Autism Therapists in Shoreline, WA

Photo of April Walter, PsyD, Psychologist
April Walter
Psychologist, PsyD
Verified Verified
Shoreline, WA 98155
At The Center we provide diagnosis, treatment, education/employment assistance and housing assistance for those on the Autism Spectrum.
I specialize in working with individuals and families struggling with Autism Spectrum Disorders, ADHD/ADD, Learning Disorders and other Neuropsychological or Psychological Issues.
At The Center we provide diagnosis, treatment, education/employment assistance and housing assistance for those on the Autism Spectrum.
I specialize in working with individuals and families struggling with Autism Spectrum Disorders, ADHD/ADD, Learning Disorders and other Neuropsychological or Psychological Issues.
(206) 466-5649 View (206) 466-5649
Photo of Madeline Frank, PhD, BCBA-D, LBA
Madeline Frank
PhD, BCBA-D, LBA
Verified Verified
Shoreline, WA 98177
I use positive behavior support strategies to support children, parents, and families with and without autism spectrum disorder.
My experience as a behavior analyst spans educational, clinical, and home/community settings. I worked for several years as a special education classroom teacher and I feel strongly that parent involvement/training is critical for a child's success. I aim to provide children and families with tools to rapidly improve language comprehension and vocalization, replace problem behaviors, teach self-help skills, and enhance age-appropriate social skills. I primarily work with children between 2-10 years old, but have experience working with clients up to 21 years old.
I use positive behavior support strategies to support children, parents, and families with and without autism spectrum disorder.
My experience as a behavior analyst spans educational, clinical, and home/community settings. I worked for several years as a special education classroom teacher and I feel strongly that parent involvement/training is critical for a child's success. I aim to provide children and families with tools to rapidly improve language comprehension and vocalization, replace problem behaviors, teach self-help skills, and enhance age-appropriate social skills. I primarily work with children between 2-10 years old, but have experience working with clients up to 21 years old.
(206) 312-6845 View (206) 312-6845
Photo of Marieka Miller - Marieka Miller & The Evolved Athlete's Institute , PsyD, Psychologist
Marieka Miller & The Evolved Athlete's Institute
Psychologist, PsyD
Verified Verified
Shoreline, WA 98177
My background includes treatment of anxiety, depression, autism, ADHD, life transitions, parent support, Sensory Processing Disorder, stress reduction - utilizing MBSR techniques, and parent coaching/training.
My professional experience, academic emphasis, and personal passion aims at helping clients experience their full potential. I am a Licensed Clinical Psychologist who works with children, adolescents, adults, couples, and families. I also work as a performance consultant for competitive athletes and coaches using mental skills training. I earned my doctorate in Clinical Psychology from the California School of Professional Psychology at Alliant International University and have fifteen years of clinical experience in private practice throughout western Washington.
My background includes treatment of anxiety, depression, autism, ADHD, life transitions, parent support, Sensory Processing Disorder, stress reduction - utilizing MBSR techniques, and parent coaching/training.
My professional experience, academic emphasis, and personal passion aims at helping clients experience their full potential. I am a Licensed Clinical Psychologist who works with children, adolescents, adults, couples, and families. I also work as a performance consultant for competitive athletes and coaches using mental skills training. I earned my doctorate in Clinical Psychology from the California School of Professional Psychology at Alliant International University and have fifteen years of clinical experience in private practice throughout western Washington.
(206) 693-4815 View (206) 693-4815
Photo of Julia Rudin Gorelik, PhD, Psychologist
Julia Rudin Gorelik
Psychologist, PhD
Verified Verified
Shoreline, WA 98133
I specialize in psychological and psycho-educational evaluations with both children and adolescents. I have extensive clinical experience in the assessment of children with academic, social-emotional, and behavioral difficulties. My expertise is in the diagnostic assessment of developmental delays, learning disabilities, intellectual disability, attention deficit/hyperactivity disorder (AD/HD), and autism. I use a child's pattern of strengths and weaknesses to help guide treatment recommendations. I also provide IQ/Gifted evaluations, early entrance Kindergarten and College Board documentation testing, and school consultation.
