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    • Parent SPACE Treatment
    • OCD
    • BFRBs
    • Anxiety
    • Fear-Based ARFID
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    • Telehealth
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    • Home
    • About
      • Meet The Therapist
      • Message For Parents
      • Our Office
    • How I Help
      • Speciality Areas
      • Parent SPACE Treatment
      • OCD
      • BFRBs
      • Anxiety
      • Fear-Based ARFID
    • Services
      • Services
      • Telehealth
    • Insurance & Payment
      • Insurance & Payment
      • Good Faith Estimate
    • Location
      • Location
    • Contact Me
      • Contact Form
      KidWise Counseling
  • Home
  • About
    • Meet The Therapist
    • Message For Parents
    • Our Office
  • How I Help
    • Speciality Areas
    • Parent SPACE Treatment
    • OCD
    • BFRBs
    • Anxiety
    • Fear-Based ARFID
  • Services
    • Services
    • Telehealth
  • Insurance & Payment
    • Insurance & Payment
    • Good Faith Estimate
  • Location
    • Location
  • Contact Me
    • Contact Form

KidWise Counseling

KidWise CounselingKidWise CounselingKidWise Counseling

Passionately delivering quality therapy for children & teens while empowering parents to support them

KidWise Counseling

KidWise CounselingKidWise CounselingKidWise Counseling

Passionately delivering quality therapy for children & teens while empowering parents to support them

Meet The Therapist

Jennifer Ruef, LCPC, Founder and Therapist

Jennifer has spent over 15 years helping children, teens, and families in Maryland navigate the emotional challenges that come with growing up. As both a parent and a seasoned mental health professional, she understands how difficult it can be when a child is struggling with anxiety, OCD, or eating-related issues—and how important it is for parents to feel supported and empowered along the way.


Her professional experience includes work as a School Counselor, a High School Pupil Personnel Worker, and now as a Licensed Clinical Professional Counselor. She holds a Master’s Degree in Counseling Education and specializes in treating anxiety, OCD, Body Focused Repetitive Behaviors (such as skin picking and hair pulling), and Avoidant/Restrictive Food Intake Disorder (ARFID).


Jennifer has received training in several evidence-based treatment models, including Exposure and Response Prevention (ExRP), Inference-Based Cognitive Behavioral Therapy (I-CBT), Supportive Parenting for Anxious Childhood Emotions (SPACE), and Family-Based Treatment (FBT) for ARFID. This broad foundation allows her to tailor her approach to meet the unique needs of each child and family she works with.


In addition to working directly with children and adolescents, Jennifer offers parent-focused sessions that do not require the child to be present in the therapy room. Using the SPACE model, she helps parents support their children through anxiety, OCD, and ARFID-related challenges—especially when a child is hesitant about therapy or when parents want to play a more active role. She also works closely with parents using FBT to help children overcome restrictive eating and develop a healthier relationship with food.


Jennifer’s approach is warm, collaborative, and grounded in the belief that meaningful progress is possible when families feel understood, supported, and equipped with the right tools.


Jennifer currently provides therapy services to children and families in Maryland and Wisconsin.

A Message From Jennifer

To The Parent Doing Their Best,


I’m so glad you’re here. If you’ve found your way to this page, it probably means you’ve been carrying a lot. Maybe you’ve watched your child struggle with anxiety, OCD, ARFID, or body-focused repetitive behaviors, and your heart aches with not knowing how to help. Maybe you’ve tried everything you can think of—reassurance, problem-solving, patience, all the love you have—and it still feels like it’s not enough. You’re not alone in that.


What I want you to know, more than anything, is this: you are a wonderful parent. I see your care, your effort, and your deep desire to understand and support your child. I see the late nights, the worried thoughts, the quiet tears, and the fierce love that drives you to keep showing up. It’s beautiful. And it matters.


As a child therapist, I work with kids and families who are navigating challenges that often feel overwhelming and confusing. I also bring my own lived experience with anxiety and OCD to this work—both personally and as a parent—which gives me a deep and compassionate understanding of just how complex and emotional this journey can be.


