Therapists in Stevensville, MI

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Check out therapists located nearby or offering teletherapy in Michigan below.

More Therapists Nearby

Photo of Sherry Forzley, MA, BCBA in Stevensville, MI
Sherry Forzley, MA, BCBA
MA, BCBA, LBA
Verified Verified
Berrien Springs, MI 49103
My focus is to help others improve their communication skills, become more independent, and learn to regulate their emotions while decreasing challenging behaviors. We can also focus on short-term needs such as nanny training, parent training, toilet training and school readiness. You may also consider working with us to become your child's therapist through www.parentledtherapies.com. At PLT, we provide training and professional guidance while your child receives consistent services. Note: BCBAs cannot diagnose. Please see your General Practitioner or Psychiatrist.
My focus is to help others improve their communication skills, become more independent, and learn to regulate their emotions while decreasing challenging behaviors. We can also focus on short-term needs such as nanny training, parent training, toilet training and school readiness. You may also consider working with us to become your child's therapist through www.parentledtherapies.com. At PLT, we provide training and professional guidance while your child receives consistent services. Note: BCBAs cannot diagnose. Please see your General Practitioner or Psychiatrist.
(269) 399-3786 View (269) 399-3786
Photo of Chelsea Owens, Clinical Social Work/Therapist in Stevensville, MI
Chelsea Owens
Clinical Social Work/Therapist, LMSW, QIDP
Verified Verified
Saint Joseph, MI 49085  (Online Only)
Immediate Openings for Evenings and Weekends! Life is hard and we as human beings aren't built to endure it alone. Are you experiencing overwhelming emotions that consume your daily life? Are you finding it hard to concentrate at work or be present with your family? Is there something deeper going on? You are not alone. Let’s work together to create better outcomes for the future.
Immediate Openings for Evenings and Weekends! Life is hard and we as human beings aren't built to endure it alone. Are you experiencing overwhelming emotions that consume your daily life? Are you finding it hard to concentrate at work or be present with your family? Is there something deeper going on? You are not alone. Let’s work together to create better outcomes for the future.
(269) 390-4407 View (269) 390-4407
Photo of Donarski Center for Mental Health Counseling, Licensed Professional Counselor in Stevensville, MI
Donarski Center for Mental Health Counseling
Licensed Professional Counselor, LPC
Verified Verified
Saint Joseph, MI 49085
Donarski Center for Mental Health Counseling is ready to get you back on track to a healthier, happier you! Our private group practice offers residents of Southwest Michigan opportunities to engage in traditional and online (telehealth) services with an office location in St. Joseph. We are a diverse team of professional providers with a wide range of training and specialties
Donarski Center for Mental Health Counseling is ready to get you back on track to a healthier, happier you! Our private group practice offers residents of Southwest Michigan opportunities to engage in traditional and online (telehealth) services with an office location in St. Joseph. We are a diverse team of professional providers with a wide range of training and specialties
(269) 443-1072 View (269) 443-1072

Online Therapists

Photo of Tobi Ann Moreno, Clinical Social Work/Therapist in Stevensville, MI
Tobi Ann Moreno
Clinical Social Work/Therapist, LMSW
Verified Verified
Middleville, MI 49333
Are you looking for someone to understand your situation, to hear your voice, and to work with you on solutions to your problems? I am a fully licensed Clinical Social Worker at White Oak Counseling and Recovery in Middleville, MI. I work with people of all ages and from all walks of life. I have over 24 years experience working with individuals and families on such matters as: marital issues, medical/social crisis counseling, youths with depression/anxiety symptoms, ADHD, caregiver stress, autism, substance use disorders, and grief counseling. Let's start from where you are at and create a path to success!
Are you looking for someone to understand your situation, to hear your voice, and to work with you on solutions to your problems? I am a fully licensed Clinical Social Worker at White Oak Counseling and Recovery in Middleville, MI. I work with people of all ages and from all walks of life. I have over 24 years experience working with individuals and families on such matters as: marital issues, medical/social crisis counseling, youths with depression/anxiety symptoms, ADHD, caregiver stress, autism, substance use disorders, and grief counseling. Let's start from where you are at and create a path to success!
(269) 241-4218 View (269) 241-4218
Photo of Lisa Williams Bratsburg, Clinical Social Work/Therapist in Stevensville, MI
Lisa Williams Bratsburg
Clinical Social Work/Therapist, LMSW
Verified Verified
Grandville, MI 49418
My specialties include ADHD, Anxiety, Attachment Concerns, Autism, Depression, Developmental Differences, Divorce, Grief and Loss, LGBTQ+, Life Transitions, Mood Disorders, and Trauma.