I specialize in psychological and psycho-educational evaluations with both children and adolescents. I have extensive clinical experience in the assessment of children with academic, social-emotional, and behavioral difficulties. My expertise is in the diagnostic assessment of developmental delays, learning disabilities, intellectual disability, attention deficit/hyperactivity disorder (AD/HD), and autism. I use a child's pattern of strengths and weaknesses to help guide treatment recommendations. I also provide IQ/Gifted evaluations, early entrance Kindergarten and College Board documentation testing, and school consultation.
(206) 966-4661 View (206) 966-4661
Photo of Matthew Thomas, PsyD, Psychologist
Matthew Thomas
Psychologist, PsyD
Verified Verified
Shoreline, WA 98133
Thomas specializes in Autism Spectrum Disorder, Intellectual Disability, Attention-Deficit/Hyperactivity Disorder, Learning Disorders, Neurodevelopmental Disorders, Mood- and Behavior-Related Disorders, and Tic Disorder.
Dr. Thomas is a licensed clinical psychologist offering assessments for children, adolescents, and young adults. He takes a comprehensive, neuropsychological approach to his evaluations which consists of cognitive, academic, and social-emotional functioning. Based on the referral and the needs of the client, his assessments may include attention, executive functioning, learning/memory, personality, sensory, motor, and visuospatial components.
Thomas specializes in Autism Spectrum Disorder, Intellectual Disability, Attention-Deficit/Hyperactivity Disorder, Learning Disorders, Neurodevelopmental Disorders, Mood- and Behavior-Related Disorders, and Tic Disorder.
Dr. Thomas is a licensed clinical psychologist offering assessments for children, adolescents, and young adults. He takes a comprehensive, neuropsychological approach to his evaluations which consists of cognitive, academic, and social-emotional functioning. Based on the referral and the needs of the client, his assessments may include attention, executive functioning, learning/memory, personality, sensory, motor, and visuospatial components.
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Photo of Yoko Shibata, PhD, NCSP, Psychologist
Yoko Shibata
Psychologist, PhD, NCSP
Verified Verified
Shoreline, WA 98155
Do you feel like you are buried in your fear, and you feel like you can barely breathe? Are you a neurodivergent individual who struggles with an overwhelming sense of shame and a tsunami of self-doubts? I am a licensed psychologist who provides evidence-based therapy for children through young adults as well as consultation for caregivers. I also have 15+ years of working experience in public schools as a school psychologist. In my work, I am guided by the belief that children and families are brilliant and beautiful, and I aim to support and facilitate their transformative agency, particularly clients from diverse backgrounds.
Do you feel like you are buried in your fear, and you feel like you can barely breathe? Are you a neurodivergent individual who struggles with an overwhelming sense of shame and a tsunami of self-doubts? I am a licensed psychologist who provides evidence-based therapy for children through young adults as well as consultation for caregivers. I also have 15+ years of working experience in public schools as a school psychologist. In my work, I am guided by the belief that children and families are brilliant and beautiful, and I aim to support and facilitate their transformative agency, particularly clients from diverse backgrounds.
(206) 672-9265 View (206) 672-9265
Photo of Cat Carson, MA, LMFTA, Marriage & Family Therapist Associate
Cat Carson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Shoreline, WA 98133
I believe that we all have tremendous potential for healing and improving our relationships with ourselves and those around us. From the time we are born, we are met with messages from society at large, the families we grow up in, and the systems and institutions we interact with that inform how we see ourselves. But what if some of that information is flawed? Figuring out our own truth can be incredibly challenging when we have been working with bad facts. I provide my clients with a non-judgmental space to see themselves with clear eyes, and increase safety, harmony and understanding in their relationships, to reach their goals.
