Autism Counselling in Cambridge

Photo of Dr Sophie Oakes-Rogers, Psychologist in Cambridge, England
Dr Sophie Oakes-Rogers
Psychologist, PhD, CPsychol
Verified Verified
Cambridge CB1
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
I am a compassionate, authentic clinical psychologist with a wealth of knowledge about all things mental health. I strive to create a safe space to nurture understanding, generate acceptance, and empower change through evidence based psychological services. I only offer therapy that has a strong evidence base and that which is recommended by NICE Guidelines. This means you have access to the best psychological interventions. I am qualified to assess and diagnose Autism and ADHD as part of a multidisciplinary team, and I can adapt psychological therapy for neurodiversity.
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Photo of Richard Neil Papworth, Counsellor in Cambridge, England
Richard Neil Papworth
Counsellor, MBACP
Verified Verified
Cambridge CB1  (Online Only)
I offer help with stress, depression, anxiety, and feelings of being angry, upset, stuck, or confused, and have a particular interest in making my practice autism-friendly.
Psychodynamic psychotherapeutic counselling has a distinct focus on events which have troubled us in the past, although we might not have awareness of them, and continue to trouble us in the present often through repeated patterns. There might not be any defined areas of concern for clients, and issues can be deep-seated; however, the therapeutic relationship aims to bring these aspects into consciousness in a manageable way so that they may be worked through safely. While psychodynamic psychotherapeutic counselling is often open-ended and can span several years, short courses of six months or less have also shown to be effective.
I offer help with stress, depression, anxiety, and feelings of being angry, upset, stuck, or confused, and have a particular interest in making my practice autism-friendly.
Psychodynamic psychotherapeutic counselling has a distinct focus on events which have troubled us in the past, although we might not have awareness of them, and continue to trouble us in the present often through repeated patterns. There might not be any defined areas of concern for clients, and issues can be deep-seated; however, the therapeutic relationship aims to bring these aspects into consciousness in a manageable way so that they may be worked through safely. While psychodynamic psychotherapeutic counselling is often open-ended and can span several years, short courses of six months or less have also shown to be effective.
023 8144 0269 View 023 8144 0269
Photo of San Vtgotsky Wong, Psychotherapist in Cambridge, England
San Vtgotsky Wong
Psychotherapist, MA, MBACP
Verified Verified
Cambridge CB1
Here are some of the most common problems I can help with: - ADHD - Autism - Specific Learning Difference (SPLD) - Speech disorder - Social disorder - Depression - Anxiety - Addictive - Relationship Difficulties - Grief and Trauma Management - Stress and Anger Management - Low Self Esteem - Obsessive Compulsive Disorder (OCD) - Post Traumatic S.
I am San Vtgotsky Wong. I am a senior Psychotherapist and University Supervisor, working for children, youth and mental health for more than 19 years. I am very passionate about therapeutic interventions that vary from deep psychological interventions based on the client's history and memories, to an emphasis on the relationship between therapist and client, including their cultural context and systems. I am also very interested in using symbolic representations and meanings in the therapeutic setting to assist clients on their reflections and self-awareness. I have worked in a variety of settings including psychiatric h
Here are some of the most common problems I can help with: - ADHD - Autism - Specific Learning Difference (SPLD) - Speech disorder - Social disorder - Depression - Anxiety - Addictive - Relationship Difficulties - Grief and Trauma Management - Stress and Anger Management - Low Self Esteem - Obsessive Compulsive Disorder (OCD) - Post Traumatic S.
I am San Vtgotsky Wong. I am a senior Psychotherapist and University Supervisor, working for children, youth and mental health for more than 19 years. I am very passionate about therapeutic interventions that vary from deep psychological interventions based on the client's history and memories, to an emphasis on the relationship between therapist and client, including their cultural context and systems. I am also very interested in using symbolic representations and meanings in the therapeutic setting to assist clients on their reflections and self-awareness. I have worked in a variety of settings including psychiatric h
020 8138 8672 View 020 8138 8672
Photo of Claudia Preuss, Counsellor in Cambridge, England
Claudia Preuss
Counsellor, MSc
Verified Verified
Cambridge CB4
Are you feeling anxious, overwhelmed or unable to make lasting positive changes in your life? I use a combination of counselling and coaching techniques to help with issues like these and am particularly experienced in supporting adults with ADHD and autism. With a clear focus on solutions, I can help you navigate past any blocks or obstacles and together we can explore any difficulties that may arise as a result of having to function in a “neurotypical” world. Issues I can help with include changing negative thoughts or behaviours, improving relationships at home and at work, personal development and life skills .
