• Assessment, Diagnosis, Therapy, Advocacy

    Spark Psychological Services

    Laurie Ferguson, Psy.D.

    Licensed Clinical Psychologist

     

  • Philosophy

    My grandfather was a machinist and tinkerer, and his garage was filled with things that needed fixing -

    toasters, car engine parts, radios. I was fascinated by his skill in turning sheets of metal in to things that were

    useful and beautiful. He made things run smoother, and he saved things that others thought were beyond repair.

     

    I approach psychological services in much the same way, with the idea that school, work, home life, and relationships can be more fulfilling and coaxed in to running more smoothly through hard work, dedication, skill, support, and creativity. Nobody, and no situation, is "beyond repair." If you are ready to get on the right path and make a change, then let's get to work.

    Support and Stragies, 

    Not Judgment

    It takes a lot of courage to make the call to a psychologist. I consider it a privilege to become part of your or your loved one's treatment. My style is interactive, directive when it needs to be, and non-judgmental. Only you can truly understand what it is like to walk in your shoes, and I believe that parents are the ones who best understand their child. When counseling or assessing children and teens, parents and caregivers are crucial to treatment. While respecting confidentiality laws, I make parents an integral part of the process.

    You Are The Driver

    My grandmother drove an old white station wagon with fins and bright red "pleather" seats. She absolutely loved to drive, and I remember the feeling when I took the wheel of my first car, one that my grandfather fixed up - a junkyard Ford Pinto that he spray painted bright yellow to cover the Bondo filling the dents. Pure bliss.

     

    You are the driver in your therapy or assessment.

    You and I work together as a team - on your goals, not mine - and I am up front about

    what I believe is needed for you to meet your goals. I coordinate with your physician, school,

    and others as needed. If I think that another professional is needed, then I get you connected with that provider.

    A Whole Person, 

    Not "Just A Diagnosis"

    I still have the Polaroid camera I bought as a teenager - one of those cameras that spits out a picture and it develops in front of your eyes. Magic. A moment caught in time.

     

    Likewise, a diagnosis does not capture all of you. You or your child is more than a "label" in a medical chart. What a diagnosis may do is open doors to school or agency services, certain types of therapy, or insurance coverage. A diagnosis can help providers "speak the same language" as we work together to help.

     

    When we conduct assessments or work in therapy, we are looking at a moment in time. A snapshot. I am a firm believer in the idea that the past does not have to dictate our future.

  • Services

    Assessment, Diagnosis, Therapy, Advocacy

    Independent Educational Evaluations, Expert Witness Services

    Assessment & Diagnosis

    Help your loved one reach their potential.

    Dr. Ferguson specializes in assessment and diagnosis of autism, learning disabilities, ADHD/ADD, anxiety, OCD, depression, mood disorders, behavioral issues, and related concerns for children, teens, and adults using "gold standard" measures. Some kids are bright but still have trouble in school. Adults can have trouble living independently. Maybe you have always thought that something is different for your family member, or maybe this is a new issue that cropped up. Let's figure it out and get on the right track. Dr. Ferguson is a privately-contracted assessor for Tri-Counties Regional Center, school districts, attorneys, and families. Independent Educational Evaluations (IEE's) are provided to students, Expert Witness Services are provided to the courts, and evaluations can be completed for Social Security services. Click on the Assessment tab above to learn more.

    Therapy for children, teens, adults, & couples

    What are your goals?

    Research-based interventions are the foundation of Dr. Ferguson's work, such as Cognitive-Behavioral Therapy and Exposure and Response Prevention. Play therapy and art therapy are also important ways that children learn to talk about emotions, coping, and getting better. For teens, they are more able to talk about what is happening, although art continues to be an excellent avenue for exploring identity, relationships, goals, and stress resilience. Anxiety, OCD, mood difficulties, and coping with ADHD/ADD are common reasons that individuals of all ages come to see Dr. Ferguson. Couples typically come in after many years of difficulties, perhaps due to communication challenges, autism or Asperger's concerns, infidelity, or growing apart. Life can throw us curve balls at any age, so let's get you living the life you envision. Photo credit: Xavier Bailey Photography.

    Advocacy

    Ever feel like you are going around and around, getting nowhere?

