Therapeutic & Learning Centers, P-LLC
Dr. Rich's practice, Therapeutic & Learning Centers, P-LLC, specializes in a comprehensive neurodevelopmental approach to diagnosis and treatment of neuropsychiatric conditions in children, teens and young adults.
Comprehensive neuropsychiatric assessments of children, adolescents and young adults with neurodevelopmental conditions and/or anxiety provide a thorough understanding of the genetic, environmental, stress, or trauma-related issues impacting daily life and function. A wide array of treatment strategies from cognitive/behavioral and supportive psychotherapy, to parent guidance, and psychopharmacology may be part of the treatment plan. Dr. Rich can participate with the Educational Management Team in developing Individualized Education Plans for school aged children, transitional plans and vocational recommendations for older adolescents, and career goals for young adults. She focuses on improving adaptive functioning through social communication/perception, neurocognition/executive functions, motor/sensory and mood regulation/autonomic arousal and other multimodal interventions.
Dr. Rich provides mentoring and success coaching for older adolescents and young adults to improve relationships, manage their executive functions, and explore career and college options. She enjoys helping young people find fulfilling, meaningful life experiences by aligning their strengths and interests with career fields they are passionate about. Her simple approach to lifestyle and wellness translates realistic weight management goals into long term health benefits. Learning techniques in mindfulness, relaxation, and breathing strategies improves self-regulation, emotional reactivity, and stress tolerance thereby enhancing relationships with family, friends, and co-workers. When medications are necessary to improve sleep, mood, or anxiety, they are used in a personalized way after a thorough medical assessment, which may include lab work, CYP-450 enzyme testing, and/or other evaluation strategies.
Comprehensive neuropsychiatric assessments of children, adolescents and young adults with neurodevelopmental conditions and/or anxiety provide a thorough understanding of the genetic, environmental, stress, or trauma-related issues impacting daily life and function. A wide array of treatment strategies from cognitive/behavioral and supportive psychotherapy, to parent guidance, and psychopharmacology may be part of the treatment plan. Dr. Rich can participate with the Educational Management Team in developing Individualized Education Plans for school aged children, transitional plans and vocational recommendations for older adolescents, and career goals for young adults. She focuses on improving adaptive functioning through social communication/perception, neurocognition/executive functions, motor/sensory and mood regulation/autonomic arousal and other multimodal interventions.
Dr. Rich provides mentoring and success coaching for older adolescents and young adults to improve relationships, manage their executive functions, and explore career and college options. She enjoys helping young people find fulfilling, meaningful life experiences by aligning their strengths and interests with career fields they are passionate about. Her simple approach to lifestyle and wellness translates realistic weight management goals into long term health benefits. Learning techniques in mindfulness, relaxation, and breathing strategies improves self-regulation, emotional reactivity, and stress tolerance thereby enhancing relationships with family, friends, and co-workers. When medications are necessary to improve sleep, mood, or anxiety, they are used in a personalized way after a thorough medical assessment, which may include lab work, CYP-450 enzyme testing, and/or other evaluation strategies.
Farm Animal-Assisted TherapyIn patients with neurodevelopmental disorders, anxiety and/or traumatic early life experiences, Dr. Rich may offer hands on, multi-sensory experiences with her horse, ponies, hand-raised goats, pig, chickens and other farm animals to assess and teach adaptive skills, bonding, non-verbal communication, "theory of mind," self-regulation, and perceptual awareness.
PsychopharmacologyDr. 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.
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Academic & Vocational RecommendationsBased 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.
Parent GuidanceUnderstanding that neither children nor parents come with instruction manuals, Dr.Rich attempts to guide the parent and child toward synchrony, attunement, and mutual enjoyment. 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.
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