Are you feeling anxious, overwhelmed or unable to make lasting positive changes in your life? I use a combination of counselling and coaching techniques to help with issues like these and am particularly experienced in supporting adults with ADHD and autism. With a clear focus on solutions, I can help you navigate past any blocks or obstacles and together we can explore any difficulties that may arise as a result of having to function in a “neurotypical” world. Issues I can help with include changing negative thoughts or behaviours, improving relationships at home and at work, personal development and life skills .
01299 667745 View 01299 667745
Photo of Dr Georgina Sergi, Psychologist in Cambridge, England
Dr Georgina Sergi
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cambridge CB1  (Online Only)
Hi, I'm Gina, a London-based Senior Clinical Psychologist, registered with the HCPC and BPS. With over eight years of experience in the NHS, I specialize in complex mental health difficulties, anxiety disorders, and neurodiversity. My therapeutic style is integrative, meaning that I will tailor my approach to your needs using a variety of evidence-based approaches including CBT, CFT and ACT. I also offer Autism diagnostic assessments using the Autism Diagnostic Observation Schedule (ADOS-2) and the Autism Diagnostic Interview- Revised (ADI-R).
Hi, I'm Gina, a London-based Senior Clinical Psychologist, registered with the HCPC and BPS. With over eight years of experience in the NHS, I specialize in complex mental health difficulties, anxiety disorders, and neurodiversity. My therapeutic style is integrative, meaning that I will tailor my approach to your needs using a variety of evidence-based approaches including CBT, CFT and ACT. I also offer Autism diagnostic assessments using the Autism Diagnostic Observation Schedule (ADOS-2) and the Autism Diagnostic Interview- Revised (ADI-R).
020 3817 7717 View 020 3817 7717
Photo of MD of Harley St. Psychotherapy Ltd (Amanda Goss), Psychotherapist in Cambridge, England
MD of Harley St. Psychotherapy Ltd (Amanda Goss)
Psychotherapist, MA, MBACP
Verified Verified
Cambridge CB1
We can help with 1-1 Counselling; Relationship issues; Anxiety; Depression; Stress; Low Self Esteem; Social Anxiety; Loneliness; Child Therapy; Young Persons Counselling; Family Therapy; Walking Therapy; Addiction; Eating Disorders; Sexual Abuse; Bereavement; ADHD/Autism/Asp.
Are you anxious/depressed/stressed/unhappy? Maybe you know the issue and don't want to feel this way any more? Even if you don't exactly know what is wrong, we will work with you to find out the cause so that you can live a happier, more contented life. We aim to get to the root of the problem so that the change is permanent. If you haven't had counselling before, or feel nervous about it, please call me for an informal chat. Counselling can be (and often is) a life changing experience. We suggest a 1st session, by the end of which you will know if you want to carry on. If you are a couple we have a specialist. Feel free to call.
We can help with 1-1 Counselling; Relationship issues; Anxiety; Depression; Stress; Low Self Esteem; Social Anxiety; Loneliness; Child Therapy; Young Persons Counselling; Family Therapy; Walking Therapy; Addiction; Eating Disorders; Sexual Abuse; Bereavement; ADHD/Autism/Asp.
Are you anxious/depressed/stressed/unhappy? Maybe you know the issue and don't want to feel this way any more? Even if you don't exactly know what is wrong, we will work with you to find out the cause so that you can live a happier, more contented life. We aim to get to the root of the problem so that the change is permanent. If you haven't had counselling before, or feel nervous about it, please call me for an informal chat. Counselling can be (and often is) a life changing experience. We suggest a 1st session, by the end of which you will know if you want to carry on. If you are a couple we have a specialist. Feel free to call.
