Photo of Nicholas Jackson, PMHNP, APRN, MSN, BC, Psychiatric Nurse Practitioner
Nicholas Jackson
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN, BC
Verified Verified
1 Endorsed
Wellington, FL 33414
Not accepting new clients
I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC); my training allows me to provide medication management, talk therapy, or a combination of both. Personal growth and relief from troubling thoughts and emotions is possible and begins in a judgment-free environment. I believe that meaningful care must consider each person's treatment preferences, whether that involves the traditional psychiatric approach, integrative and complementary options, or a combination of modalities. As a psychiatric provider who believes that one size does not fit all, I make it a priority to educate clients about the multiple treatment approaches available.
I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC); my training allows me to provide medication management, talk therapy, or a combination of both. Personal growth and relief from troubling thoughts and emotions is possible and begins in a judgment-free environment. I believe that meaningful care must consider each person's treatment preferences, whether that involves the traditional psychiatric approach, integrative and complementary options, or a combination of modalities. As a psychiatric provider who believes that one size does not fit all, I make it a priority to educate clients about the multiple treatment approaches available.
(561) 708-0932 View (561) 708-0932

More Psychiatrists Nearby

Photo of Dr. Michael Rosen, MD, Psychiatrist
Dr. Michael Rosen
Psychiatrist, MD
Verified Verified
Royal Palm Beach, FL 33411
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
(561) 562-4177 View (561) 562-4177
Photo of Dr. Womesh Sahadeo, MD, Psychiatrist
Dr. Womesh Sahadeo
Psychiatrist, MD
Verified Verified
Lake Worth, FL 33449
I served as a psychiatrist for over 25 years as a medical director for multiple facilities in Palm Beach County serving clients with anxiety/panic disorder, medication assistant program (suboxone)/ addiction treatment, depression, bipolar disorder, schizophrenia, attention deficit disorder, post-traumatic stress disorder, developmental disorder (autism) for child/adolescent, adults, and geriatrics population. I provide optimal medication management and continued care.
I served as a psychiatrist for over 25 years as a medical director for multiple facilities in Palm Beach County serving clients with anxiety/panic disorder, medication assistant program (suboxone)/ addiction treatment, depression, bipolar disorder, schizophrenia, attention deficit disorder, post-traumatic stress disorder, developmental disorder (autism) for child/adolescent, adults, and geriatrics population. I provide optimal medication management and continued care.
(561) 658-4568 View (561) 658-4568

