Cortica The Book: For Caregivers

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Whole-Child Care for Autism and More

Contents

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Pages 4-6

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Pages 11-12

Pages 13-14

Pages 15-16

Pages 17-18

Pages 19-20

Pages 22-29

Pages 31-48

About Cortica

The Cortica Care Model

Coordinated Care from Our Team of Specialists

Your Child's Neurodevelopmental Evaluation

Diagnostic Assessments

Telehealth Services

Medical Services

Applied Behavior Analysis

Developmental Therapies

Counseling Services

Pre-Kindergarten Readiness Early Intervention Program (PREP)

Frequently Asked Questions

Image Gallery

Terms Glossary

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About Cortica

We are doctors, nurses, therapists, and counselors. All on one team. All with one focus on supporting neurodivergent children and their families.

We believe that children with autism and other developmental differences can thrive We focus on strengthening your child's existing capabilities and building new ones.

Our integrated care model is based on the scientific research and clinical practice of our founder, Dr. Suzanne Goh, MD, BCBA,. We offer medical, behavioral, speechlanguage, and sensorimotor therapies to achieve superior developmental outcomes for the children and families we serve

We provide every child at Cortica with an individualized program to accelerate learning and development. An essential ingredient for success is collaboration among doctors, therapists, caret, children, and our extended communities. Together, we clarify the complex, celebrate extraordinary efforts, and witness moments of brilliance as our children grow new skills and abilities

Diversity, equity, and inclusion are at the heart of Cortica's mission. We foster a culture that nurtures self and group identities and cultivates respect and empathy for differences. Our commitment to these values extends from the workplace to each child, family, and community we serve

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TheCorticaCareModel

Wecombinemedicalcarewithbehavioralanddevelopmentaltherapiestosupport neurodiversechildrenmorecompletely,andmoresuccessfully Ourcomprehensive therapyprogramprovidescompletecareforthewholechild,andweseeaccelerated growthwhenallfourareasofcareworkinconcert.

MedicalCare

We provide testing for genetic and metabolic causes of autism, and we specialize in treating its co-occurring conditions, including seizures, sleep disorders, gastrointestinal symptoms, anxiety, ADHD, emotional dysregulation, and more

AppliedBehaviorAnalysis(ABA)

Our therapists take a naturalistic approach to ABA that’s built around positive, caring relationships. Children learn new skills in everyday settings, and we tailor goals and strategies to each child’s strengths and each family’s priorities.

DevelopmentalTherapies

We combine a range of different therapeutic tools to help children develop self-regulation, language comprehension and fluency, independent self-care and feeding, coordination and mobility, attention and engagement, and social-emotional skills.

Counseling

Our counselors provide high-quality mental health care in a compassionate and understanding environment, available to the whole family. We use a variety of research-based approaches, including solution-focused, narrative, play-based, strength-based, and cognitive-behavioral therapy.

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CoordinatedCare FromOurTeamof Specialists

Webringexpertise,dedicationandkindnesstoevery interaction,ensuringthateachchildreceivesoutstanding care.

Medical Specialists

PediatricNeurologists

Our pediatric neurologists specialize in a branch of neurology called cognitivebehavioral neurology. They provide care for all aspects of your child's brain health.

Developmental-BehavioralandGeneralPediatricians

Our pediatricians receive specialized training in neurodevelopment and collaborate closely with our pediatric neurologists to support your child’s developmental needs.

Epileptologists

Our epileptologists are neurologists who have completed additional training in epilepsy They provide consultations on complex seizure care

EEGTechnicians

Our EEG technicians are neurodiagnostic technologists who specialize in running electroencephalogram (EEG) tests, used to monitor brain activity.

NursePractitioners

Our nurse practitioners specialize in neurodevelopment and have expertise with gastrointestinal disorders, nutrition, feeding, sleep, and more.

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MedicalAssistants

Our medical assistants are your first point of contact for any questions related to your child's medical care.

ABA Team

BoardCertifiedBehaviorAnalysts(BCBAs)

Our BCBAs help to design therapeutic approaches offering structure and support for your child. All BCBAs have a master's degree and complete other specialized training.

AssistantSupervisors

Our assistant supervisors support BCBAs in supervising the ABA therapy team and provide caregiver coaching All assistant supervisors have a master's degree and many are working toward their BCBA certification.

BehaviorInterventionists(BIs)

Our BIs conduct one-to-one ABA therapy sessions with your child. Most BIs at Cortica have, or are working towards, additional training and certification as a registered behavior technician (RBT) or board certified autism technician (BCAT) Working with more than one BI helps your child generalize their skills across different therapists.

Developmental Therapists

Speech-LanguagePathologists(SLPs)

Our SLPs conduct evaluations and re-evaluations to design and supervise speechlanguage therapy programs that meet your child's individual needs. All of our SLPs have a master's or doctoral degree.

