start another week. You just want to wave a magic wand and have a typical life, but that is not your life!
My name is Irene Dashiell, I’m a therapist and I have Cerebral Palsy. As a person with a disability I know firsthand what it feels like to be different and how it feels to be treated differently by other people. And that is why I work with kids, teens and young adults who have physical disabilities, ADD/ADHD, autism and anxiety. So I understand why on Monday mornings you push the snooze button five times and don’t want to get out of bed. As a parent or an adult you just feel exhausted, overwhelmed and don’t want to start another week. You just want to wave a magic wand and have a typical life, but that is not your life!
(631) 438-8203 View (631) 438-8203
Photo of Kristen O'Shea, LMHC, NCC, Counselor
Kristen O'Shea
Counselor, LMHC, NCC
Verified Verified
Patchogue, NY 11772  (Online Only)
Kristen O'Shea is a graduate of Long Island University with a Masters of Science in Clinical Mental Health Counseling and three years of experience. Kristen takes a person-centered approach and has treated patients ages 5-65 with a variety of concerns, including ADHD, autism, anxiety, depression, life transitions, and more. She has experience in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Mindful-Based Stress Reduction. Kristen takes a person centered approach and uses compassion to make sure you are getting the most out of your therapy.
Kristen O'Shea is a graduate of Long Island University with a Masters of Science in Clinical Mental Health Counseling and three years of experience. Kristen takes a person-centered approach and has treated patients ages 5-65 with a variety of concerns, including ADHD, autism, anxiety, depression, life transitions, and more. She has experience in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Mindful-Based Stress Reduction. Kristen takes a person centered approach and uses compassion to make sure you are getting the most out of your therapy.
(516) 212-0134 View (516) 212-0134
Photo of Dr. Matthew Slavin, PsyD, LMHC, Counselor
Dr. Matthew Slavin
Counselor, PsyD, LMHC
Verified Verified
Patchogue, NY 11772  (Online Only)
I specialize in the areas of anxiety, depression, PTSD and ADHD in adolescents and adults, parent counseling, autism spectrum disorders, LGBTQIA+ persons, and family counseling.
With 20 years experience as a therapist and a licensed mental health counselor I have gained a variety of skills that allow me to effectively and mindfully help my clients. My goal is to guide my clients to become their best selves, live each day to its fullest, and acquire the strategies we often need to tackle life’s everyday challenges.
I specialize in the areas of anxiety, depression, PTSD and ADHD in adolescents and adults, parent counseling, autism spectrum disorders, LGBTQIA+ persons, and family counseling.
With 20 years experience as a therapist and a licensed mental health counselor I have gained a variety of skills that allow me to effectively and mindfully help my clients. My goal is to guide my clients to become their best selves, live each day to its fullest, and acquire the strategies we often need to tackle life’s everyday challenges.
(631) 614-6464 View (631) 614-6464
Photo of Danielle Bissett, PsyD, Psychologist
Danielle Bissett
Psychologist, PsyD
Verified Verified
1 Endorsed
Patchogue, NY 11772
I specialize in providing therapy for all ages of varied needs, including anxiety, depression, social skills deficiencies, and autism spectrum disorders.
Do you feel that your not living life to its full potential? Is stress, anxiety, or depression dictating you or your child's daily living? Are you a parent who's feeling overwhelmed and looking for support or guidance? If you answered yes to any of those questions, you are at the right place! I can help you; I assure you that no matter how difficult you feel your situation is, I am here to help you make positive changes.
I specialize in providing therapy for all ages of varied needs, including anxiety, depression, social skills deficiencies, and autism spectrum disorders.
Do you feel that your not living life to its full potential? Is stress, anxiety, or depression dictating you or your child's daily living? Are you a parent who's feeling overwhelmed and looking for support or guidance? If you answered yes to any of those questions, you are at the right place! I can help you; I assure you that no matter how difficult you feel your situation is, I am here to help you make positive changes.
(631) 925-2387 View (631) 925-2387
Photo of Susan Nielsen, Pre-Licensed Professional
Susan Nielsen
Pre-Licensed Professional
Verified Verified
2 Endorsed
Patchogue, NY 11772
I have experience working with disorders such as depression, anxiety, autism, OCD, personality disorders, schizophrenia, substance abuse and many others!.
