Autism Therapists in Bluffdale, UT

Photo of Kathrine Parnell, LCSW, ASDCS, Clinical Social Work/Therapist
Kathrine Parnell
Clinical Social Work/Therapist, LCSW, ASDCS
Verified Verified
3 Endorsed
Bluffdale, UT 84065
I specialize in working with couples and in the treatment of high-functioning autism.
I am here to serve you by helping navigate difficult seasons of your life. I meet my clients where they are and create an environment of safety as they discover new strategies for which lead to self-awareness and healing.
I specialize in working with couples and in the treatment of high-functioning autism.
I am here to serve you by helping navigate difficult seasons of your life. I meet my clients where they are and create an environment of safety as they discover new strategies for which lead to self-awareness and healing.
(801) 658-9418 View (801) 658-9418
Photo of Tiffany Blake, CSW, Clinical Social Work/Therapist
Tiffany Blake
Clinical Social Work/Therapist, CSW
Verified Verified
Bluffdale, UT 84065
She is knowledgeable about autism and has a minor in Autism Studies.
Tiffany is great at working with people who have difficulty opening up but want help identifying goals to improve their lives and increase happiness. She is honest and direct and people find her easy to connect with.
She is knowledgeable about autism and has a minor in Autism Studies.
Tiffany is great at working with people who have difficulty opening up but want help identifying goals to improve their lives and increase happiness. She is honest and direct and people find her easy to connect with.
(385) 332-8167 View (385) 332-8167
Photo of Elise Teerlink, ACMHC, EdS, Counselor
Elise Teerlink
Counselor, ACMHC, EdS
Verified Verified
1 Endorsed
Bluffdale, UT 84065
Waitlist for new clients
I enjoy working with families of children with disabilities, prenatal and postpartum mothers, and those who have experienced betrayal trauma. I also work with anxiety, depression, autism, trauma, addiction, grief, and adjustment issues. I use evidence-based techniques and a collaborative and integrated approach to tailor my therapy to each individual's unique situations, learning preferences, and goals.
I enjoy working with families of children with disabilities, prenatal and postpartum mothers, and those who have experienced betrayal trauma. I also work with anxiety, depression, autism, trauma, addiction, grief, and adjustment issues. I use evidence-based techniques and a collaborative and integrated approach to tailor my therapy to each individual's unique situations, learning preferences, and goals.
(801) 692-7947 View (801) 692-7947
Photo of Becky Anderson, LCSW, Clinical Social Work/Therapist
Becky Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Bluffdale, UT 84065
Therapy is a safe place to allow yourself to feel and gain insight to your life and your personal journey. It is a place to work through limiting beliefs and negative behavioral patterns that stop us from progressing toward the life we dream of. In Therapy, we work on long and short-term goals, help you build deeper relationships, and strengthen communication in all areas of your life. Together, we will identify your strengths and use them to address challenging areas in your life. This leads to change and growth which promotes healing.
Therapy is a safe place to allow yourself to feel and gain insight to your life and your personal journey. It is a place to work through limiting beliefs and negative behavioral patterns that stop us from progressing toward the life we dream of. In Therapy, we work on long and short-term goals, help you build deeper relationships, and strengthen communication in all areas of your life. Together, we will identify your strengths and use them to address challenging areas in your life. This leads to change and growth which promotes healing.
(385) 250-1372 View (385) 250-1372
Photo of Collette Charles, LCSW, Clinical Social Work/Therapist
Collette Charles
Clinical Social Work/Therapist, LCSW
Verified Verified
Bluffdale, UT 84065
Waitlist for new clients
Are you feeling ready to change frustrating patterns in your life? Do you ever feel stuck trying to make sense of past events? I'm here to offer you a place free of judgment where you can share your story and embark on a journey of healing and growth. With expertise in treating trauma, navigating faith transitions, managing anxiety and mood disorders, supporting maternal mental health, exploring polyamory/ENM/CNM dynamics, managing out-of-control sexual behaviors, and providing sex therapy for individuals and couples, I bring a diverse toolkit to our sessions.
Are you feeling ready to change frustrating patterns in your life? Do you ever feel stuck trying to make sense of past events? I'm here to offer you a place free of judgment where you can share your story and embark on a journey of healing and growth. With expertise in treating trauma, navigating faith transitions, managing anxiety and mood disorders, supporting maternal mental health, exploring polyamory/ENM/CNM dynamics, managing out-of-control sexual behaviors, and providing sex therapy for individuals and couples, I bring a diverse toolkit to our sessions.
