Our Journey

Recently an old friend from college reached out to me after seeing my first NJCTS blog post. We hadn’t spoken in well over 10 years and we were both surprised by this new common bond we had. Her oldest daughter was just diagnosed with Tourette syndrome at age 7. My friend was looking for some support, still processing her daughter’s diagnosis and still reeling from the shock. She wanted to know about our experience having two children with TS.  How old were my kids when they were diagnosed? What were their initial symptoms? How are they doing now? Are they on medication? Which ones? Are they in therapy? How’s it going? How about school? Do they have special accommodations? We immediately knew that a 20 mins phone call wasn’t going to cut it! We need more time and we are in the process of creating that. This experience gave me the idea to write a new blog post. Perhaps other parents of the newly diagnosed had similar questions.

I vividly remember the sinking feeling in my stomach during the early days of Maddie’s diagnosis. I vacillated between worrying about her future, sadness watching her tic (ironically she wasn’t bothered by most of them) and heartbreak that my “normal healthy child” was no longer either of these things. What got me through was the support of other parents. Hearing how well other kids were doing years after diagnosis gave me comfort, relief and strength. So here I am to tell you that both of my children are doing incredibly well. They are thriving in school, very social with lots of friends and active in sports and other community activities.

As a recovering “doer,” after Maddie was diagnosed, I jumped into massive action. I searched high and low for ways to manage/reduce tics. I came across all kinds of recommendations and books. We started with dietary changes. Although a gluten and dairy free diet made no difference, cutting out food dyes and artificial colors did. Limiting chocolate intake and reducing sweets seemed to make an impact as well.
I noticed that after Maddie would recover from an illness, her tics would go into overdrive. I began to research different ways to build the immune system to protect her from getting sick so frequently. As a daycare kid from 4 months of age, Maddie was always fighting something. My friend who is a pharmacist supported me in getting Maddie on a great natural multivitamin, fish oil, a powerful probiotic (gut health is apparently linked to brain function), vitamin c and magnesium. The vitamin section at Whole Foods became a frequent stop for me. We also had Maddie’s tonsils removed. Maddie had 9 bouts of strep by age 6. She was actually diagnosed with PANDAS by one of the three neurologists we took her to. My husband and I noticed a big (and positive) difference in the frequency of her illnesses with these changes. That said, definitely consult your doctor before starting your child on a vitamin regimen. This certainly is not my area of expertise.

The next important area we focused on was school. We immediately got Maddie a tutor (to build her frustration tolerance) and a 504 plan. Some of her accommodations are:
• Provide instruction in a calm, structured setting
• Modify homework assignments as needed
• Energy breaks as needed
• Inform all staff members who have contact with Maddie including substitute teachers of her diagnosis to better understand Maddie’s needs
• Provide a private location (counseling office or nurse’s office) to let tics out and/or emotional release as needed
• Provide staff development on Tourette’s syndrome as to increase awareness and education
• Provide progress monitoring for academic and social/emotional needs reported to parents 2 times per month
• Utilized alternative space for testing taking (study carrel, small table)
• When appropriate provide study guides
• Provide student support to help dissipate tic urges (ie stress ball, chewing gum, hard candy to suck on, etc)
• Provide student support in organization of locker and binders 2x monthly
• Encourage asking for help if needed or if she does not know the answer to a question
• Consultation with guidance counselor 2x per month for September and October
• Modify assessments for spacing in order to make assessment for visually manageable (ie. Reduce the number of math problems on page, reduce the number of graphics, reduce the number of tasks per page, etc.)

Next, my husband and I spoke with Maddie’s neurologist about medication. He recommended that we think about how we would know it was time (if ever) to treat Maddie with medication. My husband and I decided that we would revisit medication if any of three areas of Maddie’s life became negatively impacted by her tics and/or co-morbid anxiety disorder and OCD like behavior. These three areas were: sleep, social and academic. I wrote a letter to the neurologist explaining our rationale. In truth this was more for me than for him. I wanted him to hold me accountable to what I said if/when the day came. Medicating my child was not easy and I was very frightened at the prospect. I needed someone to hold me to my word and not allow me to push treatment off out of fear.
Finally, came counseling for both Maddie and me. We were very blessed to find great therapists. Maddie worked with Dr. Lori Rockmore in Millburn, NJ. Dr. Rockmore taught us about Exposure Therapy. At age 6, this type of therapy worked wonders for Maddie. Her triggers were largely around clothing at that age – a jean skirt that laid funny on her waist, her socks needing to lay perfectly straight on her toes. Dr. Rockmore explained that the earlier we started with Exposure Therapy, the more effective it would be in the future. After success with Dr. Rockmore, when my husband and I start noticing new obsessive behaviors/fears, we began quickly implementing Exposure Therapy. We’ve been fortunate to catch the behaviors early and successfully intervene. Incredibly, through some networking, I was referred to a therapist for me that works with parents of children with TS, Gayle Forman, LCSW, ACSW, MSW. TS is one of Gayle’s areas of expertise and she met me with patience, compassion and strategies to get through flare-ups.