Speech-LanguagePathologyAssistants(SLPAs)

Our SLPAs assist with conducting speech-language therapy sessions. All of our SLPAs are supervised by an SLP.

MusicTherapists

Our music therapists conduct evaluations and re-evaluations to design and supervise music therapy programs that meet your child's individual needs. All music therapists have a bachelor's or master's degree.

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OccupationalTherapists(OTs)

Our OTs conduct evaluations and re-evaluations to design and supervise occupational therapy programs that meet your child's individual needs. All OTs have a master's or doctoral degree.

OccupationalTherapyAssistants(OTAs)

Our OTAs assist with conducting occupational therapy sessions. All of our OTAs are supervised by an OT.

PhysicalTherapists(PTs)

Our PTs conduct evaluations and re-evaluations to design and supervise physical therapy programs that meet your child's individual needs. All PTs have a master's or doctoral degree.

PhysicalTherapyAssistants(PTAs)

Our PTAs assist with conducting occupational therapy sessions All of our PTAs are supervised by a PT.

Counseling Team

MarriageandFamilyTherapists

ClinicalSocialWorkers

ProfessionalClinicalCounselors

Our counseling team provides children, caregivers, and other family members (including siblings) with services from one of our licensed marriage and family therapists, clinical social workers, or professional clinical counselors.

All of our counselors have expertise working with people with neurodevelopmental differences and their families.

Our counselors use a variety of research-based approaches to therapy, including cognitive-behavioral therapy (CBT), solution-focused therapy, narrative therapy, playbased therapy, and strength-based therapy

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YourChild’s Neurodevelopmental Evaluation

During your child’s initial neurodevelopmental evaluation at Cortica, one of our doctors will review your child’s medical history and conduct a physical exam We'll gain a better understanding of your child through:

Information from your child's medical history

Findings from your child's physical and neurological examination

Lab test results

Medical tests such as Electroencephalography (EEG)

Other medical tests, depending on your child’s unique profile

Based on this assessment, your doctor will create a personalized plan for your child.

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DiagnosticAssessments

We provide accurate diagnoses for autism, ADHD, developmental delays, and the full range of developmental differences Our findings allow us to bring the right set of therapies together for your child Here are just a few of the standardized assessments we use:

CARS

The CARS is a 15-item rating scale completed by a clinician that evaluates social interaction, communication, and other behaviors. It takes about 30 minutes to complete, and results are typically available within a few weeks.

ADI-R

This structured caregiver interview assesses your child's developmental history, social interactions, communication skills, and other behaviors. It takes about 90 minutes to complete, with results available within a few weeks.

ADOS

This standardized assessment involves a professional observing and interacting with your child. The assessment looks at social communication, social interaction, and other behaviors, usually taking about 40 minutes. Results are typically available within a few weeks.

VABS

The Vineland-3 is an assessment tool that measures adaptive behavior, which includes communication, daily living skills, socialization, and motor skills. The test is administered through a semi-structured caregiver interview, usually taking about 60 to 90 minutes to complete. Results are typically available within a few weeks.

ChildhoodAutism RatingScale AutismDiagnostic Interview-Revised AutismDiagnostic ObservationSchedule VinelandAdaptive BehaviorScale
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TelehealthServices

At Cortica, your child’s treatment plan will likely include a combination of in-person and telehealth services based on your family’s schedule and clinical recommendations. Telehealth service options can ensure that your family is able to access services sooner and with fewer interruptions to care.

TelehealthatCortica

Our clinicians are trained to provide high-quality telehealth services. These services at Cortica are provided as an option for many types of visits including developmental therapy evaluations, medical appointments, counseling sessions, caregiver coaching, and more.

Telehealth:

Allows services to start sooner by increasing the availability of clinicians

Allows us to work with your child in their natural environment at home

Provides more consistent caregiver support for those who are unable to attend sessions in person

Ensures continuity of care for situations where your family cannot make it to the center

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MedicalCare&Tests

We use medical tests to understand the root causes of neurodevelopmental conditions, including the following:

GeneticTesting(FragileX,Chromosomalmicroarrayanalysis,andwhole exomesequencing)

These genetic tests can identify causative genetic variants in close to 40% of children with autism

MetabolicTesting(includingmitochondrialtesting)

These tests have the potential to identify treatable causes of autism, which are estimated to be present in about 5% of autistic children.

Electroencephalography(EEG):

About 15-20% of autistic children experience seizures. EEG is now widely recommended at the time a child is diagnosed with autism.

MedicalTherapies

Nutritionevaluation,supplementation,andmanagement:

Our team can complete a feeding and nutrition evaluation and provide guidance on dietary modifications and nutrition supplementation.

Medicationmanagement:

Some people with autism may benefit from medications to help with symptoms such as anxiety, depression, hyperactivity, and aggression Our medication management approach is designed to achieve desired therapeutic effects while minimizing side effects and potential risks.

