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Online Therapists

Photo of Julius Melvin Jefferies, ASDCS, ELD, C-GC, LPC, Licensed Professional Counselor
Julius Melvin Jefferies
Licensed Professional Counselor, ASDCS, ELD, C-GC, LPC
Verified Verified
3 Endorsed
Knoxville, TN 37923
Julius M. Jefferies is a Clinical Mental Health Therapist serving the Knox County area of Tennessee with specialties in a wide range of individual, couple, and group therapy interventions. His clinical experience in the last 25 years has focused on holistic, solution-focused therapy for both adolescents and adults who are living with autism, crisis, psychological disorder, trauma, and grief.  Julius earned a Masters of Mental Health Counseling from Freed-Hardeman University followed by specialty certifications in Grief Counseling, Autism Disorder Specialist intervention, and as an End of Life Doula.
Julius M. Jefferies is a Clinical Mental Health Therapist serving the Knox County area of Tennessee with specialties in a wide range of individual, couple, and group therapy interventions. His clinical experience in the last 25 years has focused on holistic, solution-focused therapy for both adolescents and adults who are living with autism, crisis, psychological disorder, trauma, and grief.  Julius earned a Masters of Mental Health Counseling from Freed-Hardeman University followed by specialty certifications in Grief Counseling, Autism Disorder Specialist intervention, and as an End of Life Doula.
(731) 327-4781 View (731) 327-4781
Photo of Sierra Davis, Pre-Licensed Professional
Sierra Davis
Pre-Licensed Professional
Verified Verified
1 Endorsed
Knoxville, TN 37923
I am deeply passionate about working with children with neurodivergence ( Autism & ADHD), anxiety, depression, grief, and trauma, and LGBTQ+ youth. I believe the therapeutic connection between client and counselor is the foundation of healing and growth. I aim to help children and their caregivers feel heard, seen, and supported, without judgment, so, together, we can work toward your goals and boosting support. My goal is to guide children in recognizing their strengths and developing healthy, lifelong skills and self-efficacy.
I am deeply passionate about working with children with neurodivergence ( Autism & ADHD), anxiety, depression, grief, and trauma, and LGBTQ+ youth. I believe the therapeutic connection between client and counselor is the foundation of healing and growth. I aim to help children and their caregivers feel heard, seen, and supported, without judgment, so, together, we can work toward your goals and boosting support. My goal is to guide children in recognizing their strengths and developing healthy, lifelong skills and self-efficacy.
(865) 213-7250 View (865) 213-7250
Photo of Lindsay Nicole Martinez - SpringWell Group, PsyD, Psychologist
SpringWell Group
Psychologist, PsyD
Verified Verified
Johnson City, TN 37601
My specialty areas include: Adjustment Issues, Adoption/Foster Care, Anxiety, ADHD, Autism Spectrum Disorder (Certified in the ADOS-2), Behavioral Problems, Coping with Divorce/Separation, Depression, Developmental Delay, IEP/504 Consultation, Forensic, Parent-Child Relationship, Self-Esteem, School Avoidance, Social Skills, Trauma/PTSD & more.
Welcome to SpringWell Group! My name is Dr. Martinez & I am a Licensed Clinical Psychologist offering comprehensive psychological testing, including Court-related evaluations. I also provide relational-focused therapy from a trauma-informed & attachment-based foundation that views secure relationship & interpersonal connection as central to healing and growth. I believe people have an innate need to be seen & are capable of remarkable growth, & that with caring support they can flourish in even the most difficult times. Services at client preferred location available for high privacy.
My specialty areas include: Adjustment Issues, Adoption/Foster Care, Anxiety, ADHD, Autism Spectrum Disorder (Certified in the ADOS-2), Behavioral Problems, Coping with Divorce/Separation, Depression, Developmental Delay, IEP/504 Consultation, Forensic, Parent-Child Relationship, Self-Esteem, School Avoidance, Social Skills, Trauma/PTSD & more.