Our journey has been and continues to be unique to us. Our son’s experience of TS has been similar but certainly not the same as our daughters. My intention is to support other parents in their journey. As always, feel free to reach out to me at any time. My commitment is to support other parents through early diagnosis and challenges related to their child’s experience with TS.

Emily Golden, ACC
Coach & HR Consultant
Golden Resources, LLC
emily@golden-resources.com
www.golden-resources.com

Being a grandparent to a 15-year-old with Tourette Syndrome is a learning process

I am writing this post because I didn’t want to feel alone in my situation.

Being a grandparent to a young boy of fifteen with Tourette Syndrome is a learning process. He has come to live with my husband and I on a month-to-month basis. His home life with his parents is very stressful now, and I don’t know if it will change. I am concerned  for his future, I am home schooling him now. He is having a lot of difficulty with staying on task and passing tests. He also has ADHD. The medicine he takes does not get rid of his tics. The school that he had been attending tested him to see at what level his capabilities were and he is as low as you can score before being recognized as being disabled. He is between a rock and a hard place, he struggles so hard with school work, but doesn’t qualify for help academically.

I want to find out more about how his condition will effect his ability to have a happy and productive life. It was my understanding that children in his situation will need micromanagement their whole lives. If anyone can talk to me about this, I would really appreciate it.

Fifth-grader is Stepping Up Awareness Efforts

Kyle Swords of Pine Brook, NJ with NJCTS Youth Advocate Mike Hayden at a recent presentation at the Hilldale Elementary School.

Kyle Swords of Pine Brook, NJ with NJCTS Youth Advocate Mike Hayden at a recent presentation at the Hilldale Elementary School.

An inspiring 10 year old is quickly becoming his own best advocate.

Kyle Swords of Pine Brook, NJ, is educating his community about an often misunderstood and misdiagnosed disorder which he faces every day. In kindergarten, he started developing tics and 2 years ago he was officially diagnosed with Tourette Syndrome (TS)—a neurological disorder characterized by involuntary movements or sounds known as tics. TS affects as many as 1 in 100 people, or an estimated 20,000 school-age children in New Jersey today.

Accepting the diagnosis wasn’t easy at first for Kyle and his family but, over the summer, he attended the NJ Center for Tourette Syndrome and Associated Disorders (NJCTS) Team Up with Tim Howard event at Rutgers and it changed his outlook on TS.

“Prior to this event, Kyle had never met other children his age who also have Tourette,” said his mother, Christina Swords. “It was an incredibly powerful experience for him to see so many other people, including [U.S. Men’s National Team Goalkeeper] Tim Howard, who share his condition. For the first time, having TS felt special to Kyle, and even a little bit ‘cool.’”

So, Kyle and his family decided it was time to educate their community about TS.

Hilldale Elementary School student and his family are giving back, supporting other families affected by Tourette Syndrome in their community.

Hilldale Elementary School student and his family are giving back, supporting other families affected by Tourette Syndrome in their community.

“People are often wary of behaviors they don’t understand and as such, we felt that a great way to support Kyle would be to bring awareness to the school about his condition,” said Christina.

The Swords’s reached out to NJCTS Education Outreach Coordinator Gina Maria Jones to schedule a Youth Advocate Presentation at Kyle’s school. With the help of NJCTS Youth Advocate Mike Hayden, Kyle educated more than 150 4th- and 5th-graders at Hilldale Elementary School about TS and about treating others with respect. Kyle bravely addressed the audience and answered some questions about his experience with TS.

Kyle stood proud after the presentation, knowing he had the support and understanding of his teachers and classmates.

