Parenting & Family Issues

We all want the best for our families. Getting there can be…complicated. It’s important to remember that you don’t have to confront parenting and family difficulties alone. In fact, you probably shouldn’t confront those challenges alone. 

For assistance with behavioral management or parenting, we invite you to schedule a session with one of our experts. We will help you to develop specific tools and strategies designed for your individual child and your unique family. These sessions are scheduled on an as-needed basis, and often in conjunction with other types of services, such as therapy/counseling, or evaluations.

In addition, we are proud to offer a one-of-a-kind parenting support and education class for parents of bright kids who are diagnosed with mild autism spectrum disorder (ASD). We are passionate that you are your child’s best teacher, advocate, and support person. Our program provides the education and support you need to have the information and energy to be your best self and bring out the strengths of your child—so they aren’t known merely by their diagnosis. Watch our Parenting Video today to learn more about your bright child with ASD and find out why parent education and knowledge is the key to your child’s long-term success.

Most clients begin with an initial 50-minute intake with one of our specialists. This is your opportunity to share your concerns, ask questions, and provide any documents or other information you feel would help us get to know your situation. Parents are welcome to bring their child with them to the appointment if they wish, as appropriate, but this is not required. By the end of the session, we have made a tentative plan about next steps.

Screenings can sometimes take the place of an initial intake appointment. Screenings are 50-minute appointments during which one of our specialists briefly screens your child for developmental, social, emotional, or behavioral concerns. Screenings are preferable to parent-only initial appointments when you are seeking our impressions based on observations or interactions with your child. A screening does not allow sufficient opportunity for diagnostic conclusions to be made, but can lead concrete and specific recommendations. In addition, screenings can determine whether or not further evaluation or intervention is warranted. Developmental screenings are offered for infants as young as 3 months.

Our formal evaluations are tailored to suit the needs of each client. No two evaluations are alike. We aim to be comprehensive, while eliminating extraneous tests that would not prove useful for diagnostic clarity. The nature and content of the evaluation varies based on the question/concern and age of the client. Evaluations may include: interviews, standardized tests, questionnaires, behavioral observations, feedback sessions and written reports. All Evaluations result in an Action Plan, which is a set of specific and concrete recommendations.

Consultations are 50-minute sessions with one of our specialists to address concerns. Many individuals have all their questions and concerns sufficiently addressed within a single appointment, while others may choose to have subsequent consultative visits.

These sessions are scheduled with one of our experts to develop specific tools and strategies designed for the individual child and family. These sessions can be scheduled as needed, and often in conjunction with other types of services, such as therapy/counseling or evaluations.

Elementary, middle, and high school children and their families may participate in individually tailored sessions with one of our experts to improve academic and organizational skills. Areas of focus include homework/task completion, study skills and strategies, problem solving, decision making, academic planning, goal setting, improving peer relations, improving frustration tolerance, and developing healthy self-confidence and self-esteem. Appointments for these services are available in-home to maximize your child/teen’s progress.

We provide a one-of-a-kind parenting support and education class for parents of bright kids who are diagnosed with mild autism spectrum disorder (ASD). We are passionate that you are your child’s best teacher, advocate, and support person. Our Bright Stars video parenting course provides the education and support you need to have the information and energy to be your best self, and to bring out the strengths of your child. Your child is not merely a diagnosis!

Therapy/Counseling consists of 50-minute meetings with one of our specialists. Therapy sessions can be for individual children, teens, or adults, couples or families. Who is included in therapy sessions can change throughout the course of therapy. The frequency of therapy sessions depends on the circumstances of the client and their concerns. We are results-oriented therapists, and tailor our work to each individual situation to yield maximal gains in the shortest amount of time.

Based on expressed community needs, we have designed and implemented group sessions and workshops for select audiences and concerns. Our Social Stars program supports social skill-building within distinct groups for boys and girls, preschool through teen. The Social Stars group dovetails with the curriculum of our Bright Stars video parenting course. In addition, we offer two weekly group therapy program for girls and women: Together We Rise!, which helps women develop key coping skills and take strides towards fulfillment; and Strong Together!, which help teens develop their own skills for grappling with the myriad demands of adolescence. Please don’t hesitate to share your ideas for additional group sessions and workshops!

Individual and Couples Therapy

Most of the issues that can impact a child or a teen can also impact an adult. In fact, many adults only receive diagnoses and proper professional assistance in adulthood for issues that began much earlier in their lives. San Diego Therapy First is prepared to help with expert, experienced therapy and support for:

  • Autism Spectrum Disorder
  • ADHD
  • Mood & Emotional Disorders
  • Anxiety
  • Eating Disorders
  • Trauma (including EMDR therapy)
  • Relationship Issues

Most clients begin with an initial 50-minute intake with one of our specialists. This is your opportunity to share your concerns, ask questions, and provide any documents or other information you feel would help us get to know your situation. Parents are welcome to bring their child with them to the appointment if they wish, as appropriate, but this is not required. By the end of the session, we have made a tentative plan about next steps.