(801) 760-4091 View (801) 760-4091

More Therapists Nearby

Photo of Marcie Tiffany, CSW-I, Pre-Licensed Professional
Marcie Tiffany
Pre-Licensed Professional, CSW-I
Verified Verified
2 Endorsed
South Jordan, UT 84095
I've been working with young adults and teens for years and have experience working with learning disabilities, ADHD, autism, anxiety, mood disorders, and depression. I have a passion for helping everyone understand their self-worth and importance. I also recognize that you are the expert in your own life. If you or your child need help getting through a rough spot, I am compassionately dedicated to helping you improve. I have some experience with divorced and blended families and understand some of those complex dynamics.
I've been working with young adults and teens for years and have experience working with learning disabilities, ADHD, autism, anxiety, mood disorders, and depression. I have a passion for helping everyone understand their self-worth and importance. I also recognize that you are the expert in your own life. If you or your child need help getting through a rough spot, I am compassionately dedicated to helping you improve. I have some experience with divorced and blended families and understand some of those complex dynamics.
(385) 458-3163 View (385) 458-3163
Photo of Amber McElreath, CMHC, Counselor
Amber McElreath
Counselor, CMHC
Verified Verified
1 Endorsed
Riverton, UT 84096
I am specialized in Autism Therapy, school-based concerns, family and parental support, and individual therapy.
Hello! My name is Amber McElreath and I am a Clinical Mental Health Counselor (CMHC). I am a believer in building connections and relationships within our world to heal our body, mind, and soul. My passion is working with children, teens, adults, and families to facilitate these connections. My goal through the therapeutic process is to guide you to find lifelong skills that allow you to work through times of anxiety, depression, trauma, and any other challenges you may be facing that are not allowing you to live your best life.
I am specialized in Autism Therapy, school-based concerns, family and parental support, and individual therapy.
Hello! My name is Amber McElreath and I am a Clinical Mental Health Counselor (CMHC). I am a believer in building connections and relationships within our world to heal our body, mind, and soul. My passion is working with children, teens, adults, and families to facilitate these connections. My goal through the therapeutic process is to guide you to find lifelong skills that allow you to work through times of anxiety, depression, trauma, and any other challenges you may be facing that are not allowing you to live your best life.
(385) 644-9786 View (385) 644-9786
Photo of Mountain View Family Therapy - Mountain View Family Therapy, LCSW, MSW, APRN-FN, CSW, Clinical Social Work/Therapist
Mountain View Family Therapy
Clinical Social Work/Therapist, LCSW, MSW, APRN-FN, CSW
Verified Verified
2 Endorsed
Riverton, UT 84065
We specialize in Play Therapy, Autism, Kids, Teens, Group, Trauma, Medication Management, Couples, EMDR and more.
Immediate openings available for therapy and medication management. If you find yourself feeling more worried or sad than usual, you're not alone. Therapy can help you gain valuable tools to feel better. We can also provide support with parenting issues, stress, depression, trauma, life transitions and relationships! You may be surprised at how much better you can feel after just one session. Making emotional health a priority now can help you get back to enjoying life sooner. Now seeing clients in person and by telehealth for therapy and med management in St. George and Riverton.
We specialize in Play Therapy, Autism, Kids, Teens, Group, Trauma, Medication Management, Couples, EMDR and more.
Immediate openings available for therapy and medication management. If you find yourself feeling more worried or sad than usual, you're not alone. Therapy can help you gain valuable tools to feel better. We can also provide support with parenting issues, stress, depression, trauma, life transitions and relationships! You may be surprised at how much better you can feel after just one session. Making emotional health a priority now can help you get back to enjoying life sooner. Now seeing clients in person and by telehealth for therapy and med management in St. George and Riverton.
(801) 438-4937 View (801) 438-4937
Photo of Metta Counseling And Wellness - Metta Counseling and Wellness, LCSW, CMHC, LMFT, Clinical Social Work/Therapist
Metta Counseling and Wellness
Clinical Social Work/Therapist, LCSW, CMHC, LMFT
Verified Verified
South Jordan, UT 84095
We offer counseling for ADHD, Autism Spectrum Disorder anxiety, depression, eating disorders, OCD, trauma, EMDR, LGBTQ+, gender, faith crisis, abuse, stress, career change, divorce, relationship issues, teen issues, conflict resolution, personality disorders and grief.