020 4538 3988 View 020 4538 3988
Photo of Leigh Counselling Services, Counsellor in Cambridge, England
Leigh Counselling Services
Counsellor, MA
Verified Verified
Cambridge CB5
Are you struggling with difficult, painful emotions? Do you ever feel you're drowning in the pressures and stresses of everyday life? It happens to all of us at some point. Talking about your personal concerns can help to put them into perspective and find a way forward. Perhaps you're dealing with a family bereavement or a personal crisis? Maybe you're a parent struggling with the challenges of living with a teenager? Sharing your feelings with someone who's understanding and empathic can be life-changing, Seeking out solutions to what is testing you will give you the focus to deal with those difficulties and motivate you forward.
Are you struggling with difficult, painful emotions? Do you ever feel you're drowning in the pressures and stresses of everyday life? It happens to all of us at some point. Talking about your personal concerns can help to put them into perspective and find a way forward. Perhaps you're dealing with a family bereavement or a personal crisis? Maybe you're a parent struggling with the challenges of living with a teenager? Sharing your feelings with someone who's understanding and empathic can be life-changing, Seeking out solutions to what is testing you will give you the focus to deal with those difficulties and motivate you forward.
01493 801393 View 01493 801393
Photo of Sunshine Therapy, Counsellor in Cambridge, England
Sunshine Therapy
Counsellor, MBACP
Verified Verified
Cambridge CB1
My name is Jen and I'm here to offer a warm, non-judgmental safe space for you to let go of your worries and start to face a brighter, happier future. Just deciding to embark on your therapy journey is a difficult decision so if you've made it and find yourself here.....amazing! It's the first step and you can relax and know that I will walk alongside you supporting your quest to heal. I'm proud to specialise in neurodivergence and vystopia and be assured I will understand your struggle, having lived the reality.
My name is Jen and I'm here to offer a warm, non-judgmental safe space for you to let go of your worries and start to face a brighter, happier future. Just deciding to embark on your therapy journey is a difficult decision so if you've made it and find yourself here.....amazing! It's the first step and you can relax and know that I will walk alongside you supporting your quest to heal. I'm proud to specialise in neurodivergence and vystopia and be assured I will understand your struggle, having lived the reality.
01767 660599 View 01767 660599
Photo of Dr Marzio Ascione, Psychologist in Cambridge, England
Dr Marzio Ascione
Psychologist, PsychD, CPsychol
Verified Verified
Cambridge CB3
Dr Marzio Ascione is a Consultant HCPC registered clinical psychologist and Associate Fellow of BPS. Dr Ascione has over 20 years’ experience in clinical neuropsychology and mental health within the NHS and private sector. He has worked as Clinical Psychologist and Researcher for Cambridge University Hospital, Central and North West London NHS Foundation Trust, East London and City Mental Health Trust, West London Mental Health Trust, University of Milan, King’s College London. Dr Ascione sees patients at London and Cambridge clinics. Please contact our office for further information.
Dr Marzio Ascione is a Consultant HCPC registered clinical psychologist and Associate Fellow of BPS. Dr Ascione has over 20 years’ experience in clinical neuropsychology and mental health within the NHS and private sector. He has worked as Clinical Psychologist and Researcher for Cambridge University Hospital, Central and North West London NHS Foundation Trust, East London and City Mental Health Trust, West London Mental Health Trust, University of Milan, King’s College London. Dr Ascione sees patients at London and Cambridge clinics. Please contact our office for further information.
020 3974 2199 View 020 3974 2199
Photo of Fanni Frances Korany, Counsellor in Cambridge, England
Fanni Frances Korany
Counsellor, MBACP
Verified Verified
Cambridge CB4
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
01223 658037 View 01223 658037
Photo of Andrea Bassett, Counsellor in Cambridge, England
Andrea Bassett
Counsellor, MBACP
Verified Verified
Cambridge CB2
Do you feel held back by anxiety or depression and you’re wondering how to make sense of your situation and find a path towards a better life? Perhaps you’ve reached the point where you know things have to change, and you’re ready to explore the underlying cause of your distress and make changes. In a space where you’re supported, seen and heard you can start to gain clarity and awareness over the complexities of your current problems, while also understanding how your earlier life experiences have influenced where you are today.
Do you feel held back by anxiety or depression and you’re wondering how to make sense of your situation and find a path towards a better life? Perhaps you’ve reached the point where you know things have to change, and you’re ready to explore the underlying cause of your distress and make changes. In a space where you’re supported, seen and heard you can start to gain clarity and awareness over the complexities of your current problems, while also understanding how your earlier life experiences have influenced where you are today.
