Diagnostic and treatment information on autism, Asperger's and related social cognitive deficits for families in Burnaby, Vancouver, Coquitlam, Maple Ridge and the surrounding areas.
Sunday, November 27, 2016
Diagnostic Autism Assessments for Children, Teens and Adults: Burnaby, Vancouver, Coquitlam
Dr. Jim Roche provides diagnostic assessments for Autism Spectrum Disorder for children over 6 to adults. Dr. Roche has been working in the filed of autsim and Asperger's for over 25 years. He has been a teacher, educational psychologist and consultant in the field in California, New York and British Columbia. For more information on assessments or treatment od autism spectrum disorder visit his website at www.relatedminds.com, https://therapists.psychologytoday.com/70682 or at http://www.psychologists.bc.ca/users/jimroche
Labels:
Adult ASD,
Adult Asperger's,
adult autism,
Diagnosis,
testing
Saturday, July 9, 2016
Autism Diagnosis and Treatment in Vancouver, Burnaby, Coquitlam: Child, Teen and Adult
I provide diagnostic services for individuals suspected of having autism spectrum disorder, ASD (formerly called Aspergers Disorder). This includes diagnostic services for children under 19 to obtain ministry funding and qualify for school-based support services.
Additionally I see many adults for suspected autism disorder, and have worked with adults with ASD or "Asperger's" for over 25 years. This includes working on issues of social cognition, social learning, employment, higher education and various legal issues.
I have served as the behaviour management specialist for several school districts, worked as a teacher of children with autism, as a school psychologist and as a clinical psychologist in the field. The focus of much of my work is on "social learning" and applying the techniques and methods of Michelle Garcia Winner to adults. I advise all parents, teens and adults dealing with issues in this area to look over Mitchell's wonderful site and her curriculum materials at www.socialthinking.com
For more information of autism related services that I provide please visit my website at www.relatedminds.com
Additionally I see many adults for suspected autism disorder, and have worked with adults with ASD or "Asperger's" for over 25 years. This includes working on issues of social cognition, social learning, employment, higher education and various legal issues.
I have served as the behaviour management specialist for several school districts, worked as a teacher of children with autism, as a school psychologist and as a clinical psychologist in the field. The focus of much of my work is on "social learning" and applying the techniques and methods of Michelle Garcia Winner to adults. I advise all parents, teens and adults dealing with issues in this area to look over Mitchell's wonderful site and her curriculum materials at www.socialthinking.com
For more information of autism related services that I provide please visit my website at www.relatedminds.com
Labels:
adult asperges's,
adult autism,
asd,
Asperger's,
Asperger's Assessment,
autism,
Burnaby,
Diagnosis,
testing,
Vancouver
Location:
Burnaby, BC, Canada
Thursday, June 9, 2016
Adolescents and Teen Therapy for Asperger's Disorder and Autism Spectrum Disorder
As a Behaviour Interventionist (member of the BC RASP) I am often asked about what services I provide for children and teens with autism spectrum disorder and what was formerly called "Asperger's Disorder."
Of course, many of my patients come for initial assessments of autism spectrum disorder. Additionally, many people see me for significant/severe behavioural issues they are experiencing, that their regular behaviour interventionist can't deal with. This often involves behaviour management consultation, parent training and sometimes working with the schools and classroom teacher to develop specific positive behavioural support programs for an individual student (PBIS). This often involves observations, interviews and sometimes means writing a formal FBA or Functional Behaviour Assessment. Any behaviour plan a school writes should start with a formal FBA. If your child doesn't have an FBA, but is having behavioural problems at school, ask for someone to complete an FBA.
To learn EVERYTHING you need to learn about functional behavioural assessments you could start at the California State webpage: http://www.pent.ca.gov/frm/forms.html
This is by far the most comprehensive site for FBAs available, and I often use these materials exclusively when providing training in behaviour management to school districts. And it's all FREE!
Often parents of children or teens see me just for psychoeducation. They are trying to implement a behaviour plan, a token or other reinforcement system, and need to know exactly how it's done. This, by the way, is covered under your provincial funding for children with autism.
But one place parents often fall down is keeping a child or teen connected with a behavioural therapist or psychologist over the long term, someone they develop a relationship with, feel free to talk to, and who can teach social learning skills over a long period of time. Often I see children or teens, after an initial emergency is over, for an extended period, but only sporadically. We stay in touch to make sure things are going well, and so that I can continue to monitor school programs and deal with issues before they become major problems again.
Some of this takes ppace within the context of what might be called "play therapy," as we play, and talk about feelings, emotional issues and work through them as we engage in activities that are distracting enough to make the child comfortable with the process.
Usually we try to also follow a structured curriculum such as Michelle Winner's "Superflex" curriculum, or one of her other books that are addressed to older teens and young adults.
While I am familiar with ABA, Floor Time and many other behavioural interventions, high functioning teens and young adults with Asperger's or Autism Spectrum Disorder have a high rate of co-morbid disorders such as depression, anxiety or learning disabilities. And...ADHD. These are issues we address together.
CBT or "Cognitive Behavior Therapy" is one of the many wys we teach skills and address issues successfully. CBT is very similar to therapies and skills children with autism spectrum disorder are exposed to in many school programs, such as The Incredible 5-Point Scale and other emotional regulation programs.
