Experiences with 1:1 therapy at CAAT

[Anonymous]

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

[Anonymous]

7 is too young for talk therapy in my opinion.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We had a very poor experience with therapy there. Dr. Black is fantastic and they do a great job in thea of diagnosing but our experience was very bad with therapy.

Us too, on both accounts. The therapist had one way of doing things and couldn't/wouldn't vary according to my child's needs.

We had a better experience with Jeff Kranzler and his group, who also specializes in autism.

We interviewed a therapist at his group (cannot remember the name) and he seemed really good. We went with someone closer but he seemed great. But this is for an older child, not 7.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We had a very poor experience with therapy there. Dr. Black is fantastic and they do a great job in thea of diagnosing but our experience was very bad with therapy.

Us too, on both accounts. The therapist had one way of doing things and couldn't/wouldn't vary according to my child's needs.

We had a better experience with Jeff Kranzler and his group, who also specializes in autism.

+1. Us too. Our Developmental Ped recommended KAPS-Kranzler’s practice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

The program was Unstuck and Ontarget.
I would specifically make sure the therapist is using this curriculum and or get the book and workbook and don't at home. You will not get overnight mirilacles but looking back 5 years later, the parent piece, adjusting our parenting and some of the curriculum from unstuck have made alot of difference. Talk therapy had between none and negative progress.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

The program was Unstuck and Ontarget.
I would specifically make sure the therapist is using this curriculum and or get the book and workbook and don't at home. You will not get overnight mirilacles but looking back 5 years later, the parent piece, adjusting our parenting and some of the curriculum from unstuck have made alot of difference. Talk therapy had between none and negative progress.

OP here - DC has done the Unstuck curriculum twice - once through school and once through another practitioner DC was already seeing. The second time around DC basically said “I already know this”.

I will look into KAPS and also talk further with the doctor who recommended CAAT and talk therapy. I’m not eager to put another therapy on DC’s schedule so maybe there’s another way to skin this cat.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

The program was Unstuck and Ontarget.
I would specifically make sure the therapist is using this curriculum and or get the book and workbook and don't at home. You will not get overnight mirilacles but looking back 5 years later, the parent piece, adjusting our parenting and some of the curriculum from unstuck have made alot of difference. Talk therapy had between none and negative progress.

OP here - DC has done the Unstuck curriculum twice - once through school and once through another practitioner DC was already seeing. The second time around DC basically said “I already know this”.

I will look into KAPS and also talk further with the doctor who recommended CAAT and talk therapy. I’m not eager to put another therapy on DC’s schedule so maybe there’s another way to skin this cat.

Dc shouldn't be in therapy. Parent training is far more effective and appropriate.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

The program was Unstuck and Ontarget.
I would specifically make sure the therapist is using this curriculum and or get the book and workbook and don't at home. You will not get overnight mirilacles but looking back 5 years later, the parent piece, adjusting our parenting and some of the curriculum from unstuck have made alot of difference. Talk therapy had between none and negative progress.

OP here - DC has done the Unstuck curriculum twice - once through school and once through another practitioner DC was already seeing. The second time around DC basically said “I already know this”.

I will look into KAPS and also talk further with the doctor who recommended CAAT and talk therapy. I’m not eager to put another therapy on DC’s schedule so maybe there’s another way to skin this cat.

Dc shouldn't be in therapy. Parent training is far more effective and appropriate.

Please recommend a parent training resource or practitioner

[Anonymous]

Not accurate. A 7 yr old can absolutely work on developing skills— emotion regulation, social pragmatic based, and problem solving skills.

Any good practice / therapist will include parent work/ involvement in each session.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DC is 7, diagnosed with AuADHD. DC’s doctor has recommended therapy through CAAT to help with low frustration tolerance and general emotional expression. I understand that CAAT is 1. Out of network for insurance 2. Expensive and 3. Has a long waitlist. Doctor said CAAT is the gold standard in the area for kids who have autism and we should try to make it work if we can.

Did your child have success with 1:1 therapy at CAAT? Do you have recommendations for other therapists in Montgomery County that work especially well with patients who have autism?

We did therapy for mostly the same issues at various places including caat. I must agree eith other poster who says talk therapy, for this population and age is mostly useless..what helped, somewhat was a program that was offered to certain kids in our elementary school where they did activities like perspective taking, coding their feelings, etc. I can't remember the name of the program but it was something we could have done at home .
I will.come back and post if I remember the name of the program (it was not peers)
Also you should have vitamin levels checked. Dc had very low frustration tolerance and we found out much layer he had low iron saturation. This contributed alot to his issues.

The program was Unstuck and Ontarget.
I would specifically make sure the therapist is using this curriculum and or get the book and workbook and don't at home. You will not get overnight mirilacles but looking back 5 years later, the parent piece, adjusting our parenting and some of the curriculum from unstuck have made alot of difference. Talk therapy had between none and negative progress.

OP here - DC has done the Unstuck curriculum twice - once through school and once through another practitioner DC was already seeing. The second time around DC basically said “I already know this”.

I will look into KAPS and also talk further with the doctor who recommended CAAT and talk therapy. I’m not eager to put another therapy on DC’s schedule so maybe there’s another way to skin this cat.

Dc shouldn't be in therapy. Parent training is far more effective and appropriate.

Please recommend a parent training resource or practitioner

https://www.parentchildjourney.com/

[Anonymous]

Anonymous wrote:Not accurate. A 7 yr old can absolutely work on developing skills— emotion regulation, social pragmatic based, and problem solving skills.

Any good practice / therapist will include parent work/ involvement in each session.

They can work on those skills in realtime in natural situations where the problems arise - which is usually the complete opposite from a talk therapy session. The only thing a talk therapist could do is provoke emotional dysregulation then work on the response - but that is something that could backfire extremely badly with the wrong (poorly trained) therapist, so I would not be likely to agree to that. There is actually an NIH study on irritability in older kids that deliberately provokes anger to practice tolerating it - but in that study the kids are older, and I still have my reservations about it. It could seriously be a huge breach of trust/abusive to the child to be deliberately angered in a setting they cannot control.

OTOH training that helps the parent coach the child when the dysregulation naturally arises could be effective.