Online Psychiatrists

Photo of Dr. Michael Rosen, MD, Psychiatrist
Dr. Michael Rosen
Psychiatrist, MD
Verified Verified
Vero Beach, FL 32960
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
(321) 449-7089 View (321) 449-7089
Photo of Dr. Michael Rosen, MD, Psychiatrist
Dr. Michael Rosen
Psychiatrist, MD
Verified Verified
Fort Lauderdale, FL 33304
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
(954) 710-5789 View (954) 710-5789
Photo of Dr. Michael Rosen, MD, Psychiatrist
Dr. Michael Rosen
Psychiatrist, MD
Verified Verified
Naples, FL 34116
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
(239) 579-9783 View (239) 579-9783
Photo of Dr. Michael Rosen, MD, Psychiatrist
Dr. Michael Rosen
Psychiatrist, MD
Verified Verified
Port Saint Lucie, FL 34952
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
I have extensive experience in treating those with complex disorders, especially individuals with bipolar disorder, OCD, and psychotic disorders, as well as eating disorders, gender and sexual issues, autism spectrum disorder, and other developmental disorders, and perhaps my favorite condition to treat, ADHD.
The ideal client is quite simply someone who truly wants help. Someone who is willing to work where the goal is to live the best life, reach the goals one seeks, and to enjoy the journey. The details of how that is done of course depends on the individual's station at the time one seeks help.
(772) 919-9574 View (772) 919-9574
Photo of Paul Furino, MSN, PMHNP, BC, Psychiatric Nurse Practitioner
Paul Furino
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
Vero Beach, FL 32960
Now Accepting New Clients! My ideal client is one who is ready for a change in treating their mental health concerns. I am open, nonjudgemental, and bring to you many years' experience in treating various mental health disorders such as depression, anxiety, bipolar disorder, etc. Many clients struggle with the stigma of receiving mental health treatment, I would like to offer a breath of fresh air in our approach to treating your mental health concerns, and dispel any doubts you may have about improving your mental health.
Now Accepting New Clients! My ideal client is one who is ready for a change in treating their mental health concerns. I am open, nonjudgemental, and bring to you many years' experience in treating various mental health disorders such as depression, anxiety, bipolar disorder, etc. Many clients struggle with the stigma of receiving mental health treatment, I would like to offer a breath of fresh air in our approach to treating your mental health concerns, and dispel any doubts you may have about improving your mental health.
(860) 390-4126 View (860) 390-4126
Ascend Behavioral Health Services LLC
Psychiatrist, MD
Verified Verified
North Miami, FL 33181
I’m an Psychiatrist with over 40 years experience in the Mental Health and Behavioral Health industry. I am Board Certified ABPN since 1985. I’m experience to diagnose and prescribe medication for patients with mental health issues. I have been working for Ascend Behavioral Health Services in Psychiatry since July of 2020. We specialize in Addiction/Substance Abuse, Medication Management to treat psychiatric issues like ADHD, Anxiety, Depression, PTSD, Psychosis, etc. We treat Children, Adolescent and Adult Psychiatry and Therapy.
I’m an Psychiatrist with over 40 years experience in the Mental Health and Behavioral Health industry. I am Board Certified ABPN since 1985. I’m experience to diagnose and prescribe medication for patients with mental health issues. I have been working for Ascend Behavioral Health Services in Psychiatry since July of 2020. We specialize in Addiction/Substance Abuse, Medication Management to treat psychiatric issues like ADHD, Anxiety, Depression, PTSD, Psychosis, etc. We treat Children, Adolescent and Adult Psychiatry and Therapy.
(305) 871-9360 View (305) 871-9360
Photo of Javier Reyes - Javier Reyes MD PLLC, MD, Psychiatrist
Javier Reyes MD PLLC
Psychiatrist, MD
Verified Verified
3 Endorsed
Miami, FL 33156
Dr. Reyes is a board certified Child, Adolescent, and Adult psychiatrist. He obtained his undergraduate and medical degree at Florida International University. Dr. Reyes completed his Psychiatry residency training at The University of Miami Hospital/Jackson Memorial Hospital program. He subspecialized in Child and Adolescent Psychiatry at the University of Texas Southwestern/ Children's Medical Center in Dallas, Texas.
Dr. Reyes is a board certified Child, Adolescent, and Adult psychiatrist. He obtained his undergraduate and medical degree at Florida International University. Dr. Reyes completed his Psychiatry residency training at The University of Miami Hospital/Jackson Memorial Hospital program. He subspecialized in Child and Adolescent Psychiatry at the University of Texas Southwestern/ Children's Medical Center in Dallas, Texas.
(786) 505-0050 View (786) 505-0050
Photo of Boby Ukken - Boby Ukken APRN, A & B Medical Integrated Care INC, Boby, Ukken, APRN, Psychiatric Nurse Practitioner
Boby Ukken APRN, A & B Medical Integrated Care INC
Psychiatric Nurse Practitioner, Boby, Ukken, APRN
Verified Verified
Coral Springs, FL 33071
My clinical expertise is in adult psychiatry, primary care and addiction medicine. I got training as a general physician from India in acute care settings from 2006 soon after my medical graduation. Since 2014 I am working in the United States as a Nurse practitioner in sleep disorders, pulmonary & internal diseases management, then started working in crisis stabilization as a psychiatric nurse practitioner in 2017. Boby Ukken APRN, FNP-BC, PMHNP-BC. Address: A & B Medical Integrated Care Inc Address: 1500 N. University Dr, Ste 202 Coral Springs, FL 33071, Email: aandbmedical@gmail.com Phone: 9544065220 Fax: 7544843904
