Autism Counselling in Selby

Photo of Tam Adcock - Adcock Psychological Services, PsychD, HCPC - Forensic Psych., Psychologist
Adcock Psychological Services
Psychologist, PsychD, HCPC - Forensic Psych.
Verified Verified
2 Endorsed
Selby YO8
Waitlist for new clients
I have been working in this field for over twenty years now and I still have a determined passion for it. I am trusted to hear the life narratives and difficulties of those seeking support and my aim is to help you feel heard and empowered. I have never lost sight of this aim. I have worked with people who have felt very isolated by their own thoughts, felt intense shame, and struggled to cope with overwhelming feelings. Usually they have not felt able to talk to those around them for fear of judgment, embarrassment or rejection. I feel privileged to have been trusted by my clients which enables me to help lessen their burden.
I have been working in this field for over twenty years now and I still have a determined passion for it. I am trusted to hear the life narratives and difficulties of those seeking support and my aim is to help you feel heard and empowered. I have never lost sight of this aim. I have worked with people who have felt very isolated by their own thoughts, felt intense shame, and struggled to cope with overwhelming feelings. Usually they have not felt able to talk to those around them for fear of judgment, embarrassment or rejection. I feel privileged to have been trusted by my clients which enables me to help lessen their burden.
01904 935762 View 01904 935762
Photo of Kat Scurr - Kat Scurr at Supportive Counselling, BACP, Counsellor
Kat Scurr at Supportive Counselling
Counsellor, BACP
Verified Verified
1 Endorsed
Selby YO8
Welcome to Supportive Counselling, where you’ll find a safe, compassionate space to explore life’s challenges. I’m here to help you work through whatever you’re facing—whether it’s anxiety, trauma, or self-esteem struggles—with sessions tailored to your unique needs. Offering face-to-face, online, and phone counselling, I provide non-judgmental support to empower you to make positive changes and embrace your full potential. Ready to take that step? Let’s work together to create the life you deserve.
Welcome to Supportive Counselling, where you’ll find a safe, compassionate space to explore life’s challenges. I’m here to help you work through whatever you’re facing—whether it’s anxiety, trauma, or self-esteem struggles—with sessions tailored to your unique needs. Offering face-to-face, online, and phone counselling, I provide non-judgmental support to empower you to make positive changes and embrace your full potential. Ready to take that step? Let’s work together to create the life you deserve.
01757 607057 View 01757 607057
Photo of Sue Morris, MA, MBACP, Counsellor
Sue Morris
Counsellor, MA, MBACP
Verified Verified
Selby YO8
Life can be hard at times. We can experience loss, changes in our health, family circumstances or work life. Maybe our relationships are not fulfilling our needs and we do not know how to change things. At times, we don’t feel good about ourselves, we lose confidence in our ability to cope with life or maybe we feel impacted by past experiences or held back through feelings of anger, shame or guilt. Sometimes we don’t know what’s wrong, but we just know something isn’t right. I can help you explore what is going on for you by giving you a supportive space to talk and be heard.
Life can be hard at times. We can experience loss, changes in our health, family circumstances or work life. Maybe our relationships are not fulfilling our needs and we do not know how to change things. At times, we don’t feel good about ourselves, we lose confidence in our ability to cope with life or maybe we feel impacted by past experiences or held back through feelings of anger, shame or guilt. Sometimes we don’t know what’s wrong, but we just know something isn’t right. I can help you explore what is going on for you by giving you a supportive space to talk and be heard.
01904 221277 View 01904 221277
Photo of Gaz Rowntree, MBACP, Counsellor
Gaz Rowntree
Counsellor, MBACP
Verified Verified
1 Endorsed
Selby YO8
There is hope for Angry Men! “The little things irritate me into arguing! I want to stop…” MEN and ANGER: A misconception – “I am just a fiery person, I can’t change that”. Not true! Are you getting irritable and angry at even the littlest of things? Do you drink to try and shift away from those feelings? Is it impacting your relationships? Are you arguing more than you really want? The longer this goes on the more likely it is your relationship will irreversibly break down. You don’t want to end up with heartbreak, loneliness or a broken home, only seeing your family at the weekend?
There is hope for Angry Men! “The little things irritate me into arguing! I want to stop…” MEN and ANGER: A misconception – “I am just a fiery person, I can’t change that”. Not true! Are you getting irritable and angry at even the littlest of things? Do you drink to try and shift away from those feelings? Is it impacting your relationships? Are you arguing more than you really want? The longer this goes on the more likely it is your relationship will irreversibly break down. You don’t want to end up with heartbreak, loneliness or a broken home, only seeing your family at the weekend?
