Autism Therapists in Wheeling, IL

Photo of Sara R. Bartus, Clinical Social Work/Therapist in Wheeling, IL
Sara R. Bartus
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Wheeling, IL 60090
I specialize in helping children, adolescents, and adults affected by anxiety disorders, depression, autism spectrum disorder (ASD), executive functioning challenges, behavioral challenges and social skills challenges. I also work with couples and families working on relationship challenges and with individuals who want to focus on parenting.
I specialize in helping children, adolescents, and adults affected by anxiety disorders, depression, autism spectrum disorder (ASD), executive functioning challenges, behavioral challenges and social skills challenges. I also work with couples and families working on relationship challenges and with individuals who want to focus on parenting.
(847) 693-3862 View (847) 693-3862
Photo of David Carr, Psychologist in Wheeling, IL
David Carr
Psychologist, PsyD
Verified Verified
Wheeling, IL 60090
I have experience working with individual presenting with a range of clinical issues including anxiety, depression, trauma, substance use, children on the Autism spectrum, and adolescents involved in the juvenile justice system.
We all experience difficult emotions throughout the course of our lives. Pain, of all kinds, is a part of the human experience. Significant problems arise when pain turns into suffering. I believe by changing the way we view ourselves and view the world, we can alleviate suffering. My goal in therapy is to create a space for you to explore new ways of experiencing life's most difficult emotions.
I have experience working with individual presenting with a range of clinical issues including anxiety, depression, trauma, substance use, children on the Autism spectrum, and adolescents involved in the juvenile justice system.
We all experience difficult emotions throughout the course of our lives. Pain, of all kinds, is a part of the human experience. Significant problems arise when pain turns into suffering. I believe by changing the way we view ourselves and view the world, we can alleviate suffering. My goal in therapy is to create a space for you to explore new ways of experiencing life's most difficult emotions.
(847) 453-3523 View (847) 453-3523
Photo of Rebecca Rice, Clinical Social Work/Therapist in Wheeling, IL
Rebecca Rice
Clinical Social Work/Therapist, LCSW, R-DMT, MA, MFA
Verified Verified
Wheeling, IL 60090
Sometimes life presents us with difficult challenges and we feel lost. We may be haunted by trauma, feel stuck in relationships, have negative thoughts cycling around in our minds, and find that we are sabotaging ourselves. Changing life circumstances-both positive (like the birth of a child) or negative (loss of a job)-can cause anxiety and despair. I address these issues by fostering a warm and trusting therapeutic relationship where clients become more aware of their thoughts and feelings, make sense of their experiences, and move forward in their lives.
Sometimes life presents us with difficult challenges and we feel lost. We may be haunted by trauma, feel stuck in relationships, have negative thoughts cycling around in our minds, and find that we are sabotaging ourselves. Changing life circumstances-both positive (like the birth of a child) or negative (loss of a job)-can cause anxiety and despair. I address these issues by fostering a warm and trusting therapeutic relationship where clients become more aware of their thoughts and feelings, make sense of their experiences, and move forward in their lives.
(847) 807-1280 View (847) 807-1280
Photo of Gaby Gurtz, Counselor in Wheeling, IL
Gaby Gurtz
Counselor, MS, LCPC
Verified Verified
Wheeling, IL 60090
Congratulations on taking the first step to get counseling! This is often the hardest step which may be filled with mixed emotions. I encourage you to approach counseling as a journey through self-awareness and self-fulfillment. With over 18 years of experience working in the mental health field, I have helped numerous individuals, couples and families struggling to cope with a range of issues, such as depression, anxiety, relationship issues, special needs and stress management. I aim to meet each client where they are and assist them in working towards their personal goals.
Congratulations on taking the first step to get counseling! This is often the hardest step which may be filled with mixed emotions. I encourage you to approach counseling as a journey through self-awareness and self-fulfillment. With over 18 years of experience working in the mental health field, I have helped numerous individuals, couples and families struggling to cope with a range of issues, such as depression, anxiety, relationship issues, special needs and stress management. I aim to meet each client where they are and assist them in working towards their personal goals.
