Find your child’s path forward
Your family's teammates, from first questions to ongoing care.
In person in Haverford · Virtual statewide in PA and NJ
Who we are
We're a psychologist and a developmental pediatrician who started Arrow Pathways so families wouldn't have to piece together care on their own. We take the time to understand how your child thinks, what they're good at, and what home and school really look like. Then, we stay with you as things change.
Read our story →Find your path
Where are you right now?
Therapy
“I'm worried about my child.”
Emotional, behavioral, and mental health support for children, teens, and families.
Start with therapyEvaluations
“We need answers.”
Diagnostic evaluations for autism, ADHD, and developmental concerns, with a clear plan afterward.
Start with an evaluationDevelopmental Pediatrics
“We need a doctor who gets it.”
Ongoing medical and developmental care, medication management, and care coordination.
Start with developmental careNot sure? Call 484-576-3351 and we'll help you choose.
How we help
Support for the whole family
What we see
Concerns families bring to us most often.
- Autism spectrum disorder
- ADHD and executive functioning
- Anxiety, worry, and OCD
- Mood and depression
- Big emotions, meltdowns, and behavior
- School refusal
- Developmental and medical care
How we work with you
The ways we help, alone or together.
- Cognitive behavioral therapy (CBT)
- Evaluations
- Medication management
- Parent coaching
- School support
Why families choose us
Strengths first
We start with what your child does well and build from there.
Time, not 15-minute visits
Longer appointments and real follow-through.
Two specialties, one team
Developmental pediatrics and psychology, working together.
Meet the founders
Alison Downes, MD
Co-Founder & Medical Director
Developmental-behavioral pediatrician. A decade at Children's Hospital of Philadelphia (CHOP).
Samantha Ciappa, PsyD
Co-Founder & Clinical Director
Licensed clinical psychologist and PA-certified school psychologist. Works through a systemic lens: she looks at the whole picture around a child, including family, school, and community, and brings parents into the work.
“Kids do their best work with someone who really gets them. I focus on building that connection first, then we figure out the path forward together.”
Not sure where to start? That's what we're here for.
Tell us a little about your child. We'll get back to you within 2 business days and help you choose the right first visit.
Get StartedOr call 484-576-3351