“I’m not so worried about my tics anymore,” said Kyle. “Everyone understands that it’s just my TS.” If there is one thing Kyle wants people to know, it’s that “Kids with TS can do anything that kids without TS can do.”

Kyle is also serving on the Youth Committee of NJ Walks for TS at Mendham coming up on Saturday, November 14. Youth Committee members serve as local examples of individuals living successfully with TS—they form teams, fund-raise, and inspire others to join them for a day of awareness and advocacy on behalf of all individuals living with the challenges of TS.

NJ Walks for TS benefits the NJCTS Education Outreach Program, providing in-service trainings and Youth Advocate presentations to schools and hospitals across the state. The program is making it possible for NJCTS to provide the latest information to help professionals identify, diagnose and manage TS and its associated disorders.

“As a family, our goal is to spread awareness of TS into our community,” said Christina. “We want to give back and support other families in the community in any way possible.”

NJ Walks for TS at Mendham is set for Saturday, Nov. 14th at Mendham Borough Park at the intersection of Mountain and Park Avenues. The event is rain or shine and check-in will begin at 8 a.m. For more information about the event, or to learn more about Tourette Syndrome, visit www.njcts.org.

Newton High School Alumna brings Tourette Syndrome education back ‘home’

NJCTS Education Outreach Coordinator Gina Maria Jones delivers an in-service presentation to more than 150 faculty and staff in the Newton School District at Newton High School.

NJCTS Education Outreach Coordinator Gina Maria Jones delivers an in-service presentation to more than 150 faculty and staff in the Newton School District at Newton High School.

The NJ Center for Tourette Syndrome and Associated Disorders, Inc. (NJCTS) continues its mission to educate the public, medical professionals, and educators about the disorder. Recently, Education Outreach Coordinator Gina Maria Jones, M.Ed, delivered a faculty in-service to the entire Newton school district in Newton, NJ.

NJCTS received a call from the mother of a Newton High School freshman with Tourette Syndrome (TS) who wanted to ensure that her child had the support necessary for a successful school year. She turned to NJCTS to arrange for a presentation to the teachers. When the high school learned that there were other students living with TS in the school system, they took the in-service a step further and invited the entire district.

NJCTS Education Outreach Coordinator Gina Maria Jones, took the call and quickly agreed to do the presentation herself. With a background in education, Jones typically coordinates with NJCTS-trained presenters, who are all education professionals with advanced degrees, to facilitate the in-service presentations. But this case was different. As a 2002 Newton High School graduate, Jones—née Cicchino—couldn’t wait to bring Tourette Syndrome awareness back to her home community.

“For me, going ‘home’ to Newton High School was such a pleasure,” said Jones. “As an alumna of NHS, I was beyond honored to return to the school where I received a superb education and ‘return the favor.’ Not only was I able to thank the community that helped shape me, but I was able to educate them about Tourette Syndrome and associated disorders as well as the multitude of services and programs provided by NJCTS.”

NJCTS Faculty In-service presentations aim to help educators not only understand what their students with TS or associated disorders are going through, but also how to develop strategies for accommodating such students and fostering a supportive atmosphere. As a result of Jones’s presentation, more than 150 faculty and staff gained a better understanding of Tourette Syndrome, an inherited, misdiagnosed, and misunderstood neurological disorder characterized by involuntary sounds and movements know as tics that affects 1 in 100 children.

A natural presenter, Gina Maria grew up on the stage and performed in many of Newton High School’s musicals and plays throughout her high school years. She now uses her talent and Master of Education degree to spread TS awareness and to educate others about Tourette Syndrome and the associated disorders.

“Gina did an excellent job giving us an overview of TS and its associated disorders,” said Newton High School Principal Jeff Waldron. “The program was educational and spoke to how we can best address the needs of these students. At the end of the presentation, teachers working directly with students [living with Tourette Syndrome] got to meet with their families and Gina participated in those conversations. The entire presentation was well done and well received.”

To schedule an in-service in your area, please call 908-575-7350 or email Education Outreach Coordinator Gina Maria Jones at gjones@njcts.org. For more information about NJCTS please visit www.njcts.org.

Concerned about my son’s Tourette Syndrome, OCD, and ADHD

My son, Anthony, has Tourette Syndrome. Anthony is 9 years old and started displaying mild tics around the age of 3. The tics would wax and wane, the severity of them never being bad enough to be disconcerting to Anthony or myself. He did very well in school, was very sociable and was always on his best behavior.

