Autism Therapists in Paulding County, OH

Photo of Frances M Duncan, Clinical Social Work/Therapist, MSSW, LISW
Frances M Duncan
Clinical Social Work/Therapist, MSSW, LISW
1 Endorsed
Serves Area
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 38 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 38 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
(937) 210-4625 View (937) 210-4625
Photo of Ryan R Taylor, Counselor, MRC, CRC, LPCC-S
Ryan R Taylor
Counselor, MRC, CRC, LPCC-S
3 Endorsed
Serves Area
Stress, low self-esteem, navigating a life transition, or anxiety and depression? Feel like you need to find your boundaries? Perhaps a trusted person told you it was time to try therapy. We can explore your communication, expectations, and boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey, helping you to find what works for you so you can pursue your pathway to healing and growth. No diagnosis needed. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
Stress, low self-esteem, navigating a life transition, or anxiety and depression? Feel like you need to find your boundaries? Perhaps a trusted person told you it was time to try therapy. We can explore your communication, expectations, and boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey, helping you to find what works for you so you can pursue your pathway to healing and growth. No diagnosis needed. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
(937) 595-0078 View (937) 595-0078

Online Therapists

Photo of Nathan Messiter, Licensed Professional Counselor, MA, LPC, NCC
Nathan Messiter
Licensed Professional Counselor, MA, LPC, NCC
Perrysburg, OH 43551
It’s my goal to help you live a happier life with more freedom, peace, and fulfillment. I firmly believe that such a life is possible for everyone. However, we all encounter challenges in life, such as difficult relationships, traumatic experiences, rejection, loss, fear, and failure; and sometimes it's hard to make sense of our pain and figure out how to move forward. At times like these, it can be especially helpful to have another person who can listen deeply to you and walk with you.
It’s my goal to help you live a happier life with more freedom, peace, and fulfillment. I firmly believe that such a life is possible for everyone. However, we all encounter challenges in life, such as difficult relationships, traumatic experiences, rejection, loss, fear, and failure; and sometimes it's hard to make sense of our pain and figure out how to move forward. At times like these, it can be especially helpful to have another person who can listen deeply to you and walk with you.
(419) 548-8391 View (419) 548-8391
Photo of Hannah Gullikson - Gullikson Wellness Services, Licensed Professional Clinical Counselor, LPCC-S, PMH-C, IMHP
Gullikson Wellness Services
Licensed Professional Clinical Counselor, LPCC-S, PMH-C, IMHP
Online Only
Hannah's people: - Neurodivergent individuals including ADHD, sensory processing disorder, highly sensitive people (HSP), and high masking autism -Intellectual professionals in high stress jobs -Matrescence, peri-natal mental health, and post partum anxiety -Individuals who had caregivers who “did their best” but are now coming to recognize that they missed important social/ emotional skills in childhood -People who feel like, no matter how hard they try, they just can’t get ahead of stress and anxiety -Individuals with chronic health conditions who want to figure out how to live a meaningful life despite their symptoms
Hannah holds degrees in counseling, along with special training in treating trauma, peri-natal mental health, integrative mental health, and first responder and military mental health. She has strong, clinical interest in neurodevelopmental disorders, especially newer research, theories and interventions. She has worked with widely varied ages and settings.
Hannah's people: - Neurodivergent individuals including ADHD, sensory processing disorder, highly sensitive people (HSP), and high masking autism -Intellectual professionals in high stress jobs -Matrescence, peri-natal mental health, and post partum anxiety -Individuals who had caregivers who “did their best” but are now coming to recognize that they missed important social/ emotional skills in childhood -People who feel like, no matter how hard they try, they just can’t get ahead of stress and anxiety -Individuals with chronic health conditions who want to figure out how to live a meaningful life despite their symptoms
Hannah holds degrees in counseling, along with special training in treating trauma, peri-natal mental health, integrative mental health, and first responder and military mental health. She has strong, clinical interest in neurodevelopmental disorders, especially newer research, theories and interventions. She has worked with widely varied ages and settings.
