Can Autism Be Prevented? | Autism Prevention Strategies
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- čas přidán 15. 01. 2019
- Can autism be prevented? Dr. Mary Barbera talks about some autism prevention strategies, and how to start treating autism aggressively to potentially even reverse it.
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Among the many questions I get asked, one seems to always come up again and again and it’s “what can be done to prevent autism?” And the truth of the matter is that there isn’t any research to prove or disprove that preventing autism is possible by doing something specifically. Treating autism aggressively can help reduce, reverse, or eliminate many autism symptoms. With intensive behavioral intervention, up to 47% of children with a diagnosis of autism can even become “indistinguishable from their peers” or recover from autism as first suggested more than 3 decades ago (Lovaas, 1987). The general rule of thumb is that catching autism early and then acting upon it can help the odds.
Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology,55(1), 3-9. doi:10.1037//0022-006x.55.1.3
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Dr. Mary Barbera "fell" into the world of autism in 1999 when her firstborn son, Lucas, was diagnosed with autism one day before his third birthday. In the last 2 decades, Mary went from almost nothing about autism to becoming a Board Certified Behavior Analyst, writing a bestseller, The Verbal Behavior Approach (now translated into more than 10 languages) and obtaining a PhD. with an in-depth knowledge of some of the best ABA autism strategies. In 2015, Mary began her first online course on autism that has already been purchased from parents and professionals in more than 45 countries and now sells 3 courses online. With more than 2 decades in the world of autism, both as a parent and as a professional, Mary is in a unique position to help you, especially if you live or work with a child with autism who also has delays or language disorders. Its mission is to change things for 2 million children with autism (or signs of autism) by 2020 through online training and advocacy.
Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology,55(1), 3-9. doi:10.1037//0022-006x.55.1.3
I am so thankful I found your videos on CZcams and I have signed up for the workshop "Turning Autism Around for Toddlers and Preschoolers" because my great-grandson has all the symptoms of autism at 33 months old and we babysit him while his mother works. We are going to follow your guidelines in trying to turn this around. Thank you so much for all your help. God Bless You! I do believe you are a God-send!
Thank you for watching . I am excited to hear you signed up for the workshop!
Thank you for your videos, they are very helpful and hopeful for us parents.
Thank you for watching ! I also have a free workshop here : marybarbera.com/workshops
We had our son evaluated by an autism specialist at age 3 who would not diagnose him with autism. Then a few years later took him to a developmental pediatrition who wasn't sure if he had autism. Took him to a child physciatrist who at age 10 who gave him a diagnosis of moderate autism! So frustrating!! He did have some interventions due to his delays, but I am still unsure as what I should really be doing for him as no one seems to have any good answers for us.
That sounds like a difficult road ! I am happy you have some answers! Thank you for watching.
Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
May I please request you to elaborate on the plan you had set up for Matt. I think just few key points would be helpful to know
I go over what to do about increasing language and decreasing problem behavior in my free workshop marybarbera.com/workshop
Hi Mary! I just wanted to ask if your course for toddlers can replace the ABA therapy with the professional? I am not able to find a therapist for my child
It is certainly recommended that you find a professional to individualize your child's programming. With that being said, there have been many families who have taken my courses and have seen success with no therapists. There are a variety of funding issues and availability issues all over the world that can make finding a professional difficult. Listen to Kelseys story of how she was her sons sole therapist after my courses marybarbera.com/3
@@marybarbera Thanks a lot for reply!
Thank you for your videos ❤️
Dr Mary can u please help me with my daughter who will be three next month but not talking eating and sometimes refuses to sleep in the night please I need all the help of an get thank you
Kaf King I’m not Dr Mary but are you doing biomedical intervention?
@@nataliewright4164 sorry but I haven't because she doesn't eat
Kaf King what do you do for nutrition ?
Thank you for watching !
Thank you for your videos I was diagnosed with autism when I was little
Thank you for that great feedback.
@momtana how are you doing now I’m a worried mom please share
Hi Mary, thank you for such informative videos. I have a two-year-old grandson who is experiencing delays and meeting important milestones. Based on what you said in this video, would you recommend going straight to ABA therapy and waiting to see how much progress is May before getting an actual diagnosis?
A lot of ABA clinics won't even accept a new client without an official diagnosis. However, if your grandson is experiencing delays, you're right about getting effective early intervention set up right away! Join me for a free workshop here and I can give you step by step help: marybarbera.com/workshop
Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
I know there is a chance of having another child with autsim if you have one already just want to ask if there is anything I can do to prevent austim during pregancey I am playing for another baby because i want my son to have a sibiling but at same time scary of having a child with Autism please help thank you for your responses and your videos
It can be scary for sure! Unfortunately, I do not know of any ways to prevent another child having autism. The best thing you can do is watch for signs early and start early intervention, if needed, early as well.
Am I able to join the workshop if I’m in the UK I really want help for my 19 month
Yes! We have many members from the UK. Join now- bit.ly/3GZjn7m
thank you for the HOPE
Of course! Thank you for watching.
How can I contact you directly?
Thank you for watching. Try checking out my free video workshops marybarbera.com/workshops
Once a child gets a diagnosis, can it be later reversed? Or is the diagnosis permanent?
If the child is later assessed and no longer meets the criteria , it can be removed.