Then came second grade. About halfway through the school year Anthony’s tics got worse, going from simple to complex and including phonic as well as motor tics. His behavior also began to change. He became more disagreeable, argumentative and began to be disruptive in class. He grades started declining and his teacher expressed concerns about his well being and self esteem. We went to the neurologist again and this time they diagnosed him with Tourette Syndrome.

Anthony also began displaying obsessive compulsive behaviors and was then diagnosed with OCD. The OCD got to the point that it was far worse than any of the tics he displayed and was extremely unsettling for Anthony. He began CBT to help him say no to OCD and gradually it got better. It hasn’t disappeared, but is much better than it was. In the midst of all this, we also had reasons to believe that he also has ADHD. His reading and writing skills have plummeted; he cannot retain anything that he reads. He is unable to sit still and focus in the classroom and is disruptive to his schoolmates. Even watching a movie at home is difficult, we have to constantly rewind because he missed something. At first I thought it was because he was giving so much energy and concentration into just getting through the day trying to manage the symptoms of the Tourette and OCD. But, the psychiatrist said that we’d be able to tell the difference with appropriate evaluations. So, we did the evaluations and and he had very high markers for ADHD.

So, Anthony has Tourette Syndrome with co-morbid disorders of OCD and ADHD. I have chosen to take a natural approach to treating his symptoms as I couldn’t bear the thought of all the negative side affects he’d experience being on the prescription meds. He has a very strict diet and gets a lot of exercise (he is on a travel hockey team), he takes homeopathic and herbal supplements as well as vitamin and mineral supplementation. He takes magnesium chloride baths several times a week and I do deep massage therapy a couple nights a week. He also has sensory issues and so we do dry brushing and have a weighted blanket for sleeping. I have seen an improvement with his tics and anxiety levels but it hasn’t helped his focus or retention.

I’m also now seeing his disorders affect him on the ice as far as being able to follow the play and know where to be. Hockey was his one safe place where he always felt at his best. Now, that is suffering too and it’s very upsetting to him. He hasn’t made the connection, he just keeps saying he is in a bad slump. His symptoms also seems to be cyclical in their severity, with the Fall/Winter being the worst and the Spring/Summer the best. I contribute this to a build up of anxiety as the new school year begins, but I am not positive.

I’m at a point where I’m now considering trying medication as I do not want to see him struggle another year, barely getting by in school, nor do I want to see his game start to decline because hockey means everything to him. Before the onset of the Tourette, OCD and ADHD he was always ahead of grade level with everything. I can see that his self esteem is suffering a bit and that hurts the most. He is such a wonderful, caring human being. I want him to accept himself for who he is and embrace his struggles, as I know in the long run they will make him stronger. But, I also want to help him in any way that I can without harming him in the meantime. I don’t know anyone with a child who has similar issues and so I wanted to find a group that could relate to what we are going through and from which I might gather new ideas for approaching the treatment of his symptoms. I just feel very lost and very frustrated at the moment and I wish that I had some help in making these tough decisions.

Assemblyman John Wisniewski Joins 6th Annual NJ Walks for TS at Mendham Honorary Committee

Assemblyman John Wisniewski (D-19) joins the NJ Walks for TS at Mendham Honorary Committee

Assemblyman John Wisniewski (D-19) joins the NJ Walks for TS at Mendham Honorary Committee

The NJ Center for Tourette Syndrome and Associated Disorders (NJCTS) welcomes Assemblyman John Wisniewski (D-19) to the honorary committee of the 6th annual NJ Walks for TS. This 5K walk and family fun run  is a day of advocacy, awareness, acceptance and action and will take place at Mendham Borough Park.

NJ Walks for TS at Mendham benefits the NJCTS Education Outreach Program, which educates students and teachers at schools in every corner of New Jersey about Tourette Syndrome, anti-bullying and self-advocacy; as well as doctors and other healthcare providers to identify and treat TS.  Each member of the Honorary Committee has a history of support for the 1 in 100 children living with Tourette Syndrome (TS)—a neurological disorder characterized by uncontrollable movements or sounds known as tics.

Since its inception, NJ Walks for TS has emerged as a day of celebration and inspiration for kids, by kids and has grown to include Central and South Jersey.

