I have extensive training in behavioral and cognitive-behavioral treatment approaches. This approach applies (in some form) to every child, adolescent, young adult, and family I work with. While the treatment approach differs depending on the challenges a particular individual is facing, all strategies are rooted in evidence-based intervention. Below are some specific interventions geared towards different challenges I have expertise in.
Cognitive Behavior Therapy
Cognitive Behavior Therapy is an evidence-based treatment built on the theory that one’s thoughts (cognitions), behaviors, and feelings are connected and influence each other. The treatment is didactic in nature, where individuals are taught to recognize bodily sensations as well as their thoughts in different situations. Individuals then learn appropriate coping skills to manage their urges and feelings. In addition to skill development, in most cases, exposures (practices) are introduced to help the individual learn to tolerate a feared or difficult situation.
Positive Behavior Supports
Positive Behavior Supports is a treatment approach that focuses on identifying the function of specific behaviors and reducing challenging behaviors. There is an emphasis on replacing challenging behaviors with prosocial skills. These methods are quite helpful to individuals with Autism Spectrum Disorders, social communication difficulties, and other neurodevelopmental disabilities. Attention is given to structuring an environment or a situation to make transitions and other activities the individual finds challenging more predictable for the individual. Typically, visual supports are utilized, such as, social stories, checklists and schedules. Many times, combinations of cognitive behavioral therapy and positive behavior supports are helpful to individuals with social learning difficulties. For example, strategies might include learning to tolerate losing a game, or decreasing perseverative behavior around particular topics or interests.
Naturalistic Behavior Therapy for Young Children with ASD
Naturalistic behavior therapy has its roots in Applied Behavior Analysis (ABA), an evidence based, and recommended approach to treating children with Autism Spectrum Disorders. The naturalistic models attend to developmental milestones, play, as well as the relationship between two individuals. Sessions typically involve caregivers, but can also be one on one with a child, and are very play based. Goals and targets are identified and data is collected to assist the therapist in recognizing progress or lack of progress towards a given goal. These sessions are based on the following treatment models: Early Start Denver Model (ESDM), Pivotal Response Training (PRT), as well as aspects of Early Social Interaction (ESI) therapies.
