Children within this 0 – 5 year age range often present with difficulties with sleeping, eating, temper tantrums and toileting. Although these are very “everyday” type difficulties, the anxiety, disruption and distress they can cause is often enormous – both to the child him or herself but perhaps even more so, to the child’s parents. These difficulties usually respond extremely well to a brief clinical psychology intervention.
Once children have started at school, problems such as school refusal and school phobia can sometimes develop. Other anxiety difficulties can also emerge and sometimes within this age range, obsessive-compulsive type symptoms can be a cause for concern. Friendship and peer relationship problems sometimes develop and behavioural compliance difficulties may also present. In the case of all such difficulties, here at The Psychology Practice, following a thorough assessment, appropriate clinical psychology intervention tailored to the needs of the individual child and his/her family (and including liaison with school, when appropriate) regularly yields very positive improvements and a speedy return to “normal” life.
Adolescence is typically a stormy time and to some extent, psychological “ups and downs” form a normal part of this developmental stage. At times, however, this pattern can become more extreme, with behaviours, emotions and moods that are distressing and worrying for the young people themselves and for their parents, families and friends.
Within this age group, for example, problems with depression, anxiety, obsessive-compulsive type behaviours, self-esteem difficulties and peer relationship problems all occur with some frequency. In almost all cases, the clinical psychology assessment and individually tailored intervention offered at The Psychology Practice, including individual therapy such as cognitive-behavioural therapy and family based inputs, yields significant positive change, often over a relatively short period of time.
Within this age group, however, it is also the case that more serious presentations can develop, including deliberate and dangerous self harm, suicide attempts, substance abuse and serious eating disorders. In these cases, clinical psychology input is most appropriately and most effectively offered as part of a team or multi-disciplinary approach. The service at The Psychology Pracice only offers input to such teenagers when a multi-disciplinary approach, including if needed, psychiatric input, can be organised.
Bereavement is of course a normal part of life but for a child bereaved of a parent, sibling or other close relative, the world can suddenly feel far from normal. Clinical psychology input, offered to the child him or herself and /or to family and friends caring for that child can help promote a healthy resolution of grief and a gradual resumption of “normal” life.
In situations where a death is anticipated, Dr Krasner and her associates can also work with families, helping children to prepare for their loss.
All children, regardless of their ages, are likely to be affected in some way by their parents’ decisions to separate or divorce. The Psychology Practice offers a specialist service “Children in Mind” targeting this group of children. “Children in Mind” is a dedicated service for parents who wish to seek consultation regarding how they might best communicate with their children regarding their separation and how to manage this process whilst being mindful of their children’s developmental and psychological needs at this time. This service is provided for parent(s) attending without their children. In addition, at The Psychology Practice, assessment and psychotherapeutic intervention is offered to those children and teenagers struggling either immediately or in the longer term with their parents’ separation/divorce.
Throughout childhood and adolescence, developmental difficulties and special needs of any kind can make for a more stressful life, both for the child concerned and for parents. This can lead to behavioural problems, additional anxieties and sometimes to depression too, as the child concerned becomes aware of the discrepancies between his/her abilities and those of peers and siblings.
Here at The Psychology Practice we offer a specialist and dedicated service to address the complex psychological needs of children with special needs and their families. This includes:
- Understanding and managing attention deficit, hyperactivity and concentration disorders
- Understanding and managing children with autism spectrum disorders
Children with this range of difficulties are often extremely challenging to manage, both at home and at school. Based on a thorough individual and family assessment, clinical psychology input at The Psychology Practice can give parents and the children themselves access to a variety of interventions designed to help with behaviour, focusing and concentration (both with or without prescribed medication) and ultimately, to enable children to maintain control themselves over their behaviour, concentration and activity levels.
Throughout their development, and indeed, into adulthood, children with autism spectrum disorders (ASD) can develop extremely challenging emotional and behavioural difficulties. These can include intransigent and inappropriate rituals, difficulties with changes in routine, aggression, depression, anxieties and children’s struggles with understanding their own difficulties. Clinical psychology input here at The Psychology Practice can provide expert interventions for children with ASD and their families. Dr Krasner and her Associates’ work in this area is based on over 20 years of expertise, and includes not only work with children and families but also the provision of expert consultancy for schools, special schools and colleges.
Patients come to The Psychology Practice via a variety of referral routes. Many are referred by another health care or educational professional and we also welcome families who refer themselves independently. Prior to making an appointment, all parents are welcome to contact Dr Krasner for an informal discussion.
Many of the children, adolescents, young adults and their families seeking help from Dr Krasner and her Associates at The Psychology Practice do so on the recommendation and referral of another health or education practitioner. This can include:
• General Practitioner (GP) or family doctor.
• Child & Adolescent Psychiatrist.
• Other medical specialist or consultant.
• Speech & Language Therapist, Physiotherapist or Occupational Therapist.
• Head Teacher.
• Educational Psychologist.
Please note that most health insurance companies require a GP referral (and some require a child psychiatric referral) in order to authorise a claim for clinical psychology assessment and treatment. Please check with your health insurers. See also Fees and Funding on the 'Contacts and Appointments' page.
Dr Krasner and her Associates are happy to accept referrals of children and teenagers made independently by their parents. Parents are also very welcome to self refer for parenting help, and young adults (that is those over 18 years of age) are also able to refer themselves independently for assessment and treatment. Self and independently referring patients should be aware however that they may not be able to utilise their health insurance without a professional referral as specified by their health insurance company, (see Fees and Funding on the 'Contacts and Appointments' page).
For your overall welfare, whether you are consulting at The Psychology Practice via a professional or an independent referral, it is normal practice for Dr Krasner and her Associates to inform your G.P and /or referring specialist that you are consulting at The Psychology Practice and to send him/her a brief summary of the assessment and treatment of you or your child. If you do not wish your clinical psychologist to do this, please discuss this at your first appointment.