“Assemblyman Wisniewski is lending his support to stand up for the TS community and we are grateful,” said NJCTS Executive Director Faith W. Rice. “We hope his example leads many others who are willing to step out on behalf of the thousands of kids living with TS in NJ.”

For more information about NJ Walks for TS, visit www.njcts.org/walk. To join the  Honorary Committee, start a team or register for the walk, visit www.njcts.org or call Nicole Greco at 908-575-7350 or ngreco@njcts.org.

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NJ Walks for TS at Mendham Honorary Committee Welcomes Assemblywoman Quijano

Assemblywoman Annette Quijano (D-20) joins the NJ Walks for TS at Mendham Honorary Committee

Assemblywoman Annette Quijano (D-20) joins the NJ Walks for TS at Mendham Honorary Committee

The NJ Center for Tourette Syndrome and Associated Disorders (NJCTS) welcomes Assemblywoman Annette Quijano (D-20) to the honorary committee of the 6th annual NJ Walks for TS. This 5K walk and family fun run  is a day of advocacy, awareness, acceptance and action and will take place at Mendham Borough Park.

NJ Walks for TS at Mendham benefits the NJCTS Education Outreach Program, which educates students and teachers at schools in every corner of New Jersey about Tourette Syndrome, anti-bullying and self-advocacy; as well as doctors and other healthcare providers at hospitals across the state to identify and treat TS.  Each member of the Honorary Committee has a history of support for the 1 in 100 children living with Tourette Syndrome (TS)—a neurological disorder characterized by uncontrollable movements or sounds known as tics.

Since its inception, NJ Walks for TS has emerged as a day of celebration and inspiration for kids, by kids and has grown to become a statewide movement with events Central and South Jersey.

“We are grateful for Assemblywoman Quijano’s support and participation in this important event,” said NJCTS Executive Director Faith W. Rice. “We hope her example leads many others who are willing to step out on behalf of the thousands of kids living with TS in NJ.”

For more information about NJ Walks for TS, visit www.njcts.org/walk. To join the  Honorary Committee, start a team or register for the walk, visit www.njcts.org or call Nicole Greco at 908-575-7350 or ngreco@njcts.org.

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Neeta Elementary School Principal named 2015 NJCTS Educator of the Year

Nominated by Jen Heicklen and her daughters, Anna and Ava, Carole Ramage was chosen as this year’s winner by the NJ Center for Tourette Syndrome

Neeta Elementary School Principal Carol Ramage accepting the NJCTS Educator of the Year Award from NJCTS Executive Director Faith W. Rice at NJ Walks for TS in Medford Lakes on September 20.

Neeta Elementary School Principal Carole Ramage accepting the NJCTS Educator of the Year Award from NJCTS Executive Director Faith W. Rice at NJ Walks for TS in Medford Lakes on September 20.

Principal Carole Ramage of Neeta Elementary School in Medford Lakes, NJ continues to be a source of support and compassion in Anna and Ava Heicklen’s lives. She has taken the girls under her wing, going above and beyond her responsibilities as a school administrator.

Ramage comforted Anna and her mother, Jen, early in Anna’s 3rd grade school year when she noticed Anna’s hesitation to enter school. Often, Ramage would approach the car and ask Anna to be her helper, easing Anna into her morning routine.

In fifth grade, Anna’s tics were becoming more noticeable to her peers and Ramage encouraged her to make a presentation to her class about Tourette Syndrome (TS). The presentation changed Anna’s life and she now feels comfortable knowing that everyone knows about TS and supports her.

Anna Heicklen now enters the school with the confidence Ramage helped her find within herself. For that Principal Ramage was nominated by Jen Heicklen to be the NJ Center for Tourette Syndrome & Associated Disorders (NJCTS) Educator of the Year. The Heicklen family recognized Ramage on the last day of school and the award was presented to her at the NJ Walks for TS at Medford Lakes on September 20. NJCTS annually recognizes teachers, guidance counselors, administrators, and other education professionals who are making a difference in the lives of a student with TS—an inherited, misdiagnosed, misunderstood neurological disorder that affects 1 in 100 school-age children.

“If it weren’t for Mrs. Ramage advocating for my child, she would not have presented to her class,” said Heicklen. “The presentation changed my daughter’s life. From that day on she has not been upset one day about attending school. She feels comfortable. Without Mrs. Ramageʼs influence on our family, this would not have happened.”

