
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 and adolescents 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 Assessment
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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
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Complete MIGDAS-2
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Review family background and life history
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Complete and review SRS-2 results and DSM criteria
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Complete the Adult Sensory Checklist
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Review diagnostic formulation
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**There is a separate fee ($100 per hour) for testing interpretation, scoring and review of any previous testing/historical documents that is not covered by insurance.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)
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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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Can be administered remotely for adults.
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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.
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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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Benefits of an autism 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.