Devicetherapies(Neuromodulation):

In recent years technologies to improve brain function and development have been approved by the FDA. We utilize these technologies as part of our comprehensive approach.

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AppliedBehaviorAnalysis(ABA)

Cortica'sbehavioraltherapyprogramsintegratethemosteffectivetechniquesfrom appliedbehavioranalysis(ABA),enhancedwithkeyinsightsfromneuroscientific research.Thisapproachallowsustosuccessfullyreshapetheneuralnetworksthat influenceyourchild'sbehaviorduringandafterourABAtherapy.

WhatisABATherapy?

Applied behavior analysis (ABA) is a therapeutic approach based on the science of learning and behavior, designed to help neurodivergent children develop and improve social, emotional and independent living skills.

Cortica's ABA program has been designed to support your child in making connections between behavior and consequences, and to apply what they learn during ABA sessions to real-life situations. Through this program, your child will develop positive skills, decrease challenging behaviors, and feel more prepared for social situations at home, at school, and in the community

In-HomeABAOption

Cortica’s in-home ABA services may offer clinical long-term benefits for your child. In-home ABA:

Provides a familiar, comforting environment that does not require your child to adapt to a new setting

Helps to reinforce desired behaviors using items and activities that your child already enjoys at home

Allows your child to practice everyday skills (including those related to daily routines and habits) in the same place where they need to use many of those skills

Creates opportunities for caregiver, sibling, and other family member involvement wherever appropriate, which can help to improve your family relationships and empower all members of your family to reinforce new skills

Our clinicians will work with your family to determine when and if in-home ABA services may benefit your child’s treatment plan.

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Our skilled ABA clinicians can conduct sessions in your home, in our center, and in the community, when clinically appropriate. Examples of Cortica’s ABA therapy options include:

In-center or in-home ABA with caregiver training

Focused 1:1 programs designed to help with specific challenging behaviors

Small group programs for specific social skills, ages 6-18

In-person and telehealth social opportunities

PREP Program: A daily, four-hour, in-center group learning program promoting pre-kindergarten readiness for children ages 2-6

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DevelopmentalTherapies

Developmental therapies focus on improving cognitive, social, motor, communication, and functional skills in children with autism spectrum disorder (ASD).

Cortica’s developmental therapists assess how your child receives, processes, and responds to information in order to participate in the world. They collaborate with your family and other members of the treatment team to determine the most effective strategies and therapy combinations for meaningful progress toward goals.

Cortica offers the following developmental therapies at our centers and via telehealth:

OccupationalTherapy

Oursensorysystemsprovidetheframeworkforhowweengagewithothersandin differentenvironments.Occupationaltherapyusesplaytechniquestobuildyourchild’s foundationinsensoryprocessingandintegration,self-care,finemotordevelopment, self-regulation,social-emotionaldevelopment,andplayskills

Speech-LanguageTherapy

Speech-languagetherapyusesavarietyoffunctionaldailyactivitiesandplay-based techniquestoimproveyourchild’sabilitytoeffectivelyexpressthemselves,understand others,producesoundsclearly,uselanguagesocially,problem-solve,chew,and swallow.

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MusicTherapy

Neurologicmusictherapyappliesthetoolsofmusicsuchasrhythm,pitch,and instrumentplaytostrengthenlanguage,sensoryintegration,cognitivecontrol,motor planningandexecution Researchshowsthatpeoplewithautismandother neurodevelopmentaldiagnosesrespondpositivelytomusic,oftenshowinga heightenedneurologicresponseandinterest.

PhysicalTherapy

Physicaltherapyusesactivitiesandexercisetoimprovegrossmotorskillsandlargescalemovementsofthearms,legs,andtorso,tobuildstrength,balance,coordination, functionalmobility,andendurance.

Therapies delivered based on your child's needs and goals

Developmentaltherapiescanbepersonalizedandintegratethefollowing:

One-to-onetherapy:Providedbyonetherapisttoonechild

Co-treatment:Sessionsprovidedbytwotherapistsofdifferenttherapytypestoone child

Groupsessions:Provided byoneormoretherapiststomultiplechildren

Caregivercoaching:Aninteractiveprocessbetweenclinicianandcaregiverthat involvesobservation,reflection,andaction.Thisapproachempowersyoutosupport yourchild’sparticipationinfamilyandcommunityactivities

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Counseling

Having a child with neurodevelopmental differences affects the whole family. Our counselors partner with you to improve emotional, relational, and internal well-being for your child and every other member of your family.

Our licensed professional clinical counselors, social workers, and marriage and family therapists have extensive experience with neurodivergent children and their families. They coordinate with other members of the Cortica treatment team to care for your whole child and whole family.