But I don’t just work with children—I work with you, too. Because you’re the heart of your child’s world. Your presence, your trust, and your hope are the foundation we’ll build on. Therapy is not about “fixing” your child—because your child is not broken. It’s about understanding what’s happening beneath the surface and finding new, compassionate ways forward—together. I bring my training and experience to the table, but you bring something even more powerful: the deep knowledge of who your child really is, and the strength you’ve already shown just by getting them this far.


It’s truly an honor to walk alongside families like yours. To listen, to guide, and to be a safe space when things feel heavy. You don’t have to do this alone. Thank you for all you’ve done to support your child so far. Thank you for trusting someone else to join you in this journey. I see you, and I’m here for you.


With warmth and gratitude,

Jennifer Ruef, LCPC

Founder and Therapist

Specialty Areas

Counseling services for children and teens.

Children, Teens, & Parents

AREAS OF EXPERTISE:

  • Obsessive-Compulsive Disorder
  • Anxiety – Social, school avoidance, separation, performance-based, and generalized.
  • Panic Disorder
  • Body-Focused Repetitive Behaviors – Hair pulling,  skin picking.
  • Aversive-Type ARFID – Has stopped eating due to fears of choking or being sick. 
  • Phobias – Vomiting, choking, needles, medical, health-related. 
  • Perfectionism
  • PANS/PANDAS-Sudden onset OCD
  • Parenting Anxious Children-SPACE Treatment   
  • ADHD
  • Life Transitions
  • Coping skills
  • Grief & loss
  • Self-esteem & empowerment
  • Support for adopted children








Anxiety

What Does Anxiety Look Like?

Anxiety can take many forms in children and teens, including general anxiety, social anxiety, school refusal, separation anxiety, performance anxiety, and specific phobias. While occasional anxiety is normal, persistent anxiety can interfere with school, friendships, family life, sports, and socialization. 

In Therapy We Focus On

 At KidWise Counseling, we take a collaborative, evidence-based approach to treating child anxiety that supports both children and parents.

In therapy, we focus on helping children:


  • Understand how anxiety works and why it shows up in their body and thoughts
  • Learn to respond to worries with courage instead of avoidance
  • Gradually face fears through gentle, supported exposure (ERP)
  • Build confidence by learning, “I can handle this—even when I feel anxious”
  • Reduce safety behaviors and rituals that keep anxiety in control
     

Rather than trying to make anxiety go away, we help children learn how to tolerate discomfort, problem-solve, and trust themselves.


OCD

What Does OCD Look Like?

 Obsessive-Compulsive Disorder (OCD) in children often looks very different from what parents expect. It is not about being neat, organized, or liking things “just right.” Instead, OCD is driven by anxiety and fear.

Children with OCD experience obsessions—unwanted, intrusive thoughts, images, or urges that feel scary, upsetting, or uncomfortable. These thoughts don’t go away just because a child wants them to. To feel relief, children engage in compulsions—repetitive behaviors or mental rituals meant to reduce anxiety or prevent something bad from happening.

While compulsions may bring short-term relief, they actually strengthen OCD over time.

Common Signs of OCD

OCD can show up in many ways, including:

Thoughts (Obsessions):

  • “What if something bad happens?”
  • Fear of germs, illness, or contamination
  • Worries about harming oneself or others (even though the child would never want to)
  • Needing things to feel “just right”
  • Excessive fear of making mistakes or doing something wrong
     

Behaviors (Compulsions):

  • Repeated handwashing, cleaning, or avoiding “contaminated” objects
  • Checking doors, homework, or appliances over and over
  • Repeating actions, words, or prayers silently
  • Asking for constant reassurance (“Are you sure I’m okay?”)
  • Avoiding places, foods, or activities that trigger worry
     

In Therapy We Focus On

 Children with OCD often feel trapped by unwanted thoughts and urges. In therapy, we help them face their fears in a safe, structured way so the anxiety loses its power.

Exposure and Response Prevention (ERP) is the gold-standard therapy for OCD. We guide your child to gradually face feared situations or thoughts without performing compulsions, helping them build confidence and reduce anxiety over time.

SPACE (Supportive Parenting for Anxious Childhood Emotions) complements ERP by working directly with parents. We teach caregivers how to respond in ways that support their child without accommodating OCD behaviors, reduce family stress, and empower the child to practice new skills.