01223 679834 View 01223 679834
Photo of Nora Woofenden, Psychotherapist in Cambridge, England
Nora Woofenden
Psychotherapist, MA, MBACP
Verified Verified
Cambridge CB3  (Online Only)
Therapy is an investment in your current and future wellbeing. I join my clients in identifying the source of their concerns, and developing positive change. Whether you're struggling with chronic mental health stemming from trauma, or wanting to figure out why life has felt so hard lately, I am ready to listen with care and non-judgement. I have navigated a wide variety of needs with people who've never experienced therapy before, people who've seem to have tried everything, and people somewhere in between. Wherever you are, and wherever you'd like to go, we'll find the way forward.
Therapy is an investment in your current and future wellbeing. I join my clients in identifying the source of their concerns, and developing positive change. Whether you're struggling with chronic mental health stemming from trauma, or wanting to figure out why life has felt so hard lately, I am ready to listen with care and non-judgement. I have navigated a wide variety of needs with people who've never experienced therapy before, people who've seem to have tried everything, and people somewhere in between. Wherever you are, and wherever you'd like to go, we'll find the way forward.
01954 770985 View 01954 770985
Photo of Kirstin Bicknell, Psychotherapist in Cambridge, England
Kirstin Bicknell
Psychotherapist, MA, MUKCP
Verified Verified
Cambridge CB23
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
I'm an integrative counsellor and psychotherapist offering therapy that's right for you. I provide a supportive, confidential service for individuals and couples to explore and work through issues you are facing. As an integrative counsellor and psychotherapist there are a number of elements that therapy may include. The ones we use will depend on what you want to work on and your preferences. This can involve exploring how you're feeling, why you're feeling that way and how you can manage challenging feelings or relationships or working with childhood trauma as well as specific strategies including EMDR for PTSD.
01223 656854 View 01223 656854
Photo of Isobel Harper, Counsellor in Cambridge, England
Isobel Harper
Counsellor, MBACP Snr. Accred
Verified Verified
Cambridge CB22  (Online Only)
I am an experienced Integrative Counsellor. My primary training is in the Psychodynamic model and this is the basis of my work. I do adapt my style to meet the highly individual needs of each client. I aim to offer a safe and confidential space for clients to explore what has made life slip out of gear.
I am an experienced Integrative Counsellor. My primary training is in the Psychodynamic model and this is the basis of my work. I do adapt my style to meet the highly individual needs of each client. I aim to offer a safe and confidential space for clients to explore what has made life slip out of gear.
01223 919498 View 01223 919498
Photo of Debbie Watt, Psychologist in Cambridge, England
Debbie Watt
Psychologist, MSc, GMBPsS
Verified Verified
Cambridge CB22
I’m a Coaching Psychologist and Accredited Master Coach with over 17 years of experience in supporting clients to navigate their way through challenges and change. My approach is to walk alongside you and tailor support to your changing needs on your journey to define and achieve your chosen outcomes -
I’m a Coaching Psychologist and Accredited Master Coach with over 17 years of experience in supporting clients to navigate their way through challenges and change. My approach is to walk alongside you and tailor support to your changing needs on your journey to define and achieve your chosen outcomes -
01223 650660 View 01223 650660
Photo of Grace Hernandez, Psychotherapist in Cambridge, England
Grace Hernandez
Psychotherapist, MSc, MBACP
Verified Verified
Cambridge CB25  (Online Only)
I am a trained psychotherapeutic counsellor offering short-term and long term counselling via zoom. I create an environment that allows my clients the opportunity to reflect on events and situations that they have previously experienced, whether that is from their childhood or more recently or indeed currently facing. We will explore the impacts that these past or current circumstances are having on you and how you interact with the world around you in a safe setting. I offer sessions where this can be done with the hope that you may get to know and understand yourself better and why you are the way you are, unique.
I am a trained psychotherapeutic counsellor offering short-term and long term counselling via zoom. I create an environment that allows my clients the opportunity to reflect on events and situations that they have previously experienced, whether that is from their childhood or more recently or indeed currently facing. We will explore the impacts that these past or current circumstances are having on you and how you interact with the world around you in a safe setting. I offer sessions where this can be done with the hope that you may get to know and understand yourself better and why you are the way you are, unique.