(847) 829-0931 View (847) 829-0931
Photo of Brighter Pathways, PLLC in Wheeling, IL
Brighter Pathways, PLLC
Verified Verified
1 Endorsed
Wheeling, IL 60090
In-person & telehealth available: Brighter Pathways, PLLC is a small group practice currently offering individual, couples, family, and group therapies. Our therapists value collaboration, education, and transparency because treatment should make sense to you. In order to best meet your needs, your therapist will strive to understand your unique circumstances. We believe in a team approach to treatment. We will work with you to develop a treatment plan that addresses your personal goals and struggles. We offer a safe, supportive, and open environment for you to explore your struggles and strive for personal growth.
In-person & telehealth available: Brighter Pathways, PLLC is a small group practice currently offering individual, couples, family, and group therapies. Our therapists value collaboration, education, and transparency because treatment should make sense to you. In order to best meet your needs, your therapist will strive to understand your unique circumstances. We believe in a team approach to treatment. We will work with you to develop a treatment plan that addresses your personal goals and struggles. We offer a safe, supportive, and open environment for you to explore your struggles and strive for personal growth.
(224) 723-5772 View (224) 723-5772
Photo of Victoria Davis, Pre-Licensed Professional in Wheeling, IL
Victoria Davis
Pre-Licensed Professional, PhD
Verified Verified
Wheeling, IL 60090
I am a Clinical Health Psychologist and I specialize in providing comprehensive psychological evaluations for children, teens, and adults. I have extensive training and strong experience in providing diagnostic clarification for Depression, Anxiety, Mood Disorders, Attention Deficits, Thought Disorders, Personality Disorders, Bariatric Pre-Surgical Evaluations, Neuropsychological Screenings, First Responders/Police and Pre-Employment screenings, and more.
I am a Clinical Health Psychologist and I specialize in providing comprehensive psychological evaluations for children, teens, and adults. I have extensive training and strong experience in providing diagnostic clarification for Depression, Anxiety, Mood Disorders, Attention Deficits, Thought Disorders, Personality Disorders, Bariatric Pre-Surgical Evaluations, Neuropsychological Screenings, First Responders/Police and Pre-Employment screenings, and more.
(847) 565-1538 View (847) 565-1538
Photo of Neli Cohen, Psychologist in Wheeling, IL
Neli Cohen
Psychologist, BS, MA, PsyD
Verified Verified
Wheeling, IL 60090
The current healthcare industry has failed many people living with chronic physical and mental health diseases. People are faced with a large push for psychiatric medication, misdiagnosis, and a one-dimensional approach to treatment. It is time for a more holistic, whole-body solution to people’s health. This is the pledge that Nelmar Health Centers have made. No matter what you are struggling with, Nelmar Health Centers can help you live a happier and healthier life. We offer comprehensive diagnostic measures, counseling, Neurotherapy, cognitive rehabilitation, dietary and herb management, yoga, and meditation under one roof.
The current healthcare industry has failed many people living with chronic physical and mental health diseases. People are faced with a large push for psychiatric medication, misdiagnosis, and a one-dimensional approach to treatment. It is time for a more holistic, whole-body solution to people’s health. This is the pledge that Nelmar Health Centers have made. No matter what you are struggling with, Nelmar Health Centers can help you live a happier and healthier life. We offer comprehensive diagnostic measures, counseling, Neurotherapy, cognitive rehabilitation, dietary and herb management, yoga, and meditation under one roof.