For more information please visit my webpage at www.relatedminds.com or http://www.relatedminds.com/autism/
Feel free to contact me to discuss the services I provide. I am happy to answer any of your questions.
Of course, many of my patients come for initial assessments of autism spectrum disorder. Additionally, many people see me for significant/severe behavioural issues they are experiencing, that their regular behaviour interventionist can't deal with. This often involves behaviour management consultation, parent training and sometimes working with the schools and classroom teacher to develop specific positive behavioural support programs for an individual student (PBIS). This often involves observations, interviews and sometimes means writing a formal FBA or Functional Behaviour Assessment. Any behaviour plan a school writes should start with a formal FBA. If your child doesn't have an FBA, but is having behavioural problems at school, ask for someone to complete an FBA.
To learn EVERYTHING you need to learn about functional behavioural assessments you could start at the California State webpage: http://www.pent.ca.gov/frm/forms.html
This is by far the most comprehensive site for FBAs available, and I often use these materials exclusively when providing training in behaviour management to school districts. And it's all FREE!
Often parents of children or teens see me just for psychoeducation. They are trying to implement a behaviour plan, a token or other reinforcement system, and need to know exactly how it's done. This, by the way, is covered under your provincial funding for children with autism.
But one place parents often fall down is keeping a child or teen connected with a behavioural therapist or psychologist over the long term, someone they develop a relationship with, feel free to talk to, and who can teach social learning skills over a long period of time. Often I see children or teens, after an initial emergency is over, for an extended period, but only sporadically. We stay in touch to make sure things are going well, and so that I can continue to monitor school programs and deal with issues before they become major problems again.
Some of this takes ppace within the context of what might be called "play therapy," as we play, and talk about feelings, emotional issues and work through them as we engage in activities that are distracting enough to make the child comfortable with the process.
Usually we try to also follow a structured curriculum such as Michelle Winner's "Superflex" curriculum, or one of her other books that are addressed to older teens and young adults.
While I am familiar with ABA, Floor Time and many other behavioural interventions, high functioning teens and young adults with Asperger's or Autism Spectrum Disorder have a high rate of co-morbid disorders such as depression, anxiety or learning disabilities. And...ADHD. These are issues we address together.
CBT or "Cognitive Behavior Therapy" is one of the many wys we teach skills and address issues successfully. CBT is very similar to therapies and skills children with autism spectrum disorder are exposed to in many school programs, such as The Incredible 5-Point Scale and other emotional regulation programs.
For more information please visit my webpage at www.relatedminds.com or http://www.relatedminds.com/autism/
Feel free to contact me to discuss the services I provide. I am happy to answer any of your questions.
Saturday, May 28, 2016
Behaviour Interventionist /Specialist for Autism Spectrum and Related Disorders
Dr. Jim Roche is a Registered and Licensed Psychologist providing behaviour management and psychological consultation for children, teens and adults with ADHD, ADD, Asperger's Disorder and Autism Spectrum Disorder(ASD). Services include individual, family and couple therapy, assessments and testing 0 including autism assessments and diagnostic services.
Dr. Roche has worked as a psychologist in the field for over 30 years and has provided services as a teacher, school psychologist, licensed and registered psychologist and behaviour management specialist.
For more information see Dr. Roche's website at www.relatedminds.com
Dr. Roche has worked as a psychologist in the field for over 30 years and has provided services as a teacher, school psychologist, licensed and registered psychologist and behaviour management specialist.
For more information see Dr. Roche's website at www.relatedminds.com
Wednesday, May 25, 2016
Autism Diagnostic Services and Behavioural Consultation
Dr. Jim Roche provides autism diagnostic services for children, adolescents and adults suspected of having autism spectrum disorder (ASD) or what was previously referred to as Asperger's Disorder.
Assessment costs vary from case to case, but do not exceed $1,950. Assessments for school related services for children and adolescents may need to include a psychoeducational assessment as well, which is required by school districts to develop an appropriate IEP (Individual Education Plan).
Additionally, Dr. Roche provides treatments and consultation for adults with ASD. This includes individual and couples therapy/counselling.
Finally, Dr. Roche provides behavioural consultation for problematic behaviours which present difficulties in daily life for you, your child or partner. Dr. Roche is a member of the ACT RASP and his services are covered by ministry funding for children under 19.
Please visit his webpage at www.relatedminds.com for further information
Assessment costs vary from case to case, but do not exceed $1,950. Assessments for school related services for children and adolescents may need to include a psychoeducational assessment as well, which is required by school districts to develop an appropriate IEP (Individual Education Plan).
Additionally, Dr. Roche provides treatments and consultation for adults with ASD. This includes individual and couples therapy/counselling.
Finally, Dr. Roche provides behavioural consultation for problematic behaviours which present difficulties in daily life for you, your child or partner. Dr. Roche is a member of the ACT RASP and his services are covered by ministry funding for children under 19.
Please visit his webpage at www.relatedminds.com for further information
Thursday, April 21, 2016
Concerns about autism spectrum disorder: Where to get advice, a diagnosis and treatment in Vancouver/Burnaby and the lower mainland.