We are an outpatient mental health clinic offering individual counseling for children, teens and adults. We believe in the inner strength of the human spirit. We believe each person has the ability to live a fulfilling life. We offer a safe place to be seen and heard through talk therapy using various clinically proven modalities including Cognitive Behavior Therapy (CBT), DBT, REBT, ACT, Internal Family Systems (IFS), EMDR and more
We offer counseling for ADHD, Autism Spectrum Disorder anxiety, depression, eating disorders, OCD, trauma, EMDR, LGBTQ+, gender, faith crisis, abuse, stress, career change, divorce, relationship issues, teen issues, conflict resolution, personality disorders and grief.
We are an outpatient mental health clinic offering individual counseling for children, teens and adults. We believe in the inner strength of the human spirit. We believe each person has the ability to live a fulfilling life. We offer a safe place to be seen and heard through talk therapy using various clinically proven modalities including Cognitive Behavior Therapy (CBT), DBT, REBT, ACT, Internal Family Systems (IFS), EMDR and more
(385) 338-5817 View (385) 338-5817
Photo of Sadie Jones, ACMHC, Pre-Licensed Professional
Sadie Jones
Pre-Licensed Professional, ACMHC
Verified Verified
6 Endorsed
South Jordan, UT 84009
I have a lot of experience working with kids and teens, especially those who struggle with anxiety, ADHD, and autism.
Life is crazy and the thought of going to therapy can be intimidating. I want to create a safe space where you feel comfortable sharing your experiences and working together to make and reach meaningful goals to improve your well-being. I love it when sessions provide opportunities for both of us to grow together, so even though I am here to provide support and resources, I am always open to learning from you as well.
I have a lot of experience working with kids and teens, especially those who struggle with anxiety, ADHD, and autism.
Life is crazy and the thought of going to therapy can be intimidating. I want to create a safe space where you feel comfortable sharing your experiences and working together to make and reach meaningful goals to improve your well-being. I love it when sessions provide opportunities for both of us to grow together, so even though I am here to provide support and resources, I am always open to learning from you as well.
(385) 396-4261 View (385) 396-4261
Photo of Alicia Zufelt, CSW, Clinical Social Work/Therapist
Alicia Zufelt
Clinical Social Work/Therapist, CSW
Verified Verified
South Jordan, UT 84009
By learning to work with your ADHD/ Autism symptoms rather than trying to fight against them, depression and anxiety symptoms often clear up in the process.
I specialize in working with adolescents and adults who struggle with anxiety, depression, and trauma-related issues and disorders. I am a certified ADHD professional and thoroughly enjoy working with clients with ADHD and Autism diagnoses. Individuals seeking treatment for ADHD and Autism Spectrum Disorders often have co-occuring mood and anxiety disorders. My approach to therapy is centered around the individual experience of each client. Every client has a different story, and I see it as my job to cater treatment to that story. Treatment methods may include Acceptance & Commitment Therapy, CBT, parts work, and mindfulness.
By learning to work with your ADHD/ Autism symptoms rather than trying to fight against them, depression and anxiety symptoms often clear up in the process.
I specialize in working with adolescents and adults who struggle with anxiety, depression, and trauma-related issues and disorders. I am a certified ADHD professional and thoroughly enjoy working with clients with ADHD and Autism diagnoses. Individuals seeking treatment for ADHD and Autism Spectrum Disorders often have co-occuring mood and anxiety disorders. My approach to therapy is centered around the individual experience of each client. Every client has a different story, and I see it as my job to cater treatment to that story. Treatment methods may include Acceptance & Commitment Therapy, CBT, parts work, and mindfulness.
(385) 853-5734 View (385) 853-5734
Photo of Jackie Z Rock, CMHC, SEP, NCC, Counselor
Jackie Z Rock
Counselor, CMHC, SEP, NCC
Verified Verified
2 Endorsed
South Jordan, UT 84095
I have an affinity for working with individuals who are longing for change, meaningful connection, and internal safety. Many have gone through life feeling unseen, at the mercy of, or in the shadows of others making it difficult to establish boundaries, self-compassion, and authentic connection. If you can relate and are having a difficult time with anxiety, depression, complex trauma/developmental trauma, ADHD, Adult Autism Spectrum, religious/spiritual wounding, sexuality, and/or other situations that have left you feeling disconnected from the life you want to live, you are not alone, it can be different.
I have an affinity for working with individuals who are longing for change, meaningful connection, and internal safety. Many have gone through life feeling unseen, at the mercy of, or in the shadows of others making it difficult to establish boundaries, self-compassion, and authentic connection. If you can relate and are having a difficult time with anxiety, depression, complex trauma/developmental trauma, ADHD, Adult Autism Spectrum, religious/spiritual wounding, sexuality, and/or other situations that have left you feeling disconnected from the life you want to live, you are not alone, it can be different.