Support for you and other family members:

Helping family members develop a fuller understanding of their child's diagnosis

Providing support to caregivers with talking to the child or others about aspects of a neurodevelopmental diagnosis

Making changes in the home to support well-being (e.g., sleep, nutrition and regulation)

Helping caregivers advocate for their child in all settings

Navigating feelings of sadness, anxiety and isolation

Support for your child:

Relating to others and developing deeper relationships

Adjusting to change and new settings

Growing up and developing skills for self-understanding and self-advocacy

Coping with stress, anxiety, sadness or loneliness

Developing a healthy self-concept

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WhocanparticipateincounselingatCortica?

Anychilddiagnosedwithanxiety,depression,OCD,andADHD

Anychild,caregiver,orcaregiverpairwhoishavingdifficultynavigatingthestressin theirdailylives

Achildwithaneurodevelopmentaldifferencewhoexperiencessomeschool troubles,whichmaycausenervousfeelings

Acaregiverwhoisfeelingoverwhelmedandunsureoftheirowncaregivingabilities

Acaregiverpairnavigatingthestressofadiagnosisintheirrelationship

Acaregiverpairexperiencingrelationshipissues

Siblingswhoneedasafespacetotalkorshareemotions

Anyfamilymemberwithamentalhealthconcerncanbeenrolledasacounseling patientatCortica Someexamplesinclude: 16

Pre-KindergartenReadiness EarlyInterventionProgram (PREP)

PREPisourintensivegrouptherapyprogramforchildrenwithautismages2to6that preparesthemformainstreamkindergarten.ThePREPcurriculumsupportschildrenas theyacquirethesocial,communication,cognitive,andmotorskillsnecessarytosucceed inmainstreamkindergartenandotherearlyeducationclassrooms

ChildrenenrolledinPREPwillparticipateinadult-facilitatedactivitiesandadult-led instructionsacrossfivemajordomains:

Adaptiveanddailyliving

Languageandcommunication

Socialandplay

Cognitivefunctioning

Executivefunctioning

WhoiseligibleforPREP?

YourchildmustreceiveanABAassessmentorcurrentlybeenrolledinongoingABA servicesatCorticatobeeligible.

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Cortica'sPREPProgramvs.

TraditionalPreschool

Beingawayfromtheirfamilies,makingnew friends,andadjustingtoanewroutinecanfeellikealot Forchildrenwithautism,this transitionmayrequiremoresupport.

Preschoolcanbeoverwhelmingforanychild

PREPatCorticamimicsatraditionalkindergartenclassroomenvironmentbyfollowinga typicalschoolschedule,featuringcommonschoolmaterialssuchaswhiteboardsand adaptiveseatingcharts,andengagingyourchildincircletimeandtabletopactivities PREP alsopreparesyourchildtolearnalongsideneurotypicalpeersandinteractwithdifferent adultteachersoraides.

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Frequently Asked Questions

Are you in-network with my health insurance?

We’re in-network with some of the largest health insurance companies, including Aetna, Blue Shield, Cigna, United Healthcare and more. In-network coverage may vary based on your home state, plan type, and the services your child receives at Cortica. Please reach out to us for more information about specific health insurance plans and covered services.

Where is Cortica located?

We have locations throughout the United States, and we offer care in the clinic, at your home or by telehealth, depending on your location and insurance coverage. If you don’t live near a Cortica center, we may still be able to provide at-home and telehealth services. Give us a call at 888-885-5068 to learn more.

What ages does Cortica accept?

Children are our primary focus at Cortica, and our team is made up of experts in pediatric care. We enroll new patients from birth to 17 years of age.

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What services do you offer?

We offer a wide range of medical and therapy services, including ABA, diagnostic testing, speech-language therapy, occupational therapy, counseling and much more. Not all services may be available in all locations.

Do you only provide care for autism?

We specialize in autism care, but we also serve a broader range of neurodiverse patients, including those with developmental delay, ADHD, epilepsy, genetic syndromes, sensory processing disorder, and more. Our team has expertise in diagnosing and treating a wide spectrum of developmental challenges

Do you

offer in-school services?

Depending on your child’s clinical needs and their school, we may be able to provide in-school ABA in certain districts. We are certified as a nonpublic, nonsectarian agency (NPA) in California, authorized to provide special education-related services to students.

Does my child need a diagnosis to start services?

No. Our medical team, led by pediatricians and neurologists, can perform a thorough evaluation of your child, including autism testing, and provide you with an accurate diagnosis.

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Image Gallery

22 A Cortica lobby and waiting area
A large gym space for developmental therapies.
23 A developmental therapy room
A Cortica lobby and waiting area.

A large gym for developmental therapies.

24 A PREP room
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A consultation room for meetings and evaluations
Another consultation room for meetings and evaluations.
26 A medical room
The entrance to a Cortica center and parking lot.