Together, ERP and SPACE provide a dual approach: helping your child confront anxiety while giving parents tools to create a calm, supportive home environment that reinforces progress.

Body Focused Repetitive Behaviors

Understanding BFRBs In Kids & Teens

Body-Focused Repetitive Behaviors (BFRBs) are compulsive, habitual behaviors that involve touching, picking, pulling, or biting the body, even when a child wants to stop. These behaviors often provide temporary relief from stress, anxiety, or tension, but they can cause distress, frustration, or physical harm over time.

BFRBs are not just “bad habits.” They are a form of anxiety regulation and can affect children of all ages, including teens. 

What Does BFRB Look Like?

BFRBs can take many forms, including:

Hair-Related Behaviors

  • Hair pulling (trichotillomania) from the scalp, eyebrows, or eyelashes
  • Twirling or twisting hair repeatedly


Skin-Related Behaviors

  • Skin picking (dermatillomania) on the face, arms, or other areas
  • Picking at scabs, acne, or minor skin imperfections
     

Nail and Mouth Behaviors

  • Nail biting or cuticle picking
  • Cheek or lip biting
     

In Therapy We Focus On

With supportive treatment, kids and teens can learn to:

  • Notice triggers and urges
  • Develop alternative coping strategies
  • Reduce the behavior gradually
  • Feel more in control and confident
  • Track progress
     

At KidWise Counseling, we help children and teens manage BFRBs in a compassionate, non-judgmental way, while also supporting parents with tools to reinforce progress at home.

Fear-Based ARFID

Understanding Fear-Based ARFID

Fear-Based ARFID is a type of eating difficulty where children avoid or restrict foods because of fear—not just picky eating. This fear may be about choking, gagging, or vomiting. Children with ARFID often experience intense anxiety around mealtimes, which can affect growth, nutrition, and family routines.

It’s important to know: this is not a phase or defiance. Fear-Based ARFID is an anxiety-driven eating disorder, and with the right support, children can learn to eat more comfortably and confidently.

What Can Fear-Based ARFID Look Like?

  • Avoiding entire food groups (e.g., all vegetables, all meats)
  • Strong fear of choking, vomiting, or gagging
  • Anxiety, meltdowns, or distress around meals
  • Not eating foods previously enjoyed
     

In Therapy We Focus On

Cognitive Behavioral Therapy (CBT) is used to help children: 

  • Face fears around food gradually through structured exposures
  • Challenge anxious thoughts about eating
  • Build confidence and independence at mealtimes
  • Learn coping skills to manage anxiety without avoidance
     

SPACE (Supportive Parenting for Anxious Childhood Emotions) complements CBT by teaching parents how to:

  • Respond calmly and supportively to food-related anxiety
  • Reduce accommodating behaviors that reinforce avoidance
  • Encourage exploration of new foods in a safe, structured way
  • Support progress while maintaining a positive, low-pressure mealtime environment

SPACE Treatment For Parents of Anxious Kids

What is SPACE Treatment?

SPACE (Supportive Parenting for Anxious Childhood Emotions) is a parent-based therapy designed to help children and teens manage anxiety while empowering parents to support their child effectively. At KidWise Counseling, we guide parents in Maryland and Wisconsin through evidence-based strategies that reduce reassurance-seeking, encourage independence, and improve overall family functioning — all without requiring the child to attend sessions. 

How Does SPACE Treatment Work?

  • Parents learn to respond supportively without reinforcing anxiety
  • Step-by-step guidance is provided to reduce accommodations that fuel worry
  • Stress-testing strategies help parents anticipate and manage challenging situations
  • Ongoing support ensures long-term success and skill maintenance

What Are The Benefits of SPACE Treatment?

  • Reduces symptoms of child anxiety  and reassurance seeking
  • Empowers parents with practical tools
  • Improves family routines and confidence
  • Is applied at home, school, or other settings

FAQs

Q: Does my child need to attend sessions?

A: No. SPACE is parent-focused, so children do not attend. Parents are taught strategies to support their child effectively outside of the therapeutic environment. This way, the child receives regular exposure to SPACE treatment and not just once a week like they would in a traditional therapy model. 