Welcome to SpringWell Group! My name is Dr. Martinez & I am a Licensed Clinical Psychologist offering comprehensive psychological testing, including Court-related evaluations. I also provide relational-focused therapy from a trauma-informed & attachment-based foundation that views secure relationship & interpersonal connection as central to healing and growth. I believe people have an innate need to be seen & are capable of remarkable growth, & that with caring support they can flourish in even the most difficult times. Services at client preferred location available for high privacy.
(423) 441-4279 View (423) 441-4279
Photo of Kate Kleinfelter, PhD, Psychologist
Kate Kleinfelter
Psychologist, PhD
Verified Verified
Knoxville, TN 37920  (Online Only)
Hi – my name is Dr. Kleinfelter (or “Dr. K.”). I am a clinical psychologist who has worked with teenagers and families for over 30 years. I mainly serve ages 11 to 25 (and their families) )who struggle w/ depression, anxiety, trauma, & school avoidance. But I also see adults with identity or phase of life concerns, including senior citizens. My primary specialty areas are Autism Level 1 (Neuro-divergent), LGBTQI+ and gender affirming care (including letters if needed). I stay updated on research & use "what works," so that you can feel better as soon as possible. References upon request.
Hi – my name is Dr. Kleinfelter (or “Dr. K.”). I am a clinical psychologist who has worked with teenagers and families for over 30 years. I mainly serve ages 11 to 25 (and their families) )who struggle w/ depression, anxiety, trauma, & school avoidance. But I also see adults with identity or phase of life concerns, including senior citizens. My primary specialty areas are Autism Level 1 (Neuro-divergent), LGBTQI+ and gender affirming care (including letters if needed). I stay updated on research & use "what works," so that you can feel better as soon as possible. References upon request.
(803) 882-2482 View (803) 882-2482
Photo of Heather Webb, MEd, LPCMHSP, Licensed Professional Counselor
Heather Webb
Licensed Professional Counselor, MEd, LPCMHSP
Verified Verified
Morristown, TN 37814
***ACCEPTING NEW PATIENTS*** I welcome adults, teenagers, children, and couples. I have 21 years experience in the Mental Health field and always continue to learn how to best help a variety of populations. I have experience in and am able to treat people who have Anxiety, Depression, on the Autism Spectrum,Bi-polar, ADHD, OCD, Addictions, Phobias, ODD, Substance Abuse, Eating Disorders and low self-esteem.
***ACCEPTING NEW PATIENTS*** I welcome adults, teenagers, children, and couples. I have 21 years experience in the Mental Health field and always continue to learn how to best help a variety of populations. I have experience in and am able to treat people who have Anxiety, Depression, on the Autism Spectrum,Bi-polar, ADHD, OCD, Addictions, Phobias, ODD, Substance Abuse, Eating Disorders and low self-esteem.
(865) 217-2692 View (865) 217-2692
Photo of Amanda Gienow, LPC Intern
Amanda Gienow
LPC Intern
Verified Verified
Knoxville, TN 37923
I am passionate about providing trauma-informed, affirming therapy for clients of all ages with neurodivergence (ADHD and Autism) and LGBTQ+ adolescents and young adults.
The decision to start therapy is not always easy, and finding the right therapist can seem daunting. Whatever challenges life has thrown your way, you want a therapist who supports you with compassion, curiosity, and commitment. I believe that human connection is at the heart of healing, and I strive to develop a strong, client-centered therapeutic relationship based on trust and acceptance. I offer a safe and affirming environment for all clients. It is an act of bravery to embark on a healing journey, and I would be honored to be apart of yours.
I am passionate about providing trauma-informed, affirming therapy for clients of all ages with neurodivergence (ADHD and Autism) and LGBTQ+ adolescents and young adults.
