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Dr. Alessi  can provide services to children, adolescents,  young adults and adults  with a broad range of mental, emotional or behavioral difficulties.  In addition he has expertise in working with populations with  special needs such as those with refractory depression, ADHD, bipolar disorders, Autism Spectrum Disorders, and/ or cognitive disorders. When necessary he can refer cases for additional testing and/or associated care with a network of clinicians in southeast Michigan.

A question I am often asked is "What questionnaires or testing instruments will I use? " 

I often don't.  Why? I find they often don't  allow for the totality of clinical symptoms needed to be taken into consideration during the evaluation or assessment. 

An example: A young boy 10-12 years old has been seen and diagnosed with ADHD by a pediatrician, or in a clinic that specializes in ADHD. They use the Connors Rating Scale, an instrument widely regarded as a standard in the identification of ADHD in children  He is identified as having ADHD and there is a suggestion of there being depression as well.  With treatment for his ADHD alone he does not get better. Why?  When seen by me I identify in addition to ADHD, the presence of an Autism Spectrum Disorder (ASD), depression  and social anxiety.  When these conditions are treated over a year period including calls to school and the application for an Individual Educational Plan (IEP) rather than a 504 plan, he does much better.

This is a common problem: the over simplification of complex clinical data to fit a form or a category the insurance company will support.  I try to go beyond these simple models, sometimes with success. 

Dr. Alessi has over 35 years of experience working with juvenile delinquents.

     Juvenile Delinquency

Dr. Alessi has extensive experience in working with patients,  children, adolescents, and adults with ASD. 

Autism Spectrum Disorder