I believe that we all have tremendous potential for healing and improving our relationships with ourselves and those around us. From the time we are born, we are met with messages from society at large, the families we grow up in, and the systems and institutions we interact with that inform how we see ourselves. But what if some of that information is flawed? Figuring out our own truth can be incredibly challenging when we have been working with bad facts. I provide my clients with a non-judgmental space to see themselves with clear eyes, and increase safety, harmony and understanding in their relationships, to reach their goals.
(206) 593-4254 View (206) 593-4254
Photo of River Enselman, LMHCA, MS, Counselor
River Enselman
Counselor, LMHCA, MS
Verified Verified
1 Endorsed
Shoreline, WA 98155  (Online Only)
There are many things in this world that can complicate life and it can be challenging to navigate it. Societal pressures place unrealistic standards and oppressive systems create barriers. This takes a toll on our bodies and minds. It makes us feel as though we will never be enough. Everyone deserves to have connection, love, and to live authentically as themselves. That includes yourself. My goal is to create a safe space for us to explore your authentic self together. I provide a person-centered, anti-oppressive, harm-reduction therapeutic approach. This allows us find ways to work with your body and mind instead of against it.
There are many things in this world that can complicate life and it can be challenging to navigate it. Societal pressures place unrealistic standards and oppressive systems create barriers. This takes a toll on our bodies and minds. It makes us feel as though we will never be enough. Everyone deserves to have connection, love, and to live authentically as themselves. That includes yourself. My goal is to create a safe space for us to explore your authentic self together. I provide a person-centered, anti-oppressive, harm-reduction therapeutic approach. This allows us find ways to work with your body and mind instead of against it.
(425) 517-1677 View (425) 517-1677
Photo of Julia L Fay, MS, LMHC, CN, Counselor
Julia L Fay
Counselor, MS, LMHC, CN
Verified Verified
4 Endorsed
Shoreline, WA 98133
I am currently Telehealth only. I use a a bio/psycho/social/spiritual approach, Play Therapy and EMDR to help rewire the nervous system so that it can experience states of calmness and heartfelt connection with self and others. I enjoy working with individuals of all ages and backgrounds, specifically those struggling with anxiety, depression, PTSD, worry, grief, & loss. I also specialize in helping kids learn emotional regulation, increase frustration tolerance, overcome behavior problems, & develop secure attachment.
I am currently Telehealth only. I use a a bio/psycho/social/spiritual approach, Play Therapy and EMDR to help rewire the nervous system so that it can experience states of calmness and heartfelt connection with self and others. I enjoy working with individuals of all ages and backgrounds, specifically those struggling with anxiety, depression, PTSD, worry, grief, & loss. I also specialize in helping kids learn emotional regulation, increase frustration tolerance, overcome behavior problems, & develop secure attachment.
(206) 202-5148 View (206) 202-5148
Photo of Michelle Meade, MA, LMHCA, Counselor
Michelle Meade
Counselor, MA, LMHCA
Verified Verified
Shoreline, WA 98133
I work with individuals and couples seeking to connect: to themselves, to their bodies, to others, or to a sense of meaning. Many clients initially feel stuck in their lives, or misunderstood by the world, or (sort of) ready to face the trauma that seems to define them. I love working with a variety of adults, but I specialize in treating highly analytical/logical people, highly sensitive people, neurodiverse clients, religious trauma, and body acceptance issues.
I work with individuals and couples seeking to connect: to themselves, to their bodies, to others, or to a sense of meaning. Many clients initially feel stuck in their lives, or misunderstood by the world, or (sort of) ready to face the trauma that seems to define them. I love working with a variety of adults, but I specialize in treating highly analytical/logical people, highly sensitive people, neurodiverse clients, religious trauma, and body acceptance issues.
