Autism Therapists in Gresham, OR

Photo of Taylor Ramsey, MA, MHCA, OTA, Counselor
Taylor Ramsey
Counselor, MA, MHCA, OTA
Verified Verified
Gresham, OR 97030
My preferred populations to work with are neurodivergent individuals, and I have specific training with ADHD and autism.
Are you or your child dealing with challenges related to sensory processing, such as being overwhelmed by certain sounds or textures? Are you or your child struggling to connect with peers or forming social relationships? I have a background in outpatient pediatric occupational therapy where I enjoyed working to support children and families with sensory, motor, and cognitive challenges. I believe in supporting the family system and providing parents as well as children with tools to increase connection and well-being.
My preferred populations to work with are neurodivergent individuals, and I have specific training with ADHD and autism.
Are you or your child dealing with challenges related to sensory processing, such as being overwhelmed by certain sounds or textures? Are you or your child struggling to connect with peers or forming social relationships? I have a background in outpatient pediatric occupational therapy where I enjoyed working to support children and families with sensory, motor, and cognitive challenges. I believe in supporting the family system and providing parents as well as children with tools to increase connection and well-being.
(503) 773-6662 View (503) 773-6662
Photo of Sarah M Manlupig, MA, LPC, Licensed Professional Counselor
Sarah M Manlupig
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Gresham, OR 97030
If your child is struggling to manage their emotions, experienced trauma, struggling with symptoms of Adjustment, Anxiety, Autism, ADHD and/or Depression, we can help!.
Eastside Child and Family Therapy is a counseling group practice serving parents, early childhood, children, teens & young adults. We believe in removing some of the barriers to therapy by offering face to face, at our Gresham location & in schools, with our school based program and all over Oregon, with our Telehealth program. We serve families utilizing family systems and parenting support, individuals utilizing PLAY therapy and talk therapy. We believe that parents, children, teens & young adults should be equipped with tools for success! Our Hybrid model of support might be what you've been searching for.
If your child is struggling to manage their emotions, experienced trauma, struggling with symptoms of Adjustment, Anxiety, Autism, ADHD and/or Depression, we can help!.
Eastside Child and Family Therapy is a counseling group practice serving parents, early childhood, children, teens & young adults. We believe in removing some of the barriers to therapy by offering face to face, at our Gresham location & in schools, with our school based program and all over Oregon, with our Telehealth program. We serve families utilizing family systems and parenting support, individuals utilizing PLAY therapy and talk therapy. We believe that parents, children, teens & young adults should be equipped with tools for success! Our Hybrid model of support might be what you've been searching for.
(503) 676-5022 View (503) 676-5022
Photo of Vanessa Jerusalimiec, Pre-Licensed Professional
Vanessa Jerusalimiec
Pre-Licensed Professional
Verified Verified
Gresham, OR 97030
Hi, I'm Vanessa (they/them), and my practice centers gender identity and exploration, sexuality, polyamory, and religious trauma. I often work with queer and trans folks navigating difficult family dynamics or working through barriers to accessing gender-affirming care. I practice within an intersectional framework, seeking to hear and understand your lived experiences. My own lived experience as a queer person and an immigrant influences my practice. I maintain a deep curiosity toward our systems and ways of being, and this leads me to constantly question societal structures that oppress, restrict, and exclude.
Hi, I'm Vanessa (they/them), and my practice centers gender identity and exploration, sexuality, polyamory, and religious trauma. I often work with queer and trans folks navigating difficult family dynamics or working through barriers to accessing gender-affirming care. I practice within an intersectional framework, seeking to hear and understand your lived experiences. My own lived experience as a queer person and an immigrant influences my practice. I maintain a deep curiosity toward our systems and ways of being, and this leads me to constantly question societal structures that oppress, restrict, and exclude.
(971) 715-2417 View (971) 715-2417
Photo of Kiana Kurzynowski, MCOUN, LPC, Licensed Professional Counselor
Kiana Kurzynowski
Licensed Professional Counselor, MCOUN, LPC
Verified Verified
Gresham, OR 97030
I specialize in working with neurodivergent adults- so folks who, for diverse reasons feel like their brains work different from most i.e. Autistic, ADHD, complex PTSD, HSP, queer, BIPOC, etc.; and those differences have limited their access to community or feeling like they're living a full life. Some common difficulties for neurodivergent adults include: chronic anxiety, feeling lonely or isolated, recurrent depression, communication difficulties, low self esteem, and general difficulty with "people-ing". Please reach out with a brief intro including your insurance if applicable. NOTE: Unable to accept PacificSource at this time.