Our formal evaluations are tailored to suit the needs of each client. No two evaluations are alike. We aim to be comprehensive, while eliminating extraneous tests that would not prove useful for diagnostic clarity. The nature and content of the evaluation varies based on the question/concern and age of the client. Evaluations may include: interviews, standardized tests, questionnaires, behavioral observations, feedback sessions and written reports. All Evaluations result in an Action Plan, which is a set of specific and concrete recommendations.

Consultations are 50-minute sessions with one of our specialists to address concerns. Many individuals have all their questions and concerns sufficiently addressed within a single appointment, while others may choose to have subsequent consultative visits.

Elementary, middle, and high school children and their families may participate in individually tailored sessions with one of our experts to improve academic and organizational skills. Areas of focus include homework/task completion, study skills and strategies, problem solving, decision making, academic planning, goal setting, improving peer relations, improving frustration tolerance, and developing healthy self-confidence and self-esteem. Appointments for these services are available in-home to maximize your child/teen’s progress.

Therapy/Counseling consists of 50-minute meetings with one of our specialists. Therapy sessions can be for individual children, teens, or adults, couples or families. Who is included in therapy sessions can change throughout the course of therapy. The frequency of therapy sessions depends on the circumstances of the client and their concerns. We are results-oriented therapists, and tailor our work to each individual situation to yield maximal gains in the shortest amount of time.

Based on expressed community needs, we have designed and implemented group sessions and workshops for select audiences and concerns. Our Social Stars program supports social skill-building within distinct groups for boys and girls, preschool through teen. The Social Stars group dovetails with the curriculum of our Bright Stars video parenting course. In addition, we offer two weekly group therapy program for girls and women: Together We Rise!, which helps women develop key coping skills and take strides towards fulfillment; and Strong Together!, which help teens develop their own skills for grappling with the myriad demands of adolescence. Please don’t hesitate to share your ideas for additional group sessions and workshops!

Contact Us

    • Main Office: 858-692-4187

    • Main Office: 12625 High Bluff Drive, Suite 204 San Diego, CA 92130

    OFFICE HOURS

    Monday – Friday 9:00 AM – 6:00 PM
    Saturday 10:00 AM – 5:00 PM
    Sunday Closed

    Make An Appointment

    Are you ready for help? We’re ready to start you on your journey to maximize the developmental, social, emotional, behavioral, and academic potential of your child, teen, and/or family.

    What Others Say About Us

    Dr Deborah Pontillo provided us with amazing service for our daughter when a teacher suggested she get evaluated for learning differences. Dr Pontillo’s treated us (my husband and myself as well as our daughter) with empathy, respect and professionalism. She is relatable and down to earth as well as brilliant. We were not prepared for the diagnosis our daughter received yet Dr. Pontillo helped us understand what it meant for us as well as what treatment/therapies were most appropriate. We took her recommendations and trust her so much that, 4 years later, we continue to trust Dr Pontillo with her thoughts and suggestions. We highly recommend Dr Pontillo, would never go anywhere else for pediatric psych evaluations and her services were worth every cent.

    Parent

    They are truly experts and so kind! My son was struggling in middle school, and they supported us through that experience. I love that they offer a full continuum of care for families from parenting, child and teen therapy, as well as support with educational struggles and will work with the schools to help advocate for your child. I highly recommend them!!!

    Parent

    I’ve been referring my patients to Dr. Pontillo for the past several years with the utmost confidence that she will care and understand their developmental needs. Dr. Pontillo always provided them with a balanced and age appropriate intervention to help not only the child but the family as a whole.

    Chrystal de Freitas M.D., Pediatrician Carmel Valley Pediatrics

    Dr. Deborah Pontillo and her team are a rare gem in the field of child and adolescent psychology. As the founder of Kids First, she has created a concierge-style, full-service practice that offers truly comprehensive care. From psychological testing and diagnostic evaluations to individual therapy, parent coaching, and school consultations, her team addresses the full range of developmental, emotional, and behavioral needs with an exceptional level of professionalism and warmth.
    Dr. Pontillo stands out not only for her clinical expertise, but also for the care and attention she brings to every family she supports. The practice is highly personalized — families are never treated as just a number. She works closely with parents, schools, and other professionals to coordinate care, ensuring that each child receives thoughtful, tailored interventions that evolve with their needs. Kids First is the only practice I recommend in the San Diego area. Dr. Pontillo and her team are trusted, skilled, and truly invested in helping children and families thrive.