A rock climbing wall in a gym

A gym for developmental therapies.

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A gym and rock climbing wall

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A music therapy room.
29 A PREP room
A room for evaluations and meetings.

Terms Glossary

AbnormalMuscleTone:

Muscle tone refers to the degree to which muscle is resistant to stretch. Muscle tone can be increased or decreased and can be one indicator of how a child's nervous system is developing. Children with abnormal muscle tone may benefit from physical therapy and/or occupational therapy

Alexithymia: AmbulatoryElectroencephalogram(EEG)

The lack of ability to recognize or describe one's own emotions

An ambulatory EEG is a test used to assess electrical activity in the brain over an extended period of time, often 24-72 hours, and can be done at home. This can help to identify seizure types and inform correct treatment An EEG is not considered a therapeutic technology, since its purpose is diagnostic.

AmericanAcademyofPediatrics(AAP)

A partnership of pediatricians that commit their efforts and resources to children's health, safety, and well-being.

Antecedent

A term used in ABA therapy Antecedents are events, action(s), or circumstances that occur before a behavior. By changing antecedents, we can often support positive changes in behavior.

Aphasia

The loss of the ability to understand or express speech is usually caused by brain damage.

AppliedBehaviorAnalysis(ABA)

Applied behavior analysis (ABA) is a scientific approach to understanding behavior. ABA refers to a set of principles that focus on how behaviors change or are affected by the environment and how learning takes place. The goal of ABA is to establish and enhance socially important behaviors.

Apraxia/Dyspraxia

The difficulty of coordinating and carrying out sequences of movements.

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AsymmetricSittingPosture

Subtle differences in movement or posture can be a sign of developmental differences in a child. Some children who have autism or related neurodevelopmental conditions show early differences in their sitting posture, which may lean or tilt to one side

AttentionDeficitHyperactivityDisorder(ADHD)

ADHD is a condition marked by abrupt behavior, difficulty paying attention, and hyperactivity that interferes with functioning or development.

AugmentativeandAlternativeCommunication(AAC)

AAC refers to any methods (other than speaking) that can be used for communication. This may include modes of expression such as sign language, writing, typing, gestures, or the use of an electronic device that aids in communication.

AutismDiagnosticObservationSchedule(ADOS)

A tool for diagnosing and assessing autism The conduct consists of a series of structured and semi-structured tasks that involve social interaction between the examiner and the person under assessment.

AutismSpectrumDisorder(ASD)

A developmental disorder that can cause social, communication and behavioral challenges.

AutonomicImbalance

An imbalance between the different nervous systems.

BehaviorAnalysis

A science rooted in the goal of seeking to understand people’s behavior.

BehaviorDisorder

Any constant and repeating pattern of behavior that violates societal norms or rules Seriously impairs a person’s functioning, or creates distress in others

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BehaviorIntervention

Interventions are designed to affect people’s actions Positive and negative reinforcement are used to reduce or modify unwanted behaviors.

BehaviorInterventionist(BI)

Part of the Cortica team; under the guidance of a BCBA, a BI seeks to address and eliminate or modify unwanted behaviors.

Biochemistry Biomedical

The science behind the chemical processes inside the body

The science behind the combination of biology and medicine focuses on the health of humans and animals.

BoardCertifiedBehaviorAnalyst(BCBA)

Part of the Cortica team; board-certified professional trained to provide and supervise behavior analysis

Bottom-upTherapy

The bottom section of the brain draws information from the senses, and includes areas responsible for impulses, automatic reflexes, memories and survival responses Bottom-up therapies including occupational therapy integrate the whole brain and focus on understanding sensations and emotions, improving body awareness and control, and cultivating mindfulness

CarePlanMeeting(CPM)

A meeting between a family and their Cortica medical provider to discuss the child's treatment and testing suggestions. The clinician explains the child’s diagnosis, offers advice for future evaluations and tests, and outlines a treatment plan.

CARS-2

CARS-2 (Childhood Autism Rating Scale 2) is a 15-item rating scale used to identify children with autism and rules out other developmental differences.

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CerebralPalsy

CertifiedOccupationalTherapyAssistant(COTA)

A congenital disorder of movement, muscle tone, or posture due to abnormal brain development ofter before birth. Part of the Cortica team; COTAs support occupational therapists.

ClinicalIntegrationMeeting(CIM)

Twice a year, families meet with senior members of the Cortica team to discuss a child's overall treatment, progress, and draft future goals for success.

ClinicalSocialWorker

A specialty within the profession of social work. Clinical social workers are devoted to helping people function the best they can in their environment.

Clonidine

A type of sedative and antihypertensive drug used to treat high blood pressure and ADHD.

CognitiveBehaviorTherapy

A form of treatment that has been proven to be effective for problems including depression, anxiety disorders, etc.