I conduct diagnostic assessments for autism spectrum disorder (ASD), sometimes called Asperger's Disorder, with individuals aged 6 and above. There are special conditions for those below the age of six involving a team of professionals that I cannot make arrangements for, however, another member of a team may ask me to participate in such an investigation. Private assessments are costly, with the cost ranging from $1,600-$1,950. The BC government does provide for these assessments through their own system. If you wish to make arrangements for the government to provide an assessment please see your family doctor who may refer you to the British Columbia Autism Assessment Network (BCAAN) for assessment and diagnosis. There are, sometimes, substantial waiting lists. Also, while at one age a child may not meet the criterion for a diagnosis, as two, three or more years go by patterns may develop that make the diagnosis much clearer, and sometimes it is very difficult to arrange a second assessment, so families often contact a private psychologist such as myself.
From the BCAAN site: "BCAAN is responsible for assessing and diagnosing children in British Columbia who may have Autism Spectrum Disorder (ASD) and will arrange for an assessment to be done as close to where you live as possible. There is no charge for their services. For more information on ASD diagnosis and testing, visit the BCAAN website or contact BCAAN at 604 453-8343."
Often parents who wish to arrange for a private diagnostic assessment. BCANN states: "These assessments must meet the same standards and guidelines as BCAAN assessments. The clinician will need to complete a Non-BCAAN (Private) Diagnosis of Autism Spectrum Disorder form to document the diagnosis if the family wishes to apply for Autism Funding programs. Parents are responsible for any costs charged by the private clinician." Clinicians who provide these services must have specific tools and experience, these include the use of the ADOS and ADI-R assessment instruments, required by the provincial government to accept the practitioner's diagnosis. Many times parents see a practitioner who is not familiar with the government requirements, and then, regretfully, need to have a new assessment completed. Make sure your provider knows their way around these regulations.
I complete diagnostic assessments on children, adolescents/teens, as well as adults who suspect they have autism spectrum disorder, or what previously had been referred to as "Asperger's Disorder." In addition to being a registered psychologist I am also an approved member of the RASP list of behaviour interventionists, and my services (after diagnosis and acceptance of the diagnosis by the ministry) are paid for through ministry fundings. I provide autism consultation services to parents, families, brothers and sisters of children or teens with autism spectrum disorder or "Asperger's" who may be having relational difficulties, I provide training and consultation to individual teachers, schools, and the workplace of many young adults. i also provide couples therapy for individuals who are in relationships and one or both may have autism spectrum disorder of "Asperger's Disorder." These services are provide in my Burnaby office, and some arrangements can be made for my Vancouver office.
If your child is diagnosed with ASD, you may be eligible to receive funding from the ministry's Autism Funding Programs. If your child does not have ASD, there may be other services to assist you and your child such as tax credits or special education services and supports based upon other issues such as learning disorders, ADHD or dyslexia. Many of these issues require additional testing, such as a psychoeducational assessment.
My services are available to those with autism spectrum disorder of any age. Please contact me through my webpage at www.relatedminds.com. Email is the best way to make arrangements for an initial meeting, as I am often with patients throughout the day.
Labels:
asd,
Asperger's,
autism spectrum disorder,
Burnaby,
Diagnosis,
psychologist,
Vancouver
Location:
Production Way, Burnaby, BC V5A, Canada
Wednesday, April 20, 2016
Couple Therapy for Families Dealing with Autism Spectrum Disorder, Asperger's and Related Cognitive Disorders
Dr. Jim Roche provides individual and couple therapy for families dealing with autism spectrum disorder/ Asperger's. Dr. Roche has been working with adults and couples dealing with autism/Asperger's for over twenty years as a registered family therapist and licensed/registered psychologist. His post-graduate background in neuropsychology and specific training in couples counselling make him uniquely qualified to help couples dealing with this complex issue.
Dr. Roche has also completed training in Gottman Couple's Counselling and holds an advanced certificate in Cognitive Behaviour Therapy from the Albert Ellis Institute in New York City. He has also served as an autism consultant for the province and worked as a behaviour management
specialist for several school districts.
Dr. Roche also provides autism diagnostic assessments and is a member of the ACT/RASP. Services can be paid for through Ministry Autism Services.
For more information visit his website at:
www.relatedminds.com
http://www.actcommunity.ca/resource/902/
http://www.psychologists.bc.ca/users/jimroche
https://therapists.psychologytoday.com/rms/70682
http://www.ementalhealth.ca/index.php?m=record&ID=21201
Dr. Roche has also completed training in Gottman Couple's Counselling and holds an advanced certificate in Cognitive Behaviour Therapy from the Albert Ellis Institute in New York City. He has also served as an autism consultant for the province and worked as a behaviour management
specialist for several school districts.
Dr. Roche also provides autism diagnostic assessments and is a member of the ACT/RASP. Services can be paid for through Ministry Autism Services.
For more information visit his website at:
www.relatedminds.com
http://www.actcommunity.ca/resource/902/
http://www.psychologists.bc.ca/users/jimroche
https://therapists.psychologytoday.com/rms/70682
http://www.ementalhealth.ca/index.php?m=record&ID=21201
Monday, April 4, 2016
Assessment and Treatment for Adults with Asperger's Disorder and High-Functioning Autism
In addition to services for children and adolescents with Asperger's or Autism Spectrum Disorder I am one of the few providers in BC with extensive experience working with young adults and adults with autism and Asperger’s Disorder / Syndrome. As a matter of fact, over the past twenty years more and more of my practice has focused on working with young adults and family,social, school or work-place issues. This includes social coaching, work-place evaluations, intervention planning and family consultations. I see numerous couples where one or both members have or suspect they have ASD. I also complete comprehensive diagnostic evaluations of adult Aspergers for ASD. These assessments are often used for disability tax credits, qualifying for different types of disability support programs, or qualifying for accommodations and support services in school, university of the workplace.