I am a fully licensed Clinical Social Worker and I most often go by "Miss Lisa." I graduated with my Bachelors in Social Work followed by my Masters in Social Work in 2008. For over 15 years I have supported children across residential, school and outpatient therapy settings. I have training in a variety of psychotherapy approaches including Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dyadic Developmental Psychotherapy (DDP) and complimentary therapeutic play strategies with an interoception focus.
My specialties include ADHD, Anxiety, Attachment Concerns, Autism, Depression, Developmental Differences, Divorce, Grief and Loss, LGBTQ+, Life Transitions, Mood Disorders, and Trauma.
I am a fully licensed Clinical Social Worker and I most often go by "Miss Lisa." I graduated with my Bachelors in Social Work followed by my Masters in Social Work in 2008. For over 15 years I have supported children across residential, school and outpatient therapy settings. I have training in a variety of psychotherapy approaches including Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dyadic Developmental Psychotherapy (DDP) and complimentary therapeutic play strategies with an interoception focus.
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Photo of Jessi Manning, Psychologist in Stevensville, MI
Jessi Manning
Psychologist, PhD
Verified Verified
Grand Rapids, MI 49503
Neurodiversity affirming evaluations for age 16 years through adulthood. Have you been considering completing testing for ADHD or autism? Maybe your child was identified as neurodivergent, and you relate to the way they think, feel, and act. Maybe you’ve seen information online that has led you to question or self-identify as autistic or having ADHD. If you’ve looked at formal testing, you've seen that lots of places cater to children, or you might have gotten discouraged when you learned that the wait for testing is 6 months+. If this sounds like you, you’ve found the right place.
Neurodiversity affirming evaluations for age 16 years through adulthood. Have you been considering completing testing for ADHD or autism? Maybe your child was identified as neurodivergent, and you relate to the way they think, feel, and act. Maybe you’ve seen information online that has led you to question or self-identify as autistic or having ADHD. If you’ve looked at formal testing, you've seen that lots of places cater to children, or you might have gotten discouraged when you learned that the wait for testing is 6 months+. If this sounds like you, you’ve found the right place.
(616) 545-8252 View (616) 545-8252
Photo of Karen Salerno, Limited Licensed Psychologist in Stevensville, MI
Karen Salerno
Limited Licensed Psychologist, MA, LLP, LMHC
Verified Verified
Grand Rapids, MI 49525
Clinical Testing Psychologist- I perform diagnostic assessments/testing for Autism, AD/HD, Achievement (IQ), Mood Disorders and Cognitive Impairment for Children, Adolescents and Adults for School IEP's, medical reports and ABA Therapy or personal information. I assert Behavioral Observations and conduct a Clinical Interview in order to diagnose any other or additional DSM-5 disorders that the client may have. I am an LLP so I work under the Supervision of a LP and she approves this information on this website.
Clinical Testing Psychologist- I perform diagnostic assessments/testing for Autism, AD/HD, Achievement (IQ), Mood Disorders and Cognitive Impairment for Children, Adolescents and Adults for School IEP's, medical reports and ABA Therapy or personal information. I assert Behavioral Observations and conduct a Clinical Interview in order to diagnose any other or additional DSM-5 disorders that the client may have. I am an LLP so I work under the Supervision of a LP and she approves this information on this website.
(616) 636-1619 View (616) 636-1619
Photo of Char Houben, Psychologist in Stevensville, MI
Char Houben
Psychologist, PhD, LP, PSYPACT
Verified Verified
1 Endorsed
Ada, MI 49301
As a Neurodivergent licensed psychologist, I specialize in depth-oriented Relational Psychoanalytic psychotherapy and neuropsychological assessments for Autism & ADHD.
As relational beings, we are instinctively wired for connection. It is within the context of relationship that we discover our potential for transformative change. Therapy is a collaborative process of uncovering this potential by cultivating a deep, trusting relationship. I believe it's imperative to provide therapy that goes beyond merely treating symptoms. This is why I take a depth-oriented approach in order for us to discover the root causes & work through barriers. I also believe in the importance of honoring the developmental, biological, sociocultural, and interpersonal parts of yourself to assist in the healing process.
As a Neurodivergent licensed psychologist, I specialize in depth-oriented Relational Psychoanalytic psychotherapy and neuropsychological assessments for Autism & ADHD.
As relational beings, we are instinctively wired for connection. It is within the context of relationship that we discover our potential for transformative change. Therapy is a collaborative process of uncovering this potential by cultivating a deep, trusting relationship. I believe it's imperative to provide therapy that goes beyond merely treating symptoms. This is why I take a depth-oriented approach in order for us to discover the root causes & work through barriers. I also believe in the importance of honoring the developmental, biological, sociocultural, and interpersonal parts of yourself to assist in the healing process.