(419) 707-6012 View (419) 707-6012
Photo of Mark Ward - Ward Counseling, LLC, Clinical Social Work/Therapist, LISW-S
Ward Counseling, LLC
Clinical Social Work/Therapist, LISW-S
Online Only
Accepting new telehealth clients. Are you feeling anxious, depressed, or stuck? If so, there is support here for you! We all have difficulties, struggles, and need support at times. We will work together to create a safe & comfortable place for you to explore your difficult moments in life; motivating growth and finding practical tools for change, creating a new path towards success. I am here to help develop new habits and skills to help you cope with life’s various challenges. My ideal client is someone who is willing to invest the time and effort it takes to make new choices to become the best version of themselves!
Accepting new telehealth clients. Are you feeling anxious, depressed, or stuck? If so, there is support here for you! We all have difficulties, struggles, and need support at times. We will work together to create a safe & comfortable place for you to explore your difficult moments in life; motivating growth and finding practical tools for change, creating a new path towards success. I am here to help develop new habits and skills to help you cope with life’s various challenges. My ideal client is someone who is willing to invest the time and effort it takes to make new choices to become the best version of themselves!
(937) 807-3058 View (937) 807-3058
Photo of Dryw Dworsky - Psychological Services Center, BGSU, Psychologist
Psychological Services Center, BGSU
Psychologist
Bowling Green, OH 43403
Waitlist for new clients
Bowling Green State University's Psychological Services Center (PSC) offers a broad range of mental health services to the NW Ohio community. Our staff of approximately 40 doctoral students in Clinical Psychology work under the close supervision of licensed psychologists who are BGSU faculty or adjunct faculty. Services are offered to individuals, couples, and families. The PSC embraces diversity and welcomes clients of any age, gender identity, sexual orientation, race, ethnicity, and/or disability status. All services are confidential.
Bowling Green State University's Psychological Services Center (PSC) offers a broad range of mental health services to the NW Ohio community. Our staff of approximately 40 doctoral students in Clinical Psychology work under the close supervision of licensed psychologists who are BGSU faculty or adjunct faculty. Services are offered to individuals, couples, and families. The PSC embraces diversity and welcomes clients of any age, gender identity, sexual orientation, race, ethnicity, and/or disability status. All services are confidential.
(567) 212-2575 View (567) 212-2575
Photo of Ruth McKowen, Clinical Social Work/Therapist, LISW
Ruth McKowen
Clinical Social Work/Therapist, LISW
Online Only
Hello, my name is Ruth McKowen, I am an Licenced Independent Social Worker and I am happy and honored to do the important work of helping people navigate the challenges and difficulties of life. I have been in the mental health field for ten years; five of those years I worked in crisis intervention, where I had the privilege and opportunity to meet people who were at a very dark point in their lives and to help provide stabilization and hope.
Hello, my name is Ruth McKowen, I am an Licenced Independent Social Worker and I am happy and honored to do the important work of helping people navigate the challenges and difficulties of life. I have been in the mental health field for ten years; five of those years I worked in crisis intervention, where I had the privilege and opportunity to meet people who were at a very dark point in their lives and to help provide stabilization and hope.
(937) 870-2567 View (937) 870-2567
Photo of Dr. Rose Mary Shaw, Psychologist, PsyD
Dr. Rose Mary Shaw
Psychologist, PsyD
1 Endorsed
Yellow Springs, OH 45387
We'll get to know your story and goals, and use gentle, formal evaluations to understand your strengths and needs—including ADHD, ASD, AD, TBI and other cognitive or emotional needs.
Welcome to My Neu Mind, located at the Mindfully Well Center, an integrative mental health and neuroscience center. Our goal is to empower you as you travel along your path toward optimal health and a life of balance. Dr. Shaw adopts an integrative approach to mental health. This approach incorporates assessment to identify your needs, as well as your strengths, followed by a personalized plan to include various wellness modalities.
We'll get to know your story and goals, and use gentle, formal evaluations to understand your strengths and needs—including ADHD, ASD, AD, TBI and other cognitive or emotional needs.
Welcome to My Neu Mind, located at the Mindfully Well Center, an integrative mental health and neuroscience center. Our goal is to empower you as you travel along your path toward optimal health and a life of balance. Dr. Shaw adopts an integrative approach to mental health. This approach incorporates assessment to identify your needs, as well as your strengths, followed by a personalized plan to include various wellness modalities.