01904 935305 View 01904 935305

More Therapists Nearby

Photo of Abigail Leah Bonnett, MNCPS Acc., Counsellor
Abigail Leah Bonnett
Counsellor, MNCPS Acc.
Verified Verified
Leeds LS25  (Online Only)
Depression, anxiety, and mental health challenges are common. As a qualified counsellor, I help you explore your thoughts and feelings for better self-understanding and effective coping strategies. I offer a non-judgmental space for discussing related issues and specialize in gender identity, guiding clients through their complexities. My extensive experience supports transgender, nonbinary, and gender nonconforming individuals, and I am committed to providing compassionate care without conversion therapy practices.
Depression, anxiety, and mental health challenges are common. As a qualified counsellor, I help you explore your thoughts and feelings for better self-understanding and effective coping strategies. I offer a non-judgmental space for discussing related issues and specialize in gender identity, guiding clients through their complexities. My extensive experience supports transgender, nonbinary, and gender nonconforming individuals, and I am committed to providing compassionate care without conversion therapy practices.
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Photo of Samantha Jayne Hurrell -             Counselling and Psychotherapy services, BACP, Counsellor
Counselling and Psychotherapy services
Counsellor, BACP
Verified Verified
York YO19
My name is Samantha Hurrell, I offer Therapeutic Counselling, Supervision, Well-being MOTs and also specialise in working with the NHS with Trauma. Attachment disorders , Couples and Family Therapy.
My name is Samantha Hurrell, I offer Therapeutic Counselling, Supervision, Well-being MOTs and also specialise in working with the NHS with Trauma. Attachment disorders , Couples and Family Therapy.
01904 238373 View 01904 238373
Photo of Helen Moss, MA, UKCP Trainee, Psychotherapist
Helen Moss
Psychotherapist, MA, UKCP Trainee
Verified Verified
2 Endorsed
York YO19
Waitlist for new clients
I'm Helen, a gestalt psychotherapist in advanced training. I offer a safe, inclusive, non-judgmental space, where I can support you to more deeply understand the situations that have brought you to therapy. I am committed to trauma-informed, anti-oppressive, neurodivergent-aware and queer-affirmative practices.
I'm Helen, a gestalt psychotherapist in advanced training. I offer a safe, inclusive, non-judgmental space, where I can support you to more deeply understand the situations that have brought you to therapy. I am committed to trauma-informed, anti-oppressive, neurodivergent-aware and queer-affirmative practices.
01347 668125 View 01347 668125

Online Therapists

Photo of Deborah Akkurt - Durham City Counselling, MBACP, Counsellor
Durham City Counselling
Counsellor, MBACP
Verified Verified
Durham DH7
Hi my name is Debs and welcome to Durham City Counselling Services. I am a person centred counsellor, registered with the BACP. I have many years of experience working with adults and children on a variety of issues. I have experience of working with Autism, ADHD, anxiety, self-harm, depression, relationship issues amongst many more. If you are struggling with your mental health i can help you explore these issues within a safe, caring, accepting and non-judgemental way.
Hi my name is Debs and welcome to Durham City Counselling Services. I am a person centred counsellor, registered with the BACP. I have many years of experience working with adults and children on a variety of issues. I have experience of working with Autism, ADHD, anxiety, self-harm, depression, relationship issues amongst many more. If you are struggling with your mental health i can help you explore these issues within a safe, caring, accepting and non-judgemental way.
0191 743 4248 View 0191 743 4248
Photo of Dr Silke Newman, HCPC - Clin. Psych., Psychologist
Dr Silke Newman
Psychologist, HCPC - Clin. Psych.
Verified Verified
Barnsley S75
I have been a qualified Clinical Psychologist with a specialism in autism and learning disabilities working within the NHS for over 26 years.
Are you supporting a person with a learning disability, ADHD or autism who is in crisis or going through a transition and are experiencing mental health difficulties? Do you have a learning disability, ADHD or autism and are feeling upset, scared or angry much of the time? I use a variety of evidence based treatments and provide diagnostic assessments. I support people when theya going through a crisis or transition, need clarity via an assessment/diagnosis and to help clients and their families lead a fulfilling life understanding and reducing mental health problems and/or challenging behaviour.
I have been a qualified Clinical Psychologist with a specialism in autism and learning disabilities working within the NHS for over 26 years.
Are you supporting a person with a learning disability, ADHD or autism who is in crisis or going through a transition and are experiencing mental health difficulties? Do you have a learning disability, ADHD or autism and are feeling upset, scared or angry much of the time? I use a variety of evidence based treatments and provide diagnostic assessments. I support people when theya going through a crisis or transition, need clarity via an assessment/diagnosis and to help clients and their families lead a fulfilling life understanding and reducing mental health problems and/or challenging behaviour.