The decision to start therapy is not always easy, and finding the right therapist can seem daunting. Whatever challenges life has thrown your way, you want a therapist who supports you with compassion, curiosity, and commitment. I believe that human connection is at the heart of healing, and I strive to develop a strong, client-centered therapeutic relationship based on trust and acceptance. I offer a safe and affirming environment for all clients. It is an act of bravery to embark on a healing journey, and I would be honored to be apart of yours.
(865) 424-6491 View (865) 424-6491
Photo of W. Wyatt Lee Stephens, MS, NCC, LPC, MHSP, Licensed Professional Counselor
W. Wyatt Lee Stephens
Licensed Professional Counselor, MS, NCC, LPC, MHSP
Verified Verified
1 Endorsed
Powell, TN 37849
Are you struggling with symptoms of Autism, ADHD, or a Processing Disorder? Is this causing chaos in your life and you need help feeling more in control? I am able to help with processing these struggles and find everyday solutions, develop skills, and offer support and validation.
I understand how frustrating it is to be forgetful, feel scattered, to be constantly exhausted, and feel unproductive. My clients struggle with processing issues, and struggle to live in a world that is not designed for those that are neuro-divergent, and I am able to help turn those feelings around!
Are you struggling with symptoms of Autism, ADHD, or a Processing Disorder? Is this causing chaos in your life and you need help feeling more in control? I am able to help with processing these struggles and find everyday solutions, develop skills, and offer support and validation.
I understand how frustrating it is to be forgetful, feel scattered, to be constantly exhausted, and feel unproductive. My clients struggle with processing issues, and struggle to live in a world that is not designed for those that are neuro-divergent, and I am able to help turn those feelings around!
(865) 328-1941 View (865) 328-1941
Photo of Katherine Hatcher, MA, NCC, Marriage & Family Therapist
Katherine Hatcher
Marriage & Family Therapist, MA, NCC
Verified Verified
Knoxville, TN 37919
There are many challenges we face throughout our lives that can impact our ability to function in various ways. They may affect our personal self-care, interpersonal and family relationships, and work/academic responsibilities. These difficulties can leave us feeling confused, anxious, and isolated. In these seasons, it's especially important to feel a sense of safety and understanding, and to know you are not alone. As a therapist, I want to walk alongside you and provide the support needed to help on your journey towards healing and find what works best for you.
There are many challenges we face throughout our lives that can impact our ability to function in various ways. They may affect our personal self-care, interpersonal and family relationships, and work/academic responsibilities. These difficulties can leave us feeling confused, anxious, and isolated. In these seasons, it's especially important to feel a sense of safety and understanding, and to know you are not alone. As a therapist, I want to walk alongside you and provide the support needed to help on your journey towards healing and find what works best for you.
(865) 269-9502 View (865) 269-9502
Photo of Kesley Danielle Williams Rogers, LPCMHSP, AADC, NCC, Licensed Professional Counselor
Kesley Danielle Williams Rogers
Licensed Professional Counselor, LPCMHSP, AADC, NCC
Verified Verified
3 Endorsed
Knoxville, TN 37919  (Online Only)
I have a passion to help all, but especially those struggling with behavioral issues and trauma. I understands the importance of getting ahead of behavioral issues in children and adolescents before they face legal consequences. I understand the importance of counseling following trauma. I could go on and on about the research backing the need for counseling in trauma. Behavioral issues are often rooted with some sort of trauma. I love helping others find their confidence, safety and mental health baseline.
I have a passion to help all, but especially those struggling with behavioral issues and trauma. I understands the importance of getting ahead of behavioral issues in children and adolescents before they face legal consequences. I understand the importance of counseling following trauma. I could go on and on about the research backing the need for counseling in trauma. Behavioral issues are often rooted with some sort of trauma. I love helping others find their confidence, safety and mental health baseline.
