Child & Adolescent Services
Dr. Chang & Dr. Adams
Dr. Chang has provided treatment for children and adolescents throughout her career, and, with the addition of Dr. Adams to the practice, we’ve expanded our offerings! Dr. Adams’ experience complements Dr. Chang’s evidence-based approach, and Dr. Adams offers specific expertise in working with autism spectrum disorder issues as well as specific behavioral concerns, such as tics, OCD, hair-pulling, bedwetting, tantrums, and school refusal.
We provide science-based treatment (usually behavioral therapy, evidence-based parent training, cognitive-behavioral therapy, etc.) and recommendations in response to your child’s individual needs.
With years of experience and advanced training, Dr. Chang and Dr. Adams understand the complications of diagnosing children early in life with mental disorders. While this can be a a difficult process for families, early identification of disorders almost always leads to better outcomes. We are trained to help you clarify and understand your child’s diagnosis and best treatment options, and we will refer you to a specialist if a full psychological assessment is necessary. We regularly collaborate with neuropsychologists, ABA providers, schools, pediatricians, and child/adolescent psychiatrists to create a comprehensive approach to your child’s needs.
Therapy For Toddlers to Young Adults
Parent Consultation (18 mo-13 yr)
Parent Training (18 mo-13 yr)
Children’s Health & Illness Recovery Program (13-17 yr)
Parent Consultation (4-12 yr)
Cognitive Behavioral Intervention for Insomnia (13-24 yr)
Autism Spectrum Disorder
Teaching Social Communication Skills in Toddlers (18-36 mo)
Parent Consultation (3-18 yr)
Parent Training (5-12 yr)
Individual Therapy for anxiety, social skills deficits, emotion regulation, etc. (7-24 yr)
Parent Consultation (2-6yr)
Individual Therapy (7-24 yr)
Exposure and Response Prevention (7-24 yr)
Cognitive Behavioral Intervention for Tics (7-24 yr)
Autism Diagnostic Evaluation
Dr. Adams’s evidence-based evaluation includes:
Behavioral evaluation for symptoms of Autism Spectrum Disorder (ADOS)
Measure of cognitive functioning (abbreviated IQ test for an estimate) - if 6+ years of age
Measure of social skills
Measure of daily living skills
Measure of emotional issues to screen for co-occurring problems like anxiety, depression, inattention
Caregiver and teacher interviews
Daycare or school observation
This evaluation package also includes a 50-minute feedback session in which Dr. Adams will review the results with you and answer any questions you may have. The package also includes a comprehensive written report in digital and hard copy. You can share this report with other professionals/therapists, use to access treatments such as Applied Behavior Analysis (ABA), and provide to your child’s Regional Center and school/district. If your child meets criteria for Autism, the report will indicate a medical diagnosis of Autism Spectrum Disorder, including current functioning level.
Why evaluate for Autism?
To determine appropriate treatment - evidence-based interventions for mental health and behavioral issues differ based on diagnosis. For example, a child with ASD may not benefit from traditional treatment for anxiety. People with ASD may benefit from a variety of treatment modalities, including ABA, social skills group, adaptive skills training, etc.
Early intervention works best! ABA therapy, the most effective intervention for ASD at this time, offers best progress when a child is between 2 and 5 years of age. (But it does work at other ages, too!)
Understand yourself or your child better. Why do you/your child do ____ ? Why is ____ so hard? These are questions you may ask yourself about yourself or your child. ASD and its accompanying unique symptoms may be the answer.
Access to supports, whether that be at school or through the community/state (i.e., local Regional Center). Having a medical diagnosis indicates to school personnel that a professional has diagnosed your child. This may mean your child is more likely to get accommodations through an Individualized Education Plan (IEP) or at your child’s private school.
Autism evaluation has few costs and many benefits. There is the financial expense, time and energy, and possible emotional burden for you as a parent. These should not be taken lightly. But, the evaluation is not much work for you (fill out some forms about your child, complete a ~50 minute interview), and it’s not bad for your child, either. For very young children, there is no IQ test, and the ADOS will seem like playing! For 6+ years or older, they will go through an abbreviated IQ test (two subtests as opposed to multiple hours of cognitive and academic testing that is unnecessary for an ASD diagnosis), and the ADOS will include play, looking at a book and some pictures, and some open-ended questions.