Thoughtful care for children—
and the families who know them best
Children do not always have the words to explain what they are experiencing. Emotional or behavioral concerns may appear through changes in mood, sleep, school performance, attention, relationships, eating, or daily routines.
Karen works with children age five and older to understand what is happening within the full context of their development, health, family, school, and everyday life. Treatment is individualized and may include psychotherapy, medication management when appropriate, parent guidance, family involvement, and collaboration with other professionals.
A developmentally informed evaluation
A psychiatric evaluation looks beyond a single symptom or diagnosis. Karen considers the child’s developmental history, medical and psychiatric history, family relationships, school experience, current stressors, previous treatment, and the concerns observed by both the child and the adults involved in their care.
Therapy and medication in one coordinated plan
When both psychotherapy and medication are appropriate, Karen can provide them within one treatment relationship. This allows observations from therapy, family input, medication response, and changes in daily functioning to inform the plan over time.
Not every child needs medication. Recommendations are made after a careful evaluation and are revisited as the child develops and circumstances change.
Parents are part of the work
Parents and caregivers play an essential role in children’s treatment. Karen may meet with parents to gather information, discuss patterns at home or school, provide guidance, and help create a more consistent environment around the child.
The balance between individual time with the child and parent involvement is tailored to the child’s age, needs, and treatment plan.
Karen’s areas of experience include:
ADHD and executive-function concerns
Anxiety and OCD
Depression and persistent changes in mood
Eating disorders and feeding-related concerns
Emotional or behavioral difficulties affecting family, school, or relationships
Concerns Karen treats
With appropriate permission, Karen may collaborate with pediatricians, therapists, school professionals, nutritionists, and other specialists. The goal is a clearer, more connected plan across the different parts of the child’s life.