01226 445388 View 01226 445388
Photo of Matthew James Watson, MBACP, Counsellor
Matthew James Watson
Counsellor, MBACP
Verified Verified
Doncaster DN4
I am experienced in supporting clients with disassociation, adhd, autism, neuro-diversity, gender issues, narcissism, tech addiction, trauma, anxiety, low self esteem, relationship and family issues.
I provide individual, couples and young persons therapy. Do you need some space and time to collect your thoughts, find some perspective? Are you wrestling with something which seems difficult to understand and accept? Do you need someone to hear and understand you? Someone to help you to make sense of things and give you the confidence to move through it and beyond?
I am experienced in supporting clients with disassociation, adhd, autism, neuro-diversity, gender issues, narcissism, tech addiction, trauma, anxiety, low self esteem, relationship and family issues.
I provide individual, couples and young persons therapy. Do you need some space and time to collect your thoughts, find some perspective? Are you wrestling with something which seems difficult to understand and accept? Do you need someone to hear and understand you? Someone to help you to make sense of things and give you the confidence to move through it and beyond?
01302 490934 View 01302 490934
Photo of Joanne Wright, MSc, HCPC - Forensic Psych., Psychologist
Joanne Wright
Psychologist, MSc, HCPC - Forensic Psych.
Verified Verified
Stafford ST20
Hello. Do you feel stuck, confused or overwhelmed? Are you being held back by anxiety, depression or a lack of self worth? Do you know what you want to achieve, but need someone to motivate, guide and reassure you? Perhaps you are worried about the well-being of family members, colleagues or friends? As well as working with anxiety, depression, trauma or stress, I also specialise in working with individuals and families affected by Autism. I can diagnose autism and help schools to provide the best support to students. As well as providing individual therapy, I can devise and deliver training relating to mental health and resilience.
Hello. Do you feel stuck, confused or overwhelmed? Are you being held back by anxiety, depression or a lack of self worth? Do you know what you want to achieve, but need someone to motivate, guide and reassure you? Perhaps you are worried about the well-being of family members, colleagues or friends? As well as working with anxiety, depression, trauma or stress, I also specialise in working with individuals and families affected by Autism. I can diagnose autism and help schools to provide the best support to students. As well as providing individual therapy, I can devise and deliver training relating to mental health and resilience.
01785 335997 View 01785 335997
Photo of Dr Sarah Rodgers, HCPC - Clin. Psych., Psychologist
Dr Sarah Rodgers
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Sheffield S7
I offer Autism and ADHD assessments to adults in person or online .
Have you always felt like you never quite fitted in and life has always been a bit of a struggle for you? It may be that you have felt misunderstood or that other people simply do not 'get' you. Everyday life may have always felt challenging, but the increased demands of adult life have been overwhelming and exhausting. You may worry a lot about tasks or relationships. You may also find that you have differences that are areas of significant strength for you, for example an ability to be creative, to hyper-focus and attend to detail. Would you like to discover if Autism or ADHD form a part of your identity?
I offer Autism and ADHD assessments to adults in person or online .
Have you always felt like you never quite fitted in and life has always been a bit of a struggle for you? It may be that you have felt misunderstood or that other people simply do not 'get' you. Everyday life may have always felt challenging, but the increased demands of adult life have been overwhelming and exhausting. You may worry a lot about tasks or relationships. You may also find that you have differences that are areas of significant strength for you, for example an ability to be creative, to hyper-focus and attend to detail. Would you like to discover if Autism or ADHD form a part of your identity?
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Photo of Livea Coelho - Everest Clinic - ADHD and Autism Assessment Centre, PhD, HCPC - Clin. Psych., Psychologist
Everest Clinic - ADHD and Autism Assessment Centre
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Coventry CV1
Book a free discovery call and check out how we can help you with ADHD test, Autism test and treatment.
www.everestclinic.co.uk - We are a private psychology clinic dedicated to ADHD and Autism testing, diagnostics and treatment. At Everest Clinic we understand how challenging is the journey to a diagnosis, and how important is to find the right care for individuals and families struggling with Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). We recognise and treat each client as unique and special. That's why our team of experienced Clinicians is dedicated to delivering detailed and accurate testing and diagnostic services tailored to your specific needs.
