Autism Therapists in Kountze, TX

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Photo of Shy Seaman, Licensed Professional Counselor in Kountze, TX
Shy Seaman
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Lumberton, TX 77657
Negative events have affected each and every one of us at some point. I am committed to digging deep with you in therapy. Are you ready to: cleanse wounds so they can heal? -empower yourself? -learn to cope? -strengthen relationships? Without judgement, I will work with you in the trenches no matter the depths. The counseling relationship is unique because it is non-judgmental and confidential in a safe, supportive environment. Together, we construct your goals. I am challenging and direct in our sessions, resulting in you challenging and understanding yourself while obtaining your goals.
Negative events have affected each and every one of us at some point. I am committed to digging deep with you in therapy. Are you ready to: cleanse wounds so they can heal? -empower yourself? -learn to cope? -strengthen relationships? Without judgement, I will work with you in the trenches no matter the depths. The counseling relationship is unique because it is non-judgmental and confidential in a safe, supportive environment. Together, we construct your goals. I am challenging and direct in our sessions, resulting in you challenging and understanding yourself while obtaining your goals.
(409) 204-0063 View (409) 204-0063

Online Therapists

Photo of Hello Online Therapy, Clinical Social Work/Therapist in Kountze, TX
Hello Online Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Galveston, TX 77554  (Online Only)
I have a genuine love for people. I believe in helping people to find their voice, while empowering them to see the strengths they already have. I specialize with the LGBTQ community, and I advocate for transgender and non-binary people, domestic/sexual violence, depression, anxiety, self-harm, hoarding, bipolar, personality disorders, autism, and depression.
I have a genuine love for people. I believe in helping people to find their voice, while empowering them to see the strengths they already have. I specialize with the LGBTQ community, and I advocate for transgender and non-binary people, domestic/sexual violence, depression, anxiety, self-harm, hoarding, bipolar, personality disorders, autism, and depression.
(254) 203-5010 View (254) 203-5010
Photo of Thriving Child Center, Psychologist in Kountze, TX
Thriving Child Center
Psychologist, PhD
Verified Verified
4 Endorsed
Houston, TX 77098
We also offer Gold Standard Autism Testing and ADHD Testing in our clinic.
Watching your child struggle is very hard and causes parents to feel alone and helpless. Parents ask themselves, "How will this person help my child? Will things get better?" Doctors at the Thriving Child Center are licensed psychologists who specialize in helping children, adolescents, and their families with treatments that really work and are supported by science and research. We will guide you through the process of finding out what is wrong, making a treatment plan to address your specific concerns, and using a treatment that works and is tailored to help your family.
We also offer Gold Standard Autism Testing and ADHD Testing in our clinic.
Watching your child struggle is very hard and causes parents to feel alone and helpless. Parents ask themselves, "How will this person help my child? Will things get better?" Doctors at the Thriving Child Center are licensed psychologists who specialize in helping children, adolescents, and their families with treatments that really work and are supported by science and research. We will guide you through the process of finding out what is wrong, making a treatment plan to address your specific concerns, and using a treatment that works and is tailored to help your family.
(281) 378-7853 View (281) 378-7853
Photo of Dr. Cynthia Lee Coronado, Licensed Professional Counselor in Kountze, TX
Dr. Cynthia Lee Coronado
Licensed Professional Counselor, EdD, LPC-S, CAS, CCTP, EMDR
Verified Verified
7 Endorsed
Friendswood, TX 77546
I have a doctorate in education and I'm a Clinical Certified Trauma Professional, Certified Autism Specialist, and EMDR Trained.
Dr. Cynthia Lee Coronado: As a proven psychotherapist with over 20 years of experience, I have worked to build, enhance, and sustain the social and emotional well-being of children, adolescents, and adults by providing them the skills necessary to be successful in their life endeavors. I learned very quickly that my passion lies in wanting to help others achieve a better future for themselves through counseling and mentoring with an emphasis on individual, couples, and family therapy.
I have a doctorate in education and I'm a Clinical Certified Trauma Professional, Certified Autism Specialist, and EMDR Trained.
Dr. Cynthia Lee Coronado: As a proven psychotherapist with over 20 years of experience, I have worked to build, enhance, and sustain the social and emotional well-being of children, adolescents, and adults by providing them the skills necessary to be successful in their life endeavors. I learned very quickly that my passion lies in wanting to help others achieve a better future for themselves through counseling and mentoring with an emphasis on individual, couples, and family therapy.
