Therapeutic & Learning Centers, P-LLC www.therapeuticlearningcenters.com
Dr. Rich sees patients in a home office on Dream Catcher Farm in Potomac, MD. The practice incorporates neuropsychiatric assessments of children, adolescents and adults with prenatal alcohol exposure with a variety of treatment modalities, including farm animal therapy, academic and vocational recommendations, psychopharmacology, and parent guidance. She focuses on improving social communication/perception, neurocognition/executive functions, motor/sensory and mood regulation/autonomic arousal through multimodal techniques.
Farm Animal Therapy
Dr. Rich's pygmy goats, pig, chickens and other farm animals provide hands on, multi-sensory experiences to assess and teach adaptive skills, self-regulation, and perceptual awareness. See more at www.therapeuticlearningcenters.com.
Instead of multiple medications to treat an array of psychiatric diagnoses, Dr. Rich focuses on 4 domains of neurodevelopment: neurocognitive/executive functions, social communication/perception, mood regulation & autonomic arousal, and sensory/motor. Using milder medications similar to a traumatic brain injury model, Dr. Rich focuses on anti-epileptic and alpha-adrenergic blockers for treatment of mood/arousal and impulsivity/hyperactivity. Nutrition, adequate sleep, exercise, and consistent schedule are all important to improved mental well-being.
Academic & Vocational Recommendations
Based on a belief that children have gifts despite challenges, Dr. Rich's approach is to help to develop one's talents into realistic academic expectations and vocational goals. She helps foster a sense of self through direction, meaning, and purposeful activities.
Understanding that neither children nor parents come with instruction manuals, Dr.Rich attempts to guide the parent into a better understanding of their child and vice versa. Developing realistic expectations, keeping standards high, and cocooning the child through adolescence helps improve neurodevelopment by reducing academic stress, social pressures, and alcohol/tobacco/other drug use. Improving the parent-child relationship through shared joys and interests, the dyad learns to develop healthier conversations, reduce toxic interactions, and improve overall functioning within the home environment.