My clinical expertise is in adult psychiatry, primary care and addiction medicine. I got training as a general physician from India in acute care settings from 2006 soon after my medical graduation. Since 2014 I am working in the United States as a Nurse practitioner in sleep disorders, pulmonary & internal diseases management, then started working in crisis stabilization as a psychiatric nurse practitioner in 2017. Boby Ukken APRN, FNP-BC, PMHNP-BC. Address: A & B Medical Integrated Care Inc Address: 1500 N. University Dr, Ste 202 Coral Springs, FL 33071, Email: aandbmedical@gmail.com Phone: 9544065220 Fax: 7544843904
(754) 704-6630 View (754) 704-6630
Photo of Advanced Telepsych - Advanced TelePsych, PLLC, Psychiatric Nurse Practitioner
Advanced TelePsych, PLLC
Psychiatric Nurse Practitioner
Verified Verified
Deerfield Beach, FL 33442  (Online Only)
At Advanced Telepsych, we have providers with extensive knowledge in mental health, in CT, FL, and MA. Our providers specialize in psychiatric evaluation, medication management and therapy in a virtual care environment. We offer these services via live video, from the convenience of your own private space, on a confidential/HIPAA compliant, secure platform.
At Advanced Telepsych, we have providers with extensive knowledge in mental health, in CT, FL, and MA. Our providers specialize in psychiatric evaluation, medication management and therapy in a virtual care environment. We offer these services via live video, from the convenience of your own private space, on a confidential/HIPAA compliant, secure platform.
(888) 344-3893 View (888) 344-3893
Photo of Luis E Mendez Luaces, PMHNP, Psychiatric Nurse Practitioner
Luis E Mendez Luaces
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Miami, FL 33135
As a double-board certified Psychiatric and Family Nurse Practitioner, I am committed to providing a safe and non-judgmental space for my clients to explore their thoughts, feelings, and experiences. My approach is rooted in empathy, compassion, and collaboration, as I believe in working together to create a path towards healing and growth. I strive to build a trusting and supportive therapeutic relationship with each individual, respecting their unique journey and values. It is my goal to empower my clients to discover their inner strengths and resilience, guiding them on their path to mental wellness and self-discovery.
As a double-board certified Psychiatric and Family Nurse Practitioner, I am committed to providing a safe and non-judgmental space for my clients to explore their thoughts, feelings, and experiences. My approach is rooted in empathy, compassion, and collaboration, as I believe in working together to create a path towards healing and growth. I strive to build a trusting and supportive therapeutic relationship with each individual, respecting their unique journey and values. It is my goal to empower my clients to discover their inner strengths and resilience, guiding them on their path to mental wellness and self-discovery.
(786) 692-5455 View (786) 692-5455
Photo of Kalvin Kapoor - Vital Psych MD, DO, Psychiatrist
Vital Psych MD
Psychiatrist, DO
Verified Verified
Miami, FL 33130  (Online Only)
Hi! Welcome to Dr. Kapoor's private practice. With over 10 years of experience in the field of mental health, our mission is to have a positive impact in your life by working on your present. Weather it is anxiety, depression, difficulty functioning at work or school, family conflicts, challenges in relationships, low self-esteem, or simply a desire to learn more about themselves; we can help. As a psychiatrist with deep expertise in the field, Dr. Kapoor creates a treatment plan that meets his client's needs. His style is guided by warmth and flexibility, with the goals of helping patients build insight and self esteem.
Hi! Welcome to Dr. Kapoor's private practice. With over 10 years of experience in the field of mental health, our mission is to have a positive impact in your life by working on your present. Weather it is anxiety, depression, difficulty functioning at work or school, family conflicts, challenges in relationships, low self-esteem, or simply a desire to learn more about themselves; we can help. As a psychiatrist with deep expertise in the field, Dr. Kapoor creates a treatment plan that meets his client's needs. His style is guided by warmth and flexibility, with the goals of helping patients build insight and self esteem.
(786) 613-4175 View (786) 613-4175
Photo of Hugh Humphery, MD, Psychiatrist
Hugh Humphery
Psychiatrist, MD
Verified Verified
1 Endorsed
Coral Gables, FL 33146
I am a holistic practitioner who believes in each individual's ability to improve themselves. I am also a Duke University-trained medical doctor, a therapist, a researcher, a husband and a father. I strive to bring the knowledge and experience that I continue to acquire in these roles into my approach to the practice of medicine. During sessions, I focus on the here-and-now and use a variety of tools to help my clients move forward. My work is characterized by compassion, collaboration, optimism, warmth and hope.
I am a holistic practitioner who believes in each individual's ability to improve themselves. I am also a Duke University-trained medical doctor, a therapist, a researcher, a husband and a father. I strive to bring the knowledge and experience that I continue to acquire in these roles into my approach to the practice of medicine. During sessions, I focus on the here-and-now and use a variety of tools to help my clients move forward. My work is characterized by compassion, collaboration, optimism, warmth and hope.
(305) 928-1391 View (305) 928-1391
Photo of William Hyman - Psych 4 U, ARNP, Psychiatric Nurse Practitioner
Psych 4 U
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Pembroke Pines, FL 33028
Mr. Hyman has been a mental health provider for approximately twenty years. He earned his master’s degree at Boston College and is ANCC certified in Adult Psychiatry and Mental Health. He has a great deal of experience working with special populations.