In addition to services for children and adolescents with Asperger's or Autism Spectrum Disorder I am one of the few providers in BC with extensive experience working with young adults and adults with autism and Asperger’s Disorder / Syndrome. As a matter of fact, over the past twenty years more and more of my practice has focused on working with young adults and family,social, school or work-place issues. This includes social coaching, work-place evaluations, intervention planning and family consultations. I see numerous couples where one or both members have or suspect they have ASD. I also complete comprehensive diagnostic evaluations of adult Aspergers for ASD. These assessments are often used for disability tax credits, qualifying for different types of disability support programs, or qualifying for accommodations and support services in school, university of the workplace.
Services for Autism and Asperger's Disorder / Syndrome
- Assessment and Diagnostic Services (autism, Asperger’s, ADHD and related disorders). Assessments for Asperger's and high-functioning autism spectrum disorder (ASD) cost a maximum of $1,950. Forensic assessment, those involving legal or workplace issues, are billed on an individual basis.
- Workplace consultations and site-based education programs
- Community-based social coaching programs for individuals with high-functioning autism and Asperger’s Disorder / Syndrome
- Educational / Social coaching for young adults in the workplace, college, and similar settings
- Social coaching for adults with high-functioning autism, Asperger's Disorder/Syndrome
- Couples counselling for couples dealing with adult autism, adult Asperger's Disorder /Syndrome
Frequently Asked Questions (FAQs):
What is Your Background for Providing Treatment for Adults with Asperger's and High Functioning Autism?
My background for working with adults starts with my work with children and adolescents for over two decades. Understanding adult ASD symptoms requires being familiar with the developmental issues of Asperger's and high-functioning autism. I have worked as a teacher of special education, a school psychologist, a district behaviour specialist for autism and a provincial consultant for autism and related disorders providing consultation throughout the province of British Columbia.
What is Your Background for Providing Treatment for Adults with Asperger's and High Functioning Autism?
My background for working with adults starts with my work with children and adolescents for over two decades. Understanding adult ASD symptoms requires being familiar with the developmental issues of Asperger's and high-functioning autism. I have worked as a teacher of special education, a school psychologist, a district behaviour specialist for autism and a provincial consultant for autism and related disorders providing consultation throughout the province of British Columbia.
Three other important skills and experience also come into play in working with adults with Asperger's Disorder or high-functioning autism. First, I have several years of experience working as a neuropsychological consultant with Rehab Without Walls in California which provided me with experience in working with workplace related problems. Second, many adults come to me with concerns about their relationships, including couple relations and relations as a parent. Before becoming a registered psychologist I was a licensed and Registered Marriage and Family Therapist and have worked as a couple and family therapist for over 30 years. This includes advanced training in the Gottman Couple's Therapy technique. Third, one of the most commonly used individual therapy techniques when working with adults with Asperger's or High Functioning Autism is Cognitive Behavioural Therapy or CBT. I hold an advanced certificate in CBT from the Albert Ellis Institute in New York City. My original training in psychology was in behaviour therapy, which is often a critical knowledge base when teaching individuals specific compensatory skills.
What are some of the aims of therapy for adults with Asperger's or high functioning autism?
- to teach new cognitive and behavioral skills that were never learned
- to teach compensatory strategies for deficits that cannot be changed
- to facilitate self-acceptance
- to teach strategies to decrease or prevent symptoms of co-morbid mental health problems, such as anxiety disorders and depression
Most importantly, I try to help you discover ways to make life easier, how to reach your goals, and try to help you be as happy and fulfilled in life as you want to be.
Do you work with ADHD (Attention-Deficit/Hyperactivity Disorder) and Executive Dysfunction?
ADHD is now often diagnosed along with Asperger's Disorder of High Functioning Autism. Much of my work with children, adolescents and adults focuses on ADHD and deficits of executive function. Executive function is the concept referring to the cognitive processes required to plan and direct activities, including what we refer to as task-initiation and follow-through, working memory, sustained attention, performance monitoring, inhibition of impulses, and goal-directed persistence. It also affects an individual's ability to control and modulate their emotions.
ADHD is now often diagnosed along with Asperger's Disorder of High Functioning Autism. Much of my work with children, adolescents and adults focuses on ADHD and deficits of executive function. Executive function is the concept referring to the cognitive processes required to plan and direct activities, including what we refer to as task-initiation and follow-through, working memory, sustained attention, performance monitoring, inhibition of impulses, and goal-directed persistence. It also affects an individual's ability to control and modulate their emotions.
Many clients I see have deficits in executive functioning which prevents them from having the necessary skills to perform well in school, work or in social settings. With these clients we often need to make diagnostic decisions through testing and assessment, and then develop an individualized treatment plan addressing school, home and work. This might involve individual behavioural therapy, school or work consultation, referral to medical professionals, and psychoeducation.
I often provide reading material, training videos and demonstrate and practice specific intervention techniques with clients. Much of the work we do in the area of ADHD is based upon the research and treatment programs developed by Dr. Russell Barkley. Please refer to my ADHD/ADD page for more information.