I specialize in working with neurodivergent adults- so folks who, for diverse reasons feel like their brains work different from most i.e. Autistic, ADHD, complex PTSD, HSP, queer, BIPOC, etc.; and those differences have limited their access to community or feeling like they're living a full life. Some common difficulties for neurodivergent adults include: chronic anxiety, feeling lonely or isolated, recurrent depression, communication difficulties, low self esteem, and general difficulty with "people-ing". Please reach out with a brief intro including your insurance if applicable. NOTE: Unable to accept PacificSource at this time.
(458) 216-5427 View (458) 216-5427
Photo of Nathaniel Brown, PhD,  CSWA
Nathaniel Brown
Clinical Social Work Associate, PhD, CSWA
Verified Verified
Gresham, OR 97030
Nathan believes in a treatment philosophy and goal that helps clients tell their stories through guidance and support while offering appropriate interventions to help resolve, and cope with, challenges impacting activities of daily living and human functioning. His theoretical approach is personcentered, analytic psychology, multicultural and social justice counseling, feminist and womanist theory, narrative theory, solution focused, existentialism, systems, and depth therapy.
Nathan believes in a treatment philosophy and goal that helps clients tell their stories through guidance and support while offering appropriate interventions to help resolve, and cope with, challenges impacting activities of daily living and human functioning. His theoretical approach is personcentered, analytic psychology, multicultural and social justice counseling, feminist and womanist theory, narrative theory, solution focused, existentialism, systems, and depth therapy.
(833) 996-1403 View (833) 996-1403
Photo of Linda Suzanne Elma - Life Skills Management Services LLC, MBA, MSW, LCSW, Clinical Social Work/Therapist
Life Skills Management Services LLC
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
Gresham, OR 97030  (Online Only)
We are licensed in Utah, Oregon, Maine, Minnesota, Florida, Pennsylvania, New York, New Jersey, North Carolina and Colorado. We currently offer telehealth and virtual therapeutic services. We work with individuals with a wide range of concerns including depression, mood disorders, family relations issues, substance use disorders, and co-occurring disorders. We combine different therapeutic approaches based on client's presenting concerns, goals, and motivation, such as, cognitive-behavioral, brief therapy, mindfulness, client-centered, solution-focused therapy.
We are licensed in Utah, Oregon, Maine, Minnesota, Florida, Pennsylvania, New York, New Jersey, North Carolina and Colorado. We currently offer telehealth and virtual therapeutic services. We work with individuals with a wide range of concerns including depression, mood disorders, family relations issues, substance use disorders, and co-occurring disorders. We combine different therapeutic approaches based on client's presenting concerns, goals, and motivation, such as, cognitive-behavioral, brief therapy, mindfulness, client-centered, solution-focused therapy.
(503) 300-6773 View (503) 300-6773
Photo of David Frazee, MA,  LPC, Licensed Professional Counselor
David Frazee
Licensed Professional Counselor, MA, LPC
Verified Verified
Gresham, OR 97030
At age 30 I started at the University of Oregon, earning a Bachelor’s degree in General Social Science and then earned a Master of Arts Degree at Bushnell University in Professional Counseling. Coursework began with human development and theory of treatment for mental illness. We also learned about testing and assessment, developing diagnosis and overview of treatment options to help individuals to reach and maintain and optimal mental state. I believe that each person can reach an optimum state of health, mental and physical and that the individual holds the key to that state.
At age 30 I started at the University of Oregon, earning a Bachelor’s degree in General Social Science and then earned a Master of Arts Degree at Bushnell University in Professional Counseling. Coursework began with human development and theory of treatment for mental illness. We also learned about testing and assessment, developing diagnosis and overview of treatment options to help individuals to reach and maintain and optimal mental state. I believe that each person can reach an optimum state of health, mental and physical and that the individual holds the key to that state.
(833) 996-1403 View (833) 996-1403
Photo of Cecilia Zoeller, MSW,  LCSW, Clinical Social Work/Therapist
Cecilia Zoeller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gresham, OR 97030
Cecilia Zoeller is a Licensed Clinical Social Worker in Oregon who has been practicing since 2006. She has a Bachelor’s of Arts degree from California State University, and a Master’s degree in Social Work from Portland State University. Cecilia provides traumainformed treatment and specializes in grief work, depression, anxiety, and trauma. She offers supportive listening and activities to complete treatment goals. Cecilia uses tools and therapies that are unique to each person(s). In her free time, Cecilia loves animals. She loves her Cocker Spaniel and Border Collie, ZB. He is so cute, so smart and obedient.
