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Therapy Services

Therapy Services: Services
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Individual Psychotherapy

Common focus areas include, but are not limited to:​

  • Adult ADD/ADHD

  • Aging

  • Anxiety

  • Adult child/parent relationship challenges

  • Autism/Asperger's Syndrome 

  • Blended families

  • Caregiving challenges ("Sandwich Generation")

  • College mental health

  • Coming out

  • Communication style differences

  • Dating 

  • Depression 

  • Educational challenges (adult)

  • Fatherhood

  • Family conflict

  • Friendship in adulthood

  • Grief and bereavement

  • LGBTQIA+ issues

  • Life transitions 

  • Marital and premarital challenges

  • Men's issues

  • Mood disorders

  • Questioning sexual orientation

  • Questioning gender identity 

  • Parenting Support

  • Relationship issues

  • Self-inquiry

  • Single parenting 

  • Social communication challenges

  • Social media and online gaming 

  • Spiritual crisis

  • Stress and Coping

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Child/Adolescent Psychotherapy & Behavioral Health

Common focus areas include, but are not limited to: 

  • Attention-Deficit/Hyperactivity Disorder (ADD/ADHD)

  • Anxiety 

  • Autism/Asperger's (ASD)

  • Educational problems 

  • Executive Functioning challenges

  • Depression 

  • Experimentation with substance use

  • Friendships

  • Gender identity exploration

  • Grief and bereavement 

  • Inflexibility

  • Learning differences

  • Online gaming, social media, and cell phone use

  • Parenting Counseling

  • Parent-Child relationship challenges

  • Peer relationship development

  • Perspective-taking challenges (hard to see other people's point of view/express empathy when expected)

  • Questioning sexual orientation 

  • Self-control (managing emotions and behavior)

  • Separation anxiety

  • School selection (college, vocational, etc.)

  • Sibling relationship challenges

  • Sleep problems

  • Social anxiety

  • Social communication challenges

  • Social skills development

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Family Therapy

Common focus areas include, but are not limited to:

  • Addiction in a family member

  • Adjustment problems affecting one or more family members 

  • Behavioral problems in children supported by multiple caregivers (e.g., grandparents, au pair, nanny)

  • Children's adjustment to family structure post-separation or divorce (dual households)

  • Co-parenting differences between married or divorced parents 

  • Disability in a family member

  • End-of-life support issues (disagreements over care planning, long-term care, hospice admission)

  • Family separation due to immigration 

  • Grief and bereavement

  • Job/career changes; moving 

  • Parent-child relationship problems

  • Parent-child temperament differences

  • Parenting style differences

  • Sibling relationship challenges

  • Sudden or chronic illness in a family member

  • Temperament differences between family members

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Couples Counseling

Common focus areas include, but are not limited to:

  • Addiction problems

  • Adjustment to new blended family

  • Changes in couple/marital relationship

  • Challenges with in-law relationships

  • Clashes in family cultural expression 

  • Communication style differences

  • Contemplating separation or divorce.

  • Decision-making support

  • Differences in parenting styles

  • Health issues

  • Interfaith relationships

  • Infidelity

  • Interpersonal conflict

  • Life changes/transitions

  • Neurodiverse couples

  • Self-inquiry for prospective parents considering adoption or surrogacy

  • Self-regulation of feelings and behavior

  • Sexual concerns

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Clinical Consultation & Educational Support for ADD/ADHD/LD

Common focus areas include, but are not limited to: ​

  • Active listening skills for adolescents and adults

  • Coping with oppositional or defiant behavior patterns

  • Educational advocacy: accessing educational resources for managing ADHD (elementary school through graduate school) 

  • Executive functioning skill development (all ages)

  • Decision-making about medication

  • Discerning between symptoms of ADHD and Autism Spectrum Disorder (ASD)

  • Independent living skills for adolescents and young adults

  • Initial screening for ADHD symptoms 

  • Initial screening for Learning Disabilities

  • Learning self-advocacy skills (adolescents and young adults)

  • Parent-child relationship challenges associated with ADHD

  • Psychiatric diagnostic evaluation for ADHD

  • Psychotherapy or counseling for mental health challenges commonly co-occurring with ADHD (e.g., social and performance anxiety, dysthymia, or depression)

  • Relationship support for individuals with ADHD and their partners

  • Social skills support for children and adolescents

  • Symptom management of ADHD for parents at home

  • Understanding ADHD experientially (for parents and partners of those with ADHD)

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Infant and Early Childhood Parenting Consultation

Common focus areas include, but are not limited to:​

  • Adjusting to daycare, preschool, pre-k, and kindergarten

  • Adoption 

  • Aggression in older infants/young toddlers (biting, slapping)

  • Balancing parenting duties

  • Binkies: to bink or not to bink?

  • Delayed developmental milestones: "How do I know for sure?"

  • Elimination problems (Number 1 and Number 2 problems)

  • Emergent relationship challenges for new parents

  • Developmental concerns noted by outside providers

  • General "ages and stages" questions and concerns

  • Introduction of foster children to the family

  • Jealousy of older sibling toward new baby

  • Maternal mental health

  • Parent-child attachment

  • Paternal mental health

  • Picky eaters

  • Potty training 

  • Relationship challenges with care providers outside the family (e.g., nannies, au pairs, babysitters, teachers) 

  • Self-regulation challenges with emotions and behavior

  • Separation anxiety

  • Screening for Autism Spectrum Disorder

  • Single parenting 

  • Sleep problems 

  • Sleep training

  • Social skills development 

  • Speech development

  • Temperament counseling

  • "When do I need to see a specialist?"

©2024 by Adrian Rivera, LICSW/LCSW

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