ComprehensiveABATherapy

The treatment of multiple affected domains, such as; cognitive, informative, social, emotional functioning, etc.

Consequence

Term used in ABA; the alteration of the environment following patterns of behavior.

Counseling

This is also known as psychotherapy or mental health counseling See: "Family Counseling."

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A substance in turmeric that may help to reduce inflammation. Several studies suggest that it might ease symptoms of osteoarthritis and rheumatoid arthritis, like pain and inflammation.

DevelopmentalDelay

Refers to a child who has not gained the developmental skills expected of them, and whose progression through predictable developmental phases is slow, stops, or reverses.

DevelopmentalMilestones

Behaviors or skills exhibited by infants and children as they grow (e.g. crawling, babbling, walking).

DevelopmentalTherapies

This is Cortica's term for music therapy, occupational therapy, physical therapy, and speech-language therapy. For many children, these therapies are an essential part of an effective childhood autism treatment program.

DeviceTherapy

A type of neuromodulation therapy that can help reduce the body’s stress response.

DiagnosticandStatisticalManualofMentalDisorders(DSM-5)

The DSM contains descriptions, symptoms, and other criteria for diagnosing mental disorders. It provides a common language for clinicians to talk about their patients and forms reliable diagnoses that can be used in the research of mental disorders.

Dopamine

A type of neurotransmitter. Dopamine is responsible for feelings of reward and motivation It also regulates body movements

Dyscalculia

A learning disorder characterized by difficulties with numbers and math.

Curcumin
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Dyslexia

A learning disorder characterized by difficulties with reading and spelling.

Dyspraxia

A difficulty with fine or gross motor skills that can impact the ability to learn. Also referred to as developmental coordination disorder.

EarlyInterventionProgram

Services or programs that support babies and young children with developmental delays.

Echolalia

A repetition of spoken words, often from film/TV or another person.

Elopement

The act of leaving a safe area.

EmotionalReactivity

The tendency to endure frequent and intense emotional arousal.

EmotionalWell-Being

The emotional quality of individual experiences, influenced by a change in demographics, economic, and specific factors.

Epilepsy

A neurological condition in which nerve cell activity in the brain is disturbed, causing seizures.

Evidence-Based

Practices or programs that are considered effective based on scientific evidence.

ExecutiveFunctioning

A set of mental skills that includes memory, flexible thinking, and selfcontrol. Difficulties with executive functioning can make it hard to focus, handle emotions, and follow directions

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ExpressiveLanguage

FamilyCounseling

The use of words (spoken and written) and gestures to share meaning with others. Provides knowledge and guidance to families to help children develop social skills, manage their feelings, and improve behaviors.

FamilyCounselor

Part of the Cortica team; family marriage therapists and clinical social workers who provide therapeutic support to the children we serve and their families.

FeedingTherapy

A specialized type of therapy that helps children learn how to eat or improve their current eating habits

FocusedABATherapy

Refers to treatment provided directly to a patient for a limited number of behavioral targets.

FoodSchool

Culinary school or classes that help develop cooking skills or practices for those who have autism.

FunctionalMedicine

An individualized, science-driven approach to holistic medical care.

GeneticTesting

A technique that studies DNA sequences to identify variations in genes. The results of genetic testing can confirm or rule out a suspected genetic condition.

GlobalDelay

A term describing when a child takes longer to reach certain development milestones than other children their age. This might include learning to walk or talk, movement skills, learning new things, and interacting with others socially and emotionally.

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Guanfacine

A medication used to treat ADHD, as part of a treatment plan including psychological, educational, and social measures Guanfacine affects receptors in the parts of the brain that strengthen memory, reduce distraction, and improve control.

HealthHistoryQuestionnaire

A set of questions that help medical professionals understand the person for whom they provide medical services.

Hyperlexia

The ability to read written language at a much higher level than the ability to understand spoken language.

Hypertonia

A very high level of muscle tone

Hypotonia

A very low level of muscle tone.

IndividualizedEducationPlan(IEP)

IntellectualDevelopmentalDisorder

A plan designed to protect children diagnosed with a delay during their early education. Differences that are present at birth and affect a person’s physical, intellectual, and/or emotional development. Many of these conditions affect multiple body parts or systems.

InterdisciplinaryTherapy

A treatment model that integrates various approaches, such as ABA, speech therapy, and occupational therapy, as part of a coordinated care plan

InternalWell-being

A state of calm, tranquillity and general relaxation achieved when a person feels at peace, centered, and balanced.

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InteroceptiveSystem

Detects information from internal organs including hunger, thirst, bathroom needs, etc

JointAttention

The process of one person alerting another to a stimulus nonverbally (e.g. pointing).

Lamictal

A medication, also called an anticonvulsant. Lamictal is used alone or with other medications to treat epileptic seizures in adults and children. Lamictal is also used to delay mood episodes in adults with bipolar disorder

Latrogenesis

A negative effect of an intervention.

