Group Therapy coming soon!

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Presence Developmental Services and Presence Counseling Services are clinician owned and operated companies that were developed to provide Behavioral Support, Physical Therapy, Occupational Therapy, Speech-Language Pathology,  and Social Work services to Individuals with Developmental Disabilities in the home, office,  and other community locations. 

Dave Sealy, LMSW/MPA, founder, has 25+years of experience creating practical solutions for the unmet clinical needs of people with developmental disabilities living in the community.

We currently have service providers in the following disciplines: 

• Social Work 

 A referral to a Social Worker would be appropriate to assist an individual in the following areas:

• Individual, group, or family treatment/counseling
• Difficulty getting along with individuals at a level that impacts their daily life
• Limited ability to perform functions of daily living due to a crisis the person has experienced
• Difficulty handling an illness of self or a loved one
• Assist in coping with the death of a friend or family member
• Help the family unit understand a person's limitations and provide additional education
• History of physical, sexual, and/or emotional abuse/neglect
• Intervention and skill-building designed to promote self-esteem, social relationships, and self-determination
• Psychiatric instability (hallucinations, delusions, disorganized speech/behavior)
• Affect/Mood (crying episodes, withdrawal, anxiousness, hyperactivity, changes in sleep or appetite, fatigue)
• General behavioral concerns (aggression, hygiene, tics, tremors)
• Cognition issues (forgetfulness, inability to perform tasks done in the past)
• Concerns regarding the ability of an individual to remain in current placement due to any of the above issues.

• Physical Therapy

  A referral to a Physical Therapist would be appropriate to assist an individual in the following areas:

• Physical limitations
• Limited functional mobility
• Loss of stamina/balance issues/movement disorders
• Orthopedic problems (fracture, joint replacement) or chronic joint/muscle pain
• Pressure sores or wounds that are difficult to heal
• Chronic respiratory problems
• Adaptive equipment or environmental modifications
• Decline or loss of physical functioning

• Behavioral Support 

A referral would be appropriate to assist an individual in the following areas:

• Individual, group, or family treatment/counseling
• Psychiatric instability (hallucinations, delusions, disorganized speech/behavior)
• Affect/Mood (crying episodes, withdrawal, anxiousness, hyperactivity, changes in sleep or appetite, fatigue)
• General behavior concerns (aggression, hygiene, tics, tremors)
• Cognition issues (forgetfulness, inability to perform tasks done in the past)
• Concerns regarding the ability of individuals to remain in current placement due to any of the above issues.

• Occupational Therapy 

 A referral to an Occupational Therapist would be appropriate to assist an individual in the following areas: 

• Physical limitations
• Limited functional mobility
• Activities of daily living (eating, personal hygiene, dressing)
• Difficulty following directions, organization, or attention
• Gross/fine motor skills
• Adaptive equipment and environmental modifications
• Decline or loss of physical functioning
• Sensory difficulties (issues with touch, sounds, smells, movements, or activities)

• Speech & Language Pathology 

 A referral to a Speech Pathologist would be appropriate to assist an individual in the following areas:

• Difficulty understanding the individual's speech
• Changes in an attempt to communicate
• Adaptive equipment, augmentative/alternative communication system
• Difficulty chewing or swallowing
• Issues at mealtime (gagging, drooling, behavioral changes, requires a lengthy time to eat or consuming food rapidly)
• Diet consistency recommendations
• Adaptive equipment for eating

If you are interested in receiving services for yourself or are making a referral for someone else, please click the 'Make A Referral' button at the top of the page.