(206) 207-7185 View (206) 207-7185
Photo of Kaitlyn S McGurn, MA, LMHC, RPT, Counselor
Kaitlyn S McGurn
Counselor, MA, LMHC, RPT
Verified Verified
Shoreline, WA 98133
It takes courage to reach out for support during times of struggle and hardship. I provide a safe and nonjudgmental environment where clients can build self-awareness, a feeling of wellbeing and confidence, and coping skills to face life transitions and obstacles. I draw from a variety of therapeutic modalities from experiential therapies (play, art, and sand tray) with young clients, to cognitive behavioral, solution focused, and narrative therapy for older clients. I believe in tailoring a therapeutic approach that is specific to the individual needs of each client.
It takes courage to reach out for support during times of struggle and hardship. I provide a safe and nonjudgmental environment where clients can build self-awareness, a feeling of wellbeing and confidence, and coping skills to face life transitions and obstacles. I draw from a variety of therapeutic modalities from experiential therapies (play, art, and sand tray) with young clients, to cognitive behavioral, solution focused, and narrative therapy for older clients. I believe in tailoring a therapeutic approach that is specific to the individual needs of each client.
(206) 672-9985 View (206) 672-9985
Photo of Macie Mooney - Mace Mooney, LMHCA, LMHCA, Counselor
Mace Mooney, LMHCA
Counselor, LMHCA
Verified Verified
2 Endorsed
Shoreline, WA 98133
Being alive in a complex and unknown world is difficult, as humans we are daily managing our emotions, instincts, desires, frustrations, confusions, and joys. This is no simple task, and difficult to do alone. That is where the work of psychotherapy comes in to provide a path forward. By creating a space of acceptance, presence, and honesty together we can move towards building more security and freedom to live and enjoy life.
Being alive in a complex and unknown world is difficult, as humans we are daily managing our emotions, instincts, desires, frustrations, confusions, and joys. This is no simple task, and difficult to do alone. That is where the work of psychotherapy comes in to provide a path forward. By creating a space of acceptance, presence, and honesty together we can move towards building more security and freedom to live and enjoy life.
(206) 672-7470 View (206) 672-7470
Photo of Jodi Bagge - Jodi Bagge Arts & Wellness, MACP, LMHCA, Counselor
Jodi Bagge Arts & Wellness
Counselor, MACP, LMHCA
Verified Verified
Shoreline, WA 98155  (Online Only)
We all have complex stories, and often traumatic experiences in our past become so tangled up in our present day identity and rhythms that it's hard to move forward towards the people and things we care about most. The complexity of these difficult experiences can often have a negative impact on how we feel, live, and imagine our future. But therapy can offer a landing place to pause and reflect on our stories through a new and curious lens. Untangling the threads of your past and present life, and offering yourself empathy and kindness towards your future can provide a new way forward of empowerment, courage, and creativity.
We all have complex stories, and often traumatic experiences in our past become so tangled up in our present day identity and rhythms that it's hard to move forward towards the people and things we care about most. The complexity of these difficult experiences can often have a negative impact on how we feel, live, and imagine our future. But therapy can offer a landing place to pause and reflect on our stories through a new and curious lens. Untangling the threads of your past and present life, and offering yourself empathy and kindness towards your future can provide a new way forward of empowerment, courage, and creativity.
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Photo of Sunbreak Psychological Services - Mark Pilger, MA, LMHC, NCC, Counselor
Sunbreak Psychological Services - Mark Pilger
Counselor, MA, LMHC, NCC
Verified Verified
Shoreline, WA 98177
I provide psychotherapy and counseling services to adults, adolescents, and couples. In the framework of authentic therapeutic dialogue and connection, I honor the strengths and uniqueness of each client in the context of their life experience, and work to support them in creating the change they seek. My approach is client centered and flexible to best meet the needs of each client and their particular situation while being largely informed by an integration of Gestalt and mindfulness, as well as humanistic and attachment perspectives.
I provide psychotherapy and counseling services to adults, adolescents, and couples. In the framework of authentic therapeutic dialogue and connection, I honor the strengths and uniqueness of each client in the context of their life experience, and work to support them in creating the change they seek. My approach is client centered and flexible to best meet the needs of each client and their particular situation while being largely informed by an integration of Gestalt and mindfulness, as well as humanistic and attachment perspectives.