(224) 970-2476 View (224) 970-2476
Photo of Jean Kim-Snyder, Clinical Social Work/Therapist in Wheeling, IL
Jean Kim-Snyder
Clinical Social Work/Therapist, LCSW
Verified Verified
Wheeling, IL 60090
Not accepting new clients
Do you ever feel like there's a part of you that wants to move forward and another part that just feels stuck in the past? My ideal client(s) are looking for a therapist who is practical, warm, funny and authentic. I have over 20 years experience helping people get "unstuck" by holding a safe space, connecting with their body, and acting as a hope merchant. I also have sweet, fuzzy therapy partner, Charlie the Goldendoodle, who facilitates.
Do you ever feel like there's a part of you that wants to move forward and another part that just feels stuck in the past? My ideal client(s) are looking for a therapist who is practical, warm, funny and authentic. I have over 20 years experience helping people get "unstuck" by holding a safe space, connecting with their body, and acting as a hope merchant. I also have sweet, fuzzy therapy partner, Charlie the Goldendoodle, who facilitates.
(847) 558-1525 View (847) 558-1525

More Therapists Nearby

Photo of Cecily A. Kanter, Psychologist in Wheeling, IL
Cecily A. Kanter
Psychologist, PsyD, MS
Verified Verified
Arlington Heights, IL 60004
I work with individuals and families diagnosed with: autism spectrum disorders, developmental delays, learning disabilities, anxiety, mood disorders, and postpartum depression.
"Your Comfort and Your Health" is always a priority with me. My goal as a psychologist is to provide meaningful, compassionate, and successful therapy. Successful clients have reported that I have provided them with a safe, comfortable, and nurturing environment for treatment, which allowed them to grow and develop new strengths. I utilize a number of strategies to engage individuals and families in treatment, including but not limited to cognitive behavioral (CBT), client centered and family therapies. I believe in and facilitate a strength-based approach to treatment, allowing the individual to develop and recognize their personal strengths.
I work with individuals and families diagnosed with: autism spectrum disorders, developmental delays, learning disabilities, anxiety, mood disorders, and postpartum depression.
"Your Comfort and Your Health" is always a priority with me. My goal as a psychologist is to provide meaningful, compassionate, and successful therapy. Successful clients have reported that I have provided them with a safe, comfortable, and nurturing environment for treatment, which allowed them to grow and develop new strengths. I utilize a number of strategies to engage individuals and families in treatment, including but not limited to cognitive behavioral (CBT), client centered and family therapies. I believe in and facilitate a strength-based approach to treatment, allowing the individual to develop and recognize their personal strengths.
(847) 453-3526 View (847) 453-3526
Photo of Amanda Grippi, Licensed Clinical Professional Counselor in Wheeling, IL
Amanda Grippi
Licensed Clinical Professional Counselor, LPC
Verified Verified
Buffalo Grove, IL 60089
Hey there! My name is Amanda Grippi. I am a Licensed Clinical Professional Counselor with 20 years of clinical experience working with individuals, families, minors, preteens, and children with ADHD, Anxiety, Autism or Asperger's Syndrome, LGBTQIA+, Trauma, and PTSD. That being said, I am always client-centered and use a mix of Client-Centered Therapy, Cognitive Behavioral (CBT), EMDR, Mindfulness-Based (MBCT), and Solution Focused Brief Therapies during treatment. I believe that I am down-to-Earth and open-minded and don't just tell them what I think but what they need to do.
Hey there! My name is Amanda Grippi. I am a Licensed Clinical Professional Counselor with 20 years of clinical experience working with individuals, families, minors, preteens, and children with ADHD, Anxiety, Autism or Asperger's Syndrome, LGBTQIA+, Trauma, and PTSD. That being said, I am always client-centered and use a mix of Client-Centered Therapy, Cognitive Behavioral (CBT), EMDR, Mindfulness-Based (MBCT), and Solution Focused Brief Therapies during treatment. I believe that I am down-to-Earth and open-minded and don't just tell them what I think but what they need to do.