There are hundreds of reasons why I became a counselor, but the main reason is the want to help guide clients into a better quality of life! The basis of my clinician approach is the strong belief in creating a safe and trusting therapeutic relationship. Maintaining a safe place for clients (like you!) to be supported with genuine care and empathy is integral for me as your counselor. Together we will work towards making positive life changes, finding and utilizing your strengths, meet your therapeutic goals, and relieve your distress.
I have experience working with disorders such as depression, anxiety, autism, OCD, personality disorders, schizophrenia, substance abuse and many others!.
There are hundreds of reasons why I became a counselor, but the main reason is the want to help guide clients into a better quality of life! The basis of my clinician approach is the strong belief in creating a safe and trusting therapeutic relationship. Maintaining a safe place for clients (like you!) to be supported with genuine care and empathy is integral for me as your counselor. Together we will work towards making positive life changes, finding and utilizing your strengths, meet your therapeutic goals, and relieve your distress.
(516) 518-8073 View (516) 518-8073
Photo of Kristie Doheny, PsyD, LMSW, LMHC, RPT-S, Psychologist
Kristie Doheny
Psychologist, PsyD, LMSW, LMHC, RPT-S
Verified Verified
1 Endorsed
Patchogue, NY 11772
Psychological evaluations are also offered to assess for ADHD, learning disabilities, autism spectrum disorder (ADOS-2), and developmental delays.
While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Psychological evaluations are also offered to assess for ADHD, learning disabilities, autism spectrum disorder (ADOS-2), and developmental delays.
While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(347) 756-5019 View (347) 756-5019
Photo of Dana Ellis, LMHC, Counselor
Dana Ellis
Counselor, LMHC
Verified Verified
Patchogue, NY 11772
Waitlist for new clients
Hello! My name is Dana and I am a Licensed Mental Health Counselor. My preferred areas of clinical interest are working with children/teens/young adults with Anxiety/ADHD/ASD as well as LGBTQ children/youth/young adults. I specialize in working with individuals with dual diagnosis (in particular developmental disabilities paired with mental health concerns), and I have an ever-evolving specialty in working with children and youth with anxiety.
Hello! My name is Dana and I am a Licensed Mental Health Counselor. My preferred areas of clinical interest are working with children/teens/young adults with Anxiety/ADHD/ASD as well as LGBTQ children/youth/young adults. I specialize in working with individuals with dual diagnosis (in particular developmental disabilities paired with mental health concerns), and I have an ever-evolving specialty in working with children and youth with anxiety.
(631) 910-7821 View (631) 910-7821
Photo of Dr. Stephanie Columbia, LCSW-R, EdD, , LBA, Clinical Social Work/Therapist
Dr. Stephanie Columbia
Clinical Social Work/Therapist, LCSW-R, EdD, LBA
Verified Verified
1 Endorsed
Patchogue, NY 11772
The journey of a thousand miles begins with one step....As a social worker and behavior analyst with a long history in public education, I bring a unique blend of clinical social work expertise and behavioral analysis to my practice, allowing me to address the diverse needs of all clients, Children and adults. One area I can assist with is IEP creation, 504 Plans and working with your school district to get the services your child needs. Adult work focuses on managing stress, goal setting and achievement as well as just "feeling better" Working with Teens we stress healthy boundaries and college students managing the transition
The journey of a thousand miles begins with one step....As a social worker and behavior analyst with a long history in public education, I bring a unique blend of clinical social work expertise and behavioral analysis to my practice, allowing me to address the diverse needs of all clients, Children and adults. One area I can assist with is IEP creation, 504 Plans and working with your school district to get the services your child needs. Adult work focuses on managing stress, goal setting and achievement as well as just "feeling better" Working with Teens we stress healthy boundaries and college students managing the transition
(631) 333-9802 View (631) 333-9802
Photo of Donna Thiele, PsyD, BCBA-D, LBA, Psychologist
Donna Thiele
Psychologist, PsyD, BCBA-D, LBA
Verified Verified
3 Endorsed
Patchogue, NY 11772
You have a unique purpose and carry unique values. But lately, you have found it difficult to find your path and reach your goals. You feel "stuck". I can help you identify the values that are important to you and give you the skills you need to reach those goals. I work with clients who have anxiety, social adjustment issues, have difficulty being "flexible", and caregivers who are struggling to support those with disabilities and behavioral challenges. I make therapy an active, rewarding choice for every person so that he or she feels safe, supported, and confident in his or her decisions.