(281) 317-6447 View (281) 317-6447
Photo of Jill Foley Torres, Psychologist in Kountze, TX
Jill Foley Torres
Psychologist, PsyD, PSYPACT
Verified Verified
Houston, TX 77058
Now Accepting New Clients. Foley Torres Dr. Torres offers cognitive behavioral therapy and Psychological Evaluations. She also provides supervision for interns/post-doctoral students . Dr. Torres is accustomed to treating clients with mental health disorders such as Trichotillomania, gender dysphoria, OCD, Panic Disorder, Depression, and other serious mental health struggles. Dr. Torres has a special interest in helping preteens, teens and adults on the autism spectrum. Her clinic is open to people of any nationality, race religion, gender and sexual orientation. Saturday appointments are available. Call 832-705-0912 for an appt.
Now Accepting New Clients. Foley Torres Dr. Torres offers cognitive behavioral therapy and Psychological Evaluations. She also provides supervision for interns/post-doctoral students . Dr. Torres is accustomed to treating clients with mental health disorders such as Trichotillomania, gender dysphoria, OCD, Panic Disorder, Depression, and other serious mental health struggles. Dr. Torres has a special interest in helping preteens, teens and adults on the autism spectrum. Her clinic is open to people of any nationality, race religion, gender and sexual orientation. Saturday appointments are available. Call 832-705-0912 for an appt.
(281) 317-7971 View (281) 317-7971
Photo of Jeffrey Selman, Psychologist in Kountze, TX
Jeffrey Selman
Psychologist, PsyD, BCBA-D
Verified Verified
Houston, TX 77025
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
My name is Dr. Jeff Selman and I am a licensed psychologist, Board Certified Behavior Analyst (BCBA), and a certified school psychologist. I offer evidence-based telepsychology services to individuals across the lifespan and their families. These services include autism screening and assessment, individual and family therapy, parent behavior management training and coaching, and consultation and training for schools and community agencies. My approach is grounded in cognitive behavior therapy and behavior therapy. My sessions tend to be active, goal-oriented, and engaging. I love the work and welcomes complex and challenging cases.
(713) 352-7571 View (713) 352-7571
Photo of Ashley Forster, Licensed Professional Counselor in Kountze, TX
Ashley Forster
Licensed Professional Counselor, LPC-S
Verified Verified
5 Endorsed
Katy, TX 77450
As a Licensed Professional Counselor I have dedicated my career to helping people navigate and cope with their feelings so that they can navigate the world around them. I have spent a bulk of my career helping individuals manage their symptoms of anxiety, depression, Autism, and ADHD.
As a Licensed Professional Counselor I have dedicated my career to helping people navigate and cope with their feelings so that they can navigate the world around them. I have spent a bulk of my career helping individuals manage their symptoms of anxiety, depression, Autism, and ADHD.
(281) 949-7429 View (281) 949-7429
Photo of Melanie Grogan, Licensed Professional Counselor Associate in Kountze, TX
Melanie Grogan
Licensed Professional Counselor Associate
Verified Verified
1 Endorsed
Katy, TX 77450
I help those struggling with anxiety, ADHD, Autism, and more to breakdown these big feelings and find the skills they need to be successful.
When you're already feeling overwhelmed, the simplest changes in life can leave us feeling anxious, hurt, lonely and more. Even if these feelings are normal, they are far from from easy. I provide a safe, empathic and accepting space for anyone looking to work through these feelings and make meaningful and healthy changes. I specialize in helping teens and adults find healing and growth through life transitions or those still trying to figure out who they truly are or want to be. It is my passion to help others find the skills and healing often needed to find fulfillment in life's challenges and triumphs.
I help those struggling with anxiety, ADHD, Autism, and more to breakdown these big feelings and find the skills they need to be successful.
When you're already feeling overwhelmed, the simplest changes in life can leave us feeling anxious, hurt, lonely and more. Even if these feelings are normal, they are far from from easy. I provide a safe, empathic and accepting space for anyone looking to work through these feelings and make meaningful and healthy changes. I specialize in helping teens and adults find healing and growth through life transitions or those still trying to figure out who they truly are or want to be. It is my passion to help others find the skills and healing often needed to find fulfillment in life's challenges and triumphs.
(832) 669-5225 View (832) 669-5225
Photo of Katy Psychological Services, PLLC, Psychologist in Kountze, TX
Katy Psychological Services, PLLC
Psychologist, PhD
Verified Verified
1 Endorsed
Katy, TX 77494
We also conduct conduct comprehensive written evaluations for psychological disorders, ADHD, autism, and learning disabilities.
We are a small, warm, and friendly private practice in Katy. We have the most diverse group of doctoral level psychologists and staff. Seeing a psychologist means you are receiving care from the highest-trained professional in the field. Please view our webiste or give us a call to discuss if we are the right fit for you.
We also conduct conduct comprehensive written evaluations for psychological disorders, ADHD, autism, and learning disabilities.
We are a small, warm, and friendly private practice in Katy. We have the most diverse group of doctoral level psychologists and staff. Seeing a psychologist means you are receiving care from the highest-trained professional in the field. Please view our webiste or give us a call to discuss if we are the right fit for you.
(713) 903-8802 View (713) 903-8802
Photo of Carolyn Ha, Psychologist in Kountze, TX
Carolyn Ha
Psychologist, PhD
Verified Verified
1 Endorsed
Katy, TX 77494
I am a Licensed Psychologist specializing in scientifically tested treatments for children and adolescents with challenging behaviors (tantrums, risky behaviors, school issues), difficulty with mood, anxiety disorders, and Autism Spectrum Disorder (ASD). I provide Autism evaluations using gold-standard assessments (ADOS-2), as well as comprehensive psychological, psycho-educational, and Attention-Deficit/Hyperactivity Disorder (ADHD) evaluations.
I am a Licensed Psychologist specializing in scientifically tested treatments for children and adolescents with challenging behaviors (tantrums, risky behaviors, school issues), difficulty with mood, anxiety disorders, and Autism Spectrum Disorder (ASD). I provide Autism evaluations using gold-standard assessments (ADOS-2), as well as comprehensive psychological, psycho-educational, and Attention-Deficit/Hyperactivity Disorder (ADHD) evaluations.
(832) 913-8747 View (832) 913-8747
Photo of Jessica Joanne Hartsaw, Marriage & Family Therapist in Kountze, TX
Jessica Joanne Hartsaw
Marriage & Family Therapist, LMFT-S, LPC-S, NCC
Verified Verified
3 Endorsed
Kingwood, TX 77339
My experience has ranged from those on the autism spectrum to psychiatric, dual-diagnosis, chemical dependency, those with issues of grief and loss, chronic illness, legal problems, depression and anxiety, and issues around loss of independence and identity.
I am passionate about my work, and I particularly enjoy working with couples. Relationships shape the human experience, and I engage with couples and individuals within the context of their own personal and family histories, helping unlock their potential for intimacy and fulfillment. Additionally, I have expertise in working with adolescents, individually or within their family system, facilitating the process of developing independence, coping skills and positive sense of personal identity.
My experience has ranged from those on the autism spectrum to psychiatric, dual-diagnosis, chemical dependency, those with issues of grief and loss, chronic illness, legal problems, depression and anxiety, and issues around loss of independence and identity.
I am passionate about my work, and I particularly enjoy working with couples. Relationships shape the human experience, and I engage with couples and individuals within the context of their own personal and family histories, helping unlock their potential for intimacy and fulfillment. Additionally, I have expertise in working with adolescents, individually or within their family system, facilitating the process of developing independence, coping skills and positive sense of personal identity.
(346) 248-2511 View (346) 248-2511
Photo of Michael Weinberger, Licensed Professional Counselor in Kountze, TX
Michael Weinberger
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Cypress, TX 77433
I have successfully helped many youth and teens work through complex life issues such as; social awkwardness, self-esteem issues, cutting, bullying, ADHD, Autism Spectrum Dis.
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
I have successfully helped many youth and teens work through complex life issues such as; social awkwardness, self-esteem issues, cutting, bullying, ADHD, Autism Spectrum Dis.
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
(832) 234-9570 View (832) 234-9570
Photo of April Nefe, Licensed Professional Counselor in Kountze, TX
April Nefe
Licensed Professional Counselor, MEd, LPC
Verified Verified
Conroe, TX 77301
Hi, I'm April, a professional specializing in anxiety, trauma, and post-traumatic stress disorder. I am well-versed in trauma-informed care and have received training in Eye Movement Desensitization and Reprocessing (EMDR). My practice is tailored to individuals aged 18 and above, and I possess a particular expertise in working with neurodiverse clients, including those with Autism and ADHD. My background includes a Master's degree in Education/Counseling, and I bring 14 years of experience as a Special Education Teacher to my counseling work.
Hi, I'm April, a professional specializing in anxiety, trauma, and post-traumatic stress disorder. I am well-versed in trauma-informed care and have received training in Eye Movement Desensitization and Reprocessing (EMDR). My practice is tailored to individuals aged 18 and above, and I possess a particular expertise in working with neurodiverse clients, including those with Autism and ADHD. My background includes a Master's degree in Education/Counseling, and I bring 14 years of experience as a Special Education Teacher to my counseling work.
(936) 220-3239 View (936) 220-3239
Photo of Dr. Megan Renée Garzaglass, Licensed Professional Counselor in Kountze, TX
Dr. Megan Renée Garzaglass
Licensed Professional Counselor, PhD, LPC-S, RPT-S
Verified Verified
4 Endorsed
Pearland, TX 77584  (Online Only)
Additional specialties' in client work include: growth Mind-set improving Self esteem, Family conflict, Parenting supports, LGBTQ+, special education, Autism, ADHD, grief and anxiety.
I am a Licensed Professional Counselor Supervisor (LPC-S), Registered Play Therapist Supervisor (RPT-S), certified early childhood–12th grade special education teacher and certified school counselor. I have my master’s degree in counseling and my PhD in counselor education and supervision. I have provided counseling services for nearly 9 years and used ARET techniques for over 6 years as the creator and founder of Aquatic Relational Experiential Therapy, a mental health and play therapy technique used in water. Additionally, I have 11 years experience with solution focused, CBT, experiential, person-centered and play therapies.
Additional specialties' in client work include: growth Mind-set improving Self esteem, Family conflict, Parenting supports, LGBTQ+, special education, Autism, ADHD, grief and anxiety.
I am a Licensed Professional Counselor Supervisor (LPC-S), Registered Play Therapist Supervisor (RPT-S), certified early childhood–12th grade special education teacher and certified school counselor. I have my master’s degree in counseling and my PhD in counselor education and supervision. I have provided counseling services for nearly 9 years and used ARET techniques for over 6 years as the creator and founder of Aquatic Relational Experiential Therapy, a mental health and play therapy technique used in water. Additionally, I have 11 years experience with solution focused, CBT, experiential, person-centered and play therapies.
(281) 729-0355 View (281) 729-0355
Photo of Kari Conyers-Brink, Licensed Professional Counselor in Kountze, TX
Kari Conyers-Brink
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I have been working in counseling since 2000. I provide individual and family therapy to those having difficulty with depression, anxiety, Autism, anger, ADHD/ADD, relationship and family issues.
I have been working in counseling since 2000. I provide individual and family therapy to those having difficulty with depression, anxiety, Autism, anger, ADHD/ADD, relationship and family issues.
(210) 796-8731 View (210) 796-8731
Photo of Lauren Jaggers, Licensed Professional Counselor in Kountze, TX
Lauren Jaggers
Licensed Professional Counselor, LPC, CAS
Verified Verified
Katy, TX 77494
I am a Licensed Professional Counselor who enjoys working with individuals with ADHD, Anxiety, and Autism. I have an undergraduate degree from Texas A&M in Special Education and a Masters Degree in Clinical Mental Health Counseling. I was a Special Education teacher for eight years. I have a younger brother with autism and have worked with people with autism for most of my life so I have personal and professional experience in this field.
I am a Licensed Professional Counselor who enjoys working with individuals with ADHD, Anxiety, and Autism. I have an undergraduate degree from Texas A&M in Special Education and a Masters Degree in Clinical Mental Health Counseling. I was a Special Education teacher for eight years. I have a younger brother with autism and have worked with people with autism for most of my life so I have personal and professional experience in this field.
(346) 637-4269 View (346) 637-4269
Photo of Niloofar Tavakoli, Licensed Professional Counselor in Kountze, TX
Niloofar Tavakoli
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Houston, TX 77079
 I have had the opportunity to work with culturally diverse individuals in multiple settings including hospitals, outpatient centers, autism clinic, and private practice offices.
Sometimes life gets in the way of truly living. You may be feeling stuck or overwhelmed. Maybe you are more anxious than usual, noticing the impact of trauma in your life, or finding it especially difficult to navigate important relationships. Whatever has led you to this place, you are not alone. These experiences make it difficult to live the life you want and have meaningful relationships. My role is to help you move away from avoiding difficult experiences and move toward a more open and accepting perspective towards yourself and your experiences so that you can create the vital life you want.