(630) 756-5159 View (630) 756-5159
Photo of Rebecca Irmen, Counselor in Wheeling, IL
Rebecca Irmen
Counselor, MS, LCPC, ATR-BC
Verified Verified
Arlington Heights, IL 60004
I work with individuals diagnosed with autism spectrum disorders, anxiety and mood disorders, and those dealing with grief and loss.
We hired another therapist, so we have openings at ArtWell! My goal as a therapist is to create a trusting, non-judgmental environment in which you can feel safe during your treatment. I work from numerous theoretical approaches, including CBT, Art Therapy and Narrative Therapy, while focusing on your growth and comfort level. I am a registered, board certified art therapist with over 17 years of experience and training in the expressive therapies. I look forward to helping you identify your strengths while challenging negative thought patterns, allowing you the freedom to grow and expand upon the positive areas in your life.
I work with individuals diagnosed with autism spectrum disorders, anxiety and mood disorders, and those dealing with grief and loss.
We hired another therapist, so we have openings at ArtWell! My goal as a therapist is to create a trusting, non-judgmental environment in which you can feel safe during your treatment. I work from numerous theoretical approaches, including CBT, Art Therapy and Narrative Therapy, while focusing on your growth and comfort level. I am a registered, board certified art therapist with over 17 years of experience and training in the expressive therapies. I look forward to helping you identify your strengths while challenging negative thought patterns, allowing you the freedom to grow and expand upon the positive areas in your life.
(847) 908-5094 View (847) 908-5094
Photo of Sonya Morgan, Clinical Social Work/Therapist in Wheeling, IL
Sonya Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo Grove, IL 60089
Hello and welcome! I'm Sonya and I'm so glad you're here. I am a licensed clinical social worker (LCSW) and I work with children, adolescents, and adults. Prior to launching Morgan Counseling Group PLLC in 2020, I had worked as a social worker in several Chicagoland schools. I have extensive experience with Individualized Education Plans (IEPs), 504 Education Plans, special education services, and navigating the school environment. My treatment background includes anxiety, depression, ADHD, Autism Spectrum Disorder, social skills, relationships, behavioral concerns, transitions, self-esteem, grief/loss, and identity awareness.
Hello and welcome! I'm Sonya and I'm so glad you're here. I am a licensed clinical social worker (LCSW) and I work with children, adolescents, and adults. Prior to launching Morgan Counseling Group PLLC in 2020, I had worked as a social worker in several Chicagoland schools. I have extensive experience with Individualized Education Plans (IEPs), 504 Education Plans, special education services, and navigating the school environment. My treatment background includes anxiety, depression, ADHD, Autism Spectrum Disorder, social skills, relationships, behavioral concerns, transitions, self-esteem, grief/loss, and identity awareness.
(224) 268-0254 View (224) 268-0254
Photo of Peter Dodzik, Psychologist in Wheeling, IL
Peter Dodzik
Psychologist, PsyD, ABPdN, ABN
Verified Verified
1 Endorsed
Arlington Heights, IL 60004
I specialize in the assessment and treatment of children and adults with neurological and neurodevelopmental disorders. My particular practice specialties include dementing disorders, ADHD, Sleep Disorders, dyslexia, pervasive developmental disorders and children with complex medical conditions such as epilepsy, traumatic brain injury, genetic and toxic/metabolic disorders. I am a Clinical Associate Professor of Neurology at Indiana University Medical School in Fort Wayne, Indiana where I teach courses in psychiatry to second year medical students including lectures on autism, Asperger's Syndrome and neurodevelopmental conditions. I am also an Adjunct Professor at the Illinois School of Professional Psychology in Schaumburg, IL.
I specialize in the assessment and treatment of children and adults with neurological and neurodevelopmental disorders. My particular practice specialties include dementing disorders, ADHD, Sleep Disorders, dyslexia, pervasive developmental disorders and children with complex medical conditions such as epilepsy, traumatic brain injury, genetic and toxic/metabolic disorders. I am a Clinical Associate Professor of Neurology at Indiana University Medical School in Fort Wayne, Indiana where I teach courses in psychiatry to second year medical students including lectures on autism, Asperger's Syndrome and neurodevelopmental conditions. I am also an Adjunct Professor at the Illinois School of Professional Psychology in Schaumburg, IL.