Book a free discovery call and check out how we can help you with ADHD test, Autism test and treatment.
www.everestclinic.co.uk - We are a private psychology clinic dedicated to ADHD and Autism testing, diagnostics and treatment. At Everest Clinic we understand how challenging is the journey to a diagnosis, and how important is to find the right care for individuals and families struggling with Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). We recognise and treat each client as unique and special. That's why our team of experienced Clinicians is dedicated to delivering detailed and accurate testing and diagnostic services tailored to your specific needs.
024 7542 0796 View 024 7542 0796
Photo of Jack Brown, MBABCP, Psychotherapist
Jack Brown
Psychotherapist, MBABCP
Verified Verified
3 Endorsed
Manchester M17  (Online Only)
I also specialise in helping clients adjust to autism or ADHD, to process big life changes or loss, to develop lifechanging insights or to work on coping with long standing beliefs.
My name is Jack, I am a Psychological Therapist specialising in Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). If you are finding parts of being human tough or confusing at the moment and don't know what to do, you are not alone. CBT and ACT are powerful psychotherapies that offer you the means to deeply understand your individual story and the unhelpful patterns keeping you stuck. They also offer long-term tools to break these patterns and to learn to live life flexibly and with purpose. To find out more, please check out my website or send me a message and I will get back to you ASAP
I also specialise in helping clients adjust to autism or ADHD, to process big life changes or loss, to develop lifechanging insights or to work on coping with long standing beliefs.
My name is Jack, I am a Psychological Therapist specialising in Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). If you are finding parts of being human tough or confusing at the moment and don't know what to do, you are not alone. CBT and ACT are powerful psychotherapies that offer you the means to deeply understand your individual story and the unhelpful patterns keeping you stuck. They also offer long-term tools to break these patterns and to learn to live life flexibly and with purpose. To find out more, please check out my website or send me a message and I will get back to you ASAP
0161 524 4157 View 0161 524 4157
Photo of Tony Hall, MBACP, Counsellor
Tony Hall
Counsellor, MBACP
Verified Verified
Rossendale BB4
Waitlist for new clients
I have specialist interest in Autism and Aspergers and I work with problems including depression, anxiety and low self-esteem. I am particularly interested in supporting adults who find they are struggling to come to terms with what it means to be autistic. I work in private practice and as a counsellor at Understanding Autism North West.
I have specialist interest in Autism and Aspergers and I work with problems including depression, anxiety and low self-esteem. I am particularly interested in supporting adults who find they are struggling to come to terms with what it means to be autistic. I work in private practice and as a counsellor at Understanding Autism North West.
01706 619833 View 01706 619833
Photo of Katy Mary Atkinson-Jones - Umbrella Assessment & Therapy, HCPC - Clin. Psych., Psychologist
Umbrella Assessment & Therapy
Psychologist, HCPC - Clin. Psych.
Verified Verified
Sheffield S7
At Umbrella Assessment and Therapy we offer gold standard and comprehensive autism assessment to children and adults. We are a specialised multi-disciplinary team who go above and beyond to provide you with the support and understanding that you need.
At Umbrella Assessment and Therapy we offer gold standard and comprehensive autism assessment to children and adults. We are a specialised multi-disciplinary team who go above and beyond to provide you with the support and understanding that you need.
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Photo of Daniel Stapleford - OceanTherapy Counselling, DCounsPsych, MBACP, Counsellor
OceanTherapy Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Leeds LS1
As a BACP registered member, I follow their Ethical Framework and engage in continuous professional development to stay current on various issues such as young people, mindfulness, addiction, anger, anxiety, autism, bereavement, coping skills, depression, life transitions, relationships, self-esteem, spirituality, stress, ADHD, and mental health.
Navigating the counseling world can be confusing, but finding the right counselor is essential to your happiness and wellbeing. Life can be tough, but with the right support, you can overcome challenges and reach your full potential. My approach is not to tell you what you need to do, but to help you uncover your inner resources and rediscover who you are. I provide confidential online/telephone counseling with a warm, non-directive, and non-judgmental approach, promoting a positive and friendly experience. By guiding you through appropriate challenges, I aim to help you understand yourself better and build trust in your abilities.
As a BACP registered member, I follow their Ethical Framework and engage in continuous professional development to stay current on various issues such as young people, mindfulness, addiction, anger, anxiety, autism, bereavement, coping skills, depression, life transitions, relationships, self-esteem, spirituality, stress, ADHD, and mental health.
Navigating the counseling world can be confusing, but finding the right counselor is essential to your happiness and wellbeing. Life can be tough, but with the right support, you can overcome challenges and reach your full potential. My approach is not to tell you what you need to do, but to help you uncover your inner resources and rediscover who you are. I provide confidential online/telephone counseling with a warm, non-directive, and non-judgmental approach, promoting a positive and friendly experience. By guiding you through appropriate challenges, I aim to help you understand yourself better and build trust in your abilities.