(425) 403-7760 View (425) 403-7760
Photo of Gretchen DeHart, MSW, LICSW, RYT 200, Clinical Social Work/Therapist
Gretchen DeHart
Clinical Social Work/Therapist, MSW, LICSW, RYT 200
Verified Verified
Shoreline, WA 98133
My approach to therapeutic work comes out of radical love for humans and their healing. Therapy is a place to build strong relationships through authentic connection. When people are able to be fully seen as who they are, in their truth, we can start to think about changes and tap into our personal wisdom; our bodies, minds, and spirits have wisdom that I hope we will find in our work together. As a therapist, I show up as myself and hope to encourage my clients to show up as who they are and connect on that level. I approach my work aligned with my core values: connection, compassion, curiosity, creativity, and community.
My approach to therapeutic work comes out of radical love for humans and their healing. Therapy is a place to build strong relationships through authentic connection. When people are able to be fully seen as who they are, in their truth, we can start to think about changes and tap into our personal wisdom; our bodies, minds, and spirits have wisdom that I hope we will find in our work together. As a therapist, I show up as myself and hope to encourage my clients to show up as who they are and connect on that level. I approach my work aligned with my core values: connection, compassion, curiosity, creativity, and community.
(509) 260-8578 View (509) 260-8578
Photo of Adrien Helander, MA, LMHC, she/he, Counselor
Adrien Helander
Counselor, MA, LMHC, she/he
Verified Verified
Shoreline, WA 98155  (Online Only)
Not accepting new clients
I conduct individual supervision with Associate therapists working with adult clients, specializing in PTSD, trauma, and bipolar (with a particular specialty in early diagnosis). I also have extensive experience working with depression, anxiety disorders, and ADHD. I enjoy working with career, executive function, autism, and spirituality issues. I teach a strengths-based and client-centered approach, which builds on clients' personal and life strengths in their healing and tailoring therapeutic approach to clients' individual needs and priorities.
I conduct individual supervision with Associate therapists working with adult clients, specializing in PTSD, trauma, and bipolar (with a particular specialty in early diagnosis). I also have extensive experience working with depression, anxiety disorders, and ADHD. I enjoy working with career, executive function, autism, and spirituality issues. I teach a strengths-based and client-centered approach, which builds on clients' personal and life strengths in their healing and tailoring therapeutic approach to clients' individual needs and priorities.
(425) 215-1089 View (425) 215-1089
Photo of Erin V Long, MA, LMHC, Counselor
Erin V Long
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Shoreline, WA 98177
Not accepting new clients
Trust is vital. I am here to listen, offer support, instill hope, and give practical and effective tools to address your goals. Forming a trusting relationship with a counselor can offer assurance. With a history of working with people of all ages in community mental health, I became a Child Specialist, and worked with children, teens and families. I have extensive experience addressing trauma, depression and anxiety, I provide tools that can give you greater sense of power and success. I use humor and specific skills to build confidence in parenting, trust in relationships, intimacy between couples, behavioral issues of children.
Trust is vital. I am here to listen, offer support, instill hope, and give practical and effective tools to address your goals. Forming a trusting relationship with a counselor can offer assurance. With a history of working with people of all ages in community mental health, I became a Child Specialist, and worked with children, teens and families. I have extensive experience addressing trauma, depression and anxiety, I provide tools that can give you greater sense of power and success. I use humor and specific skills to build confidence in parenting, trust in relationships, intimacy between couples, behavioral issues of children.