Q: How long does SPACE Treatment Take?

A: Most families complete SPACE in 8-12 sessions, starting with an intake session to review your child's needs. The skills parents learn during that time are life long and can be implemented as needed. 

More About SPACE Treatment

SPACE treatment was developed by Dr. Eli Lebowitz at the Yale Child Study Center and is an evidence-based, highly effective treatment for children and teens struggling with anxiety and related challenges. I have trained directly with Dr. Lebowitz and, in addition, have received supervision from other experts in the field to ensure that I provide the most effective, research-supported care. 


Virtual Sessions

Telehealth

Teleo Space Virtual Therapy makes it easier for your child to get the support they need, right from home. The secure online platform allows children to attend sessions in a familiar, comfortable environment, helping them feel more at ease and engaged. Unlike traditional in-person settings that can be limited by available resources, Teleo offers unlimited access to digital counseling tools, games, and interactive activities tailored to your child’s needs. Plus, virtual sessions save you time and offer flexible scheduling around school and family life—making expert care more accessible than ever. 

Watch A Demo of Teleo Telehealth

https://www.teleo.space/

Therapy That Works For Kids!

A pilot randomized controlled trial conducted at Stanford University examined the engagement and clinical impact of Teleo Space in clinical settings. The study involved children aged 5 to 14 undergoing psychotherapy and compared engagement levels between Teleo Space and standard video conferencing platforms. The findings indicated that Teleo Space significantly improved client engagement and session attendance, which are critical factors in the success of therapeutic interventions. 

Our Office

    Services

    Services

    Initial Diagnostic Evaluation 60 minute

    The initial session in the therapeutic process, where the therapist gathers essential information about a client to understand their concerns, history, and goals for therapy. This session typically involves discussing the client’s background, mental health history, current challenges, and expectations for treatment.  It may also include completing necessary paperwork, assessments, and reviewing confidentiality policies.  The goal is to form an initial diagnosis and develop a treatment plan.

    Telehealth Individual Session 45 minute

    In-Person Individual Session 45 minute

    Group Sessions

    A therapeutic group of individuals who come together to engage in guided sessions with a trained therapist. 

    Parent Focused Anxiety & OCD Support-SPACE Treatment

    SPACE is an evidence-based mental health treatment model developed at the Yale Child Study Centered designed to treat child anxiety and OCD. Treatment is delivered through parents without the child client present in session. This model teaches parents how to change their responses and behavior to reduce their child's anxiety and OCD symptoms while building lasting skills for relapse prevention. 

    Typically 8-12 sessions for treatment. 

    Parent Consultation

    Parent consultations are parent only clinical sessions focused on supporting a child's treatment. Sessions may be brief or on-going depending on clinical need. 

    Insurance & Payment Options

    Out of Network Provider

    Out of Network Reimbursement & Superbills

    How This Benefits Your Child & Family

    I have intentionally chosen not to contract directly with insurance companies so that I can provide the highest quality of care without outside restrictions. Insurance companies often require specific diagnoses, limit the type or length of sessions, and influence treatment decisions in ways that may not align with what is clinically best for your child or family.


    By remaining out-of-network, I am able to focus entirely on evidence-based, individualized treatment and collaborate closely with parents without interference from third-party payers.

    How This Benefits Your Child & Family

    Out of Network Reimbursement & Superbills

    How This Benefits Your Child & Family

    Working outside of insurance allows for:

    • Highly individualized treatment tailored to your child’s unique needs
    • Greater flexibility in session length, frequency, and treatment approach
    • Access to specialized care, including ERP and SPACE, without insurance-driven limitations
    • Increased privacy, as insurance companies do not require access to detailed clinical records
    • Continuity of care, without sudden changes due to coverage decisions
       

    Many families find that this approach results in more effective treatment and a stronger therapeutic partnership.

    Out of Network Reimbursement & Superbills

    Out of Network Reimbursement & Superbills

    Out of Network Reimbursement & Superbills

    Although I do not bill insurance directly, many families choose to seek out-of-network reimbursement from their insurance provider.

