Child & Adolescent Services

 

Links to
SPECIALTY AREAS

 

Our Approach

At Bryn Mawr Psychological Associates our psychologists approach therapy with children and adolescents in the context of parent consultation. In our experience parents are looking for insight and guidance as to how they can help their children. Although individual time is spent between the therapist and the child, a parent is usually included in at least part of every session and guidance and feedback is provided. By parent request and with their approval, we also speak with school staff, pediatricians, and others significantly involved in the child’s care.

 

When indicated we meet in a family therapy format in which parents and children/adolescents meet together to work on their relationships and the problems they are encountering. There are other families, however, in which all involved feel that we can be of most help by providing a private, individually-oriented therapy. The primary treatment orientation of our psychologists is cognitive behavioral therapy (CBT).



Local parents often describe feeling considerable stress with the unique challenges and expectations of children, teens, and adults living and going to school on the Main Line. Our psychologists are familiar with these challenges.

 

Scroll down to the following sections
or
use the following quick links:

 


 

  • "What do we do the first session?"

  • "Do we come with or without our child for the first session?"

  • "Will my child be comfortable coming in?"

  • "What is Cognitive Behavioral Therapy?” (See FAQ.)

  • "I don’t want my child to feel stigmatized by coming in. What do you do to keep that from happening?"

  • "I just want my child to open up more with me and not keep so much inside."

  • "I want to know what is going on and to get some direction for myself as a parent—what should I be doing differently?"

  • "We see some symptoms but we would like to know if our child actually has a psychiatric diagnosis."

  • “My spouse and I are not on the same page. Can you help with that?”

First Appointment

The first appointment provides an opportunity for you and your psychologist to get acquainted and to begin the process of discussing the issues of concern to you. By the end of the initial appointment there should be direction and planning for how therapy can be of benefit to you. You should have a solid sense when you leave the first session that your therapist can help you. Ongoing therapy sessions are typically scheduled once a week or once every other week in the early months. Often sessions then move to a less frequent basis so that there is more time to assess improvement between sessions.

 

Families with children 12 years of age and younger: Typically, the first appointment is with parents only. This provides an opportunity for parents to meet their psychologist and see the office setting in advance to ensure that they feel confident and comfortable in bringing their child. It also allows for an open discussion of concerns without leaving the child feeling embarrassed or "ganged up on" by the grown-ups. Usually, the child attends the second session which is designed to establish rapport, to get their take on school, home, and friends, to discuss the areas of concern, and for the therapist to consider alternative diagnoses. The parent joins the second half of that session to get started with interventions. Although children and adolescents are anxious upon arriving they are usually comfortable within a few minutes and are interested in returning for the next appointment. Parents are welcome to stay in the room for the full session if their child is anxious about separating.

 

Adolescents: Typically teenagers and parents attend the first appointment together. Everyone puts forth their concerns and a plan is developed. An effort is made to get all family members "on the same page" and working together. Generally the adolescent meets alone with the therapist for about half of the first session about any additional concerns.

 

Emergencies: If there is a very urgent situation, such as a child experiencing severe anxiety or not being able to attend school we schedule the first session ASAP and have the child/adolescent attend that first appointment with their parents.

 


 

  • "My child has so much energy I can’t seem to get him to listen to me."

  • "The pre-school wants us to get help for our son’s aggressive behavior."

  • "My child has a very hard time separating."

  • "I am having a lot of trouble managing my own anger when my children act up."

  • "We can’t get our son to sleep in his own bed."

  • "We are trying to figure out if our son has autism."

  • "We are going through a divorce and need ideas for helping our children with the changes."

 

Young Children

Behavioral consultation: Parenting challenges are a frequent focus in this age group. Our psychologists work with parents to develop effective behavioral interventions to reduce/eliminate behaviors such as hitting, biting, tantrums, and defiance. Counseling is also provided to help parents with separation anxiety, sleep problems, feeding issues, sibling conflict, divorce issues, and problems adjusting to day care or preschool.

 

Parent stress: We provide guidance for parents having difficulty managing their own anger, frustration, and emotional distress that they encounter as they try to cope with their children’s problems. In many families we treat parents are not “on the same page” with each other about how to handle certain discipline and other challenging situations with their child. We strive to help them reach consensus.

 

Special circumstances: Loss of a parent or sibling, adoption issues, trauma, and coping with serious medical issues are areas in which we provide support and guidance.

 

Diagnostic concerns: Parents and pediatricians sometimes have concerns that a child may have signs of psychological conditions such as autism, ADHD, learning problems, or bipolar disorder and would like an opinion and recommendations about these concerns.

 


 

  • "My son is a great kid outside the home but his anger and behavior are wreaking havoc on our family life."

  • "Our daughter worries constantly and is developing unusual anxieties and behavior."

  • "My child has no friends."

  • "Our son is very unhappy and it seems impossible to get him to open up."

  • "We really need help with our child’s social skills and behavior."

  • "My child has some learning and attention issues that really stress him out at school and make homework a nightmare for everyone."

  • “Our son has Asperger Syndrome and is really struggling with his classmates.”

  • "Does Cognitive Behavorial Therapy (CBT) work for kids in elementary school?" (Yes!)

Elementary School Age Children

Behavioral consultation: Handling problems at school, sleep problems, homework stress, worrying, peer acceptance, sportsmanship, divorce, managing impulses, handling bullying, and loss are common areas of concern for which our psychologists provide counseling.

 

Intervention for psychological conditions: Therapy is provided for the full range of emotional, behavioral, and neurological problems including Anxiety, Depressed mood, ADHD, Learning Disabilities, OCD, Oppositional Defiance Disorder, and Autism Spectrum disorders including Aspergers Syndrome.