(847) 577-0904 View (847) 577-0904
Photo of Laura Jansons, Psychologist in Wheeling, IL
Laura Jansons
Psychologist, PsyD, ABN, BCN
Verified Verified
Buffalo Grove, IL 60089
, ADHD, autism spectrum) and neurodegenerative disorders (e.
Neuropsychological Testing. Objective assessment takes the guess work out of diagnosis. Avoid trial and error with medications and psychotherapy.
, ADHD, autism spectrum) and neurodegenerative disorders (e.
Neuropsychological Testing. Objective assessment takes the guess work out of diagnosis. Avoid trial and error with medications and psychotherapy.
(224) 545-5330 View (224) 545-5330
Photo of Advanced Behavioral Solutions, LLC, Counselor in Wheeling, IL
Advanced Behavioral Solutions, LLC
Counselor
Verified Verified
Arlington Heights, IL 60004
Advanced Behavioral Solutions, LLC is a comprehensive psychological practice that provides a variety of services for children, adolescents, adults, and families. We offer individual, couples, and family therapy due to anxiety, depression, ADHD, Autism, and many other psychological problems that occur throughout the lifespan. We also provide psychotherapeutic social skills groups to teach pro-social skill development and symptom management while also providing parents with educational information to assist their children, teens, and young adults.
Advanced Behavioral Solutions, LLC is a comprehensive psychological practice that provides a variety of services for children, adolescents, adults, and families. We offer individual, couples, and family therapy due to anxiety, depression, ADHD, Autism, and many other psychological problems that occur throughout the lifespan. We also provide psychotherapeutic social skills groups to teach pro-social skill development and symptom management while also providing parents with educational information to assist their children, teens, and young adults.
(847) 496-4693 View (847) 496-4693
Photo of Debbie Malitz, Clinical Social Work/Therapist in Wheeling, IL
Debbie Malitz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Arlington Heights, IL 60004
I am a Licensed Clinical Social Worker with over 15 years experience working with children and teenagers as a school social worker. I specialize in working with children and families struggling with behavioral issues at home and in school; and with children experiencing life transitions. I have extensive experience working with children with ADHD, Autism, social skill deficits, behavioral difficulties, anxiety, and overall emotional regulation.
I am a Licensed Clinical Social Worker with over 15 years experience working with children and teenagers as a school social worker. I specialize in working with children and families struggling with behavioral issues at home and in school; and with children experiencing life transitions. I have extensive experience working with children with ADHD, Autism, social skill deficits, behavioral difficulties, anxiety, and overall emotional regulation.
(872) 240-5913 View (872) 240-5913
Photo of Trent L Culver, Psychologist in Wheeling, IL
Trent L Culver
Psychologist, PysD, CADC
Verified Verified
Arlington Heights, IL 60004
My specialities include the following: anxiety, depression, grief, substance abuse, and autism.
I am licensed Clinical Psychologist. My mission is to help individuals uncover their true potential and lead lives that are more connected and fulfilling. I'm here to tell you that you don’t have to be controlled by your thoughts and you can bounce back from adverse life events. With cognitive behavioral therapy (CBT), you can challenge the thoughts and behaviors that are holding you back. I want you to use your emotions instead of being used by them and to use your strengths to find and enjoy more things you are naturally good at. Becoming resilient will allow you to cope effectively with both negative and positive life events.
My specialities include the following: anxiety, depression, grief, substance abuse, and autism.