You have a unique purpose and carry unique values. But lately, you have found it difficult to find your path and reach your goals. You feel "stuck". I can help you identify the values that are important to you and give you the skills you need to reach those goals. I work with clients who have anxiety, social adjustment issues, have difficulty being "flexible", and caregivers who are struggling to support those with disabilities and behavioral challenges. I make therapy an active, rewarding choice for every person so that he or she feels safe, supported, and confident in his or her decisions.
(631) 830-6597 View (631) 830-6597
Photo of Leanna Greenberg, MS, LMHC, Counselor
Leanna Greenberg
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Patchogue, NY 11772  (Online Only)
Waitlist for new clients
Constant anxiety and exhaustion, right? And can we talk about the off-brand crankiness you feel so guilty about? I know you wish you weren’t, but you’re sensitive. Your superpower? You can tell with stunning accuracy what anyone around you is feeling and make sense of what would make the situation better. This makes you great in a crisis and a deft caregiver (and you have given a lot of care). But you can’t turn it off, so you struggle to know what your own needs and boundaries are, let alone meet them. I am neurodivergent with a history of complex trauma. I understand from the inside and I can help you make sense of yourself, too.
Constant anxiety and exhaustion, right? And can we talk about the off-brand crankiness you feel so guilty about? I know you wish you weren’t, but you’re sensitive. Your superpower? You can tell with stunning accuracy what anyone around you is feeling and make sense of what would make the situation better. This makes you great in a crisis and a deft caregiver (and you have given a lot of care). But you can’t turn it off, so you struggle to know what your own needs and boundaries are, let alone meet them. I am neurodivergent with a history of complex trauma. I understand from the inside and I can help you make sense of yourself, too.
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Photo of Novelle Court, MA, LCAT, ATR-BC
Novelle Court
MA, LCAT, ATR-BC
Verified Verified
Patchogue, NY 11772
I am a licensed psychotherapist who utilizes cognitive behavioral therapy, empowerment and a strengths-based approach to help each client. I am board certified in creative arts therapy as well. We can explore your feelings, thoughts, relationships, and set goals. Treatment can address: anxiety, depression, self-esteem, PTSD or other stress-related issues.
I am a licensed psychotherapist who utilizes cognitive behavioral therapy, empowerment and a strengths-based approach to help each client. I am board certified in creative arts therapy as well. We can explore your feelings, thoughts, relationships, and set goals. Treatment can address: anxiety, depression, self-esteem, PTSD or other stress-related issues.
(631) 250-6553 View (631) 250-6553
Photo of Matthew T Murphy, LCSW, Clinical Social Work/Therapist
Matthew T Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
Patchogue, NY 11772  (Online Only)
I specialize in anxiety, ADHD and helping parents navigate their child's developmental diagnosis. I conduct CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (behavioral therapy), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. A client can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
I specialize in anxiety, ADHD and helping parents navigate their child's developmental diagnosis. I conduct CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (behavioral therapy), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. A client can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
(631) 868-5561 View (631) 868-5561
Photo of Laura Van Schaick-Harman, PsyD, Psychologist
Laura Van Schaick-Harman
Psychologist, PsyD
Verified Verified
3 Endorsed
Patchogue, NY 11772  (Online Only)
I work with children, adolescents, and adults. I love helping people set and reach short and long term goals, experience happiness, and effectively manage and accept negative emotions. I really enjoy helping people to identify, accept, and overcome anxiety. While we all experience anxiety during our lives, it is important to learn the difference between real and imagined dangers, to be able to approach new experiences even if we are scared, and to live a life free from the damaging and smothering aspects of anxiety related disorders.
I work with children, adolescents, and adults. I love helping people set and reach short and long term goals, experience happiness, and effectively manage and accept negative emotions. I really enjoy helping people to identify, accept, and overcome anxiety. While we all experience anxiety during our lives, it is important to learn the difference between real and imagined dangers, to be able to approach new experiences even if we are scared, and to live a life free from the damaging and smothering aspects of anxiety related disorders.
