In-Home Intensive Support

Where mind, body, & creativity meet—right at home

Our In-Home Intensive brings support into your child’s natural environment—where routines, emotions, and relationships unfold in real time. We’ll observe, connect, and tailor strategies you can use the very same day.

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Child engaging in play therapy session in Medway MA

Who It’s For

Families seeking short-term, hands-on support for:

  • Emotional regulation and big feelings

  • Morning or bedtime routines that feel overwhelming

  • Behavior challenges and anxiety management at home

  • Sibling conflict or family transitions

  • Times when what works in the office needs to work at home, too — including tantrums, defiance, or other problem behaviors you’d like to target in real time.

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Alyssa Goff, award winning child and family therapist in Medway, MA.

What’s Included

Every in-home visit is conducted personally by Alyssa Goff, LMHC, R-DMT, owner of Coastal Counseling Associates, to ensure a warm, consistent, and individualized experience from start to finish.

  • 1-Hour In-Home Assessment
    Alyssa visits your home to observe, connect, and collaborate with your family. Together, you’ll create a personalized plan with clear, practical strategies tailored to your child’s needs.

  • 5 Days of Ongoing Support
    Receive personalized secure text or email check-ins each day for encouragement, troubleshooting, and ongoing feedback as you put strategies into practice at home.

  • Personalized Follow-Up Plan
    At the end of your intensive week, Alyssa will create a written follow-up plan summarizing strategies, progress, and next steps for continued support at home. Families may also schedule an optional wrap-up session for additional guidance.

  • Investment: 1-hour in-home assessment, 5 days of daily text/email support, and a personalized written follow-up plan: $775

  • Optional Add-On: 15-minute wrap-up call $75

    End your week with a personal check-in with Alyssa to reflect on your progress, celebrate growth, and fine-tune your plan for continued success. Families often share that this final call helps them feel grounded, confident, and supported as they carry new strategies into daily life.

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Two women sitting and talking in a cozy, well-lit room decorated with maps and colorful art, one smiling and the other listening.

What to Expect

We’ll begin with a collaborative conversation to identify your family’s patterns, goals, and what’s feeling hardest right now. From there, Alyssa combines her clinical background and parent coaching experience to help you understand the “why” behind behaviors—and to implement practical strategies that bring calm back into your daily routines.

You’ll receive tools you can use right away: visuals, structured routines, calming techniques, and language to help transform challenging moments into opportunities for connection As you begin to implement these at home, Alyssa stays in touch throughout the week to refine, encourage, and adjust as needed.


Each intensive is personalized to meet your child where they are at, blending emotional insight with hands-on guidance. Sessions draw from creative, and evidence-informed approaches—including play, movement, mindfulness, and expressive arts—to support lasting connection, confidence, and growth.

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FAQs

  • It’s a little of both! I draw on my background as a licensed therapist to understand the emotional and behavioral roots of what’s happening, while also offering hands-on, practical parent coaching to help you make real changes at home. It’s designed to complement traditional therapy, not replace it.

  • After our in-home assessment, I’ll stay in touch with you each day for five days through secure text or email. These check ins are a space to ask questions, share updates, and get real-time feedback as you put strategies into practice. It’s like having me in your corner throughout the week!

  • I currently offer in-home visits for families in Medway, Holliston, Franklin, Millis, Sherborn, Dover, Medfield, Hopkinton, Foxborough, Cumberland, Lincoln, Cranston, East Greenwich, South Kingstown, Ashland, Bellingham, Plainville, Norfolk, Wrentham, Westborough, Needham, Walpole, Wellesley, Newton, Wayland, and nearby Massachusetts and Rhode Island communities.
    Travel beyond a set radius may include a small travel fee, confirmed at booking.

    Don’t see your town on the list? Reach out anyway — you never know when I’ll say yes to a little coastal adventure! ◡̈

  • In traditional sessions, I meet with your child or family in my office. The in-home intensive lets me step into your child’s daily environment, where we can see patterns, interactions, and emotions as they unfold—and make meaningful changes right there, in the moment.

  • Yes! Many families use this program as a bridge between sessions or as an extra layer of support. With your consent, I can collaborate with your child’s current therapist to ensure consistent care and aligned goals.

  • At the end of the intensive, I will provide a personalized follow-up plan with clear next steps and recommendations. Some families continue with ongoing therapy, while others feel confident continuing independently with the tools and structure in place.

  • I work with children and teens ages 2–17. The in-home format allows me to tailor strategies to each developmental stage—from supporting toddlers with routines and regulation to helping teens navigate independence, stress, and family dynamics.