(616) 404-4575 View (616) 404-4575
Photo of Kari Nicole Allen, Clinical Social Work/Therapist in Stevensville, MI
Kari Nicole Allen
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Holland, MI 49423
Have you ever wished for a way to feel better and learn to manage your emotions or a way to a better future? I work with children and adolescents, and those who care for them. I have experience in the areas of stress reduction/coping, post-partum depression, anxiety, and grief and loss. With children, I treat trauma, mood disorders, anxiety disorders, grief, and behavioral disorders such as ADHD and Oppositional Defiant Disorder. I have also worked with PECS (Picture Exchange Communication System) with children who have autism and are nonverbal.
Have you ever wished for a way to feel better and learn to manage your emotions or a way to a better future? I work with children and adolescents, and those who care for them. I have experience in the areas of stress reduction/coping, post-partum depression, anxiety, and grief and loss. With children, I treat trauma, mood disorders, anxiety disorders, grief, and behavioral disorders such as ADHD and Oppositional Defiant Disorder. I have also worked with PECS (Picture Exchange Communication System) with children who have autism and are nonverbal.
(616) 441-0521 View (616) 441-0521
Photo of Christina G Collins, Licensed Professional Counselor in Stevensville, MI
Christina G Collins
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Kalamazoo, MI 49009
My ideal client is one that is struggling but wants to improve. Neurodevelopmental disorders are my JAM! ADHD, Learning Disabilities, and Autism Spectrum Disorders is where I direct much of my clinical experience. It's important to me that my clients (and their parents/families/teachers) understand the uniqueness of their disorder and how to turn a perceived deficit into a SUPERPOWER. All children are wonderful gifts, and I love helping children discover and embrace their best selves. A diagnosis does not define you, your child, or your family.
My ideal client is one that is struggling but wants to improve. Neurodevelopmental disorders are my JAM! ADHD, Learning Disabilities, and Autism Spectrum Disorders is where I direct much of my clinical experience. It's important to me that my clients (and their parents/families/teachers) understand the uniqueness of their disorder and how to turn a perceived deficit into a SUPERPOWER. All children are wonderful gifts, and I love helping children discover and embrace their best selves. A diagnosis does not define you, your child, or your family.
(269) 280-2788 View (269) 280-2788
Photo of Cameron Boeve, Clinical Social Work/Therapist in Stevensville, MI
Cameron Boeve
Clinical Social Work/Therapist, LLMSW
Verified Verified
Holland, MI 49423
I have experiences working through anxiety, depression, and self-image; finding ways to help those on the Autism Spectrum; insights into the medical system and chronic illnesses, and more.
Life can be hard, especially in our pre-teen through young adult years. There are many significant life challenges and changes that occur in this time. Peer pressure, self-esteem, anxiety, lack of motivation, and managing friendships and relationships can all make this time period that much more difficult. Thankfully, you do not have to do it alone. Through individual therapy sessions, I strive to create a safe space to unpack life's difficulties and empower you to find ways to move through them using a strength-based cognitive behavioral approach.
I have experiences working through anxiety, depression, and self-image; finding ways to help those on the Autism Spectrum; insights into the medical system and chronic illnesses, and more.
Life can be hard, especially in our pre-teen through young adult years. There are many significant life challenges and changes that occur in this time. Peer pressure, self-esteem, anxiety, lack of motivation, and managing friendships and relationships can all make this time period that much more difficult. Thankfully, you do not have to do it alone. Through individual therapy sessions, I strive to create a safe space to unpack life's difficulties and empower you to find ways to move through them using a strength-based cognitive behavioral approach.
(616) 303-5630 View (616) 303-5630
Photo of Brianna Newton, Limited Licensed Psychologist in Stevensville, MI
Brianna Newton
Limited Licensed Psychologist, MA, LLP
Verified Verified
Norton Shores, MI 49444
I have a passion for working with children and adults on the Autism Spectrum, as well as their families, as I have a deep personal connection.
Hello and thank you for visiting my page! I am a Limited Licensed Psychologist and have a Master’s degree in Clinical Psychology from Cleveland State University. I completed my practicum with Neurology and Neuroscience Associates, Inc. in Akron, Ohio with a special focus on neuropsychological assessment and diagnostics. I have since worked in both inpatient and outpatient settings as well as correctional facilities. I am specialized in Autism Spectrum Disorder diagnostics and developmental disorders as well as other various psychological testing including ADHD and intellectual assessments.
I have a passion for working with children and adults on the Autism Spectrum, as well as their families, as I have a deep personal connection.
Hello and thank you for visiting my page! I am a Limited Licensed Psychologist and have a Master’s degree in Clinical Psychology from Cleveland State University. I completed my practicum with Neurology and Neuroscience Associates, Inc. in Akron, Ohio with a special focus on neuropsychological assessment and diagnostics. I have since worked in both inpatient and outpatient settings as well as correctional facilities. I am specialized in Autism Spectrum Disorder diagnostics and developmental disorders as well as other various psychological testing including ADHD and intellectual assessments.
(231) 227-8171 View (231) 227-8171
Photo of Andrew Kossek, Clinical Social Work/Therapist in Stevensville, MI
Andrew Kossek
Clinical Social Work/Therapist, LLMSW
Verified Verified
Grand Rapids, MI 49503  (Online Only)
I am neurodivergent and I have helped neurodivergent children, teens, and adults in a variety of settings for over ten years. I have a long history of working with other neurodivergent individuals to develop the tools that they need to thrive in a world that does not always accept them. I utilize evidence-based talk therapies as well as CBT and mindfulness practices to help clients develop the skills and strategies they need to succeed. I specialize in working with and advocating for children and adults dealing with ADHD, Autism, Anxiety, Trauma, Depression, and disability-related issues. I can help Autistic men find ways to connect
I am neurodivergent and I have helped neurodivergent children, teens, and adults in a variety of settings for over ten years. I have a long history of working with other neurodivergent individuals to develop the tools that they need to thrive in a world that does not always accept them. I utilize evidence-based talk therapies as well as CBT and mindfulness practices to help clients develop the skills and strategies they need to succeed. I specialize in working with and advocating for children and adults dealing with ADHD, Autism, Anxiety, Trauma, Depression, and disability-related issues. I can help Autistic men find ways to connect
(616) 236-5886 View (616) 236-5886
Photo of Dawn M MacDonald, Clinical Social Work/Therapist in Stevensville, MI
Dawn M MacDonald
Clinical Social Work/Therapist, LLMSW, QIDP
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
To ask for help is to be vulnerable, and that's not easy! It's okay to not be okay! I enjoy working closely with individuals to help with learning, developing, and implementing techniques to overcome life’s struggles. I provide counseling services to adolescents and adults. I have worked with individuals with Autism, Developmental Disabilities, Severe Mental Illnesses, Anxiety, Depression and Trauma. My passion is working with individuals who have experienced trauma, depression, anxiety, and lack self-confidence. As a therapist, I strive to work with everyone, accept everyone, and meet everyone where they are at with treatment.
To ask for help is to be vulnerable, and that's not easy! It's okay to not be okay! I enjoy working closely with individuals to help with learning, developing, and implementing techniques to overcome life’s struggles. I provide counseling services to adolescents and adults. I have worked with individuals with Autism, Developmental Disabilities, Severe Mental Illnesses, Anxiety, Depression and Trauma. My passion is working with individuals who have experienced trauma, depression, anxiety, and lack self-confidence. As a therapist, I strive to work with everyone, accept everyone, and meet everyone where they are at with treatment.
(616) 303-5924 View (616) 303-5924
Photo of Kathryn Leigh Warren, Limited Licensed Psychologist in Stevensville, MI
Kathryn Leigh Warren
Limited Licensed Psychologist, M, A, L, P
Verified Verified
Grand Rapids, MI 49546
I am a limited license psychologist In Grand Rapids Michigan. I have my own practice where I specialize in working with adults and children. I have a CBT focused, Mindfulness approach to helping people with Anxiety, ADHD, Autism, and other cognitive challenges.
I am a limited license psychologist In Grand Rapids Michigan. I have my own practice where I specialize in working with adults and children. I have a CBT focused, Mindfulness approach to helping people with Anxiety, ADHD, Autism, and other cognitive challenges.
(616) 612-1269 View (616) 612-1269
Photo of Kimberly Sue Lichon-Tufer, Clinical Social Work/Therapist in Stevensville, MI
Kimberly Sue Lichon-Tufer
Clinical Social Work/Therapist, MSW, LCSW, SSW
Verified Verified
Grand Rapids, MI 49503
I have a specialization in children, adolescents, and young adults with social emotional or cognitive impairments, on the Autism spectrum, and/or behavioral challenges.