I am licensed Clinical Psychologist. My mission is to help individuals uncover their true potential and lead lives that are more connected and fulfilling. I'm here to tell you that you don’t have to be controlled by your thoughts and you can bounce back from adverse life events. With cognitive behavioral therapy (CBT), you can challenge the thoughts and behaviors that are holding you back. I want you to use your emotions instead of being used by them and to use your strengths to find and enjoy more things you are naturally good at. Becoming resilient will allow you to cope effectively with both negative and positive life events.
(847) 327-0704 View (847) 327-0704
Photo of Christina Bailey, Psychologist in Wheeling, IL
Christina Bailey
Psychologist, PsyD
Verified Verified
5 Endorsed
Arlington Heights, IL 60004
I provide Neuropsych/Psych evaluations, Autism evaluations to provide diagnosis and recommendations for schools or treatment.
Growing up isn't easy. Today's adolescents experience more stress, expectations, and worries than ever. My passion is helping people who are feeling stuck or overwhelmed, which can lead to depressive/anxious symptoms, and poor coping skills. I bring compassion, honesty, and humor into our sessions, creating a safe, trusting space. I believe in the resiliency everyone has to work through challenges. I include parents and the child in our work, a crucial piece for consistency in communication, and navigating the increasing stressors kids face. On a personal note, I'm also a mom, and can empathize with daily demands of family life.
I provide Neuropsych/Psych evaluations, Autism evaluations to provide diagnosis and recommendations for schools or treatment.
Growing up isn't easy. Today's adolescents experience more stress, expectations, and worries than ever. My passion is helping people who are feeling stuck or overwhelmed, which can lead to depressive/anxious symptoms, and poor coping skills. I bring compassion, honesty, and humor into our sessions, creating a safe, trusting space. I believe in the resiliency everyone has to work through challenges. I include parents and the child in our work, a crucial piece for consistency in communication, and navigating the increasing stressors kids face. On a personal note, I'm also a mom, and can empathize with daily demands of family life.
(847) 558-1978 View (847) 558-1978
Photo of Tami Nadine Meer, Clinical Social Work/Therapist in Wheeling, IL
Tami Nadine Meer
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington Heights, IL 60004
I have been a certified private practitioner since 1987. I believe in having a warm, friendly, and open approach to well-being. I have extensive experience with children, adolescents, adults, older adults, couples and families. One area of expertise is with special education and special needs children. I am certified as both a school social worker and a principal. Another area of expertise is with the caregivers of both older adults and children with disabilities. I am certified by Ross Greene, in his CPS approach. I currently have private practices in Arlington Heights and Evanston. I participate in several insurance panels.
I have been a certified private practitioner since 1987. I believe in having a warm, friendly, and open approach to well-being. I have extensive experience with children, adolescents, adults, older adults, couples and families. One area of expertise is with special education and special needs children. I am certified as both a school social worker and a principal. Another area of expertise is with the caregivers of both older adults and children with disabilities. I am certified by Ross Greene, in his CPS approach. I currently have private practices in Arlington Heights and Evanston. I participate in several insurance panels.
(847) 929-9413 View (847) 929-9413
Photo of Dr. Michelle Lynne March, Pre-Licensed Professional in Wheeling, IL
Dr. Michelle Lynne March
Pre-Licensed Professional, PhD
Verified Verified
Arlington Heights, IL 60004
With over twenty years’ experience, Dr. March works with individuals across the lifespan. In addition to therapeutic interventions, she is a Professor of Psychology and Business training graduate students. She also owns an executive coaching practice where she advances organizational leadership, communication, and change. Her passion is to help others self-reflect, looking within, to develop and reach maximum potentials.
With over twenty years’ experience, Dr. March works with individuals across the lifespan. In addition to therapeutic interventions, she is a Professor of Psychology and Business training graduate students. She also owns an executive coaching practice where she advances organizational leadership, communication, and change. Her passion is to help others self-reflect, looking within, to develop and reach maximum potentials.
(847) 416-8373 View (847) 416-8373

See more therapy options for Wheeling

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.