Cecilia Zoeller is a Licensed Clinical Social Worker in Oregon who has been practicing since 2006. She has a Bachelor’s of Arts degree from California State University, and a Master’s degree in Social Work from Portland State University. Cecilia provides traumainformed treatment and specializes in grief work, depression, anxiety, and trauma. She offers supportive listening and activities to complete treatment goals. Cecilia uses tools and therapies that are unique to each person(s). In her free time, Cecilia loves animals. She loves her Cocker Spaniel and Border Collie, ZB. He is so cute, so smart and obedient.
(833) 996-1403 View (833) 996-1403
Photo of Hunter Schow, MA,  QMHP, Pre-Licensed Professional
Hunter Schow
Pre-Licensed Professional, MA, QMHP
Verified Verified
Gresham, OR 97080
Hunter Schow is a dedicated Doctoral Intern at LifeStance Health in Oregon, committed to helping individuals uncover their strengths and achieve personal growth. Serving adolescents, young adults, and adults, Hunter focuses on creating a supportive and understanding environment where clients can explore their unique stories and develop selfefficacy. He believes that every person’s life makes sense and that understanding one’s experiences is key to overcoming challenges such as anxiety, depression, and trauma.
Hunter Schow is a dedicated Doctoral Intern at LifeStance Health in Oregon, committed to helping individuals uncover their strengths and achieve personal growth. Serving adolescents, young adults, and adults, Hunter focuses on creating a supportive and understanding environment where clients can explore their unique stories and develop selfefficacy. He believes that every person’s life makes sense and that understanding one’s experiences is key to overcoming challenges such as anxiety, depression, and trauma.
(833) 996-1403 View (833) 996-1403
Photo of Sam Claypool Skye - Full Spectrum Therapy LLC, LPC, ATR, LAT, Licensed Professional Counselor
Full Spectrum Therapy LLC
Licensed Professional Counselor, LPC, ATR, LAT
Verified Verified
1 Endorsed
Gresham, OR 97080
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages. Our providers have a special passion for working with people in the LGBTQ+ community. We specialize in helping people navigate the challenges of understanding the intersections of their identity, relationships, and the larger world. For youth (and adults too!), we can offer specialized creative approaches that support healing and identity exploration when talking is too hard.
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages. Our providers have a special passion for working with people in the LGBTQ+ community. We specialize in helping people navigate the challenges of understanding the intersections of their identity, relationships, and the larger world. For youth (and adults too!), we can offer specialized creative approaches that support healing and identity exploration when talking is too hard.
(503) 966-9486 View (503) 966-9486
Photo of Maribel Aheran - Neupathway (Maribel Aheran), Eed, LPC, LMHC, Licensed Professional Counselor
Neupathway (Maribel Aheran)
Licensed Professional Counselor, Eed, LPC, LMHC
Verified Verified
Gresham, OR 97030
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(971) 257-1057 View (971) 257-1057
Photo of Deode Lawrence Castro - New Visions Counseling Services, Pre-Licensed Professional
New Visions Counseling Services
Pre-Licensed Professional
Verified Verified
Gresham, OR 97080  (Online Only)
My desire is to build a strong therapeutic relationship with all of my clients. Therefore, respect and trust are two of the most important elements to maximize the counseling process. Whenever a person's problems become bigger than themselves, goals tend to become less of a priority. I know that through focused planning, goals come to life. Because people are the experts over their lives, you will drive the learning and set the goals.
My desire is to build a strong therapeutic relationship with all of my clients. Therefore, respect and trust are two of the most important elements to maximize the counseling process. Whenever a person's problems become bigger than themselves, goals tend to become less of a priority. I know that through focused planning, goals come to life. Because people are the experts over their lives, you will drive the learning and set the goals.
(971) 316-4268 View (971) 316-4268
Photo of Sara Smith, LPC, SUDP, Licensed Professional Counselor
Sara Smith
Licensed Professional Counselor, LPC, SUDP
Verified Verified
1 Endorsed
Gresham, OR 97030  (Online Only)
I specialize in treating underlying emotional concerns as they related to substance use, referred to as co-occurring disorders. Therapy should be a process where you feel safe exploring past experiences, and able to express all parts of yourself free from judgement. This often involves telling difficult stories, and exploring feelings like anger, resentment, loneliness, fear, or inadequacy. The therapist's role is to help you observe yourself in a compassionate and truthful way. My style is humorous, direct, and personable. I embrace authenticity, collaboration, and honest open communication.
