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ADHD and Autism: Crossover Conditions and Companion Interventions in the DIR/Floortime Model: ADHD and Autism are related conditions, genetically and in their symptoms.  Both can be better understood and addressed in the DIR model.  This session will describe how DIR/Floortime principles are applied to these and other challenges.

  • Presenter: Joshua Feder, M.D., Clinical Assistant Professor at UCSD School of Medicine and Director, Department of Research, ICDL Graduate School


DIR and Adapted Floortime: A Respectful, Person-Centered Approach to Supporting Adults with Severe and Profound Developmental Differences: Many adults, with and without autism, have been labeled severely and profoundly intellectually disabled. Despite living in “care” settings that are replete with various support personnel, they can experience profound loneliness, trapped into dealing on their own with catastrophic emotions that impede relating and communicating while leading to expressions of protest that are called “problem behaviors”.  Adapted Floortime or “intentional interaction” can provide a way for people in this situation to connect with others and, over time, learn to modulate extreme emotions through co-regulation

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DIR/Floortime in Assessing and Treating Selective Mutism: Given the complexity of Selective Mutism, it requires a comprehensive assessment and treatment framework, such as DIR/Floortime, which addresses all facets of the disorder: social emotional development, individual differences, including speech and language, motor and sensory processing, and relationships with others at home, school and in the community

  • Presenter: Joleen Fernald, MS, CCC-SLP



The Rebecca School—DIR All the Time: The Rebecca School was created and administered under the supervision of the late Dr. Stanley Greenspan.  This talk will address the complex issue of doing DIR "all day long", in the context of an educational environment with particular attention paid to Dr. Greenspan’s input.  Viideotapes will be used for illustration.  


  • Presenter: Gil Tippy, Psy.D.






Uncovering the Neurodevelopmental Manifestations of Lyme and Other Tick-Borne Diseases in Children: Lyme disease is the fastest growing vector-borne infectious disease in the US and can cause a wide range of neurologic, cognitive, and psychiatric symptoms. There is emerging evidence suggesting that Lyme and other tick-borne infections can be transmitted in ways other than a tick bite, including congenitally. Lyme disease has been called the “great imitator” and should be considered in the differential diagnosis of rheumatologic and neurologic conditions, as well as any difficult-to-treat multi-system disorders, such as autism spectrum disorders (ASD). Current ASD research is looking at the interaction between environmental factors and genetics. Infectious disease, in particular Borrelia (Lyme), Babesia, Mycoplasma, Chlamydia, Ehrlichia, XMRV infections, and the subsequent immune reactions in both the mother and unborn child, is an important environmental consideration. Evidence supporting the relationship between tick-borne infections in the mother and child and ASD shall be reviewed.  Neuropsychological manifestations of Borrelia infection, outside of ASD, will also be discussed, as will diagnostic and treatment considerations and case examples. 




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Welcoming Parents in the Room: This session will outline principles for including parents in treatment which assist professionals in providing service with empathy and with an understanding of the vulnerability of the parents who need to bring their child to another for help. When professionals learn to discuss intervention plans and strategies from a perspective of supporting the child’s and families’ strengths, parents are less anxious, less defensive and more receptive to professional guidance. Similarly, when professionals are ready and available to be responsive to the questions, ideas, and worries of parents, they will be more prepared to engage parents in the therapeutic process, and empathic with the parents’ concerns. Professionals will learn how to join with the parents in finding a common language to talk about the child and the therapeutic process, allowing the parent to take the lead in setting goals, thinking through the reasons for constrictions in development, and showing how they as parents can come to cherish and enjoy their relationship with their child.