0113 519 7733 View 0113 519 7733
Photo of Jim Maxwell, MNCPS Acc., Psychotherapist
Jim Maxwell
Psychotherapist, MNCPS Acc.
Verified Verified
1 Endorsed
Blackpool FY2
I have a particular interest in helping people who experience challenges with autism such as anxiety, stress, depression and anger where CBT can be effective.
Hi, my name is Jim and I am an accredited CBT Therapist. I like to keep things simple and structured as I work with clients to help them get back on track by looking at Unhealthy Thoughts, Beliefs, Behaviours and Emotions that keep people stuck in life. The list of problems that I treat is endless, however common presenting areas that I see and treat are Anxiety, Addiction,Panic, Stress, Grief, Abuse, Trauma, Low Self Esteem, Relationship issues, Depression, Anger, Panic, OCD, Addiction and Personality Disorders. Feel free to visit my website or call for a free / no obligation 20 min. consultation.
I have a particular interest in helping people who experience challenges with autism such as anxiety, stress, depression and anger where CBT can be effective.
Hi, my name is Jim and I am an accredited CBT Therapist. I like to keep things simple and structured as I work with clients to help them get back on track by looking at Unhealthy Thoughts, Beliefs, Behaviours and Emotions that keep people stuck in life. The list of problems that I treat is endless, however common presenting areas that I see and treat are Anxiety, Addiction,Panic, Stress, Grief, Abuse, Trauma, Low Self Esteem, Relationship issues, Depression, Anger, Panic, OCD, Addiction and Personality Disorders. Feel free to visit my website or call for a free / no obligation 20 min. consultation.
01253 835578 View 01253 835578
Photo of Vanessa Louise Parry, DCounsPsych, MBACP, Counsellor
Vanessa Louise Parry
Counsellor, DCounsPsych, MBACP
Verified Verified
Lymm WA13
ADHD and autism.
I am an integrative counsellor, which means I use a combination of approaches tailored to the needs of my clients such as person centred, and CBT to examine current thoughts and feelings, as well as psychodynamic exploration of the past to help reach an understanding of the issues being faced. Each client is unique, and I welcome their thoughts about the direction in which they would like their therapy sessions to take. I am an approved therapist for Anxiety UK and am experienced in working with clients struggling with anxiety and depression. This can range from mild stress and low mood to a feeling of being completely debilitated
ADHD and autism.
I am an integrative counsellor, which means I use a combination of approaches tailored to the needs of my clients such as person centred, and CBT to examine current thoughts and feelings, as well as psychodynamic exploration of the past to help reach an understanding of the issues being faced. Each client is unique, and I welcome their thoughts about the direction in which they would like their therapy sessions to take. I am an approved therapist for Anxiety UK and am experienced in working with clients struggling with anxiety and depression. This can range from mild stress and low mood to a feeling of being completely debilitated
01925 597742 View 01925 597742
Photo of Sharon Anderson, MSc, MBACP, Psychotherapist
Sharon Anderson
Psychotherapist, MSc, MBACP
Verified Verified
Leeds LS7  (Online Only)
Waitlist for new clients
I have specialist training & interest in adult Autism Spectrum Disorder (ASD) and ADHD & Adverse Childhood Experiences (ACE's), trauma.
Hi there, these are REALLY trying times so I truly appreciate you taking the brave step to reach out. I'm here, happy to work with you on the journey. My therapy style is warm, interactive, accepting & specific to you. I am internationally trained to MSc level & have worked in the UK & overseas. This means I bring inter/multicultural richness & diversity to our sessions. I am skilled to serve the unique needs of the local & international diaspora & those feeling displaced. I also have clinical & pastoral training (Uk) & a multi faith theology degree offering spiritual counselling for those who desire a faith perspective.
I have specialist training & interest in adult Autism Spectrum Disorder (ASD) and ADHD & Adverse Childhood Experiences (ACE's), trauma.
Hi there, these are REALLY trying times so I truly appreciate you taking the brave step to reach out. I'm here, happy to work with you on the journey. My therapy style is warm, interactive, accepting & specific to you. I am internationally trained to MSc level & have worked in the UK & overseas. This means I bring inter/multicultural richness & diversity to our sessions. I am skilled to serve the unique needs of the local & international diaspora & those feeling displaced. I also have clinical & pastoral training (Uk) & a multi faith theology degree offering spiritual counselling for those who desire a faith perspective.
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See more therapy options for Selby

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.