(425) 329-8262 View (425) 329-8262

More Therapists Nearby

Photo of Suzanne Murray, MA, BCBA, LBA
Suzanne Murray
MA, BCBA, LBA
Verified Verified
Seattle, WA 98125
I specialize in working with children diagnosed with autism, anxiety, ADHD, ODD, and those needing support with emotion regulation. I provide 1:1 child behavioral therapy in the office, home, or school setting as well as parent coaching. Issues addressed may include: behavioral challenges, social skills, attention/focus, toilet training, bedtime routines, selective eating, and tantrum-type behavior. I also have extensive training in the application of behavior analysis to education including addressing special academic needs.
I specialize in working with children diagnosed with autism, anxiety, ADHD, ODD, and those needing support with emotion regulation. I provide 1:1 child behavioral therapy in the office, home, or school setting as well as parent coaching. Issues addressed may include: behavioral challenges, social skills, attention/focus, toilet training, bedtime routines, selective eating, and tantrum-type behavior. I also have extensive training in the application of behavior analysis to education including addressing special academic needs.
(206) 825-6693 View (206) 825-6693
Photo of Lark Huang-Storms, PhD, Psychologist
Lark Huang-Storms
Psychologist, PhD
Verified Verified
Seattle, WA 98125
Waitlist for new clients
Alongside my private practice, I am a psychologist at Seattle Children’s Hospital and also direct Oregon Health & Science University’s Autism ACCESS program which provides statewide training to physicians and educators.
I am a clinical psychologist who specializes in diagnostic assessment of autism across the lifespan (including presentation in adult women). I provide evaluations for clients who wonder about possible autism for themselves or their children. I also have a small therapy practice where I focus on mental health and wellness with clients who are autistic or whose lives are shaped by autism (including Asperger’s Syndrome). Over the past decades, I directed Autism Centers at UT Southwestern Medical Center and Oregon Health & Science University where I engaged in research, training and clinical care.
Alongside my private practice, I am a psychologist at Seattle Children’s Hospital and also direct Oregon Health & Science University’s Autism ACCESS program which provides statewide training to physicians and educators.
I am a clinical psychologist who specializes in diagnostic assessment of autism across the lifespan (including presentation in adult women). I provide evaluations for clients who wonder about possible autism for themselves or their children. I also have a small therapy practice where I focus on mental health and wellness with clients who are autistic or whose lives are shaped by autism (including Asperger’s Syndrome). Over the past decades, I directed Autism Centers at UT Southwestern Medical Center and Oregon Health & Science University where I engaged in research, training and clinical care.
(206) 279-6922 View (206) 279-6922
Photo of Salloni Nanda, PhD, NCSP, Psychologist
Salloni Nanda
Psychologist, PhD, NCSP
Verified Verified
Seattle, WA 98133
I have training in a variety of interventions for anxiety (including Exposure and Response Prevention, SPACE, CBT, Coping Cat), for autism (including ABA, RUBI), and childhood challenging behaviors (including Incredible Years).
I am a licensed psychologist with over 8 years in practice. I work with children, teens, adults, and families on their journey towards hope, healing, and health. I provide evidence-based, culturally sensitive course of treatment and collaborate with providers across settings to develop a comprehensive assessment and treatment plan. I specialize in working with individuals with anxiety related disorders (including OCD, generalized anxiety, phobias), autism, school refusal, and children with behavioral difficulties and their families. Some areas of growth my clients focus on are emotions, education, adaptive skills, and relationships.
I have training in a variety of interventions for anxiety (including Exposure and Response Prevention, SPACE, CBT, Coping Cat), for autism (including ABA, RUBI), and childhood challenging behaviors (including Incredible Years).
I am a licensed psychologist with over 8 years in practice. I work with children, teens, adults, and families on their journey towards hope, healing, and health. I provide evidence-based, culturally sensitive course of treatment and collaborate with providers across settings to develop a comprehensive assessment and treatment plan. I specialize in working with individuals with anxiety related disorders (including OCD, generalized anxiety, phobias), autism, school refusal, and children with behavioral difficulties and their families. Some areas of growth my clients focus on are emotions, education, adaptive skills, and relationships.
(425) 620-3554 View (425) 620-3554
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.