Mr. Hyman has been a mental health provider for approximately twenty years. He earned his master’s degree at Boston College and is ANCC certified in Adult Psychiatry and Mental Health. He has a great deal of experience working with special populations.
(754) 529-4355 View (754) 529-4355
Photo of Samuel Olaoluwa Omolade, PMHNP, MSN, Psychiatric Nurse Practitioner
Samuel Olaoluwa Omolade
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
Miami Beach, FL 33141
Life can often present us with challenges and uncertainties that may seem overwhelming. If you're here, you're already taking a significant step toward addressing your concerns and seeking support. I'm here to walk with you on your journey towards improved mental health and well-being. Understanding Your Issues: I understand that every individual is unique, and your concerns are as individual as you are. Whether you're grappling with anxiety, depression, relationship difficulties, self-esteem issues, or simply navigating the complexities of life, I'm here to listen and provide guidance.
Life can often present us with challenges and uncertainties that may seem overwhelming. If you're here, you're already taking a significant step toward addressing your concerns and seeking support. I'm here to walk with you on your journey towards improved mental health and well-being. Understanding Your Issues: I understand that every individual is unique, and your concerns are as individual as you are. Whether you're grappling with anxiety, depression, relationship difficulties, self-esteem issues, or simply navigating the complexities of life, I'm here to listen and provide guidance.
(646) 362-2149 View (646) 362-2149
Photo of Branislav Stojanovic, MD, Psychiatrist
Branislav Stojanovic
Psychiatrist, MD
Verified Verified
Fort Lauderdale, FL 33312
Welcome to Florida Neuropsychiatric Institute. I have been practicing psychiatry in Fort Lauderdale for over 25 years. I have a passion working with children, adolescents, adults and seniors who are struggling with issues related to mental health and/or addiction. As the founder of Florida Neuropsychiatric Institute, not only do I provide general psychiatric care, but I am also one of the few trained neuropsychiatrists in the United States. My specialty is medication management. Together we will determine the most accurate diagnosis and course of treatment personalized to meet your specific needs.
Welcome to Florida Neuropsychiatric Institute. I have been practicing psychiatry in Fort Lauderdale for over 25 years. I have a passion working with children, adolescents, adults and seniors who are struggling with issues related to mental health and/or addiction. As the founder of Florida Neuropsychiatric Institute, not only do I provide general psychiatric care, but I am also one of the few trained neuropsychiatrists in the United States. My specialty is medication management. Together we will determine the most accurate diagnosis and course of treatment personalized to meet your specific needs.
(754) 219-7986 View (754) 219-7986
Photo of Dr. Nicolas Sikaczowski, Psychiatrist
Dr. Nicolas Sikaczowski
Psychiatrist
Verified Verified
Miami, FL 33134
I'm an Adult & Child Psychiatrist accepting new patients, with same month availability! I provide medication management and CBT for children, teens, and adults in Saco/Biddeford and am one of few greater Board-Certified Portland Maine Child Psychiatrists. I completed 5 years of residency/fellowship training in General and Child & Adolescent Psychiatry after completing medical school. I provide unrushed, evidence-based treatment. I allocate 90 minutes for intake appointments and 30 minutes for follow-up visits as well as communication via direct message. I commonly treat ADHD, depression, anxiety, OCD, bipolar, & psychotic disorders.
I'm an Adult & Child Psychiatrist accepting new patients, with same month availability! I provide medication management and CBT for children, teens, and adults in Saco/Biddeford and am one of few greater Board-Certified Portland Maine Child Psychiatrists. I completed 5 years of residency/fellowship training in General and Child & Adolescent Psychiatry after completing medical school. I provide unrushed, evidence-based treatment. I allocate 90 minutes for intake appointments and 30 minutes for follow-up visits as well as communication via direct message. I commonly treat ADHD, depression, anxiety, OCD, bipolar, & psychotic disorders.
(305) 600-3182 View (305) 600-3182
Photo of Safir Azam Telepsychiatry, MD, Psychiatrist
Safir Azam Telepsychiatry
Psychiatrist, MD
Verified Verified
Pompano Beach, FL 33062  (Online Only)
My mission is to embody the values of accessibility, seamless communication, respect, and excellence in treatment for each patient. I am Medically trained Physician Psychiatrist.I had the privilege to train at Royal London & St Bartholomew’s Hospital for 4 years in various branches of Psychiatry before I moved to the USA. I had a further Residency Training at SUNY Downstate Hospital Brooklyn, NY followed by a one year of Child Psychiatry training at the University of Florida. I have a fellowship in psychoanalysis from NYU and a 2 year of psychodynamic psychotherapy training at Willam Alanson White Institute , NYC.
My mission is to embody the values of accessibility, seamless communication, respect, and excellence in treatment for each patient. I am Medically trained Physician Psychiatrist.I had the privilege to train at Royal London & St Bartholomew’s Hospital for 4 years in various branches of Psychiatry before I moved to the USA. I had a further Residency Training at SUNY Downstate Hospital Brooklyn, NY followed by a one year of Child Psychiatry training at the University of Florida. I have a fellowship in psychoanalysis from NYU and a 2 year of psychodynamic psychotherapy training at Willam Alanson White Institute , NYC.
(305) 434-2148 View (305) 434-2148

See more therapy options for Wellington

Autism Psychiatrists

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.