    Dr. Cara Gardenswartz

    I am a general pediatrician with a special interest in ADHD, spending about 20% of my clinical time caring for ADHD patients. I have known Dr Pontillo since 2005 and have an enormous respect for her clinical skills and insights. She is my “go to” psychologist for more complicated developmental issues and for diagnosis of subtle high functioning disabilities. Dr. Pontillo’s interest in her patients and her ability to clearly delineate developmental problems allows parents to move forward with establishing a treatment plan. She is an invaluable resource to the San Diego Pediatric community.

    Nicholas Levy, MD, Medical Director, El Camino Pediatrics, V. Asst Clinical Professor, School of Medicine, UCSD

    As a clinical psychologist and owner of a company that provides similar services, I truly admire the work that SDKF does in the community. I refer clients to them frequently and with confidence. Dr. Pontillo has built a strong, compassionate, and multidisciplinary team that offers a wide range of services, including psychological testing, social skills groups, in-home therapy, and academic support. SDKF is a true gem in the San Diego community, and their dedication to helping children and families shines through in the quality of the work they do.

    Gohar Gyurjyan

    I am so grateful for Dr Pontillo. She is very bright, compassionate and thorough. She helped evaluate my daughters and guide us in the direction to support them the way they needed. I can’t say enough how wonderful she is.

    Parent

    Dr. Pontillo is an exceptional, and one-of-a-kind child psychologist. I have referred many children of my patients to Dr. Pontillo and she has always given them the best care and attention. Referring a patient to another professional is a big responsibility. I always look for a colleague who is efficient, professional, experienced and one who is able to come up with a clear diagnosis. I keep referring to Dr. Pontillo because of her expertise, efficiency and especially her warm and caring personality that is extremely necessary when dealing with children. I very highly recommend Deborah Pontillo, Ph.D as a child diagnostician, developmental and behavioral specialist, and therapist.

    David Kravetz, M.D., Professor of Clinical Medicine, School of Medicine, UCSD

    Immersed in a community of families that put their children above all else, I have been lucky to meet and learn from Dr. Pontillo and am proud to call San Diego Kids First the only place I refer. Dr. Pontillo expresses an impassioned energy for being a well-respected leader in child psychology and it’s that energy that I want in a psychologist for my family and friends. Parenting decisions, I have found, require an artful and nimble approach and having the ability to use San Diego Kids First makes me feel at ease among the many uneasy parenting decisions we all must make.

    Scott Kilian

    I highly recommend San Diego Kids First as a resource for your child’s mental health! Their intake process is easy and seamless and they have numerous skilled therapists to choose from to meet your child’s needs. This is my primary place to refer children and families and I have only heard great feedback about this group. I have also seen the positive change that has taken place in my client’s children as a result of getting services from them!

    Laurie Chapman, LMFT

    I would highly recommend San Diego Kids First. They are caring and knowledgeable and have helped the many clients I have referred to thrive academically and socially.

    Penny Cohen, Speech & Language Pathologist
    I’ve known Dr. Deborah Pontillo for many years and have always been impressed by her deep expertise, professionalism, and dedication to the families she serves. She has over 20 years of experience in the field and also serves on the voluntary faculty at UCSD’s Department of Psychiatry, where she helps train and mentor future clinicians.
    Her practice, San Diego Kids First, is an invaluable resource for our community – an interdisciplinary team of professionals focused on the developmental and behavioral health of children and teens. What really stands out is their collaborative approach — the team works closely together to understand each child and family from multiple perspectives, ensuring care that’s thoughtful, coordinated, and comprehensive.
    As a colleague, I trust Dr. Pontillo and San Diego Kids First completely and have referred many children, teens, and families to her over the years. I know they will receive outstanding, compassionate, and well-integrated care.
    Debra Jedeikin, PsyD
    Dr. Gamboa is absolutely phenomenal. She’s warm, patient, and so accommodating. She really makes the experience feel so comfortable. My daughter wasn’t intimidated in the slightest. Her expertise is top notch and I wouldn’t trust anyone else – truly! Thank you Dr. Gamboa!
    Parent

    We have trusted San Diego Kids First with our family for the last five years. I have two neurodivergent children that both received diagnoses and therapy with Dr. Pontillo and Dr. Gamboa. My daughter has an amazing connection with Dr. Pontillo. Through her sessions we were able to help sleep patterns, adjust behaviors, and practice self-love. I appreciate that we can receive holistic care with educational and coaches on the team. We have had Dr. Rivet help us create a household that works well for us, and the Educational Specialist, Ms. Sheri Friedman was able to help my daughter move from well under grade-level to thriving above grade-level in one summer. Sheri was also an incredible advocate for us through the IEP process. This entire team is incredibly knowledgeable, patient and understanding. We are forever grateful that they are in our lives. ADHD and ASD can feel so overwhelming and I couldn’t have done it without Dr. Pontillo and her team.

    Parent