 

Family and parenting challenges: Parenting and family therapy are utilized in many sessions to help with issues such as family stress, parent-child conflict, communication breakdown, sibling conflict, stress for children caught up in marital discord/divorce, defiance of household rules, and refusal to attend school.

 


 

  • "I am worried about my teenager and really need a psychologist with a lot of experience with adolescents."

  • "My son/daughter cannot keep up with their schoolwork."

  • “My child is getting bullied. We need ideas about what to do.”

  • "I’m worried about the friends my child is hanging out with."

  • "My child’s study habits are really a problem".

  • "My daughter has such awful mood swings! Could she have bipolar disorder?"

  • "Communication between me and my teenager has really broken down."

  • “My son insists that “everyone” smokes pot and drinks. I’m not sure how to address this.”

  • "Do your psychologists do CBT for anxiety?"

Middle School and High School age

Intervention for psychological conditions:Therapy is offered for the full range of emotional, behavioral, and neurological problems including Anxiety, Depression, OCD, Bipolar Disorder, ADD/ADHD, Oppositional Defiance Disorder, and Autism Spectrum disorders.

 

Adjustment issues: Stress, family conflict, perfectionism, procrastination, loneliness, school apathy, organization, indecision about colleges, declining grades, uncertainty about the future, peer issues, motivation, game addiction, handling stress, and sleep problems are some of the more common issues we address.

 

Crises for adolescents: Our psychologists regularly help teens with suicidal feelings, involvement in difficult romantic relationships, disengagement from parents, loss of close friendships, drug and alcohol use, conduct problems, school apathy, social rejection, bullying problems, internet issues, and concerns about sexual orientation.

 


 

  • "The teacher is having a hard time helping my child. It seems like the plans being tried are not really working."

  • "Do we need to consider switching to another school?"

  • "I feel like my daughter’s issues are getting overlooked because she is not a behavior problem."

  • "We’re in trouble and need a quick consultation about what to do!"

  • "My son doesn’t seem to be able to connect with his classmates at recess and lunch."

  • “Our daughter is refusing to go to school! What are we supposed to do?”

 

 

School Liaison

The psychologists in our practice maintain favorable relationships with all of the schools in the Main Line area. We believe that much can be accomplished in maintaining and promoting an effective collegial connection between parents and school personnel even in the most challenging of situations involving students.

 

Meeting with school personnel: All of our psychologists are experienced in helping families with challenges that they and their children may be experiencing at school. This includes meeting with teachers and school counselors to develop plans for assisting students struggling with ADHD, autism spectrum issues, anxiety, homework stress, bullying, isolation, and other school-related challenges. As needed we assist in the development and implementation of IEPs and 504 plans, as well as informal meetings, to help represent the child’s/parent’s interests.

 

Sometimes parents feel unsuccessful in advocating for their children at school and want additional backing and expertise to improve conditions. Our approach with schools is respectful and collegial, but with a can-do insistence on finding a way to help out the student. We have worked with students and staff in nearly all of the local public and private schools.

 

Student observation: Our psychologists provide unobtrusive observations of pre-school and elementary school students. Sometimes parents need independent information and consultation about their child’s behavior in the classroom or at recess especially regarding inattention, disruptive behavior, and social difficulties. Data and observation can then be used to help shape effective intervention during the school day.

 

Outside services: We help families to determine if neuropsychological, comprehensive psychoeducational testing, educational advocates, tutoring, medication consultation or other outside services are indicated. Some families seek guidance about whether or not there is another school in the area that might better meet the needs of their child/adolescent.

 

Crises: Occasionally, students/families/schools are in crisis and need rapid help in addition to what the school can provide in stabilizing the student and/or situation. Examples include refusal to attend school, suicidal thoughts, severe bullying, and dealing with suspensions.

 


 

  • "We are trying to figure out if our child has a learning disability."

  • "We want to get a second opinion on the testing that the school did for our child."

  • "I need to get private IQ testing for my child."

  • "The teacher thinks my child has ADHD. Is this true, and what can we do about it?"

  • “Our son is smart but is clearly underachieving. What recommendations are there to improve this situation?”

  • “Can we get a private evaluation that allows us to choose whether or not we want to share it with the school?”

  • “We are wondering if another school would be better suited to meet the needs of our child.”

Psychoeducational Testing

Psychoeducational testing refers to a psychologist meeting one-to-one with a child or adolescent to assess intelligence, academic functioning, and possible learning disabilities. A formal report is prepared for the parent to submit to the school district at their discretion.

 

We have a Certified School Psychologist on staff which allows for school district requirements for testing to be met.

 

A typical testing would include:
      -Intelligence (IQ) testing
      -Formal Achievement testing
      -Assessment of visual-motor functioning
      -Behavior rating forms

 

Additional measures such as memory testing can be added to address specific concerns. In instances where more specialized testing than we are able to provide is indicated, we will help you to get connected to local psychologists or neuropsychologists with those specialties.

 

IQ testing is required for admission to all private schools on the Main LIne. Our psychologists are qualified to perform these evalutions.

 

Gifted testing is requested by parents wanting an objective estimate of their child's intelligence. Sometimes parents are seeking testing to determine if their child qualifies for the Challenge/GIfted programs offered at the public schools.


Bryn Mawr Psychological Associates is located along Pennsylvania's Main Line. Our office is based in Bryn Mawr, which is convenient to Ardmore, Wayne, Radnor, Haverford, Newtown Square, Villanova, Wynnewood, Lower Merion, Havertown, Berwyn, Devon, Paoli, Rosemont, Gladwyne, Narberth, Broomall, West Chester, Media and other towns in Montgomery County, Delaware County, and Chester County, PA.