What about Anxiety, Depression or Family Issues?
Adolescents and adults are seen for both diagnostic assessments and treatment of depression, anxiety and behaviour problems that might arise out of environmental or interpersonal situations. These individuals might take part in cognitive based therapy or counselling, or they might be provided with more traditional supportive therapy. Anxiety and depression are frequent co-morbid disorders for adults with Asperger's Disorder or high-functioning autism and need to be addressed in treatment.
Adolescents and adults are seen for both diagnostic assessments and treatment of depression, anxiety and behaviour problems that might arise out of environmental or interpersonal situations. These individuals might take part in cognitive based therapy or counselling, or they might be provided with more traditional supportive therapy. Anxiety and depression are frequent co-morbid disorders for adults with Asperger's Disorder or high-functioning autism and need to be addressed in treatment.
How Do I Make an Appointment and is there a Waiting List?
You may phone my office at 778.998-7975 or email me to begin setting up an appointment. I always start by meeting for an initial session to gather a developmental history, hear about your current issues, and to develop a plan of where to go from here. An assessment may or may not be the best choice, and you should fully understand what your options are before proceeding. Fees for initial and ongoing sessions are $185.00 per hour and may be paid by cash, check or through PayPal.
You may phone my office at 778.998-7975 or email me to begin setting up an appointment. I always start by meeting for an initial session to gather a developmental history, hear about your current issues, and to develop a plan of where to go from here. An assessment may or may not be the best choice, and you should fully understand what your options are before proceeding. Fees for initial and ongoing sessions are $185.00 per hour and may be paid by cash, check or through PayPal.
Please visit my website at:
Tuesday, March 8, 2016
What's "Social Thinking?" (Autism Spectrum Disorder in Burnaby and Vancouver, BC)
I often start sessions asking the parents of adults I see to define , as they understand it, autism spectrum disorder or Asperger's Disorder as many call it. I then define it myself, decribing issues relating to "social thinking."
Hrre is what Michelle Garcia Winner says about social thinking:
"Social Thinking is what we do when we share space with others and when sending an email, sitting in a classroom, lining up at the grocery store, reading a work of fiction, watching a funny video clip, participating in a business meeting, driving in traffic, and a host of other daily activities that involve our social interpretation and related reactions. We consider the context; take in the thoughts, emotions and intentions of the people with whom we are interacting and use that information to determine how we respond. How we think about people affects how we behave, which in turn affects how others respond to us, which in turn affects our own emotional internal and external responses. It's an incredibly complex process that most of us take for granted."
From https://www.socialthinking.com/Articles?name=Introduction%20to%20Social%20Thinking
My best example of social thinking is coming toa cross walk and looking, very briefly, for a second or two, at the face and eyes of the driver about to take the turn and making a jusdgement about them. Will they stop? Will they wait for me? Will they ignore the rules of the road? and thendeciding what to go...cross, or wait. These are the kinds of daily decisions we make by reading what is in other people's heads, and making social decision based upon their eye contact, facial expression, posture and any other social hints I might find in my view.
This kind of social thinking comes natuarally to most of us, but to those with high functioning autism, what use to be called "Asperger's Disorder," these decisions and this swift and non-verbal communication is difficult. Sometimes just slow. And over the years, as they have many social experiences that don't work out, were misread and lead to less than hopeful results, they often develop anxiety about social thinking, about taking action in social situation, and can become isolated and simply not develop appropriate skills as they grow.
an initial and critical component to interventions for children, teens or adults with autism spectrum disorder, ASD or Aspeger's, is to get an understanding of these basics. To know what ASD is well enough to describe it, recognize it, and then and only then do we move on to doing something about it....when and where we want to.
Michelle Garcia Winner describes Social Thinking interventions on the links below, and I invite you to go to those web pages and get an understanding yourself. In my own practice, where I see children, teens and adults for autism spectrum disorder diagnosis as well as treatment, I use Michelle's materials throughout the intervention process. She has an excellent set of curriculum materials for home and school, and this is a resource no parent or adult with autism should be without.
Vistit here website at www.socialthinking.com
Other articles that might be of interest include these:
Hrre is what Michelle Garcia Winner says about social thinking:
"Social Thinking is what we do when we share space with others and when sending an email, sitting in a classroom, lining up at the grocery store, reading a work of fiction, watching a funny video clip, participating in a business meeting, driving in traffic, and a host of other daily activities that involve our social interpretation and related reactions. We consider the context; take in the thoughts, emotions and intentions of the people with whom we are interacting and use that information to determine how we respond. How we think about people affects how we behave, which in turn affects how others respond to us, which in turn affects our own emotional internal and external responses. It's an incredibly complex process that most of us take for granted."
From https://www.socialthinking.com/Articles?name=Introduction%20to%20Social%20Thinking
My best example of social thinking is coming toa cross walk and looking, very briefly, for a second or two, at the face and eyes of the driver about to take the turn and making a jusdgement about them. Will they stop? Will they wait for me? Will they ignore the rules of the road? and thendeciding what to go...cross, or wait. These are the kinds of daily decisions we make by reading what is in other people's heads, and making social decision based upon their eye contact, facial expression, posture and any other social hints I might find in my view.
