Therapeutic & Learning Centers, P-LLC
Dr. Rich sees patients in a home office located on a private property, Dream Catcher Meadows, in Potomac, MD. The practice, Therapeutic & Learning Centers, P-LLC, provides neuropsychiatric assessments of children, adolescents and adults who have neurodevelopmental disorders and/or anxiety and offers a variety of treatment strategies, including psychopharmacology, techniques in cognitive/behavioral and supportive psychotherapy, parent guidance, and assistance with development of Individualized Education Plans and transitional plans through academic and vocational recommendations. She focuses on improving adaptive functioning through social communication/perception, neurocognition/executive functions, motor/sensory and mood regulation/autonomic arousal through multimodal interventions.
Farm Animal Therapy
In patients with neurodevelopmental disorders or anxiety complicated by traumatic life experiences such as institutionalization, placement in foster care, or victimization, Dr. Rich may offer hands on, multi-sensory experiences with her hand-raised pygmy goats, pig, chickens and other farm animals to assess and teach adaptive skills, bonding, non-verbal communication, self-regulation, and perceptual awareness.
Dr. Rich focuses on 4 domains of neurodevelopment: neurocognitive/executive functions, social communication/perception, mood regulation & autonomic arousal, and sensory/motor. Using milder medications similar to a traumatic brain injury model, Dr. Rich focuses on anti-epileptic and alpha-adrenergic blockers for treatment of mood/arousal and impulsivity/hyperactivity. Nutrition, adequate sleep, exercise, and consistent schedule are all important to improved mental well-being.
Academic & Vocational Recommendations
Based on a belief that children have gifts despite challenges, Dr. Rich's approach is to help to develop one's talents into realistic academic expectations and vocational goals. She helps foster a sense of self through direction, meaning, and purposeful activities.
Understanding that neither children nor parents come with instruction manuals, Dr.Rich attempts to guide the parent into a better understanding of their child and vice versa. Developing realistic expectations, keeping standards high, and cocooning the child through adolescence helps improve neurodevelopment by reducing academic stress, social pressures, and alcohol/tobacco/other drug use. Improving the parent-child relationship through shared joys and interests, the dyad learns to develop healthier conversations, reduce toxic interactions, and improve overall functioning within the home environment.