(865) 346-4577 View (865) 346-4577
Photo of Anna Catherine Kill, LPC(t), NCC, Pre-Licensed Professional
Anna Catherine Kill
Pre-Licensed Professional, LPC(t), NCC
Verified Verified
Knoxville, TN 37919
Hello! I’m Anna Catherine, and my ultimate goal is to support you in overcoming emotional obstacles, harmful cognitions, and painful experiences. I prioritize creating a safe space for my clients through an empathetic and adaptive therapeutic relationship, meeting you right where you are in your healing journey and honoring your unique mind, body, and spirit. I approach my clients with curiosity, celebrate their strengths, and highlight their resiliencies as they pursue their growth goals. I welcome clients of all social and cultural backgrounds.
Hello! I’m Anna Catherine, and my ultimate goal is to support you in overcoming emotional obstacles, harmful cognitions, and painful experiences. I prioritize creating a safe space for my clients through an empathetic and adaptive therapeutic relationship, meeting you right where you are in your healing journey and honoring your unique mind, body, and spirit. I approach my clients with curiosity, celebrate their strengths, and highlight their resiliencies as they pursue their growth goals. I welcome clients of all social and cultural backgrounds.
(865) 737-1902 View (865) 737-1902
Photo of Clyde J Johnson, PhD, Psychologist
Clyde J Johnson
Psychologist, PhD
Verified Verified
Knoxville, TN 37922
Your personal story is unique and unlike anyone else’s. There are times your story may feel difficult for you to understand, let alone share with others. Therapy can assist with making sense of your path and help you to understand how your story affects your present and your future.
Your personal story is unique and unlike anyone else’s. There are times your story may feel difficult for you to understand, let alone share with others. Therapy can assist with making sense of your path and help you to understand how your story affects your present and your future.
(865) 876-7857 x134 View (865) 876-7857 x134
Photo of Jessica Dutkosky, MS, LPC, Pre-Licensed Professional
Jessica Dutkosky
Pre-Licensed Professional, MS, LPC
Verified Verified
Knoxville, TN 37922
Do you ever feel overwhelmed because you don’t know the next steps to take to help your child? Does it feel like every time you try and have a conversation with your child it turns into a fight? If the answer is yes, I would love to have the opportunity to work with you! Your child will be able to recognize why they are upset and let you know what they need. They will be able to regulate their anxiety and know when they are starting to become dysregulated. They will be able to fall asleep easier and stay asleep without having nightmares or night terrors.
Do you ever feel overwhelmed because you don’t know the next steps to take to help your child? Does it feel like every time you try and have a conversation with your child it turns into a fight? If the answer is yes, I would love to have the opportunity to work with you! Your child will be able to recognize why they are upset and let you know what they need. They will be able to regulate their anxiety and know when they are starting to become dysregulated. They will be able to fall asleep easier and stay asleep without having nightmares or night terrors.
(865) 503-5274 View (865) 503-5274
Photo of Dr. Robert J. Mullaney, OTD, DBA, MBA-HSA, OTR/L, LifeCoa, Occupational Therapist
Dr. Robert J. Mullaney
Occupational Therapist, OTD, DBA, MBA-HSA, OTR/L, LifeCoa
Verified Verified
Knoxville, TN 37902
As an Occupational Therapist, I offer a unique and broad range of occupation-based coaching services. I am a Dr. of Occupational Therapy and Dr. of Business Administration, experienced, and well-prepared to coach in personal and professional life matters. I will assist and guide you towards meeting your professional and personal life goals while addressing and providing Occupation-Based Strategies for the physical, social, emotional, cognitive, and spiritual facets. I will provide continuous encouragement, structure, and support to you and/or others while you take the necessary steps towards an enhanced lifestyle design.
As an Occupational Therapist, I offer a unique and broad range of occupation-based coaching services. I am a Dr. of Occupational Therapy and Dr. of Business Administration, experienced, and well-prepared to coach in personal and professional life matters. I will assist and guide you towards meeting your professional and personal life goals while addressing and providing Occupation-Based Strategies for the physical, social, emotional, cognitive, and spiritual facets. I will provide continuous encouragement, structure, and support to you and/or others while you take the necessary steps towards an enhanced lifestyle design.