This kind of social thinking comes natuarally to most of us, but to those with high functioning autism, what use to be called "Asperger's Disorder," these decisions and this swift and non-verbal communication is difficult. Sometimes just slow. And over the years, as they have many social experiences that don't work out, were misread and lead to less than hopeful results, they often develop anxiety about social thinking, about taking action in social situation, and can become isolated and simply not develop appropriate skills as they grow.
an initial and critical component to interventions for children, teens or adults with autism spectrum disorder, ASD or Aspeger's, is to get an understanding of these basics. To know what ASD is well enough to describe it, recognize it, and then and only then do we move on to doing something about it....when and where we want to.
Michelle Garcia Winner describes Social Thinking interventions on the links below, and I invite you to go to those web pages and get an understanding yourself. In my own practice, where I see children, teens and adults for autism spectrum disorder diagnosis as well as treatment, I use Michelle's materials throughout the intervention process. She has an excellent set of curriculum materials for home and school, and this is a resource no parent or adult with autism should be without.
Vistit here website at www.socialthinking.com
Other articles that might be of interest include these:
- The Social Communication Dance: The Four Steps of Communication
- Social Thinking®: A Developmental Treatment Approach for Students with Social Learning/Social Pragmatic Challenges
- Explaining Social Thinking to Others: The Big Picture in Sound Bites
- Social Behavior Mapping: Connecting Behavior, Emotions, and Consequences Across the Day
For more information about my practice in Burnaby and Vancouver, where I see children, adolescents and adults for diagnosis and treatment, please visit my website at:
http://www.psychologists.bc.ca/users/jimroche
https://therapists.psychologytoday.com/rms/70682
I am a Registered Psycholgist in BC, and a member of the RASP list of ACTBC Behaviour Interventionists. Services to children and adolescents with ASD are often covered by BC Ministry funding.
https://therapists.psychologytoday.com/rms/70682
I am a Registered Psycholgist in BC, and a member of the RASP list of ACTBC Behaviour Interventionists. Services to children and adolescents with ASD are often covered by BC Ministry funding.
Location:
Production Way, Burnaby, BC V5A, Canada
Monday, March 7, 2016
Behaviour Interventionist Burnaby / Vancouver
I provide behaviour interventionist services in my Burnaby office for individuals with autism spectrum disorder (ASD and Asperger's disorder. I am a member of the ACT (Autism Community Training) RASP list and my services are covered under minsitry funding programs for children and teens.
Most of my services are focused on specific behavioural problems which parents and consultants are having a hard time dealing with. I provide parent training, consultation and some school based training and consltation. I have workd as the behaviour management specialist for several school districts and as a provincial autism consultant through the Provinical Outreach Program for Autism and Related Services (POPARD). I am deeply familiar with school based programs and have supervised and cnsulted with many professionals in local districts.
Two other things that I provide in my pracritce:
First, I provide autism diagnosist services. If you suspect your child has autism an appointment can usually be set up within 10 days to 2 weeks. I prioritize my cases with individuals with autism spectrum disorder because I am aware how few services there are here in BC. Please visit my website for more information on arranging an appointment for an autism diagnostic consultation. I require an initial 1 hour session to discuss current symptoms and history. The cost of this session is $175.00 and this is part of the overall costs if we decide to move forward with testing.
I also see children and teens in my office for individual therapy. This therapy usually is focused on issues of communications and follows the structure of interventions you will find in the work of Michelle Winner ( Social Thinking). Often these sessions include a period of play therapy, some didactic training and skills development, and then a period of feedback with parents so that they will understand the process and be able to impliment supportive skills trainng in the home.
In addition to diagnosising and providing therapy for autism spectrum disorder / Aspegers disorder, I also focus much of my practice on ADHD and executive dysfunction issues. These are often co-morbid with a diagnosis of ASD.
Finally, I not only provide autism spectrum disorder services to children and teens, but also to adults as well, and see patients from across the lifespan.
Please visit my website at www.relatedminds.com or http://www.relatedminds.com/autism and contact me if you have any questions I can help you with.
Most of my services are focused on specific behavioural problems which parents and consultants are having a hard time dealing with. I provide parent training, consultation and some school based training and consltation. I have workd as the behaviour management specialist for several school districts and as a provincial autism consultant through the Provinical Outreach Program for Autism and Related Services (POPARD). I am deeply familiar with school based programs and have supervised and cnsulted with many professionals in local districts.
Two other things that I provide in my pracritce:
First, I provide autism diagnosist services. If you suspect your child has autism an appointment can usually be set up within 10 days to 2 weeks. I prioritize my cases with individuals with autism spectrum disorder because I am aware how few services there are here in BC. Please visit my website for more information on arranging an appointment for an autism diagnostic consultation. I require an initial 1 hour session to discuss current symptoms and history. The cost of this session is $175.00 and this is part of the overall costs if we decide to move forward with testing.
I also see children and teens in my office for individual therapy. This therapy usually is focused on issues of communications and follows the structure of interventions you will find in the work of Michelle Winner ( Social Thinking). Often these sessions include a period of play therapy, some didactic training and skills development, and then a period of feedback with parents so that they will understand the process and be able to impliment supportive skills trainng in the home.
In addition to diagnosising and providing therapy for autism spectrum disorder / Aspegers disorder, I also focus much of my practice on ADHD and executive dysfunction issues. These are often co-morbid with a diagnosis of ASD.
Finally, I not only provide autism spectrum disorder services to children and teens, but also to adults as well, and see patients from across the lifespan.
