Individual
Treatment & Assessment

Individual therapy is available for adults dealing with the following issues:

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• Questioning/Exploring Gender Identity

• Gender Dysphoria

• Letter Writing for HRT and Surgery

• Intersex Traits

• Transition Support to Adulthood/College

• Neurodivergence

• Adult Autism/ADH (Attention Deficit Hyperactivity) Assessment

• Parenting 

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Adult Autism Assessment:  I am trained in adult autism assessment. I have a specialty in assessing adults assigned female at birth (AFAB) and gender minority presentations. The assessment is typically conducted over five (1 hour) sessions. Included in the assessment:

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• identify client's assessment and non-assessment goals, discuss implications of diagnosis

• Complete MIGDAS-2

• Review family background and life history

• Complete and review SRS-2 results and DSM criteria

• Complete the Adult Sensory Checklist

• Review diagnostic formulation

• if there is a question of co-occurring attention deficit hyperactivity, additional measures will be used to provide diagnostic clarity

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**There is a separate fee ($100 per hour) for testing interpretation, scoring and review of any previous testing/historical documents that is not covered by insurance.  

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The SRS-2 and MIGDAS-2 are the primary assessments that are used, along with the self-assessment tools, CAT-Q and the RAADS-R .

 

Social Responsiveness Scale, Second Edition (SRS™-2)

• Measures Social Responsiveness providing five scores including: Social Awareness, Social Cognition, Social Communication, Social Motivation, and Restricted Interests and Repetitive Behavior. 
   

• Can be administered remotely for adults.
   

• A total composite score (T-score) of 59 and below is considered low to no symptomology and generally not associated with an autism diagnosis. A total composite score between 60 and 65 is associated with mild to moderate deficits in social interaction. Scores between 66 and 75 are considered to display a moderate deficit in social interaction, and a score greater than 76 is considered severe and strongly associated with the clinical diagnosis of autism.

 

Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, Second Edition (MIGDAS-2)

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• Structured interview process for gathering and organizing the qualitative information needed to diagnose autism in children, adolescents, and adults.
   

• We only administer the version for adults with verbal fluency.
   

• Does NOT provide quantitative results but is a structured format to evaluate individuals for autism.
   

• Can be administered remotely for adults.

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Benefits of an autism diagnosis:

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• a path to self-acceptance

• reinterpretation of experiences and behaviors

• access to resources designed to support autistic community

• feelings of relief as you finally understand yourself and emotions better

• validation and appreciation for your unique neurotype

 

Coaching Services: If you reside outside of my areas of license, you may use virtual coaching services for brief psychoeducation and/or consultation. Treatment and diagnosis are not available as part of coaching services and these services are not reimbursed by insurance.