(937) 310-7029 View (937) 310-7029
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Dayton, OH 45402
I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
Psychological evaluations / assessments can be utilized to determine eligibility for specific services or accommodations in school or the workplace. They may be required by a court order or in legal/forensic cases. Also, a psychological evaluation may be needed in cases involving professional licensing boards, child custody matters, and immigration.
I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
Psychological evaluations / assessments can be utilized to determine eligibility for specific services or accommodations in school or the workplace. They may be required by a court order or in legal/forensic cases. Also, a psychological evaluation may be needed in cases involving professional licensing boards, child custody matters, and immigration.
(937) 909-0534 View (937) 909-0534
Photo of Dr. Jessica Williams, Psychologist, PsyD
Dr. Jessica Williams
Psychologist, PsyD
Dayton, OH 45414
At the core of her integrative feminist approach is an honoring of clients’ strengths, resilience, and unique cultural and contextual factors that influence and are influenced by presenting concerns. She currently provides individual therapy for adults ages 18 to 45. She is trained as a generalist, and her areas of special interest include anxiety, depression, bipolar disorder, trauma, LGBTQ+ concerns, trans-affirming care, Autism Spectrum Disorder in adults, women’s issues and identity concerns.At the core of her integrative feminist approach is an honoring of clients’ strengths, resilience, and unique cultural and contextual facto
At the core of her integrative feminist approach is an honoring of clients’ strengths, resilience, and unique cultural and contextual factors that influence and are influenced by presenting concerns. She currently provides individual therapy for adults ages 18 to 45. She is trained as a generalist, and her areas of special interest include anxiety, depression, bipolar disorder, trauma, LGBTQ+ concerns, trans-affirming care, Autism Spectrum Disorder in adults, women’s issues and identity concerns.At the core of her integrative feminist approach is an honoring of clients’ strengths, resilience, and unique cultural and contextual facto
(937) 752-5272 View (937) 752-5272
Photo of Marisa Borgert - Empower Psychology + Wellness, Psychologist, PsyD
Empower Psychology + Wellness
Psychologist, PsyD
1 Endorsed
Dayton, OH 45431
We have immediate openings for adult therapy clients! Empower Psychology + Wellness has been providing a full range of psychological services to the Dayton area for over 30 years. Our mission is to guide and empower people to overcome mental adversity. Our success and reputation have been built on a foundation of caring and providing exceptional therapeutic services for children, adolescents, and adults.
We have immediate openings for adult therapy clients! Empower Psychology + Wellness has been providing a full range of psychological services to the Dayton area for over 30 years. Our mission is to guide and empower people to overcome mental adversity. Our success and reputation have been built on a foundation of caring and providing exceptional therapeutic services for children, adolescents, and adults.
(937) 541-0258 View (937) 541-0258
Photo of Garey Patrick Pisello, Pre-Licensed Professional, MSMFT
Garey Patrick Pisello
Pre-Licensed Professional, MSMFT
Toledo, OH 43617
I also bring I bring several years of crisis counseling experience with the Suicide Lifeline and Domestic Violence casework, as well as years with children with autism.
I take a collaborative, systemic approach rooted in Marriage and Family Therapy principles, focusing on how relationships and family dynamics impact your well-being. Whether working with individuals, couples, or families, I aim to support healing and growth within your relational system.
I also bring I bring several years of crisis counseling experience with the Suicide Lifeline and Domestic Violence casework, as well as years with children with autism.
I take a collaborative, systemic approach rooted in Marriage and Family Therapy principles, focusing on how relationships and family dynamics impact your well-being. Whether working with individuals, couples, or families, I aim to support healing and growth within your relational system.
(567) 350-1383 View (567) 350-1383
Photo of Taylor Ramey, Licensed Professional Counselor, LPC
Taylor Ramey
Licensed Professional Counselor, LPC
1 Endorsed
Toledo, OH 43606
Life as a young adult can feel like a whirlwind—racing thoughts about the future, anxiety over the “what ifs,” or a lingering feeling that you’re falling behind. Maybe you’re navigating the stress of school, career choices, or relationships, and you’re unsure how to balance it all. If therapy seems intimidating, you’re not alone—taking the first step can be the hardest part. You’re ready for change, to feel more confident, and to create a life that reflects your values. If this resonates, I’m here to support you in finding clarity, confidence, and direction.