Please visit my website at www.relatedminds.com or http://www.relatedminds.com/autism and contact me if you have any questions I can help you with.
Tuesday, March 1, 2016
Adult Diagnosis of Autism Spectrum Disorder and Asperger's Disorder
The diagnosis of autism spectrum disorder (ASD), sometimes referred to as "Asperger's Disorder" can be very difficult for a family practitioner due to the amount of time and the instruments and tools used to complete a comprehensive examination.
While many people make a determination by filling out an on-line form, the diagnsis is actually far more complex. In British Columbia an "offical" diagnosis of autism spectrum disorder, especially high functioning autism which until recently was referred to as Asperger's Disorder - sometimes also diagnosed as "non-Verbal LEarning Disorder" requires several specific tests. For children under six a team is required, including a psychologist, physician and a speech pathologist. The reason a team is required is that autism can often look like other disorders, and other disorders can often look just like autism. Here the Ministry of Children and Families also requires specific tests be used. These include AT LEAST the ADOS- Autism Diagnossit Observation System, which is a procedural test that looks at current symptoms and behaviours, and the ADI-R, the Autism Diagnositic Interview Revised, which is a highly structured history. These are necessary for recognition of ASD by schools and the ministry.
When assessing/testing adult I use these same tests, as an autism diagnosis in BC can be used for obtaining tax credits, social services and most often accomodations at school, college, university and the workplace.
In addition to these specific tests and procedures I also administer a series of neuropsychological tests and personality assessments in order to rule out other possible causes of the symptoms. Additionally individuals with autism spectrum disorder/ adult Asperger's can also have co-morbid disorders, such as depression, anxiety, OCD and ADHD. This comprehensive look at your symptoms and hisotry helps guide treatment choices.
The cost of such an assessment is $1,200-1,600, depending upon the complexity. Regretfully, these costs are not covered by provincial MSP (medical Service Plan) but some costs may be covered by your extended health care plan.
My schedule allows me to see most individuals who are seeking an assessment for adult autism spectrum disorder within 3-4 weeks, as I try not to schedule out more than 4-6 weeks in advance, and prioritize adult autism spectrum disorder assessments as there are few professionals in the lower mainland with the ability or experience necessary to do these assessments.
For more information on adult autism spectrum disorder assessments please visit my web page and contact me by phone or by completing the form on the web page. I am a Registered Psychologist in British Columbia with over 25 years experience in the field of autism, including working as a special education teacher for students with autism spectrum disorder, as a school district behaviour management specialist and as a provincial autism consultant. I have also worked as a rehabilitation psychologist and neuropsychologist with adults returning to the workplace. This hands on experience with individuals across the spectrum of ages and development provides me with a unique set of skills and knowledge base.
Web page: www.relatedminds.com
http://www.relatedminds.com/autism/
http://www.relatedminds.com/adult-autism-and-aspergers-disorder/
While many people make a determination by filling out an on-line form, the diagnsis is actually far more complex. In British Columbia an "offical" diagnosis of autism spectrum disorder, especially high functioning autism which until recently was referred to as Asperger's Disorder - sometimes also diagnosed as "non-Verbal LEarning Disorder" requires several specific tests. For children under six a team is required, including a psychologist, physician and a speech pathologist. The reason a team is required is that autism can often look like other disorders, and other disorders can often look just like autism. Here the Ministry of Children and Families also requires specific tests be used. These include AT LEAST the ADOS- Autism Diagnossit Observation System, which is a procedural test that looks at current symptoms and behaviours, and the ADI-R, the Autism Diagnositic Interview Revised, which is a highly structured history. These are necessary for recognition of ASD by schools and the ministry.
When assessing/testing adult I use these same tests, as an autism diagnosis in BC can be used for obtaining tax credits, social services and most often accomodations at school, college, university and the workplace.
In addition to these specific tests and procedures I also administer a series of neuropsychological tests and personality assessments in order to rule out other possible causes of the symptoms. Additionally individuals with autism spectrum disorder/ adult Asperger's can also have co-morbid disorders, such as depression, anxiety, OCD and ADHD. This comprehensive look at your symptoms and hisotry helps guide treatment choices.
The cost of such an assessment is $1,200-1,600, depending upon the complexity. Regretfully, these costs are not covered by provincial MSP (medical Service Plan) but some costs may be covered by your extended health care plan.
My schedule allows me to see most individuals who are seeking an assessment for adult autism spectrum disorder within 3-4 weeks, as I try not to schedule out more than 4-6 weeks in advance, and prioritize adult autism spectrum disorder assessments as there are few professionals in the lower mainland with the ability or experience necessary to do these assessments.
For more information on adult autism spectrum disorder assessments please visit my web page and contact me by phone or by completing the form on the web page. I am a Registered Psychologist in British Columbia with over 25 years experience in the field of autism, including working as a special education teacher for students with autism spectrum disorder, as a school district behaviour management specialist and as a provincial autism consultant. I have also worked as a rehabilitation psychologist and neuropsychologist with adults returning to the workplace. This hands on experience with individuals across the spectrum of ages and development provides me with a unique set of skills and knowledge base.