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Photo of Luke Reynolds, Psychotherapist in Cambridge, England
Luke Reynolds
Psychotherapist, MA, MUKCP
Verified Verified
Cambridge CB1
I am a registered psychotherapist with a private practice in central Cambridge. Offering a space which is safe and non-judgemental. Where we can explore together what is happening with you and what in your life has left you feeling anxious, depressed, sad, angry, low in self-esteem, empty or distressed. Through working together we will try to understand how these feelings are manifesting in your life be it through addiction, social anxiety, or destructive relationships. And endeavour to bring you to a place where you feel comfort and understanding in and of yourself.
I am a registered psychotherapist with a private practice in central Cambridge. Offering a space which is safe and non-judgemental. Where we can explore together what is happening with you and what in your life has left you feeling anxious, depressed, sad, angry, low in self-esteem, empty or distressed. Through working together we will try to understand how these feelings are manifesting in your life be it through addiction, social anxiety, or destructive relationships. And endeavour to bring you to a place where you feel comfort and understanding in and of yourself.
020 3823 6631 View 020 3823 6631
Photo of Mark Williams, Counsellor in Cambridge, England
Mark Williams
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Cambridge CB3
At times, we can all experience difficult thoughts and feelings or a sense of being “stuck”: counselling can help us work through these, develop a better relationship with ourselves and those around us, and gain clarity and insight into the issues that are causing us problems. I believe that we all possess the resources to work through our problems, but at times these can become hidden and feel out of reach. My aim is to help you identify what you need and re-connect with your own resources.
At times, we can all experience difficult thoughts and feelings or a sense of being “stuck”: counselling can help us work through these, develop a better relationship with ourselves and those around us, and gain clarity and insight into the issues that are causing us problems. I believe that we all possess the resources to work through our problems, but at times these can become hidden and feel out of reach. My aim is to help you identify what you need and re-connect with your own resources.
01223 679708 View 01223 679708
Photo of Alyssa Millbrook, Psychotherapist in Cambridge, England
Alyssa Millbrook
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Cambridge CB1  (Online Only)
Waitlist for new clients
It isn’t easy being the cycle breaker. Have you ever heard that you are ‘too sensitive’ or felt that your feelings are ‘too much’? Have you ever felt like you are the only one willing to acknowledge what makes everyone else put their heads in the sand? In your family, there may have been abuse, a lack of acceptance for who you are, or even just no space for talking about emotions. There may be historic traumas no one will talk about or patterns that go unacknowledged, and you are left holding the ball on everyone’s behalf. You may experience feelings of perfectionism, disconnection, or guilt about resting or caring for yourself.
It isn’t easy being the cycle breaker. Have you ever heard that you are ‘too sensitive’ or felt that your feelings are ‘too much’? Have you ever felt like you are the only one willing to acknowledge what makes everyone else put their heads in the sand? In your family, there may have been abuse, a lack of acceptance for who you are, or even just no space for talking about emotions. There may be historic traumas no one will talk about or patterns that go unacknowledged, and you are left holding the ball on everyone’s behalf. You may experience feelings of perfectionism, disconnection, or guilt about resting or caring for yourself.
01223 320688 View 01223 320688
Photo of Ruth Oreschnick, Psychotherapist in Cambridge, England
Ruth Oreschnick
Psychotherapist, MA, BPC
Verified Verified
Cambridge CB4
I’m a Jungian Analyst/Psychotherapist and Music Therapist - working with people to provide a creative, non-judgemental, space to explore the issues that they are experiencing. I provide a therapeutic space where we can work together to foster curiosity and a deeper understanding of these difficulties, in an environment that is welcoming and reflective. I offer a confidential and safe space in which to talk about whatever issues may be troubling you. I work with people either weekly or on a more intensive basis. I have experience of working with people from a wide range of backgrounds, cultures and across all age groups.
I’m a Jungian Analyst/Psychotherapist and Music Therapist - working with people to provide a creative, non-judgemental, space to explore the issues that they are experiencing. I provide a therapeutic space where we can work together to foster curiosity and a deeper understanding of these difficulties, in an environment that is welcoming and reflective. I offer a confidential and safe space in which to talk about whatever issues may be troubling you. I work with people either weekly or on a more intensive basis. I have experience of working with people from a wide range of backgrounds, cultures and across all age groups.
01223 734551 View 01223 734551

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Autism Counsellors

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.