Autism is something you are born with and it cannot be cured
Hello Dr before yesterday they diagnosed my 2 and half yo baby boy with autism and language and not communicating much with anyone only if he wants but I really want to know how to prevent it from him an u help me and sorry for my bad language
You can start helping him by getting started with my online courses. /learn more here www.marybarbera.com/workshops
Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
hey i love your videos. Is 2 years old too late to start speech therapy.
absolutely not! that is great you are starting. Also check out my online courses for kids that age. Here is a free workshop www.marybarbera.com/workshops
Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
I wish there was an ABA program here where I live in Sweden.I feel like my child is not getting the support he needs .
Hi my 4 years old give a answer sometimes the questions and sometimes not and repeating poem every time ,and sometime he repeating words 3 to 4 time he knows the sight words 1 to 100 but sometimes he cannot understand, if he want apple so he says do you want apple and then say I want apple , what can I do please help some tips thank you so much
We have a guide on stimming. Join a free workshop to find out what else you can do: MaryBarbera.com/workshops
Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
@@marybarbera Lord of Heaven, please change the past back in reality here on earth so, My sister, Jennifer tang and her friend, Dylan Lewis will be born as their new lives on June 25th, 1993. But, also McKenna Grace and her best friend, August Maturo will be born as their new lives on July 1st, 2000 and then, Daven Wilson, Hunter Pecunia, Sierra Mccormick and Aedin Mincks will be born as their new lives in June 30th, 1997. After I will be born without autism, spectrums, disabilities and disorders as my new life in reality on earth on June 20th, 1997 to avoid Getting Mad, Talking Hands, IEP Meetings and Summer School and become a typical, average, ability, skinny, and helpful person to change my life by watching educational channels on tv, speak with my first words and playing toys, interventions and games, when I can be a 2 year old back in 1999, spend more times with my sister and her friends, my aunt, my uncle and their friends my mom, my dad and their friends, my cousins and their friends and my grandparents in Sterling and new friends with Rose from youtube.com/@isabella_perez123, youtube.com/@retromusicwithsonique, James Mark from youtube.com/@jamesmark1335, youtube.com/@comicaddicts7827, Nathan Cruz from youtube.com/@nathancruz9172, Ashley from youtube.com/@ashley-ln1nc and Xander from youtube.com/@xanderverboomen556. So, they can Sterling Elementary School when I can be a 5 year old back in 2002, learn to spell my name with words, draw and paint a picture, read and write on a book, make money, doing chores and jobs at my old house, 216 W Balsam RD, Sterling, VA, exercise inside and outside in the community, singing a song, counting numbers, go out to play and eat and go to Sterling Middle School and Parkview High School to study algebra, biology, English, chemistry and geometry with me when I was a 12 year old back in 2009 and a 15 year old back in 2012 and get IPhone 1 when I can be a 10 year old back in 2007 as a second chance and I swear that we all become our younger selves again back in reality here on earth to start my life all over again before we all get older, died and Rest In Peace to heaven in the future and change and altered timeline and history back in the past, so the children actors and children actresses can become Power Rangers, Masked Rider, Beetleborgs, VR Troopers, Byclosser, Kikaider, Kikaider 01, Bijinder, Super Sentai, Kamen Rider, Inazuman, Gransazer, Justirisers, Sazer-X and Metal Hero and then you altered time back in 2001 so the US Government can create a distraction by calling the Airport Security to prevent Osama Bin Laden, the airplane hijackers and the 9/11 terrorists before they were about to hijack airplanes and destroyed the Twin Towers of the World Trade Center in New York, The Pentagon in Washington DC and Stonycreek Township in Somerset County at Pennsylvania. Right after, you altered time back in 1963 so Jack Ruby can distract Lee Harvey Oswald before he was about to kill John F. Kennedy. And, also altered time back in 1968, so the police can attack James Earl Ray before he was about to kill Martin Luther King JR. and altered time back in 1914 so the Police can attack Gavrilo Princip before he was about to kill Archduke Franz Ferdinand.
You mention that there is a lot of research showing that autism can be effectively treated using behavioral treatment. Could you point me towards specific examples of some of this research?
google the lovaas study and there have been others since.
Autism is not a disorder, it is a neurological way of thinking. There are autistic adults, I.e. people don’t grow out of autism. They may have developed ways of coping but that does not make it go away.
@@arrow9293 As longer as they can function I don't really care
Is speech regression always a sign of Austism ? My son has lost his speech please help
No not always however I would say it certainly means you need a full developmental evaluation. I also have free workshops here marybarbera.com/workshops
No not always....speech regression may have many other reasons......you can get autism checklists from internet and can check for matching or differences of symptoms.
My son lost his speech and was diagnosed with Autism. How is your son doing?
Dr Mary my daughter is almost three and doesn't talk she bubbles alot and say mum every now and then we live in uk so the aba therapy is not available on our health services please can u help me she doesn't eat either and sleep is some time ago problem please help
Thank you for watching ! I have a free workshop that may help you here : marybarbera.com/workshops . I hope this helps you!
How early is early like what age cause I have a 2 year old
As early as possible! 2 years is not too late at all! You can join a course to start helping your child: MaryBarbera.com/courses
Helllo doctor I would like to send u and email pls what’s ur email
I don't serve clients personally anymore, but if you join one of my online courses, you'll have access to my team and I for any questions you have! For more information, join me for a free workshop at www.marybarbera.com/workshops.