    "Systems" can be confusing - schools, courts, regional center, social security, insurance, agencies - What do they do? How do you qualify? Where do I start? Many families are not aware of the possible services they may be eligible for. Often, parents believe that the school will identify any learning issue early on, and address it. Every organization is limited by the things that limit us all -- time, staff, and money. Families need to become an advocate, and Dr. Ferguson can support you, providing guidance, realistic advice, and assessment or therapy services as needed.

  • Autism

    What is Autism?

    What about Asperger's?

    And where do we start?

    Click right for answers.

    So what exactly is Autism?

    And what about Asperger's?

    What are Autism Spectrum Disorders?

    Autism is a developmental disorder that occurs on a spectrum, or continuum. Asperger's is part of that spectrum. There are shared characteristics among individuals who are "on the spectrum," which includes certain deficits in verbal and nonverbal communication, social relatedness, and repetitive behaviors or interests. It is often said that "if you have met one person with autism, you have met one person with autism," meaning that autism can be different for each person. There are many reasons why an individual might have an Autism Spectrum Disorder (ASD), and researchers are constantly learning more about autism. Autism is a life-long disorder and there is currently no cure. However, there are treatments that can effectively improve communication, ability to learn, independent living skills, and social relationships. It's never too late to begin treatment. Click right for more.

    Can Dr. Ferguson Assess Adults?

    Yes! An adult assessment for ASD's includes high-functioning Autism and what we used to call Asperger's Disorder. Perhaps you are looking for support for issues related to job difficulties, college, relationships, parenting, or independent living. Succeeding in these areas can be more challenging if you are on the spectrum, while you also have unique strengths. Dr. Ferguson can help coordinate with the services you might already receive, and consult with you or your family regarding community resources. Dr. Ferguson communicates in a straightforward, respectful, logical, solution-focused manner to help you achieve your goals. Individual, couples, and family therapy can be provided as needed.​​ Click right for more.

    How can I get an assessment?

    Phone Dr. Ferguson's office at 805-610-8694 to schedule a brief, complimentary discussion directly with Dr. Ferguson. She will review your needs, your goals for assessment, and any questions you may have. It is possible that she may refer you to other practitioners, such as your physician or a neurologist. If Dr. Ferguson determines that an assessment for Autism Spectrum Disorders is needed, then the assessment will be scheduled and the process explained.

  • Learning Difficulties

    Strudents struggling to meet their potential

    Adults struggling in work and life

    What is a learning disability?

    Click right for answers.

    Students Not Meeting Their Potential

    Homework battles. Frustration, tears, school avoidance. Bright students struggling to maintain their grades. Kids labeled "lazy" or "oppositional." Maybe there is trouble with reading or math. Some students seem to understand fine, but can't get all the work done. Many parents report that one day may go well, then another day can be "as if he never saw the material before - we're starting at square one." Learning issues are confusing and frustrating. Dr. Ferguson has worked with many students with learning difficulties and related issues, and each learner is unique. With a solid assessment, we can figure out your student's learning style, develop strategies, and help your student reach their potential. Click right for more.

    Adults Struggling At Work And Life

    Can't stay organized. Losing things, showing up late to work, missing deadlines. At risk of getting fired. Frustration at home and work. Some adults have a hard time with reading and math, or understanding (and remembering) directions. "You have to write it down for me," or "If I can hear it, then I get it." Learning issues can make getting through life frustrating on a daily basis, and can limit your success. There can be related issues, like difficulties with ADD, ADHD, or "executive functions," which help us stay organized and on task. A solid assessment can determine your particular learning style, and how to address difficulties. Click right for more.

    What is a Learning Disability?

    A Learning Disability is a medical diagnosis, which may mean you are eligible for school-related supports, depending on the severity. There are different kinds of Learning Disabilities, although there is a lot of overlap. If you have dyslexia (a reading disability), that can affect math too, such as word problems. A learning disability in math may mean you also have trouble with telling time, reading maps, and understanding left/right. A Non-Verbal Learning Disorder (NVLD) can mean that you have trouble understanding communication that isn't verbal, such as reading facial expressions, body language, and other social cues. Some individuals with who have trouble completing work on time may have difficulties with executive functions (prioritizing, organizing), or with processing speed. A proper assessment can figure out your unique learning style so that school or work can be more successful and less frustrating.

  • ADD and ADHD

    "Scattered"

    "Disorganized"

    "Doesn't pay attention"

    "Needs prompts to get things done"

    Click right for answers.

    Smart, but scattered

    One day she finishes things well, and the next day it's like she's never seen the task before. It's because she has "spent" all her energy and needs to replenish. Think of ADD and ADHD like a bank account. It takes time to save up enough capital for the next task. It's not because she can't do the task, it's because she can't always do it when required. People with ADD or ADHD get mislabeled as "lazy" and "oppositional." Most of my clients with ADD or ADHD want to get good grades, do well at work, and not upset their parents or boss. Most feel terrible that they are letting people down. If it goes on too long, those negative labels become part of who they are. So how do we help people before that happens? Click right for more.

    Disorganized

    Even things that are very important don't get finished. Cell phones get lost, homework he worked hard on is left on the counter, she was fired - again. Everyone is frustrated. Chances are, the individual desperately wants to do better and is not trying to purposefully fail. With ADD or ADHD, it makes life harder for everyone. The first step is to accept the limitations that are part of this brain-based disorder. Know that productivity, organization and attention will be inconsistent. Regulation (feeling and behaving in a balanced, "even" manner) is very difficult. But improvement is possible. ​Click right for more.

    "Can't" Pay Attention

    People with ADD and ADHD are often extra creative, out-of-the-box thinkers who can focus intensely on their passion (video games, maybe?). Their minds can jump ahead several steps and maybe even think up a great invention, while everyone else is still on problem #1. They are paying attention - just not to what other people think is important. These can be great qualities in entrepreneurs and inventors, but not so much for the student trying to graduate and the employee who needs to pay the rent. We can nurture creativity while helping people to be successful with supportive interventions, therapy, and sometimes medication through their physician. But how do you know if it's ADD / ADHD or something else? Click right for more.

    You can live with ADD / ADHD

    Some students find that they can show what they know if they have more time on tests, a quieter room for test-taking, help organizing assignments, note taking help in college, priority registration, and maybe tutoring or small-group instruction. Understanding what your unique needs are to keep you optimally alert (not over-energetic, not too relaxed) can improve your studying and work pace. Maybe insomnia, anxiety, depression, stress, or medical issues are exacerbating issues. A solid assessment, treatment plan, and effective strategies for your unique situation can get you on track.

  • Anxiety / Panic / OCD

    "The worst can - and probably will - happen"

    "I feel like I can't breathe"

    "It needs to be just right"

    "Am I anxious - or an introvert?"

    Anxiety, panic and OCD cause immense suffering - and all are very treatable.

    Click right for answers.

    Our world slowly shrinks

    Maybe first you avoid crowds, parties, or school / work events. Then social situations - or friends. New situations can evoke panic. Relationships, career, and self-esteem can suffer. Obsessive-compulsive symptoms might be controlling how you do certain things - or seemingly everything. Anxiety, panic, and OCD share the ability to shrink our world and limit our happiness, all while providing an elusive "just right" feeling that becomes more and more difficult to sustain. It seems impossible, but anxiety, panic, and OCD are very treatable. Click right for more.

    Anxious - or Introvert?

    A note on introversion -- it's normal! In fact, some researchers think there are more introverts than extroverts, even though society rewards those who are the life of the party. Introversion is not necessarily problematic and may not need treatment - unless it's causing you stress and holding you back in relationships, work, or school. Sometimes, having a mis-match between your introverted nature and your environment can cause anxiety. Many introverts tell me their ideal environment is a "cabin in the woods," but they need to function in a busy home, school, or office. Through proper assessment, we can figure out what is going to help you to feel most at peace, with or without that cabin. Click right for more.

    I'm ready. Sort of.

    Working on anxiety can be... anxiety-provoking. Change is hard, until it becomes too unbearable to continue in old patterns. I see myself as a guide. It's your journey, and you decide how fast to go and whether to stop and take in the scenery. Together, we will set goals, make a plan, and help you lead a fuller, more peaceful life. Treatments known to work are used, including empirically-validated cognitive behavioral therapy and exposure and response prevention. You set the pace.

  • Assessment

    Why Dr. Ferguson? 

    What does an assessment involve? 

    Are there lots of meeting?

    So I get a diagnosis - then what?

    Click right for answers.

    Why Dr. Ferguson?

    Dr. Ferguson uses only standardized assessment tools that are widely accepted as the "gold standard" for diagnostic evaluations, including the ADOS-2 (Autism Diagnostic Observation Schedule), ADI-R (Autism Diagnostic Interview), and Wechsler Intelligence Scales, among others. Dr. Ferguson completes all aspects of the assessment process herself to ensure quality at every level. You receive a report that explains the findings in detail in clear, understandable language. If applicable, there are graphs and tables with detailed scores and explanations of what the scores mean. This report can help you apply for services and supports, if eligible.

    What does assessment include?

    Every assessment includes screening for a wide variety of related conditions, including learning disabilities, ADHD, anxiety, depression, obsessive-compulsive disorder, social skills issues, oppositional defiance, stress, sleep problems, mood disorders, sensory issues, auditory processing, information processing, planning and organizing abilities, speech and language skills, fine and gross motor skills, and other concerns. If more in-depth testing is warranted, an assessment plan is developed with you. Sometimes, Dr. Ferguson may refer you to another professional for further testing or treatment, such as a Speech and Language Pathologist, Occupational Therapist, Audiologist, or Neurologist. It is important to look at the "whole person" so that we can develop appropriate testing and treatment strategies.

    What does testing involve? Are there a lot of meetings?

    The first meeting with Dr. Ferguson is two hours, which actually flies by since there is so much to talk about! There are lots of toys to keep younger children busy, and they typically enjoy the meeting. The client and parent(s) or caregiver(s) attend, and we discuss development, medical conditions, school/college/work history, social skills, mood, behavior, sleep, and his or her unique characteristics. There are questionnaires to fill out and bring to the meeting. Sometimes, we can answer all your questions and determine a diagnosis during that one appointment. If not, we discuss a plan for further testing. There may be additional checklists to complete at home and appointments with Dr. Ferguson as needed. Sometimes an observation at school and interviews with teachers are helpful to gain a complete picture of the client. If you are coming from out of town, we can try our best to fit your schedule. The report is usually completed three to four weeks following the last assessment session. We will have a feedback session to go over all results and recommendations in understandable language and answer any questions.

    How Can I Get An Assessment?

    Phone Dr. Ferguson's office at 805-610-8694 to schedule a brief, complimentary discussion directly with Dr. Ferguson. She will review your needs, your goals for assessment, and any questions you may have. It is possible that she may refer you to other practitioners, such as your physician or a neurologist. If Dr. Ferguson determines that an assessment is needed, then the assessment will be scheduled and the process explained.

  • For Professionals

    Dr. Ferguson provides consultation, assessment, and court services

    Independent Educational Evaluations

    Dr. Ferguson has performed IEE's for several school districts in San Luis Obispo County and other California school districts. Her scope of practice includes cognition, academic achievement, autism spectrum concerns, ADHD/ADD and executive functioning, behavior, emotions, schizophrenia and thought disorders, and emotional disturbance. She does not conduct Functional Behavior Analyses, Speech and Language evaluations, or Occupational Therapy assessments, although these concerns are part of her screening process.

    Expert Witness Services and Legal Issues

    Dr. Ferguson is a certified Expert Witness in the San Luis Obispo Superior Court. She has provided expert opinions in family law cases regarding children's needs, school placement, and recommended therapy services and supports. Dr. Ferguson does not conduct child custody evaluations, testify regarding parental fitness, or conduct workers' compensation evaluations. Dr. Ferguson has provided the court with documentation regarding conservatorship of adults with disabilities. Evaluations for immigration cases have been provided to individuals seeking political asylum and waiver of unlawful presence.

    Regional Center Eligibility

    Dr. Ferguson is a privately-contracted assessor for Tri-Counties Regional Center (TCRC), working with children beginning at the age of 18 months to adults. Primarily referred for questions of autism spectrum issues, cognition, and adaptive skill deficits, individuals are also assessed for mental health concerns. Dr. Ferguson provides her findings to TCRC, who makes the final eligibility decision.

    Social Security Eligibility

    Dr. Ferguson conducts assessments that the Social Security Administration requires in order to determine eligibility. Typically, assessment centers around autism spectrum issues, cognition, mental health and adaptive skill deficits. A comprehensive report with analysis of Dr. Ferguson's opinion on eligibility is provided. The Social Security Administration makes the final eligibility decision.

  • Social Feed

    News, Articles, Research

  • Spark Blog

    Thoughts, Opinion, and Strategies For Better Living. 

    Best with a cuppa.

  • Insurance

    Dr. Ferguson accept the Victim Compensation Program (VCP) and she is a contracted provider for the Tri-Counties Regional Center (TCRC). If you are referred by VCP or TCRC, you do not owe any fees or co-pays to Dr. Ferguson, although TCRC may bill your insurance, so be sure to speak with them directly.

     

    For all other insurance plans, I am an "Out-of-Network Provider," which means you are responsible for the full fee at the time of service, and I provide you with a Super Bill for you to submit to your insurance. Depending on your insurance plan, you may be reimbursed a portion of the fee. Be sure to call your insurance company and ask for details.

    Click below to download for tips on talking with your insurance carrier about out-of-network benefits).

  • Fees

    All clients begin with an Intake, which can be part of a more comprehensive assessment. The Intake lasts 75 minutes and the fee is $250. Therapy sessions typically last 45-50 minutes and the fee is $140. If a longer sessions is needed, then a 60-minute session can be arranged for $150. These fees are the same for individuals, couples, and families.

     

    Assessment services are $175 per hour, and a comprehensive assessment plan will be discussed with you ahead of time.

    We will also discuss whether there are testing alternatives, such as testing through the school district, Tri-Counties Regional Center, County Mental Health, your physician or psychiatrist, or a provider in your insurance network.

    There may be pros and cons to each situation and we can go over your specific needs.

     

    Click below to download additional details regarding fees, policies, and other information about Dr. Ferguson's practice.

     

  • Forms & Helpful Info

    The journey of a thousand miles begins with one step -- Lao Tzu

    Download and complete these three forms and bring to your first appointment

    (the History Questionnaire is several pages so give yourself time to complete it):

    More helpful info before your first appointment:

  • About Dr. Ferguson

    Licensed Clinical Psychologist

    Laurie Ferguson, Psy.D.

    photo credit: Xavier Bailey Photography

    Thank you for visiting my website to learn more about the services that can help you and your family. 

     

    My approach is honest, respectful, solution-focused, and based on understanding your strengths. I use techniques grounded in research and based on best-practice guidelines. All Diagnostic Assessments are completed entirely by myself using "gold standard" assessment tools. Together we can help you achieve your goals.

     

    I have been working in the mental health field helping children, teens, families, and adults since 1996. In 2002 I obtained my doctorate in Clinical Psychology from The Wright Institute in Berkeley, accredited by the American Psychological Association (APA). Training included an APA-accredited internship at The Children's Hospital in Denver, and a felllowship at the National Jewish Medical and Research Center in Denver. Training also included clinical positions at the the San Francisco Department of Public Health, the UCSF Child and Family Center, and other out-patient and in-patient settings.

     

    I volunteer my time with the Central Coast Autism Spectrum Center, where I am a board member. I am a PTA member with my children's schools. I am also on the Ethics Committee of the Central Coast Psychological Association.

     

    In my spare time, I love to garden, read, sail, and enjoy the beautiful Central Coast with my family. Fixing up our 1970's ranch house has been a labor of love, and I've become pretty adept at drywall, painting, and finding the right fuse before I attempt minor electrical projects!

  • Contact

    Dr. Laurie Ferguson, Psy.D.

    5975 Entrada Avenue • Atascadero, CA 93422 (click here for map)

    805-610-8694 phone • 805-460-6818 fax

    DrF.SparkPsych@gmail.com • FacebookTwitter

     

    You must fill out a contact form if you are requesting a first-time appointment.

    Please read the following before submitting an appointment request:

    Dr. Ferguson DOES NOT treat addictions, substance abuse, or eating disorders.

    Dr. Ferguson DOES NOT conduct child custody assessments or testify regarding parental fitness.

    Dr. Ferguson DOES NOT accept insurance, aside from Victim Witness and Tri-Counties Regional Center.

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