781-861-6655 | Contact Us

Overview - Why CDN


Our Approach

In order to identify and bring out the best in all children, we begin with a thorough assessment of the child or adolescent as well as their school, home, and support networks to develop comprehensive recommendations. Next, we carefully coordinate follow-up support for each family through ongoing consultation with parents, teachers, and other providers. Last, we maintain ongoing relationships with families to ensure that our clients receive the services they need and to help build skills for success.

Temporary Problems

Typical temporary problems would include learning delays, difficult behavior or problems with emotional control and the behavior that results from this. Such problem can usually be dealt with through treatment services that are for a fixed period of time.

We approach these services in a structured way:

  1. What is the issue to be managed?
  2. What are the goals to be achieved?
  3. What time frame should the goals be achieved?
  4. How many services at the CDN would be necessary?
  5. What else needs to be done (what you do, what other people do)?
  6. How to monitor progress along the way.

More permanent problems

True neurodevelopmental disorders are more longstanding in nature. Examples include ADHD, Autistic disorders, Learning Disorders and Motor Control disorders. They continue to impact on development throughout childhood.

For these types of problems we use a 'case management' approach, which develops an individualized plan to guide you. These plans identify issues, goals, who is involved, and how to monitor progress towards the goals.

Long term management involves three simultaneous strategies:

  1. Trying to improve as much as possible (treatment)
  2. Living with as successfully as possible (adaptation, modification, bypass strategies)
  3. Building positive capacities, strengths and interests (resilience)
  4. In addition to the case management plans, we also help you organize specific therapy interventions. These are similar to how we manage temporary problems, by using fixed-time periods of intervention to achieve specific outcomes.
A key to managing more longstanding problems is support over time. We provide this at the CDN with ongoing followup services that include helping you continue the case management planning, advocacy, and whatever else is necessary to build towards a future where you child has the best mental health (happiness, understanding of themselves) as well as best development (skills, knowledge and behavior).


Medication is a challenging issue. At the CDN we are neither 'for' nor 'against' medication, but believe it can be helpful for individual children when used selectively.

The key to medication is to see it as a 'means to an end'. Using medication to control symptoms (such as impulsivity and distractibility) may allow developmental interventions (e.g. to build learning, organizational or social skills) to be far more successful.

If we do use medication, we aim to define a plan to make the most of the opportunity created.

We also consider, from the very outset, how eventually to get the child off medication.