(631) 593-0420 View (631) 593-0420
Photo of Michaela Donohue, Clinical Social Work/Therapist
Michaela Donohue
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Patchogue, NY 11772
Michaela has experience working with individuals who struggle with a wide range of mental health issues such as ADHD, anxiety, depression, trauma, grief, low self esteem, and stress management. Michaela acknowledges that everyone has their own challenges and deserves to be heard. Michaela believes that every individual is different therefore utilizes the therapeutic intervention that will benefit each client the most. Interventions include: CBT, DBT, Executive Functioning skills training, Motivational Interviewing, and more. Michaela provides a relaxed and comfortable space for her clients to feel safe and secure.
Michaela has experience working with individuals who struggle with a wide range of mental health issues such as ADHD, anxiety, depression, trauma, grief, low self esteem, and stress management. Michaela acknowledges that everyone has their own challenges and deserves to be heard. Michaela believes that every individual is different therefore utilizes the therapeutic intervention that will benefit each client the most. Interventions include: CBT, DBT, Executive Functioning skills training, Motivational Interviewing, and more. Michaela provides a relaxed and comfortable space for her clients to feel safe and secure.
(631) 489-8634 View (631) 489-8634
Photo of Tina Flanagan, LMHC, CASAC, Counselor
Tina Flanagan
Counselor, LMHC, CASAC
Verified Verified
2 Endorsed
Patchogue, NY 11772
What happens when you sit at home at night and the world quiets down around you? Do you feel uncomfortable in your own skin? Do you feel as though you’re not at ease with where you are in life? So many of us struggle with this uneasiness inside of us that we don’t know exactly how to handle. The uneasiness leads us to make decisions that end up being counterproductive in our life. Whether it comes down to anxiety, addiction, codependency, impulsive shopping/eating or any other destructive behavior, we can help you work through these experiences and accomplish all your goals!
What happens when you sit at home at night and the world quiets down around you? Do you feel uncomfortable in your own skin? Do you feel as though you’re not at ease with where you are in life? So many of us struggle with this uneasiness inside of us that we don’t know exactly how to handle. The uneasiness leads us to make decisions that end up being counterproductive in our life. Whether it comes down to anxiety, addiction, codependency, impulsive shopping/eating or any other destructive behavior, we can help you work through these experiences and accomplish all your goals!
(631) 449-7200 View (631) 449-7200
Photo of Nadine Wilches, LCSW, Clinical Social Work/Therapist
Nadine Wilches
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Patchogue, NY 11772
I have over 15 years experience treating all mental health conditions from anxiety disorders, trauma and phobias to neuropsychiatric conditions and co-occurring developmental disorders and co-occurring medical issues. Additionally, I work with with complex parent-child and family dynamics, sibling issues, behavioral issues, hyperactivity, impulsivity, selective mutism and other communication barriers. I incorporate expressive arts and movement into therapy. All ages/all conditions, In-office & Telepsych. I have a specialized parent-child-interaction-therapy program through in-home video and I offer periodic group treatment.
I have over 15 years experience treating all mental health conditions from anxiety disorders, trauma and phobias to neuropsychiatric conditions and co-occurring developmental disorders and co-occurring medical issues. Additionally, I work with with complex parent-child and family dynamics, sibling issues, behavioral issues, hyperactivity, impulsivity, selective mutism and other communication barriers. I incorporate expressive arts and movement into therapy. All ages/all conditions, In-office & Telepsych. I have a specialized parent-child-interaction-therapy program through in-home video and I offer periodic group treatment.
(631) 337-8169 View (631) 337-8169
Photo of Deanna Liu, LMHC, Counselor
Deanna Liu
Counselor, LMHC
Verified Verified
3 Endorsed
Patchogue, NY 11772  (Online Only)
Waitlist for new clients
As a therapist, my goal is to support clients in their journey by using individualized treatment approaches. One of the most important indicators of treatment success is the connection between client and therapist. I strive to cultivate a safe working relationship in which you can openly share your thoughts, feelings, and challenges in order to help untangle them. I believe that effective therapy can promote a renewed sense of self-worth and understanding through supported self-discovery.
