Hope is important because it can make the present moment less difficult to bear. If we believe that tomorrow will be better, we can bear a hardship today.
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- Thich Nhat Hanh
1.
Individual
Treatment & Assessment
Individual therapy is available for adults dealing with the following issues:
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Questioning/Exploring Gender Identity
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Gender Dysphoria
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Letter Writing for HRT and Surgery
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Intersex Traits
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Transition Support to Adulthood/College
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Neurodivergence
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Adult Autism/ADH (Attention Deficit Hyperactivity) Assessment
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Parenting
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Adult Autism/ADHD Assessment: I am trained in adult autism/ADHD assessment. I have a specialty in assessing adults assigned female at birth (AFAB) and gender minority presentations. The assessment is conducted from a neurodiversity affirming lens.
Federal entitlement programs, such as Social Security Disability, do not accept therapeutic autism and/or ADHD assessment as proof of disability. To qualify for this program, a documented diagnosis from a psychologist, MD and/or nurse practitioner is required.
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The assessment is typically conducted over four (1 hour) sessions. Included in the assessment:
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identify client's assessment and non-assessment goals, discuss implications of diagnosis
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Complete MIGDAS-2 (if necessary)
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Review family background and life history
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Complete additional assessments as needed (such as Toronto Alexithymia Scale (TAS), Yale-Brown Obsessive Compulsive Scale (Y-BOCS etc)
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Review diagnostic formulation
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if there is a question of co-occurring attention deficit hyperactivity, additional measures (DIVA 5.0, ASRS, BDEFS) will be used to provide diagnostic clarity
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**There is a separate fee ($200 per assessment) for testing interpretation, scoring and review of any previous testing/historical documents that is not covered by insurance.
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Note: A brain style summary of results is included with the assessment. If you are seeking a full report, there is an additional cost of $500, not typically covered by insurance.
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​​​The SRS-2 and MIGDAS-2 are the primary assessments that are used for autism assessment, along with the self-assessment tools, CAT-Q and the RAADS-R . Additional measures to provide a full clinical picture are the Toronto Alexithymia Scale (TAS) and the Sensory Processing Measure (SPM) 2nd edition.
The Social Responsiveness Scale, Second Edition (SRS™-2)
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Measures Social Responsiveness providing five scores including: Social Awareness, Social Cognition, Social Communication, Social Motivation, and Restricted Interests and Repetitive Behavior.
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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.
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We only administer the version for adults with verbal fluency.
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Does NOT provide quantitative results but is a structured format to evaluate individuals for autism.
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Can be administered remotely for adults.
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Measurements used to assess for ADHD include the ASRS, the DIVA-5 and the BDEFS.
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Benefits of an autism/ADHD diagnosis:
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a path to self-acceptance
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reinterpretation of experiences and behaviors
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access to resources designed to support autistic community
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feelings of relief as you finally understand yourself and emotions better
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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.