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What we try and do it near Presbyterian and Columbia is to provide the best in mental health care and psychiatric medicine that can be found anywhere, and it's an ongoing process of not just providing the best but continuing to update our knowledge and the treatment we provide based on the latest research and in doing so we treat standard garden-variety types of mental illnesses but also those complex cases that are difficult to diagnose or are not responsive to treatment or have various comorbidities so if individuals have not had success in terms of having their elbows correctly diagnosed and treated elsewhere New York Presbyterian is the place to come much of what we do is early intervention, although we do see people across the age range, and we're very focused on families trying to help families understand what is going on with their child and what they can do as well as working directly with the kids, so we have a state-funded early intervention program that goes up to age three that provides all kinds of services, so we see kids in a little classroom I mean it's a tiny classroom because these kids are mostly two years old some not even two we see them three times a week in the classroom we offer occupational therapy speech therapy counseling for the families, and then we coach the families on things that they can do with their own child, and then we have support groups for our parents and we this is all built on a pretty detailed evaluation because the kids even at age two are so different from each other we know it's a neurobiological disorder we know there's a genetic component, but we don't have biological markers there isn't a blood test there isn't an MRI that can tell you have autism or what kind you have, so we're looking at two kinds of behaviors social communication and restricted and repetitive behaviors and every child and every adult with autism is a bit different and how the deficits in those areas are different in addition we have general issues sometimes autism is associated with an electoral disability I mean that's not so clear when you have a two-year-old or a tiny child, but eventually it makes a huge difference if somebody has very severe delays across the board versus somebody who has autism but is actually of average or higher intelligence and then there's also a range of language skills, so people can be quite intelligent that have specific difficulties in language there's a range of motor problems some people with autism are very klutzy or awkward and other people are not and then there's also a range of behavior problems that in children overlap with other aspects of psychiatry or psychology like pant rooms and hype activity and anxiety all the things that anybody would struggle with and as you get older you begin to see depression and some kids and in very rare cases overlap with things like bipolar disorder or schizophrenia you have to take into account those comorbidities all along, and sometimes we know for...
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