As a therapist, my goal is to support clients in their journey by using individualized treatment approaches. One of the most important indicators of treatment success is the connection between client and therapist. I strive to cultivate a safe working relationship in which you can openly share your thoughts, feelings, and challenges in order to help untangle them. I believe that effective therapy can promote a renewed sense of self-worth and understanding through supported self-discovery.
(631) 496-4290 View (631) 496-4290
Photo of Kelly Guerriero, MS, LMHC, NCC, Counselor
Kelly Guerriero
Counselor, MS, LMHC, NCC
Verified Verified
4 Endorsed
Patchogue, NY 11772
Currently accepting new clients! In life, sometimes the first step is the hardest step to take, and I applaud you for having the courage to do so. It is my passion and purpose to help see my clients through some of their hardest days and lowest points. My clients would describe me as honest, compassionate, and down to earth. I’m direct, easy to talk to, and I pride myself on the way that I connect with my clients on a deeper level. In our work, we will explore ways for you to develop effective coping skills, learn to communicate better, achieve personal growth, reach your goals, and build a more authentic, fulfilling life.
Currently accepting new clients! In life, sometimes the first step is the hardest step to take, and I applaud you for having the courage to do so. It is my passion and purpose to help see my clients through some of their hardest days and lowest points. My clients would describe me as honest, compassionate, and down to earth. I’m direct, easy to talk to, and I pride myself on the way that I connect with my clients on a deeper level. In our work, we will explore ways for you to develop effective coping skills, learn to communicate better, achieve personal growth, reach your goals, and build a more authentic, fulfilling life.
(631) 818-1384 View (631) 818-1384
Photo of Sarah Post, LMSW, Clinical Social Work/Therapist
Sarah Post
Clinical Social Work/Therapist, LMSW
Verified Verified
Patchogue, NY 11772
PROVIDING VIRTUAL COUNSELING SESSIONS THROUGH TELEMEDICINE! Sarah Post is a NYS Licensed Social Worker and a clinician at Inspiring Wellness in Sayville, NY. She has extensive experience working with youth and families in the mental health community including supportive services and school environments. Sarah has worked with individuals with Anxiety, Depression, Adjustment Disorder, ADHD and Oppositional Defiant Disorder. Sarah has experience working with youth who have challenges with self-esteem, communication, school avoidance, and positive social interaction.
PROVIDING VIRTUAL COUNSELING SESSIONS THROUGH TELEMEDICINE! Sarah Post is a NYS Licensed Social Worker and a clinician at Inspiring Wellness in Sayville, NY. She has extensive experience working with youth and families in the mental health community including supportive services and school environments. Sarah has worked with individuals with Anxiety, Depression, Adjustment Disorder, ADHD and Oppositional Defiant Disorder. Sarah has experience working with youth who have challenges with self-esteem, communication, school avoidance, and positive social interaction.
(631) 529-2731 View (631) 529-2731
Photo of Melissa Schroeder, PsyD, BCBA, Psychologist
Melissa Schroeder
Psychologist, PsyD, BCBA
Verified Verified
8 Endorsed
Patchogue, NY 11772
Not accepting new clients
Understanding and making meaning of experiences is important to heal and move forward in life. There are times when we all feel off balance, unfocused, afraid, and alone. I work with children and adults to help them learn skills to make meaning of experiences and feelings, find what matters to them, and manage the tough and uncomfortable things that we all often push aside. I take an active approach to therapy, helping clients to identify values, goals, and changes to make them feel fulfilled. Whether I'm working with a 3 or 30 year old, I strive to be curious, empathetic, and respectful of the unique human that you are.
Understanding and making meaning of experiences is important to heal and move forward in life. There are times when we all feel off balance, unfocused, afraid, and alone. I work with children and adults to help them learn skills to make meaning of experiences and feelings, find what matters to them, and manage the tough and uncomfortable things that we all often push aside. I take an active approach to therapy, helping clients to identify values, goals, and changes to make them feel fulfilled. Whether I'm working with a 3 or 30 year old, I strive to be curious, empathetic, and respectful of the unique human that you are.
(631) 490-5904 View (631) 490-5904

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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.