The other half of the practice is devoted to working with children and their families impacted by developmental delays, retardation, autistic spectrum disorder, pervasive development disorder NOS , Asperger's syndrome and learning disabilities as well as children impacted by acute anxiety disorders such as selective mutism. In addition to treating the affected child, psychoeducational support is given to the healthy siblings of the child (children), to the parents, grandparents, any additional childcare providers and when needed a specific school system that the child is attending in the form of individual, couple and group therapy; instruction is given both in Dr. Hess's office, the family home and the school classroom.