Life as a young adult can feel like a whirlwind—racing thoughts about the future, anxiety over the “what ifs,” or a lingering feeling that you’re falling behind. Maybe you’re navigating the stress of school, career choices, or relationships, and you’re unsure how to balance it all. If therapy seems intimidating, you’re not alone—taking the first step can be the hardest part. You’re ready for change, to feel more confident, and to create a life that reflects your values. If this resonates, I’m here to support you in finding clarity, confidence, and direction.
(419) 904-5901 View (419) 904-5901
Photo of Stephanie Brooke, Licensed Professional Clinical Counselor, LPCC, MSEd
Stephanie Brooke
Licensed Professional Clinical Counselor, LPCC, MSEd
2 Endorsed
Toledo, OH 43623
Often, my clients are looking for support with anxiety, depression, trauma/PTSD, domestic violence, neurodivergence (ADHD/ Autism), low self-esteem, OCD, panic disorder, Bipolar Disorder, postpartum disorder, grief, and many others.
I strongly believe that mental health care should be affordable and inviting. If you cannot afford my self-pay fee, please don't hesitate to reach out! We can find something that works for you! It is my goal to provide supportive care while challenging you to meet your goals. It can be really challenging to learn new habits, process past trauma, hold ourselves accountable, and reach even the smallest of goals. My goal is to help you get to a point where you can be your best self. Healing isn't linear, and sometimes we need a little help getting to where we want to be.
Often, my clients are looking for support with anxiety, depression, trauma/PTSD, domestic violence, neurodivergence (ADHD/ Autism), low self-esteem, OCD, panic disorder, Bipolar Disorder, postpartum disorder, grief, and many others.
I strongly believe that mental health care should be affordable and inviting. If you cannot afford my self-pay fee, please don't hesitate to reach out! We can find something that works for you! It is my goal to provide supportive care while challenging you to meet your goals. It can be really challenging to learn new habits, process past trauma, hold ourselves accountable, and reach even the smallest of goals. My goal is to help you get to a point where you can be your best self. Healing isn't linear, and sometimes we need a little help getting to where we want to be.
(330) 449-4292 View (330) 449-4292
Photo of Danielle Nicole Cookson, Licensed Professional Clinical Counselor, LPCC-S, ASDCS
Danielle Nicole Cookson
Licensed Professional Clinical Counselor, LPCC-S, ASDCS
5 Endorsed
Toledo, OH 43615
I provide counseling services for individuals with the following: Neurodivergent Conditions, Anxiety and Depressive Disorders, and Stage-of-Life-Changes.
I approach patients through a Cognitive Behavioral, Solution-Focused, and Person-Centered approach within the counseling relationship. This means we explore typical thoughts, behaviors, and actions while finding healthier solutions to your identified difficulties. The space we share will be safe, affirming, non-judgmental, and equal as we navigate problems.
I provide counseling services for individuals with the following: Neurodivergent Conditions, Anxiety and Depressive Disorders, and Stage-of-Life-Changes.
I approach patients through a Cognitive Behavioral, Solution-Focused, and Person-Centered approach within the counseling relationship. This means we explore typical thoughts, behaviors, and actions while finding healthier solutions to your identified difficulties. The space we share will be safe, affirming, non-judgmental, and equal as we navigate problems.
(567) 278-9348 View (567) 278-9348
Photo of Marion Oh - Mindfully Psychiatry & Therapy, Licensed Professional Clinical Counselor, MD, PMHNP, LISW, LPCC, FMT
Mindfully Psychiatry & Therapy
Licensed Professional Clinical Counselor, MD, PMHNP, LISW, LPCC, FMT
6 Endorsed
Marion, OH 43302
At Mindfully Behavioral Health, we provide expert individual therapy, couples counseling, child and teen therapy, trauma therapy, anxiety and depression treatment, and family counseling—with integrated psychiatric medication management when needed. Our Psychiatry providers will complete a comprehensive mental health assessment to create a personalized treatment plan, carefully selecting the right medication and dosage to support your goals and long-term wellness.
At Mindfully Behavioral Health, we provide expert individual therapy, couples counseling, child and teen therapy, trauma therapy, anxiety and depression treatment, and family counseling—with integrated psychiatric medication management when needed. Our Psychiatry providers will complete a comprehensive mental health assessment to create a personalized treatment plan, carefully selecting the right medication and dosage to support your goals and long-term wellness.