(865) 351-6590 View (865) 351-6590
Photo of Dr. Macy Copple, PsyD, HSP, Psychologist
Dr. Macy Copple
Psychologist, PsyD, HSP
Verified Verified
1 Endorsed
Knoxville, TN 37909
Accepting New Clients! Working with college students and young adults is a passion of mine. And yet the transitions of emerging adulthood also parallel experiences that can face any adult at any age. We can always explore what lessons we were taught and which beliefs we want to retain. It is never too late to disrupt a problematic pattern or shift our lives to be more in line with what we truly value. Sometimes the changes we need are basic and all we need are resources. Other times, it is truly a complicated mess. Regardless of where you are, I believe that everyone deserves access to a safe space to start meeting your needs.
Accepting New Clients! Working with college students and young adults is a passion of mine. And yet the transitions of emerging adulthood also parallel experiences that can face any adult at any age. We can always explore what lessons we were taught and which beliefs we want to retain. It is never too late to disrupt a problematic pattern or shift our lives to be more in line with what we truly value. Sometimes the changes we need are basic and all we need are resources. Other times, it is truly a complicated mess. Regardless of where you are, I believe that everyone deserves access to a safe space to start meeting your needs.
(865) 459-8108 View (865) 459-8108
Photo of Terina Gillette, LPC-, MHSP, NCC, Licensed Professional Counselor
Terina Gillette
Licensed Professional Counselor, LPC-, MHSP, NCC
Verified Verified
2 Endorsed
Knoxville, TN 37923
Waitlist for new clients
Are you struggling with stress or anxiety? Are you experiencing conflict in your relationships or marriage? Do you have a child that is struggling with focus, attention, or emotional regulation? Have you experienced grief, loss, or trauma? Are you uncertain about therapy because you are concerned the approach won't match your personal values? Do you wish you could find a therapist/coach that would be creative/unorthodox? I use a holistic and integrative approach to address areas of concern for families and individuals in a safe atmosphere of acceptance.
Are you struggling with stress or anxiety? Are you experiencing conflict in your relationships or marriage? Do you have a child that is struggling with focus, attention, or emotional regulation? Have you experienced grief, loss, or trauma? Are you uncertain about therapy because you are concerned the approach won't match your personal values? Do you wish you could find a therapist/coach that would be creative/unorthodox? I use a holistic and integrative approach to address areas of concern for families and individuals in a safe atmosphere of acceptance.
(865) 205-1074 View (865) 205-1074
Photo of Jen Nicole Gray, LPC/MHS, CFMHE, Licensed Professional Counselor
Jen Nicole Gray
Licensed Professional Counselor, LPC/MHS, CFMHE
Verified Verified
10 Endorsed
Knoxville, TN 37923
Is your child needing guidance in expressing feelings and emotions appropriately? Does your child prefer an alternative approach utilizing Art and Play therapy? Do you or someone you know need help in making challenging decisions while being in alignment with your faith? Would you like to talk to someone who is calming and non-judgemental? Have you or someone you know been dealing with being overwhelmed with life in general?
Is your child needing guidance in expressing feelings and emotions appropriately? Does your child prefer an alternative approach utilizing Art and Play therapy? Do you or someone you know need help in making challenging decisions while being in alignment with your faith? Would you like to talk to someone who is calming and non-judgemental? Have you or someone you know been dealing with being overwhelmed with life in general?
(865) 351-2240 View (865) 351-2240
Photo of Jennifer M Kuhn, LCSW, LSSW, LSC, Clinical Social Work/Therapist
Jennifer M Kuhn
Clinical Social Work/Therapist, LCSW, LSSW, LSC
Verified Verified
Knoxville, TN 37932
Waitlist for new clients
One of my favorite quotes from Alice in Wonderland is: "It's no use going back to yesterday, because I was a different person then." When we feel stuck in our world, it is so hard to see past our pain and frustration. My goal as a therapist is to guide clients down an intentional path of balance and healing. Our thoughts can be so powerful. Negative ones hold us captive and keep us in the dark, but positive thoughts have the ability to transform us.
