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  As a child and adolescent psychotherapist, I have sought Karen’s guidance on a number of my more challenging cases over the years. When outpatient treatment reaches a standstill and/or the child or teen has engaged in self-destructive behaviors (e.g., drug or alcohol abuse; school refusal or failure; suicidal ideation or gestures, et al) Karen…

- John Palen, Ph.D., LCSW
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