(801) 436-5864 View (801) 436-5864
Photo of Blair Wynn, LCSW, Clinical Social Work/Therapist
Blair Wynn
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverton, UT 84065
She has focused her career on children and adolescents with Autism and other related disorders such as ADHD, anxiety, and depression.
Blair believes that every person is unique, so uses her experience with Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Solution Focused Therapy to collaborate with and to customize every therapeutic experience.
She has focused her career on children and adolescents with Autism and other related disorders such as ADHD, anxiety, and depression.
Blair believes that every person is unique, so uses her experience with Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Solution Focused Therapy to collaborate with and to customize every therapeutic experience.
(385) 376-2359 View (385) 376-2359
Photo of Michelle Greene - Synergism Counseling, LCSW, MSW, Clinical Social Work/Therapist
Synergism Counseling
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
5 Endorsed
South Jordan, UT 84095
At Synergism Counseling we specialize in anxiety/depression, relationship issues, divorce, grief, trauma, autism, parenting, and life coping skills.
Our goal at Synergism Counseling is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change the past, we can work together to better understand and resolve challenges in your life. Synergy is defined as the interaction of two or more parts to produce a combined effect greater than the sum of the separate parts. Together you can, with the help of an experienced therapist, make significant positive changes in your life, creating synergy. The relationship and trust we will build leads to empowerment, healing and strengthening individuals and family. Everyone can benefit from counseling.
At Synergism Counseling we specialize in anxiety/depression, relationship issues, divorce, grief, trauma, autism, parenting, and life coping skills.
Our goal at Synergism Counseling is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change the past, we can work together to better understand and resolve challenges in your life. Synergy is defined as the interaction of two or more parts to produce a combined effect greater than the sum of the separate parts. Together you can, with the help of an experienced therapist, make significant positive changes in your life, creating synergy. The relationship and trust we will build leads to empowerment, healing and strengthening individuals and family. Everyone can benefit from counseling.
(801) 416-3692 View (801) 416-3692
Photo of Mike Jensen, LCSW, Clinical Social Work/Therapist
Mike Jensen
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverton, UT 84065  (Online Only)
Mike believes in creating a safe space for growth and working to empower each client. He is experienced in treating adults and adolescents with anxiety, depression, trauma, relationship difficulties, and autism. He has extensive training in the treatment of individuals with trauma. He provides a variety of therapies including EMDR, TF-CBT, and DBT. He also provides testing for autism.
Mike believes in creating a safe space for growth and working to empower each client. He is experienced in treating adults and adolescents with anxiety, depression, trauma, relationship difficulties, and autism. He has extensive training in the treatment of individuals with trauma. He provides a variety of therapies including EMDR, TF-CBT, and DBT. He also provides testing for autism.
(385) 275-5737 View (385) 275-5737
Photo of D. Corydon Hammond, PhD, ECNS, BCN, QEEG-D, Psychologist
D. Corydon Hammond
Psychologist, PhD, ECNS, BCN, QEEG-D
Verified Verified
South Jordan, UT 84095
As a Psychologist I use neurofeedback, therapy and hypnosis with ADD/ADHD, anxiety, depression, insomnia, autism/Asperger's, OCD, head injuries, concussions, headaches/migraine, learning disabilities, substance abuse and alcoholism, PTSD, cognitive decline in aging, chronic pain, IBS, uncontrolled seizures, for peak performance, and physical balance problems. All neurofeedback is individualized and done myself without technicians. Office hours Mon-Wed 9 a.m. to 7 p.m and accept calls Monday-Friday. I have been President of the International Society for Neurofeedback and Research, and of the American Society of Clinical Hypnosis.
As a Psychologist I use neurofeedback, therapy and hypnosis with ADD/ADHD, anxiety, depression, insomnia, autism/Asperger's, OCD, head injuries, concussions, headaches/migraine, learning disabilities, substance abuse and alcoholism, PTSD, cognitive decline in aging, chronic pain, IBS, uncontrolled seizures, for peak performance, and physical balance problems. All neurofeedback is individualized and done myself without technicians. Office hours Mon-Wed 9 a.m. to 7 p.m and accept calls Monday-Friday. I have been President of the International Society for Neurofeedback and Research, and of the American Society of Clinical Hypnosis.
(801) 895-4737 View (801) 895-4737
Photo of Sheila Jacobson Long - Child And Trauma Therapist, LCSW, Clinical Social Work/Therapist
Sheila Jacobson Long - Child And Trauma Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
14 Endorsed
South Jordan, UT 84095
My specialty involves working with people who experience anxiety, depression, trauma, grief and loss, ADHD, autism, behavior problems, and parenting concerns.
Are you needing healthier ways to cope with difficult emotions? Are traumatic events or hurtful memories keeping you stuck in the past? Do you feel like you are repeating the same behaviors that prevent you from living the life you want? Change is attainable and I'm here to support you. I am empathetic and understanding, while also practical in my approach to address issues effectively. Together we can come up with plans to directly face your concerns and meet your desired goals. I am passionate in guiding clients in learning new methods and coping skills to find relief and improve their quality of life.
My specialty involves working with people who experience anxiety, depression, trauma, grief and loss, ADHD, autism, behavior problems, and parenting concerns.
Are you needing healthier ways to cope with difficult emotions? Are traumatic events or hurtful memories keeping you stuck in the past? Do you feel like you are repeating the same behaviors that prevent you from living the life you want? Change is attainable and I'm here to support you. I am empathetic and understanding, while also practical in my approach to address issues effectively. Together we can come up with plans to directly face your concerns and meet your desired goals. I am passionate in guiding clients in learning new methods and coping skills to find relief and improve their quality of life.
(801) 658-9899 View (801) 658-9899
Salt Lake Neuropsych
Psychologist, PhD
Verified Verified
South Jordan, UT 84095
We specialize in neuropsychological and psychological testing. We work with children, teens, and young adults ages 0-25 years. We also offer autism-only testing for both children and adults. We are clinical psychologists with specialized training in brain-behavior relationships. Parents like you come to see us when they have questions about their child’s development. In order to understand why your child thinks or acts the way they do, we conduct in-depth testing. This testing gives us clarity on their challenges, skills, and abilities so that we can design a roadmap for treatment.
We specialize in neuropsychological and psychological testing. We work with children, teens, and young adults ages 0-25 years. We also offer autism-only testing for both children and adults. We are clinical psychologists with specialized training in brain-behavior relationships. Parents like you come to see us when they have questions about their child’s development. In order to understand why your child thinks or acts the way they do, we conduct in-depth testing. This testing gives us clarity on their challenges, skills, and abilities so that we can design a roadmap for treatment.
(385) 402-7395 View (385) 402-7395
Photo of Kendrick A. Rith, PhD, Psychologist
Kendrick A. Rith
Psychologist, PhD
Verified Verified
South Jordan, UT 84095  (Online Only)
Comprehensive assessment services are available evaluating cognitive ability, academic functioning (IEPs), and Autism diagnosis.
Clinical Psychologist who provides therapy for individuals with depression, anxiety, PTSD, change-of-life events, & general stress. Treatment is evidence-based and oriented around Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance & Commitment Therapy (ACT). Treatment is tailored to each client & focuses on increasing self-awareness, emotional experience, & skill development in stress reduction, communication, & preserving healthy relationships. Scientifically informed education is offered to increase understanding of mechanisms that maintain unhelpful thoughts and behaviors.
Comprehensive assessment services are available evaluating cognitive ability, academic functioning (IEPs), and Autism diagnosis.
Clinical Psychologist who provides therapy for individuals with depression, anxiety, PTSD, change-of-life events, & general stress. Treatment is evidence-based and oriented around Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance & Commitment Therapy (ACT). Treatment is tailored to each client & focuses on increasing self-awareness, emotional experience, & skill development in stress reduction, communication, & preserving healthy relationships. Scientifically informed education is offered to increase understanding of mechanisms that maintain unhelpful thoughts and behaviors.
View
Rachel Secretan
Pre-Licensed Professional, CSW
Verified Verified
South Jordan, UT 84095
I love to help my client’s reach their goals and realize their potential. Using my social work background, I work with the biopsychosocial model. This model discusses how there are multiple factors that influence our lives and health: biological forces, psychological, and social influences including our relationships and environment. I have worked with all ages, but especially enjoys working with teenagers and young adults to help them create good habits as they grow into themselves. I also also have experience with parent coaching and helping those with anxiety, depression, ADHD and autism.
I love to help my client’s reach their goals and realize their potential. Using my social work background, I work with the biopsychosocial model. This model discusses how there are multiple factors that influence our lives and health: biological forces, psychological, and social influences including our relationships and environment. I have worked with all ages, but especially enjoys working with teenagers and young adults to help them create good habits as they grow into themselves. I also also have experience with parent coaching and helping those with anxiety, depression, ADHD and autism.
(385) 417-6772 View (385) 417-6772

See more therapy options for Bluffdale

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.