I specialize in treating underlying emotional concerns as they related to substance use, referred to as co-occurring disorders. Therapy should be a process where you feel safe exploring past experiences, and able to express all parts of yourself free from judgement. This often involves telling difficult stories, and exploring feelings like anger, resentment, loneliness, fear, or inadequacy. The therapist's role is to help you observe yourself in a compassionate and truthful way. My style is humorous, direct, and personable. I embrace authenticity, collaboration, and honest open communication.
(503) 308-7540 View (503) 308-7540

More Therapists Nearby

Photo of Alondra Rogers, DSW, CSWA, LMSW
Alondra Rogers
Clinical Social Work Associate, DSW, CSWA, LMSW
Verified Verified
1 Endorsed
Sandy, OR 97055  (Online Only)
I specialize in everything Autism as well as commonly associated mental health conditions.
I specialize in providing affirming therapy to Autistic, ADHD, and other neurodivergent clients. My goal is to meet my clients wherever they are to support their self-discovery, radical self-acceptance, and building up their tool kits of accommodations and coping skills.
I specialize in everything Autism as well as commonly associated mental health conditions.
I specialize in providing affirming therapy to Autistic, ADHD, and other neurodivergent clients. My goal is to meet my clients wherever they are to support their self-discovery, radical self-acceptance, and building up their tool kits of accommodations and coping skills.
(503) 898-7797 View (503) 898-7797
Photo of Laura Z Weldon, ND,  MS
Laura Z Weldon
ND, MS
Not Verified Not Verified
Portland, OR 97206  (Online Only)
If you are an adult in Oregon interested in exploring an autism or ADHD diagnosis in a neurodivergent-affirming, trauma-informed assessment, Laura would love to help you sort and understand your experiences of neurodivergence.
Laura Z Weldon (she/they) is an autistic naturopathic physician who loves supporting others in their exploration of how they think, feel, sense, and connect. In her work, she advocates for a neurodiversity paradigm shift across both medicine and society, researches the pathophysiology and treatment of autistic burnout, and particularly enjoys working with clients on the intersection of neurodivergence and chronic physical and/or mental health conditions. Laura is interested in exploring the relationship between disability and wellness as she deeply believes it is possible to be autistic, disabled, and well.
If you are an adult in Oregon interested in exploring an autism or ADHD diagnosis in a neurodivergent-affirming, trauma-informed assessment, Laura would love to help you sort and understand your experiences of neurodivergence.
Laura Z Weldon (she/they) is an autistic naturopathic physician who loves supporting others in their exploration of how they think, feel, sense, and connect. In her work, she advocates for a neurodiversity paradigm shift across both medicine and society, researches the pathophysiology and treatment of autistic burnout, and particularly enjoys working with clients on the intersection of neurodivergence and chronic physical and/or mental health conditions. Laura is interested in exploring the relationship between disability and wellness as she deeply believes it is possible to be autistic, disabled, and well.
(503) 470-2431 View (503) 470-2431
Photo of Krispin Mayfield, MA, Licensed Professional Counselor
Krispin Mayfield
Licensed Professional Counselor, MA
Verified Verified
Portland, OR 97230  (Online Only)
I have certification in Religious Trauma Studies and as an Autism Clinical Specialist, although I find my best training has been from the lived experiences from clients.
I help clients recover from religious trauma, especially those who grow up in a high control religion. I also provide couples therapy, with a focus on couples where one or both partners are ADHD or Autistic. I use approaches that focus on attachment and the nervous system.
I have certification in Religious Trauma Studies and as an Autism Clinical Specialist, although I find my best training has been from the lived experiences from clients.
I help clients recover from religious trauma, especially those who grow up in a high control religion. I also provide couples therapy, with a focus on couples where one or both partners are ADHD or Autistic. I use approaches that focus on attachment and the nervous system.