My passion is helping others find ways to manage their challenges in this ever-changing journey we call life. For over 27 years I have worked with adults, children, adolescents, couples, and families in a variety of settings; including home, school, office, and in the community. I pride myself in building therapeutic relationships with each individual I work with. By achieving this, I believe we can then work together to help identify what is challenging you currently to get you to the life you choose to live successfully.
I have a specialization in children, adolescents, and young adults with social emotional or cognitive impairments, on the Autism spectrum, and/or behavioral challenges.
My passion is helping others find ways to manage their challenges in this ever-changing journey we call life. For over 27 years I have worked with adults, children, adolescents, couples, and families in a variety of settings; including home, school, office, and in the community. I pride myself in building therapeutic relationships with each individual I work with. By achieving this, I believe we can then work together to help identify what is challenging you currently to get you to the life you choose to live successfully.
(616) 201-3474 View (616) 201-3474
Photo of Laura Trombley, Counselor in Stevensville, MI
Laura Trombley
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Kalamazoo, MI 49009
Is it time to look within to address your needs, heal, and grow? In my practice, I work collaboratively with my clients to find the root cause of their issues. I treat my clients' holistically, making sure all their needs are addressed. I like to make sure each of my clients get what they are looking for out of counseling and that they feel heard. I work with adolescents (12 and up) and adults who have experienced anxiety, depression, significant trauma, attachment issues, autism spectrum disorder, interpersonal concerns, low self-esteem and social phobia.
Is it time to look within to address your needs, heal, and grow? In my practice, I work collaboratively with my clients to find the root cause of their issues. I treat my clients' holistically, making sure all their needs are addressed. I like to make sure each of my clients get what they are looking for out of counseling and that they feel heard. I work with adolescents (12 and up) and adults who have experienced anxiety, depression, significant trauma, attachment issues, autism spectrum disorder, interpersonal concerns, low self-esteem and social phobia.
(269) 247-6214 View (269) 247-6214
Photo of Morgan Lee Baughman, Clinical Social Work/Therapist in Stevensville, MI
Morgan Lee Baughman
Clinical Social Work/Therapist, LLMSW
Not Verified Not Verified
Dowagiac, MI 49047
My passion for people has led me to many different experiences working with adults and children in the states and abroad. I particularly have focused my efforts on caregiver fatigue, co-morbid disorders, youth and young adults adjusting to disabilities, social skills building, autism, temporary family separation, infertility, divorce, anxiety, depression, and most recently complicated grief and loss.
My passion for people has led me to many different experiences working with adults and children in the states and abroad. I particularly have focused my efforts on caregiver fatigue, co-morbid disorders, youth and young adults adjusting to disabilities, social skills building, autism, temporary family separation, infertility, divorce, anxiety, depression, and most recently complicated grief and loss.
(269) 218-8850 View (269) 218-8850
Photo of Becki Beronja, Counselor in Stevensville, MI
Becki Beronja
Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Kalamazoo, MI 49001
Life is hard. Sometimes it is even more than we can manage on our own. I believe it is an honor to hear your story and hold space for you while you work through these hard times. It is my job to listen and support you while we work together to find your strengths and improve your quality of life. I work with people who struggle with anxiety, depression, ADD, Autism, mid-life transitions, mood disorders, and more. I work often with LGBTQ+ and Neurodivergent clients.
Life is hard. Sometimes it is even more than we can manage on our own. I believe it is an honor to hear your story and hold space for you while you work through these hard times. It is my job to listen and support you while we work together to find your strengths and improve your quality of life. I work with people who struggle with anxiety, depression, ADD, Autism, mid-life transitions, mood disorders, and more. I work often with LGBTQ+ and Neurodivergent clients.
(269) 291-0484 View (269) 291-0484
Photo of Kristi J Karel, Clinical Social Work/Therapist in Stevensville, MI
Kristi J Karel
Clinical Social Work/Therapist, LMSW, CAADC, EMDR
Verified Verified
4 Endorsed
Kalamazoo, MI 49008  (Online Only)
On our journey through life we sometimes face challenges that lead us to seek out additional support. Life is messy and I am here to help you be intentional with your approach to treatment and pull on your strengths to get through the challenges you are facing. I work to create a safe, non-judgemental, and caring environment for you to process your struggles. Together we will work to find strategies and coping skills to decrease distress and work towards healing.
On our journey through life we sometimes face challenges that lead us to seek out additional support. Life is messy and I am here to help you be intentional with your approach to treatment and pull on your strengths to get through the challenges you are facing. I work to create a safe, non-judgemental, and caring environment for you to process your struggles. Together we will work to find strategies and coping skills to decrease distress and work towards healing.
(269) 301-1441 View (269) 301-1441

See more therapy options for Stevensville

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.