 I have had the opportunity to work with culturally diverse individuals in multiple settings including hospitals, outpatient centers, autism clinic, and private practice offices.
Sometimes life gets in the way of truly living. You may be feeling stuck or overwhelmed. Maybe you are more anxious than usual, noticing the impact of trauma in your life, or finding it especially difficult to navigate important relationships. Whatever has led you to this place, you are not alone. These experiences make it difficult to live the life you want and have meaningful relationships. My role is to help you move away from avoiding difficult experiences and move toward a more open and accepting perspective towards yourself and your experiences so that you can create the vital life you want.
(281) 688-1665 View (281) 688-1665
Photo of Symphony Family Counseling, Counselor in Kountze, TX
Symphony Family Counseling
Counselor, MA, LPC
Verified Verified
2 Endorsed
Houston, TX 77024
Darcy Kahrhoff, MA, LPC. I work together with children, adolescents, adults, parents, couples, and families to empower them to achieve their goals and reach their potential. I specialize in helping children, adolescents, and adults with autism spectrum disorders, ADHD, developmental disorders, academic challenges, social difficulties, and mental health disorders (anxiety/depression). I also help parents struggling to raise their child(ren) in our fast-paced and changing society. I also offer counseling to adults dealing with work/life transitions, anxiety/depression, relationship issues, and chronic pain/illness.
Darcy Kahrhoff, MA, LPC. I work together with children, adolescents, adults, parents, couples, and families to empower them to achieve their goals and reach their potential. I specialize in helping children, adolescents, and adults with autism spectrum disorders, ADHD, developmental disorders, academic challenges, social difficulties, and mental health disorders (anxiety/depression). I also help parents struggling to raise their child(ren) in our fast-paced and changing society. I also offer counseling to adults dealing with work/life transitions, anxiety/depression, relationship issues, and chronic pain/illness.
(832) 737-2075 View (832) 737-2075
Photo of Lewis Grace & Peace Counseling Services PLLC , Licensed Professional Counselor in Kountze, TX
Lewis Grace & Peace Counseling Services PLLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Beaumont, TX 77706
In addition, my clinical experience includes working with children, adolescents, adults, couples and families with anxiety, depression, behavioral problems, attention deficit hyperactivity disorder (ADHD), autism, post-traumatic stress disorder (PTSD), sexual assault, and domestic violence.
You are a beautiful, bold, and courageous individual sometimes major traumatizing experiences, everyday struggles and stress become a roadblock in your ability to move forward on the journey to living out your best life. Here at Lewis Grace and Peace Counseling Services PLLC, we understand how important it is sometimes for counseling clients to utilize their expertise over their lives to overcome trauma, pain, grow, and develop their needs, wants, inner struggles, and family conflicts to win.
In addition, my clinical experience includes working with children, adolescents, adults, couples and families with anxiety, depression, behavioral problems, attention deficit hyperactivity disorder (ADHD), autism, post-traumatic stress disorder (PTSD), sexual assault, and domestic violence.
You are a beautiful, bold, and courageous individual sometimes major traumatizing experiences, everyday struggles and stress become a roadblock in your ability to move forward on the journey to living out your best life. Here at Lewis Grace and Peace Counseling Services PLLC, we understand how important it is sometimes for counseling clients to utilize their expertise over their lives to overcome trauma, pain, grow, and develop their needs, wants, inner struggles, and family conflicts to win.
(409) 402-8096 View (409) 402-8096
Photo of Heather Belzeski, Licensed Professional Counselor in Kountze, TX
Heather Belzeski
Licensed Professional Counselor, LPC
Verified Verified
Webster, TX 77598
Heather has a passion for guiding children and adolescents. In working with individuals with autism and other developmental disorders, she brings a compassionate and tailored approach. Heather's commitment is to create a supportive and nurturing environment for her clients to navigate the complexities of their emotional well-being.
Heather has a passion for guiding children and adolescents. In working with individuals with autism and other developmental disorders, she brings a compassionate and tailored approach. Heather's commitment is to create a supportive and nurturing environment for her clients to navigate the complexities of their emotional well-being.
(281) 724-7415 View (281) 724-7415

See more therapy options for Kountze

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.