Web page: www.relatedminds.com
http://www.relatedminds.com/autism/
http://www.relatedminds.com/adult-autism-and-aspergers-disorder/
Labels:
ACT,
adult Aspergers,
adult autism,
asd,
Asperger's Disorder,
autism,
Burnaby,
New Westminster,
RASP,
Vancouver
Location:
Production Way, Burnaby, BC V5A, Canada
Thursday, January 14, 2016
Therapy for Teens and Young Adults with Asperger's / Autism in Vancouver and Burnaby
While some schools provide small groups to work on skills training with students with Aspeger's Disorder, it seems to be the exception here in the lower mainland. Children, teens and young adults with autism spectrum disorder, especially those who are higher functioning and until recently we would have said they had "Aspergers Disorder," need supportive servies for a number of issues. These services can be provided in several different ways:
1. In small groups, such as what one might find in a school setting. This type of group, often called a "social thinking" group is often directed by a psychologist or school speech pathologist. The most frequent type of group that we see are those modelled after Michelle Garcia Winner's Social Thinking program, and address issues such as developing the ability to engage in small-talk, learning to "read others," by studying their entire body and learning to use methods to gather information that they can use to engage in the give and take of conversation, and sometimes direct learning and practice using another of Michelle's curriculums such as her "Social Behavior Mapping" program. You can see many of these materials at her website" www.socialthinking.com
2. When groups and school based programs are not available many children, teens and adults use one-to-one therapy to learn and practice these skills. Sessions might include some diadactic learning, some conversation time and then a period to reflect on the quality of the conversation and on issues relating to their experiences in other environments, such as school, home or the workplace. While I organize and sometimes direct small groups through schools, in my private practice much of my time is spent providing these types of services. I find that most individuals can make use of Mitchell's materials, and keeping the focus on skill development for reciprocal conversation skills is key. Many adults see me because of relationship issues, and problems in the workplace relating to asperger's and communications problems.
In addition to these language based services, I often spend a good deal of time directly teaching skills relating to anxiety, stress, and for many, depression. Manby of my patients have previously seen therapists or counsellors who have tried to address issues like anxiety, stress and depression who are not familiar with autism spectrum disorder and how it effects individuals across the lifespan.
3. The third way I often see patients about asperger's or autism spectrum disorder is through my services as a family therapist. This might mean working with a couple, or working with parents, providing parent education and behavioral skills training.
For those with children who have provincial funding I am a registered behavior specialist with ACT - Autism Community Training, and my services for children or teens can be billed directly to the Ministry. If you suspect your child or teen has autism spectrum disorder I also provide diagnostic / testing services that help you meet the qualifications for BC autism funding.
Adult services are often covered by their extended health plans, and in some cases cololege, universities and employers help with payments. Most individuals with autism spectrum disorder - Asperger's Disorder - also qualify for tax benifits, which can help defer the costs.
For more information on my services please feel free to contact me through my website at www.relatedminds.com, or call 778.998-7975
Dr. Jim Roche is a licensed and Registered Psychologist with over 30 years experience in the field of autism, education and neuropsychological assessment.
KEY WORDS: Autism, Asperger's Disorder, Burnaby, Vancouver, Coquitlam, New Westminster
1. In small groups, such as what one might find in a school setting. This type of group, often called a "social thinking" group is often directed by a psychologist or school speech pathologist. The most frequent type of group that we see are those modelled after Michelle Garcia Winner's Social Thinking program, and address issues such as developing the ability to engage in small-talk, learning to "read others," by studying their entire body and learning to use methods to gather information that they can use to engage in the give and take of conversation, and sometimes direct learning and practice using another of Michelle's curriculums such as her "Social Behavior Mapping" program. You can see many of these materials at her website" www.socialthinking.com
2. When groups and school based programs are not available many children, teens and adults use one-to-one therapy to learn and practice these skills. Sessions might include some diadactic learning, some conversation time and then a period to reflect on the quality of the conversation and on issues relating to their experiences in other environments, such as school, home or the workplace. While I organize and sometimes direct small groups through schools, in my private practice much of my time is spent providing these types of services. I find that most individuals can make use of Mitchell's materials, and keeping the focus on skill development for reciprocal conversation skills is key. Many adults see me because of relationship issues, and problems in the workplace relating to asperger's and communications problems.
In addition to these language based services, I often spend a good deal of time directly teaching skills relating to anxiety, stress, and for many, depression. Manby of my patients have previously seen therapists or counsellors who have tried to address issues like anxiety, stress and depression who are not familiar with autism spectrum disorder and how it effects individuals across the lifespan.
3. The third way I often see patients about asperger's or autism spectrum disorder is through my services as a family therapist. This might mean working with a couple, or working with parents, providing parent education and behavioral skills training.
For those with children who have provincial funding I am a registered behavior specialist with ACT - Autism Community Training, and my services for children or teens can be billed directly to the Ministry. If you suspect your child or teen has autism spectrum disorder I also provide diagnostic / testing services that help you meet the qualifications for BC autism funding.
Adult services are often covered by their extended health plans, and in some cases cololege, universities and employers help with payments. Most individuals with autism spectrum disorder - Asperger's Disorder - also qualify for tax benifits, which can help defer the costs.
For more information on my services please feel free to contact me through my website at www.relatedminds.com, or call 778.998-7975
Dr. Jim Roche is a licensed and Registered Psychologist with over 30 years experience in the field of autism, education and neuropsychological assessment.
KEY WORDS: Autism, Asperger's Disorder, Burnaby, Vancouver, Coquitlam, New Westminster
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