(419) 664-6690 View (419) 664-6690
Photo of DaMarco Hill, Clinical Social Work/Therapist, MSW, LSW
DaMarco Hill
Clinical Social Work/Therapist, MSW, LSW
1 Endorsed
Maumee, OH 43537
If you're feeling overwhelmed by anxiety, navigating ADHD or Autism Spectrum Disorder ( ASD), struggling through a life transition, or seeking greater confidence and direction, you're not alone.
My approach is collaborative, strengths-based, and solution-focused. Together, we'll identify your strengths, build effective coping skills, and develop practical strategies to overcome challenges. I also incorporate coaching principles to help clients clarify goals, increase motivation, and take meaningful steps toward lasting growth and success.
If you're feeling overwhelmed by anxiety, navigating ADHD or Autism Spectrum Disorder ( ASD), struggling through a life transition, or seeking greater confidence and direction, you're not alone.
My approach is collaborative, strengths-based, and solution-focused. Together, we'll identify your strengths, build effective coping skills, and develop practical strategies to overcome challenges. I also incorporate coaching principles to help clients clarify goals, increase motivation, and take meaningful steps toward lasting growth and success.
(567) 832-8234 View (567) 832-8234
Photo of Bri McDonnell - The Equine Haven LLC, Clinical Social Work/Therapist, LISW
The Equine Haven LLC
Clinical Social Work/Therapist, LISW
Ostrander, OH 43061
I want to share a goal with my clients to create a partnership where clients feel empowered for growth, healing, and positive change. Although I have a traditional office setting offered year round, for those who are interested in a new approach to problem solving, I offer an alternative approach to traditional counseling by linking clients with horses during their sessions. Equine Assisted Counseling or equine assisted therapy, incorporates horses into families, and individual counseling sessions to facilitate emotional growth and learning.
I want to share a goal with my clients to create a partnership where clients feel empowered for growth, healing, and positive change. Although I have a traditional office setting offered year round, for those who are interested in a new approach to problem solving, I offer an alternative approach to traditional counseling by linking clients with horses during their sessions. Equine Assisted Counseling or equine assisted therapy, incorporates horses into families, and individual counseling sessions to facilitate emotional growth and learning.
(740) 666-6228 View (740) 666-6228
Photo of Royann Johnson, Licensed Professional Clinical Counselor, LPCC-S, LPC, ACS, CEAP, SAP
Royann Johnson
Licensed Professional Clinical Counselor, LPCC-S, LPC, ACS, CEAP, SAP
3 Endorsed
Online Only
Do you want sustainable personal growth in life? I work with adults and children alike. I offer in Individual, family/couples therapy, trauma has applications in hospital, private, court, and other community settings. I am eager to support you to manifest the sustainable change you are seeking for your future. I use specialized modalities like EMDR for trauma, IFS, CBT, PCIT, (Parent Child Interaction Therapy) to increase parenting skills, and Solution Focused interventions. I am here for your journey, your change, and your progress! I am a certified special education advocate, as well as DOT Substance Abuse Professional.
Do you want sustainable personal growth in life? I work with adults and children alike. I offer in Individual, family/couples therapy, trauma has applications in hospital, private, court, and other community settings. I am eager to support you to manifest the sustainable change you are seeking for your future. I use specialized modalities like EMDR for trauma, IFS, CBT, PCIT, (Parent Child Interaction Therapy) to increase parenting skills, and Solution Focused interventions. I am here for your journey, your change, and your progress! I am a certified special education advocate, as well as DOT Substance Abuse Professional.
(567) 278-9289 View (567) 278-9289
Photo of Aliyah Allen, Licensed Professional Counselor, LPC
Aliyah Allen
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
I have a Masters Degree in Mental Health Counseling and I am under the supervision of MeLisa Andrews . I serve as a private practitioner working with a broad spectrum of clients. I provide support and practical feedback to help clients effectively address personal life challenges. With compassion and understanding I work with you to help build on your strengths and uncover your true potential
I have a Masters Degree in Mental Health Counseling and I am under the supervision of MeLisa Andrews . I serve as a private practitioner working with a broad spectrum of clients. I provide support and practical feedback to help clients effectively address personal life challenges. With compassion and understanding I work with you to help build on your strengths and uncover your true potential
(937) 675-0990 View (937) 675-0990
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.