Anna’s younger sister Ava, who also has TS, was encouraged by Ramage to make a presentation to her third grade class. Ramage continues to update the Heicklen family with how well Anna and Ava are doing in school.

“She would send me texts during the day letting me know that Ava was doing well,” said Heicklen. “This information allowed me to relax and worry less about my kids. It is time for this unsung hero to be acknowledged and rewarded for her dedication to the kids for her selfless acts.”

NJCTS has granted Educator of the Year awards since 2001. More information about the Educator of the Year award is available by calling 908-575-7350 or visiting www.njcts.org.

Ask Dr. Ticcy: My Child Won’t Go to School

Dr. Ticcy is a pseudonym for the Tourette Syndrome Foundation of Canada National Office, which draws on information from experts across Canada and beyond to answer questions from the TS community. Please send your questions to tsfc@tourette.ca with the salutation “Dear Dr. Ticcy.”

Dr Ticcy:

Help! My kid won’t go to school. I tell them to go and they say no. They say they feel sick, they cry and they tell me that their stomach hurts. They get really anxious. I don’t what to do!

From,

Out-of-options

 

Dear Out-of-Options,

It’s common for kids to feel some anxiety about going back to school. Being firm with your kids and telling them, “you must go back to school” is an option. For many, this may be enough. However, like yourself, some parents try this and things don’t get better. If separation anxiety or back-to-school anxiety becomes overwhelming or disruptive, it is time to think about doing something about it.

Where to begin? There are several options and possible strategies you might consider:

Professional support Speak to a professional counsellor, doctor, or psychologist.  They can make further recommendations, which may include behavioural therapy, prescription medication, gradual re-entry to school, and rewards for school attendance.

Transitional objects Teachers can encourage students to bring a “transitional object” from home (ex. favourite stuffed animal) and to take a special object home with them, such a drawing or a book. This can help your son or daughter feel more comfortable.

Touching base during the day You might try pre-arranging a particular time when your son or daughter gets to call, text, or email you. This could be a reward for completing work or simply a plan to help them get through the day.

Improve the drop-off Morning drop-off can be particularly tough. If possible, you might consider having someone else drop off your child to make it easier for your child to separate and enter the school.

Some separation is okay You may be tempted to spend every waking second with your child but this can make it harder to seperate. Consider trying to systematically increase the amount of time your son or daughter is separated from you while in the home or outside of school.

Additional Support Additional adult support may be needed during interactions with peers, lunch hour, and during transitions. During new or novel situations, teachers can help students by providing them with specific instructions or special tasks. For example, a teacher could tell the student, “When we get to on our field trip tomorrow, you can help by checking off each student’s name as they get on and off the bus.”

Take the scariness out presentations Talking in front of the class can be a source of panic and anxiety. It may be a good idea to allow anxious students to watch others do their presentations before asking them to get up in front of the class. Talk to your child’s teacher if you think this may help. Practicing presentations at home can help too!

Make a plan Together with the student, teaching staff (and possibly parents) can plan what the student should do when they feel panicky. This plan may include breathing techniques (ex. diaphragmatic breathing for 10 breaths), thinking about how a good friend might handle the same situation, exiting the classroom for a brief walk, standing out in the hall for a few moments, and/or going to the office or special education resource room.

I hope these suggestions help you and your child.

Best wishes,

Dr. Ticcy 

Next Wednesday Webinar “Anxiety & Test Taking in School” is August 19

LOGO2Join us for our next webinar in the Wednesday Webinar series on August 19, 2015, from 7:30pm to 8:30pm EST.

Students from elementary to high school are taking more tests than ever. How does the anxiety around testing affect them and their results? This webinar will give parents and students alike ways to identify stressors and help students cope with the anxiety around test taking.

Dr. Colleen Martinez is a licensed clinical social worker and a registered play therapy supervisor with more than 20 years experience providing clinical services to children and their families. She has worked in hospital, correctional, outpatient mental health, private practice, and school settings, and specializes in play therapy and treating children. In her private practice, she provides supervision and consultation to individuals and agencies, particularly regarding interventions with children. She provides school based play therapy to preschoolers in Irvington, NJ and is also a part time lecturer at Rutgers University in their MSW program.

Register for the webinar

After registering you will receive a confirmation email containing information about how to join the Webinar.