LicensedMarriageandFamilyTherapist(LMFT)

Mental health professional trained in psychotherapy and family systems, with clinical practice experience.

MagneticResonanceImaging(MRI)

Uses a magnetic field and radio waves to generate images of the soft tissue within the body; can help identify seizure types.

Master'sofHealthAdministration(MHA)

A graduate-level degree that prepares professionals for leadership roles in the healthcare field. Places an emphasis on leadership, which may be helpful to current healthcare managers, as well as those looking to get started in the healthcare management field.

MedicationCheck

A discussion of a patient's complete set of medications.

MetabolicTesting

A blood test that measures sugar (glucose) level, electrolyte and fluid balance, kidney function, and liver function.

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Methylphenidate

A central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control Methylphenidate is used to treat ADD, ADHD, and narcolepsy.

MitochondrialDysfunction

Mitochondria generate the energy needed to power cells, and dysfunction occurs when they don't work as well as they should. Some symptoms include developmental delays, seizures, hearing impairment, and language/social impairment.

ModifiedChecklistforAutisminToddlers(M-CHAT)

A screening psychological questionnaire that evaluates the risk of autism. The checklist is intended for toddlers between 16 and 30 months of age.

Multi-SpecialtyEvaluation(MSE)

An appointment type at Cortica; an MSE provides valuable information about a child's progress with the use of two or more therapy types.

MusicTherapy(MT)

A clinical, evidenced-based therapy that uses the tools of music to assess and target nonmusical skills.

N-acetylcysteine

Used by the body to build antioxidants. Antioxidants are vitamins, minerals, and other nutrients that protect and repair cells from damage. It may also help break up mucus in people with some lung diseases, like chronic bronchitis.

NarrativeTherapy

A method of therapy that encourages patients to share stories about their lives, and to use those stories in order to create positive change in their lives.

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NervousSystem

The body's command center, originating from the brain and including the spinal cord and nerves The nervous system controls much of what a person thinks and feels, and what the body does.

NeuralNetwork

Neurons and nerve cells in the human brain that transmit and process the information received from the senses

Neurobiology Neurodevelopment

The study of the nervous system and how the brain works.

The brain's process of neurological pathways that influence performance or functioning

NeurodevelopmentalDifference

Disabilities in the functioning of the brain affect a child's behavior, memory, or ability to learn.

NeurodevelopmentalEvaluation

A set of tests designed to assess all aspects of a child's development, including cognition, language, motor, and social skills

Neurofeedback

A device therapy/technology. A way to track brain activity or electrical activity of the nervous system. Formerly called EEG biofeedback.

Neurogenetic

Neurogenetics studies the role of genetics in the development and function of the nervous system.

NeurogeneticDisorder

A disease caused by a defect in one or more genes that affect the contrast and function of the neuroectoderm and its derivatives.

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Neurology

The study of the nervous system.

Neuromodulation

A technology that acts directly upon nerves. It changes nerve activity by delivering electrical or pharmaceutical agents directly to a target area.

Neurophysiology

The physiology of the nervous system.

Neuroscience

The scientific study of the nervous system as well as its structure, functions, and disorders.

Neurotherapy

Also called neurofeedback therapy, is a drug-free treatment that helps people improve their brain function.

Neurotransmitter

Chemical messengers that nerve cells, or neurons, use to communicate with each other.

Non-pharmacologicTreatments

Refers to interventions that do not involve the use of medications to treat pain.

Norepinephrine

A naturally occurring chemical in the body that acts as both a stress hormone and neurotransmitter. It's released into the blood as a stress hormone when the brain perceives that a stressful event has occurred.

NutritionalCounseling

A process by which a health professional with special training in nutrition helps people make healthy food choices and form healthy eating habits.

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NutritionalSupplement

A product added to the diet.

ObsessiveCompulsiveDisorder(OCD)

A type of anxiety disorder that may cause unwanted thoughts or sensations. This can lead to a person feeling the need to do something repetitively.

OppositionalDefiantDisorder(ODD)

A behavior disorder characterized by frequent episodes of anger, deliberately irritating or hostile behavior, and a pronounced intolerance for authority

OccupationalTherapy(OT)

Part of the Cortica team; works to help children with physical, sensory, or cognitive disabilities. It helps them do everyday things like eating, putting on shoes and socks, focusing on learning, writing, and playing with toys or other kids.

ParentorCaregiverEducation,Training,orCoaching PediatricNeurologist

Refers to involving the parents or caregivers in their child's ABA therapy.

A child neurologist, or pediatric neurologist, is a doctor who treats children who have problems with their nervous system. Problems in the nervous system can start in the brain, spine, nerves, or muscles. These can lead to problems such as seizures, headaches, or developmental delays.

