​​​Developmental Milestones by Age

Milestones enable parents and physicians to monitor a baby's learning,

behavior, and development. While each child develops differently, some

differences may indicate a slight delay and others may be a cause for greater

concern such as in Autism. The following milestones provide important

guidelines for tracking healthy development from four months to three years

of age.

Before your child's next visit to the physician, please take the time to see if

your child has met his/her key milestones. These milestones should not be

used in place of a screening, but should be used as discussion points

between parents and physicians at each well visit. If a child does not have

the skills listed---or if there is a loss of any skill at any age---be sure to let

your physician know.
Check to see if your child is achieving these typical milestones at each age level:

By 3-4 months

Watches faces with interest and follows moving objects 
Recognizes familiar objects and people; smiles at the sound of your voice 
Begins to develop a social smile- 
Turns head toward sounds

By 7 Months

Responds to other people's emotions 
Enjoys face-to-face play; can find partially hidden objects
Explores with hands and mouth; struggles for out of reach objects 
Responds to own name
Uses voice to express joy and displeasure; babbles chains of sounds

By 12 Months/1 Year

Enjoys imitating people; tries to imitate sounds 
Enjoys simple social games, such as “gonna get you!”
Explores objects; finds hidden objects
Responds to “no;” uses simple gestures, such as pointing to an object 
Babbles with changes in tone; may use single words (“dada,”“mama,” “Uh-oh!”)
Turns to person speaking when his/her name is called.

By 24 Months/2 Years

Imitates behavior of others; is excited about company of other children 
Understands several words
Finds deeply hidden objects; points to named pictures and objects 
Begins to sort by shapes and colors; begins simple make-believe play 
Recognizes names of familiar people and objects; follows simple instructions 
Combines two words to communicate with others, such as “more cookie?”

By 36 Months/3 Years

Expresses affection openly and has a wide range of emotions 
Makes mechanical toys work; plays make-believe 
Sorts objects by shape and color, matches objects to pictures 
Follows a 2- or 3-part command; uses simple phrases to communicate with others, such as “go outside, swing?”
Uses pronouns (I, you, me) and some plurals (cars, dogs)

By 48 Months/4 Years

Cooperates with other children; is increasingly inventive in fantasy play
Names some colors; understands concepts of counting and time 
Speaks in sentences of five to six words
Tells stories; speaks clearly enough for strangers to understand 
Follows three-part commands; understands "same" and "different" 

By 60 Months/5 Years

Wants to be like his/her friends; likes to sing, dance, and act 
Is able to distinguish fantasy from reality 
Shows increased independence 
Can count 10 or more objects and correctly name at least four colors 
Speaks in sentences of more than five words; tells longer stories

Symptoms of ADHD

Most psychologists, psychiatrists, and pediatricians diagnose ADHD based on a set of inattention and hyperactivity symptoms along with other criteria outlined in the Diagnostic & Statistical Manual for Mental Disorders- Fifth Edition (DSM-V). For someone to be diagnosed with ADHD, the behaviors must have lasted for at least six months, and symptoms must be present in school and in other aspects of the individual's life.

Inattention symptoms of ADHD include:
Not paying attention to detail
Making careless mistakes
Failing to pay attention and keep on task
Not listening
Being unable to follow or understand instructions
Avoiding tasks that involve effort
Being distracted or forgetful
Losing things that are needed to complete tasks

Hyperactivity-impulsivity symptoms of ADHD include:
Getting up often when seated
Running or climbing at inappropriate times
Having trouble playing quietly
Talking excessively or out of turn


Symptoms vary depending on the type of anxiety disorder, but general symptoms include:

  1. Feelings of panic, fear, and uneasiness

  2. Problems sleeping
  3. Cold or sweaty hands and/or feet
  4. Shortness of breath
  5. Heart palpitations
  6. An inability to be still and calm
  7. Dry mouth
  8. Numbness or tingling in the hands or feet
  9. Nausea
  10. Muscle tension
  11. DizzinessType 

Play Therapy Helps Children:

  • Become more responsible for behaviors and develop more successful strategies.

  • Develop new and creative solutions to problems.

  • Develop respect and acceptance of self and others.

  • Learn to experience and express emotion.

  • Cultivate empathy and respect for thoughts and feelings of others.

​Serving Individuals of ALL Ages

who suffer from:


Suicidal: Purposeful self-injury with the intention to kill oneself (suicidal behavior), or, verbalizing plan, intent, and having the means to complete a suicidal act.

Suicidal Ideation (SI): Thoughts of being dead or of killing oneself. These would be noted in statements or gestures by the person.

Passive Suicidal Ideation (thoughts and statements): talking of thinking about “being dead” or killing or hurting yourself, but not really doing it. For example: “I wish I were dead. Sometimes I just want to kill myself I feel so depressed.”

Active Suicidal Ideation: Thinking that killing or hurting yourself is a good idea and thinking of some realistic ways you might do it. Example: “I want to kill myself by smothering myself with a garbage bag and taking pills and I have been hiding pills to do this.”Type your paragraph here.

Action:  Removal of sharp objects (e.g., scissors, knives nail files), then Call 911

Free yourself form negative people.
Let go of those who are already gone.
Give people you don’t know a fair chance.
Show everyone kindness and respect. Accept people just the way they are.
Encourage others and cheer for them.
Be your imperfectly perfect self.
Forgive people and move forward.
Do little things every day for others.
Always be loyal.
Stay in better touch with people who matter to you.
Keep your promises and tell the truth.
Give what you want to receive.
Say what you mean and mean what you say.
Allow others to make their own decisions.
Talk a little less, and listen more.
Leave petty arguments alone.
Pay attention to your relationship with yourself.
Pay attention to who your real friends are.
Ignore unconstructive, hurtful commentary.Type your paragraph here.


Marriage and Couple Counseling


Persistent sad, anxious, or "empty" mood
Loss of interest or pleasure in activities, including sex
Restlessness, irritability, or excessive crying
Feelings of guilt, worthlessness, helplessness, hopelessness, pessimism
Sleeping too much or too little, early-morning waking
Appetite and/or weight loss or overeating and weight gain
Decreased energy, fatigue, feeling "slowed down"
Thoughts of death or suicide, or suicide attempts
Difficulty concentrating, remembering, or making decisions
Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain.