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CNS

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CENTER FOR NEUROBEHAVIORAL SERVICES

We're  Here  To  Listen!

260-471-2300

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About CNS

CNS is a private practice providing outpatient services for high risk special needs children and their families. We also provide services for adults with complex medical/cognitive/emotional and/or behavioral issues. As a lifespan practice, our patient population ranges from infancy through late adulthood. Unexplained issues do not have to be never ending. With accurate diagnosis, counseling, and a clear plan one can move stuck issues into productive opportunities.

Our Mission

Our office is dedicated to providing easily accessible neuropsychological and clinical mental health services with the highest standards of professional and ethical conduct. 

We focus on children with known or suspected conditions, including:

•  Fetal Alcohol Spectrum Disorders

•  Children exposed to substances in utero

•  Cognitive and Behavioral issues from

    genetic/chromosomal abnormalities

•  Complex medical conditions

•  Anxiety

•  Depression

•  Developmental delays/disorders

 

•  Congenital and traumatic brain injuries

•  Autism spectrum disorders

•  Complex trauma and abuse

•  ADHD

•  Cancer

As part of our work with adults, we are focusing on the following:

•  Anxiety

•  Depression

•  Impact on relationships

•  Post-Traumatic Stress Disorder

•  Parenting issues (particularly special needs children)

•  Cognitive changes (including decreased executive           function, memory loss)

Women's issues, including:

•  Post-Traumatic Stress Disorder

•  Infertility

•  Anxiety

•  Depression

 

•  Single mom/working mom issues

•  PCOS (polycystic ovarian syndrome)

Emotional issues related to:

•  Heart disease/heart surgery

•  Diabetes

•  Thyroid disease

•  POTS (postural orthostatic

     tachycardia syndrome)

•  Ehlers-Danlos

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Telehealth

CNS is open, providing care when you need us most. Telehealth and in-office appointments are available to many new and established therapy patients (some individuals may not respond well to telehealth, and telehealth is not suitible for all).

Office 260-471-2300

Ext. 1 Office Manager, PA's & Psychiatry    

Ext. 2 New Patients Seeking Services, Evaluations & Testing

Ext. 3 Insurance & Billing

Ext. 4 Therapy & Medical Records

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Outpatient Services
& Advocacy

The treatment of high risk special needs children and adolescents requires an eclectic array of methods and techniques, depending on the developmental and cognitive functioning as well as clinical issues of the individual child or adolescent. The evaluation and treatment of a child or adolescent cannot be divorced from the family and environment (including academic, cultural, and community) in which an individual lives. 

How Can We Help You

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Individual therapy involves a trusting relationship with a trained therapist using a variety of techniques and methods to bring about change in the child, adolescent’s or adult's feelings and behaviors. Individual therapy allows the child, adolescent or adult to receive emotional support, resolve conflicts with others, understand their feelings and problems, and try out new solutions to old problems.

Individual Therapy

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Play therapy is to children what talk therapy is to adults. Play is children’s natural way of expression and helps them express their feelings more easily and naturally through toys and other materials rather than through words.

Expressive arts therapy is an integrative, multimodal approach that utilizes a variety of methods including writing, music, visual arts, drama, and dance to help access the thoughts and emotions that trigger symptoms of anxiety and depression. It helps patients connect with their emotions, communicate what they are thinking and feeling, and develop greater overall self-awareness. That in turn informs and supports the primary work and goals of individual therapy and family therapy.

Play Therapy/Expressive Arts Therapy

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 Family therapy helps family members improve communication, resolve conflicts, and understand the effects of the child or adolescent’s emotional, behavioral, and medical (including genetic) difficulties on the family. This knowledge can help the family advocate more effectively for their child in all areas, including academic settings.  

Family Therapy

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Neuropsychological assessment is the standardized administration of cognitive tests and the individualized interpretation of the results of these tests to form conclusions about brain-behavior relationships and brain function.

Neuropsychological Testing

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Psychiatric services involve the mental health assessment, diagnosis, and medication management and evidence based treatment for anxiety, depression and disruptive behaviors of the individual child or adolescent and allows the integration of genetics and behavioral sciences in a more comprehensive understanding of human development and behavior.

Limited Psychiatric Services

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Neuropsychological Evaluation
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A Neuropsychological Assessment Consists Of Three Stages

1

2

The initial consultation is a 60–90 minute appointment with the doctor during which information is gathered about a person's concerns or difficulties and medical background and history. A clinical examination is then conducted, and the findings are used to determine what specific tests will be used to answer the referring questions from the patient's doctor. A family member is encouraged to attend this appointment to help provide information about the patient if the patient is an adult, and absolutely required if the patient is a child or adolescent.

Neuropsychological testing is based on the patient's concerns as well as those of their referring physician and the information gathered during the initial consultation. It is typically completed in 3-6 hours in one day. On the day of testing, please make sure you or your child who is testing takes their medications as regularly prescribed, gets a good night’s rest the night before, eats a balanced breakfast and/or lunch, and has snacks/drinks for during the testing process. All tests are individually administered and designed to provide detailed information about how a person's brain works. Many tests are "hands on" and require assembling, sorting, organizing, etc.

 

 

A typical evaluation involves assessment of:

•    Intellectual abilities

•    Attention and concentration

•    Learning

•    Memory

•    Higher level reasoning

•    Problem solving

•    Language abilities

•    Visual-spatial skills

•    Motor functioning

•    Sensory Skills

•    Emotionality and

       personality functioning

•    Adaptive function

3

The review consists of a forty-five minute to an hour appointment in which the doctor reviews the diagnostic test results with the patient and/or a family member (if your child was the one tested, only the parents/guardians are required to attend this appointment). This appointment allows an opportunity for further questions and to discuss the implications of the assessment that includes any ongoing concerns as well as future directions and recommendations. 

Psychiatric Medication

Upon physician availability, Psychiatric consultation and medication management are available for patients who are actively involved in therapeutic treatment at CNS or another facility. Individuals who are not engaged in ongoing psychological treatment are not eligible to receive medication through our office. 

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Patient
Information 
 
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Completed forms are required for all patients and are due when you arrive for your appointment.

 

Please arrive 15-20 minutes before your scheduled appointment to allow check-in, completion of additional brief forms, and a review of the information by the doctor or therapist prior to seeing you. IF YOU DO NOT ARRIVE ON TIME, YOU MAY NOT BE SEEN THAT DAY. 

 

If you are unable to keep your scheduled appointment, please contact our office as soon as possible.

260-471-2300

 

Co-pays, Co-insurance, deductible, and out-of-pocket payments are expected on the date of services. This is a requirement of the contract you have with your insurance company.

Accepted Insurances

Traditional Medicaid Accepted In Addition To:

MDwise, MHS, CareSource and Anthem Blue Cross Blue Shield as well as all plans such as Hoosier Healthwise, Healthy Indiana Plan, and Hoosier Care Connect. 

Medicare Accepted:

Part B & Part C

Commercial Insurances:

Advantage Health, Aetna, Ambetter, Beacon Health Options, CIGNA, ComPsych, CoreSource, Encore Health Network

Federal Employees Program, GEHA, Humana, Lutheran Preferred, Medical Mutual

Physicians Health Plan, Anthem Blue Cross and Blue Shield, Sagamore Health Network, Signature Care, Three Rivers Preferred, TriCare East, UMR, UnitedHealthcare

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Meet
Our Team

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Barbara C. Gelder, Ph.D.

Dr. Gelder is the owner of CNS and is a practicing neuropsychologist specializing in the neuropsychological assessment of individuals who have been prenatally exposed to toxins (alcohol, drugs, etc.), who have chromosomal/genetic abnormalities, head injuries, issues related to chemotherapy, trauma (abuse/neglect/loss) and complex behavioral disorders as well as adults with issues involving attention/concentration and aging.

Dr. Gelder has been the co-founder of several support groups dealing with Alzheimer’s ADHD, Fetal Alcohol Spectrum Disorders, and genetic syndromes. She has co-authored several articles dealing with issues of children prenatally exposed to alcohol, and has presented to numerous audiences on a variety of topics. She does not accept forensic, child custody, or civil litigation cases.

Education

Ph.D from Ball State University

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Sylvia A. Manalis, M.D.

Dr. Manalis has several decades of experience in psychiatry; she specializes in child and adolescent psychiatry in outpatient psychiatric settings. She provides diagnostic and medication services to children and adolescents with Fetal Alcohol Spectrum Disorders, various chromosomal disorders, depression, anxiety, ADHD, autism, PTSD, and anger problems. She is Clinical Assistant Professor Emeritus of Psychiatry, IUSM-Fort Wayne. She is the author of: A Guide for Parents of Troubled Children: Working with a Child Psychiatrist ( available on amazon).

Education

MD  from Indiana University

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Nicole Gaunt, LCSW

Nicole is a licensed clinical social worker who has been with CNS since 2019 and has worked with clients in multiple settings in Fort Wayne and surrounding areas over the last 28 years. She provides both therapy and assessment services for children, young adults, individuals, and families using an integrated approach tailored to the unique needs of each new client. Nicole believes that change happens when people are given the support they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Nicole approaches both therapy and assessment as healing processes, helping to answer deep-seated questions that individuals have about themselves, their experiences and their relationships. With a passion for supporting diversity, Nicole provides an environment of compassion and support to help individuals and families overcome obstacles to move forward and thrive. If looking for guidance with anxiety, depression, loss, traumatic life experiences and/or family strain, it takes courage to ask for help. Admitting you can't do everything on your own, is the first step in achieving wellness in a fast paced and demanding world.

Education

Master's Degree in Social Work from Indiana University

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Bernadine Payton, LMHC

Bernadine is a licensed mental health counselor (LMHC) who has over 20 years’ experience working with children, adolescents, teens, adults, elderly and couples. Clinical settings include: inpatient psychiatric hospital outpatient psychiatric offices, immigrant and refugee community agency.

Clinical Experience includes clients experiencing depression, anxiety, bipolar disorder, ADHD, couples conflict, family conflict, self-esteem issues, and grief and loss issues.

Therapeutic approaches include CBT, motivational Interviewing, Solution focused therapy, Narrative therapy, and therapy-informed play therapy.

Education

Bachelor of Science Degree in Social Work from Ball State University

 

Master’s Degree from Indiana University Purdue University

Fort Wayne IN

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Annie McGraw, MS

Annie began working as a mental health therapist with CNS in 2021, where she works with children, adolescents, and adults with a range of treatment needs. Her previous experience is working with, children and adolescents with trauma and substance abuse. Annie utilizes all evidence-based modalities to achieve the right balance to fit the needs of her clients. Annie has a propensity for working with adolescents and young adults with adjustment issues, depression and trauma. 

Education

Bachelor of Labor Relations from Indiana University Purdue University – Fort Wayne IN

Master of Professional Counseling from Grand Canyon University – Phoenix AZ

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Kasey Bourke, MSW, LSW

Kasey is a licensed social worker and therapist who enjoys working with individuals and families. She believes all people deserve the chance to heal from their past, overcome current life stressors, and have a healthy future - regardless of their age or background. Thus, her passion is to instill a sense of hope, self-worth, and motivation in all of her clients and to help them achieve their unique goals.

Education

Master’s Degree from Indiana Wesleyan University

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Debb Clevenger, MA

If you are struggling with self-esteem, anxiety, and or depression, you don't have to walk alone. If you've taken the brave step to start therapy, it would be an honor to walk alongside you on this voyage, we call life. We are living in a time when everyday life moves so quickly it can be difficult to find time for ourselves to live in the moment.

I am a Christian therapist who understands the importance of being compassionate & what it means to accept grace. I would not consider myself a passive or laid back therapist but I understand you need to move at your own pace. I believe we are given a certain amount of time for each season of our lives and the importance of moving forward.

Life isn't always easy. One of my favorite psychologists and authors is Ram Dass. He shared the following quote "We're all just walking each other home.” I would consider it an honor to walk with you toward your better life.

Education

Bachelor Degree in Psychology from Indiana Institute of Technology

 

Master's Degree in Psychology from Crown College

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Kaitlin Nini, MSSA, LCSW

Kaitlin is a licensed clinical social worker and has been with CNS since 2019. She works with children (0-18) and women who are faced with challenges related to attachment and bonding concerns, behavioral concerns, anxiety, depression, Post-Partum Depression/Anxiety, trauma, medical trauma and specializes with development delays in children. In addition to applying therapeutic techniques such as Cognitive Behavioral Therapy and Person-Centered therapy, play therapy, and art therapy, Kaitlin believes utilizing a full family approach to create a healing environment for the family as well as overall well-being of the client. Kaitlin has a combined experience of 10 years working with women and their children. 

 

Education

Bachelor of Arts in Psychology – Oakland University

Master of Social Science Administration – Case Western Reserve University

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Vicki Murgaw, LMHC

I have been a counselor for 20+ years. I have worked with adolescent males and females, helping them to work through trauma, anxiety, depression and for some deviant sexual behaviors.  In the last 10 years I have worked with adults who are working through trauma, anxiety, depression and marital problems.  My office with CNS is in Jonesboro in a church I attend. I use a Great Dane/Lab mix therapy dog as part of my practice. He has helped people feel comfortable and comforted when they are working on difficult issues. 