Perseveration

PervasiveDevelopmentalDisorder(PDD)

The tendency to get a thought stuck in one's head and not be able to switch to another Refers to a group of disorders caused by delays in the development of social and communication skills.

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PharmacogenomicTesting

Also called pharmacogenomics, is the study of how genes affect the body's response to certain medicines

PhysicalTherapy(PT)

Part of the Cortica team; works to diagnose and manage movement dysfunction and to restore, maintain, and promote healthy physical functioning

Physiology

The scientific study of functions and mechanisms in a living system

ProprioceptiveSystem

Indicates the location of body parts in relation to each other based on information from muscles and joints.

Psychotherapy

Also known as talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties. Helps eliminate or control troubling symptoms so a person can function better and can increase wellbeing and healing.

Quercetin

A plant pigment (flavonoid) that people sometimes take as a medicine. Used to manage a variety of issues, including heart and vessel problems, lowering blood pressure, allergies, disease prevention, etc.

ReceptiveLanguage RegisteredBehaviorTechnician(RBT)

The ability to understand words and language.

A BI who works one-on-one or in small groups with clients and their families dealing with learning behavioral challenges.

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RegisteredElectroencephalographicTechnologist(R.EEG.T)

A R.EEG.T. is a health professional who is trained to conduct EEG tests. They prepare the results of the test for interpretation by a neurologist.

RelationalWell-Being

The practice of building healthy, nurturing, and supportive relationships.

Risperidone(Risperdal)

A medication used to treat certain mental health conditions as well as autism. It works by helping to restore the balance of certain natural substances in the brain.

Savant Scripting

A person who is highly gifted in a specific field, like art or math.

A repetition of spoken words, often from film/TV or another person Scripting is common in autistic children and may help as a coping mechanism during times of stress or anxiety.

Seizure

A burst of uncontrolled electrical activity between brain cells. It may cause brief abnormalities in muscle tone or movements, behaviors, sensations, or states of awareness.

Self-StimulatoryBehavior(Stimming)

Refers to behaviors that involve repetitive movements or noises. In children with autism, stimming may be a reaction to overstimulation, understimulation, pain reduction, emotional management, or other conditions.

SensorimotorIntegration

Refers to the link between the central nervous system and the muscles (motor skills), and to the process of receiving information through our senses, interpreting it, and organizing it.

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SensoryOverresponsive

Refers to people who are quick to notice information received from their senses, and quick to respond to it

SensoryProcessingDisorder

A condition in which the brain has difficulty receiving and responding to sensory input.

SensoryUnderresponsive

Refers to people who do not notice and process information received from the senses as well They often seek extra sensory input, or they might need support from others to register sensory input.

SocialReciprocity

The back-and-forth dynamic of social interaction.

SocialSkillsTherapy/Training

Refers to a wide range of interventions and teaching methods used to help an individual understand and improve social skills.

SocialStory

A short story that portrays a social situation that a child affected by autism may encounter

SpeechDelay

When a child isn't developing speech and language at an expected rate.

Speech-LanguagePathologist

Part of the Cortica team; assesses, diagnoses, treats, and helps to prevent communication and swallowing disorders in children and adults.

Speech-LanguageTherapy(ST)

The assessment and treatment of communication problems and speech disorders.

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SplinterSkill

An ability that is disconnected from its usual context and/or purpose.

StateofArousal

The state of feeling awake, activated, and highly reactive to stimuli.

Stroke

Occurs when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients.

Telehealth

Sometimes called telemedicine, telehealth is a way clients can receive care virtually.

TherapeuticTechnology

See: "Device Therapy "

TicDisorder

The sudden twitches, movements, or sounds that people repeat. People who have tics cannot stop their bodies from doing these things.

Top-DownTherapy

A therapeutic approach focusing on the top parts of the brain (the frontal lobes and the pre-frontal cortex), in order to help patients understand and improve their thought patterns, communication, decision-making, and problem-solving.

TouretteSyndrome

A nervous system disorder involving repetitive movements or unwanted sounds. People who have Tourette syndrome often have tics.

TranscutaneousVagusNerveStimulation(tVNS)

A device therapy/technology, also known as cranial electrotherapy stimulation (CES). This is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to target symptoms of autism.

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A sensory nerve that connects the brainstem to the body; responsible for some sensory activities and movement within the body.

VestibularSystem

A sensory system that detects movement and guides eye-hand movements; provides information from balance, gravity, and posture.

VinelandAdaptiveBehaviorSkills(VABS)

A test that measures changing behavior; aids in the diagnosis of intellectual and developmental differences.

WelcomeVisit

A telehealth appointment where families will meet with a nurse practitioner to review their priorities and their child’s needs. Cortica partners with families to handle insurance, scheduling, coordination, and other aspects to ensure a positive patient experience during this appointment and those that follow.

VagusNerve
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