One of my favorite quotes from Alice in Wonderland is: "It's no use going back to yesterday, because I was a different person then." When we feel stuck in our world, it is so hard to see past our pain and frustration. My goal as a therapist is to guide clients down an intentional path of balance and healing. Our thoughts can be so powerful. Negative ones hold us captive and keep us in the dark, but positive thoughts have the ability to transform us.
(865) 658-8681 View (865) 658-8681
Photo of Courtney Brandon - Knoxville Counseling Services, PLLC, PLLC, Licensed Professional Counselor
Knoxville Counseling Services, PLLC
Licensed Professional Counselor, PLLC
Verified Verified
Knoxville, TN 37922
Knoxville Counseling Services, PLLC is the premier private practice in Knoxville. We are a group of independent therapists dedicated to working with you and your family in order to improve your emotional health, your relationships, and your lives. Are you struggling with anxiety, depression, relationships, or self-esteem? Are you adjusting to major transitions in your life (e.g., new baby, just moved to Knoxville, new job, trying to figure out what career you want, divorce)? Do you have a child or teenager who is struggling with behavioral or emotional issues? We have therapists to help you with all of these areas, and more.
Knoxville Counseling Services, PLLC is the premier private practice in Knoxville. We are a group of independent therapists dedicated to working with you and your family in order to improve your emotional health, your relationships, and your lives. Are you struggling with anxiety, depression, relationships, or self-esteem? Are you adjusting to major transitions in your life (e.g., new baby, just moved to Knoxville, new job, trying to figure out what career you want, divorce)? Do you have a child or teenager who is struggling with behavioral or emotional issues? We have therapists to help you with all of these areas, and more.
(865) 383-8909 View (865) 383-8909
Photo of Matalyn Olvera, LCSW, LISW-S, Clinical Social Work/Therapist
Matalyn Olvera
Clinical Social Work/Therapist, LCSW, LISW-S
Verified Verified
2 Endorsed
Knoxville, TN 37919
I work with individuals who are on a journey toward self-compassion and living more fully as their authentic selves. Many individuals I work with have experienced early life trauma, religious trauma, social anxiety, overwhelm, or are in the middle of a life transition. We can work together to gain more balance in your life and create more helpful thought patterns that offer healing instead of feeling "stuck". I offer sessions both in-person in Knoxville, TN or via telehealth throughout Ohio, Tennessee and Virginia between 8am-2pm EST on weekdays.
I work with individuals who are on a journey toward self-compassion and living more fully as their authentic selves. Many individuals I work with have experienced early life trauma, religious trauma, social anxiety, overwhelm, or are in the middle of a life transition. We can work together to gain more balance in your life and create more helpful thought patterns that offer healing instead of feeling "stuck". I offer sessions both in-person in Knoxville, TN or via telehealth throughout Ohio, Tennessee and Virginia between 8am-2pm EST on weekdays.
(865) 234-4318 View (865) 234-4318
Photo of D. Joel Marquart, MA, LPCMHSP, Licensed Professional Counselor
D. Joel Marquart
Licensed Professional Counselor, MA, LPCMHSP
Verified Verified
Knoxville, TN 37922  (Online Only)
You are feeling disorganized, distracted, or confused about life direction and struggling to anchor to a sense of self or personal values. Maybe you are struggling to acknowledge, feel, and express your emotions, and experience yourself shutting down. Or perhaps you are feeling stuck in negative self-talk, often struggling with perfectionistic tendencies and cycles of shame.
You are feeling disorganized, distracted, or confused about life direction and struggling to anchor to a sense of self or personal values. Maybe you are struggling to acknowledge, feel, and express your emotions, and experience yourself shutting down. Or perhaps you are feeling stuck in negative self-talk, often struggling with perfectionistic tendencies and cycles of shame.
(865) 345-2260 View (865) 345-2260

See more therapy options for Cocke County

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.