Education

Master’s Degree from Indiana Wesleyan University

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Nicci Mays, BA

Nicci graduated from Indiana University with a degree in psychology with emphasis in neuroscience. She has worked in various research and clinical settings studying brain imaging, PTSD, traumatic brain injury, and neuropsychology. Currently she specializes in neuropsychological assessment as a testing technician of both children and adults.

Education

Bachelor's Degree in Psychology from Indiana University

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Ben Meyer, Ed.S.

Ben is a licensed school psychologist who works for a local school district in the Fort Wayne area.  He has worked at CNS at least part-time since 2017 completing neuropsychological testing as a testing technician.  He is also am interested in children who may have an autism spectrum condition.  He is married and has three children.  He and his family enjoy going to the zoo, swimming, and playing family games.  

 

Education

School Psychology Ed.S. from Valparaiso University

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Lori Gomez, Billing/Financial Manager

Lori has over 20 years of experience in healthcare administration/management, medical billing, coding, human resource management, obtaining prior authorizations, employee training and customer service. She is dually certified by the American Academy of Professional Coders in medical coding and medical billing. She has worked as the financial manager for CNS for the last 3 years assisting team members in billing/insurance protocol and account collections. Lori loves spending time with her family, siblings, and her 2 shepherd puppies.

Education

CPC: Certified Professional Coder

CPB: Certified Professional Biller

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Interested In Joining Our Team

Click below to see our available positions 

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Additional Resources
Fetal Alcohol Spectrum Disorders
Autism Speaks
Center For Families With Special Needs
National Center For Learning Disabilities
ADHD - Attention Deficit Hyperactivity Disorder
International Dyslexia Association
Resources For Families - Child Mind Institute
Parents Together
Grieving Children
Center For Non-Violence
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We're Here For You!
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Covid Information
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What Our Patients Should Know

Our clinic is open to assist our patients and the doctors who have referred you here for diagnostic and therapeutic care.

If you chose to seek assistance from our clinic, we require that you always wear a mask while inside, complete the check in Covid form, and have your temperature taken, before being seen for each of your appointments. 

Given concerns about COVID-19 and the effects this virus has had on our community in Fort Wayne, CNS will continue to follow guidance for small businesses as recommended by the CDC. We also follow guidance from Allen County’s Health Department. We check health updates frequently and make changes as additional information becomes available and recommended. 

The following are several tips to cope with the COVID-19. These come from the Centers for Disease Control and Prevention (CDC). We will update this guidance for our clinic and patients as additional information becomes available from the State of Indiana or The Federal Government. We ask that if you are vaccinated for COVID-19, you show our office staff your vaccine card (masks will still be required even if you have had your vaccine).

As a medical practice we will continue to support our patients needs and we will follow what our Federal or State governments and the CDC direct and advise for clinics. 

 
 
 

Contact

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Opening Hours

Monday - Thursday: 9am to 5pm

Friday: 9am to 4pm

Limited Evening & Saturday Hours

3010 E. State Blvd.  •  Fort Wayne, IN 46805

Office 260-471-2300

Ext. 1 Office Manager, PA's & Psychiatry

Ext. 2 New Patients Seeking Services,                           Evaluations & Testing

Ext. 3 Insurance & Billing

Ext. 4 Therapy & Medical Records

Fax 260-471-2778

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COVID-19 Guidelines

In an effort to ensure the safety of all of our patients and our staff the following precautions are in place for all appointments:

 

•    Please stay home if you have symptoms of cough, cold, fever, shortness                                  of breath, abdominal pain, diarrhea, nausea, or vomiting.

•    Please stay home if you have been in contact with anyone exposed to or

       infected by the coronavirus.

•    Please stay home if you have tested positive for coronavirus.

•    In order to reduce exposure, adult patients are asked to attend their

       appointments by themselves.

•   If a family member needs to be present because of age or circumstances                               (such as elderly patients who do not drive or children who need a parent)

      please have only one person accompany the patient.

•    Please leave all siblings or additional family members at home.

•    We disinfect all surfaces and materials between appointments.

•    Social distancing will be maintained whenever possible.

•    Neurocognitive diagnostic testing will be in person.

We realize that these guidelines may create some level of hardship for some families

and apologize in advance for any inconvenience. Our goal is to continue to provide all

of our patients and their family members with the highest possible medical and psychological

care possible, while also ensuring the highest level of safety and health of all.

 

 

Thank you for understanding!

 

 

Please call our office with any questions or concerns.  260-471-2300