    A superbill is a detailed receipt that includes the information insurance companies typically require for reimbursement. Upon request, I can provide superbills for families to submit to their insurance company.

    Please note:

    • Reimbursement amounts vary by plan
    • Your insurance company determines coverage, not the provider
    • Payment is due at the time of service
       

    Families are encouraged to contact their insurance provider to ask about out-of-network mental health benefits.


    CPT codes that we use:

    Intake Appointment/Psychiatric Diagnostic Evaluation-90791

    Individual Therapy Session-90832, 90834 or 90837

    Parent Consultation Appointment/Family Psychotherapy w/o patient present-90846

    Phone Consultation-98966

    Practice Tax ID and Provider NPI


    Be sure to ask about:

    1. Your annual deductible

    2. co-insurance percentage for out of network mental health services

    3. How to submit claims for reimbursement for an out-of-network therapist

    Using FSA & HSA Accounts

    Using FSA & HSA Accounts

    Out of Network Reimbursement & Superbills

    If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), therapy services often qualify as an eligible medical expense.


    Families can typically:

    • Use HSA or FSA cards to pay for sessions
    • Submit receipts for reimbursement
      Because plans vary, I recommend confirming eligibility directly with your plan administrator. I am happy to provide detailed receipts to support this process.

    Using FSA & HSA Accounts

    Using FSA & HSA Accounts

    Using FSA & HSA Accounts

    If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), therapy services often qualify as an eligible medical expense.


    Families can typically:

    • Use HSA or FSA cards to pay for sessions
    • Submit receipts for reimbursement
      Because plans vary, I recommend confirming eligibility directly with your plan administrator. I am happy to provide detailed receipts to support this process.

    Additional Resources

    Using FSA & HSA Accounts

    Using FSA & HSA Accounts

    KidWise Counseling is an out-of-network provider. Families are responsible for payment at the time of service. Some families choose to use third-party services such as Thrizer to assist with insurance reimbursement. KidWise Counseling is not affiliated with Thrizer and cannot guarantee reimbursement. 

    https://www.thrizer.com/for-clients


    Good Faith Estimate-Notice

    At KidWise Counseling, we are committed to providing transparency about the cost of our services. In accordance with the No Surprises Act, we provide a Good Faith Estimate of the cost for your mental health care. The Good Faith Estimate outlines the anticipated expenses for your health care treatment, covering items and services that are reasonably expected. It does not account for any unforeseen or unexpected costs that may arise during treatment. Additional charges may apply if complications or special circumstances occur. The estimate includes only the costs for planned treatment items and services, excluding ancillary services, late or no-show fees, and costs from other medical providers (e.g., external labs, pharmacies).

    ​If you receive a bill that exceeds your Good Faith Estimate by $400 or more, you have the right to dispute it by contacting KidWise Counseling. You can also initiate a dispute resolution process with the U.S. Department of Health and Human Services. For questions or more information about the dispute process, visit www.cms.gov/nosurprises

    Passionate therapy for children and teens.

    Location

    Licensed In Maryland & Wisconsin

    I am licensed in Maryland and Wisconsin, which allows me to work with families across both states. Using a secure telehealth platform, I provide evidence-based therapy and parent support to families wherever they are located within Maryland or Wisconsin. 

    In-Person Office

    I also offer limited in-person therapy sessions at my office in Arnold, Maryland, for families who prefer face-to-face meetings. Conveniently located the Bay Dale Shopping Center, the office is easily accessible with ample parking. Whether you’re looking for a more personal connection or prefer the flexibility of in-person care, I’m here to support you and your family. 

    Telehealth Virtual Sessions

    I offer secure, HIPAA-compliant telehealth therapy to families throughout Maryland and Wisconsin. Virtual sessions allow families to access specialized care from the comfort of their home, making therapy more flexible and easier to fit into busy schedules. Telehealth is well-suited for parent guidance, anxiety treatment, and ongoing support, and many families find it just as effective as in-person sessions. 

    Contact Us For A Free Consult

    Contact Us For A Free Consult

    Click Secure Link For Contact Form

    https://kidwisecounseling.clientsecure.me

    KidWise Counseling

    1298 Bay Dale Drive, Arnold, MD, USA

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