(503) 213-6990 View (503) 213-6990
Photo of Yasaman Kashani - Honeycomb Psychology, PhD, Psychologist
Honeycomb Psychology
Psychologist, PhD
Verified Verified
Happy Valley, OR 97015
My name is Yasaman Kashani and I am a pediatric psychologist who specializes in diagnostic assessments and evaluation for ADHD, autism, learning disorders, and anxiety/depression. I provide evaluation for families who wonder about possible neurological differences in their children. I received my undergraduate and graduate degrees in psychology and social work from McGill University. I completed my doctorate in psychology at the University of Oregon gaining extensive training in diagnostic assessments.
My name is Yasaman Kashani and I am a pediatric psychologist who specializes in diagnostic assessments and evaluation for ADHD, autism, learning disorders, and anxiety/depression. I provide evaluation for families who wonder about possible neurological differences in their children. I received my undergraduate and graduate degrees in psychology and social work from McGill University. I completed my doctorate in psychology at the University of Oregon gaining extensive training in diagnostic assessments.
(971) 290-2172 View (971) 290-2172
Photo of Jennifer Walker, LPC, Licensed Professional Counselor
Jennifer Walker
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97086  (Online Only)
If you or a loved one are navigating the complexities of ADHD or Autism and are looking for a path towards improvement and understanding, I'm here to help.
ADHD and Autism each bring unique challenges, from difficulty focusing and impulsivity to struggles in social interactions and sensory sensitivities. These conditions can make everyday tasks feel overwhelming. My practice is devoted to understanding the individual needs of those with ADHD and Autism, providing a supportive environment to explore these challenges. Together, we'll work on strategies to navigate daily life with greater ease, aiming to enhance your ability to engage with the world around you in a more fulfilling way.
If you or a loved one are navigating the complexities of ADHD or Autism and are looking for a path towards improvement and understanding, I'm here to help.
ADHD and Autism each bring unique challenges, from difficulty focusing and impulsivity to struggles in social interactions and sensory sensitivities. These conditions can make everyday tasks feel overwhelming. My practice is devoted to understanding the individual needs of those with ADHD and Autism, providing a supportive environment to explore these challenges. Together, we'll work on strategies to navigate daily life with greater ease, aiming to enhance your ability to engage with the world around you in a more fulfilling way.
(971) 366-2847 View (971) 366-2847
Photo of Evan Egener, MA, LPC, Licensed Professional Counselor
Evan Egener
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97215
I provide a nonjudgmental space for you to heal and grow. My practice is evidence-based and includes a variety of focuses. I have specific experience with individuals working in tech, healthcare providers, and legal professionals. Neurodivergence, autism, and associated relational challenges are areas where I have advanced training. I specialize in anxiety, ADHD, trauma, bipolar, depression, substance use disorders, parenting challenges, and relationship issues. My practice is LGBTQIA+ affirming, and I specialize in gender and sexual diversity.
I provide a nonjudgmental space for you to heal and grow. My practice is evidence-based and includes a variety of focuses. I have specific experience with individuals working in tech, healthcare providers, and legal professionals. Neurodivergence, autism, and associated relational challenges are areas where I have advanced training. I specialize in anxiety, ADHD, trauma, bipolar, depression, substance use disorders, parenting challenges, and relationship issues. My practice is LGBTQIA+ affirming, and I specialize in gender and sexual diversity.
(971) 206-6404 View (971) 206-6404
Photo of Chip Kosboth, MA, PC
Chip Kosboth
MA, PC
Verified Verified
Portland, OR 97216  (Online Only)
I specialize in Trauma/PTSD, Grief, Life Transitions, Anxiety, Depression, ADHD, LGBTQ+ issues and Autism Spectrum Disorder.
I approach my work with warmth, curiosity, humor and directness. I work to build a respectful, judgement free space where you can express emotions, discover your authentic voice, try new things, and identify needs and wants that may have been neglected. I want to help you become more authentic, connected and fulfilled. I bring a wealth of experience to our work together. In my 25 yr career, I spent many years doing crisis work as well as working in a supermax mental health unit witnessing the extremes of mental illness.
I specialize in Trauma/PTSD, Grief, Life Transitions, Anxiety, Depression, ADHD, LGBTQ+ issues and Autism Spectrum Disorder.
I approach my work with warmth, curiosity, humor and directness. I work to build a respectful, judgement free space where you can express emotions, discover your authentic voice, try new things, and identify needs and wants that may have been neglected. I want to help you become more authentic, connected and fulfilled. I bring a wealth of experience to our work together. In my 25 yr career, I spent many years doing crisis work as well as working in a supermax mental health unit witnessing the extremes of mental illness.
(971) 364-4337 View (971) 364-4337
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.