You deserve to feel confident in the people evaluating your child.

Little Constellations combines clinical expertise, thoughtful evaluation, and a deeply human approach to help families better understand their child and what comes next.

An evaluation should give you more than a label.

Families often come to an evaluation looking for answers. A diagnosis is a useful tool - it provides a clear foundation for understanding your child's needs and finding the right support, but a diagnosis alone doesn’t always tell you why your child is struggling, how their strengths and challenges fit together, or what to do next.

Little Constellations was founded around a simple belief: a thoughtful evaluation should aim to provide a clear diagnosis while also helping you understand your child and leaving you with a clearer path forward.

We take the time to look beyond a single concern, bring the pieces together, and translate complex findings into information your family can put to work.

Raquel and Jacob Confer, psychologists and founders of Little Constellations

A family-run practice built around thoughtful care.

Raquel J. Confer, Psy.D., and Jacob R. Confer, Psy.D., are psychologists and parents raising their own young family in Colorado. Together, they founded Little Constellations to provide the kind of careful, collaborative evaluation experience they believe families deserve.

Raquel J. Confer, Psy.D., licensed psychologist at Little Constellations

Chief Clinical Officer & Licensed Psychologist

Dr. Raquel specializes in comprehensive neurodevelopmental evaluations for children and adolescents.

Her work helps families better understand concerns related to autism, ADHD, learning differences, developmental delays, executive functioning, and social-emotional development. She combines evidence-based assessment tools with clinical expertise and a commitment to understanding each child’s individual strengths and challenges.

Dr. Raquel also works closely with families, pediatricians, educators, and other providers to make sure recommendations are practical and useful beyond the evaluation itself.

Raquel J. Confer, Psy.D.

Jacob R. Confer, Psy.D., licensed psychologist at Little Constellations

Chief Executive Officer and Licensed Psychologist

Dr. Jacob brings extensive experience in clinical psychology, supervision, healthcare operations, and quality assurance.

In addition to his work with Little Constellations, Dr. Jacob is the Director of Quality Assurance for the Forensic Services Division within the CDHS Office of Civil and Forensic Mental Health, where his work focuses on clinical quality improvement, policy development, HIPAA compliance, clinical auditing, and program evaluation.

At Little Constellations, Dr. Jacob provides consultative support and quality review, giving every evaluation the benefit of a second psychologist’s perspective.

Jacob R. Confer, Psy.D.

Psychologist speaking with a parent during a child evaluation
Child completing an activity during an evaluation
Child completing an activity during an evaluation

What Guides Our Work

Understand the whole child

We look beyond a single diagnosis to understand the combination of factors shaping your child’s experience.

Make the complex understandable

Families deserve clear explanations, honest communication, and recommendations they can actually use.

Work together

You know your child in a way no test ever could. Your perspective is an important part of the evaluation.

Ready to talk about what you’re seeing?

You don’t need to know exactly what kind of evaluation your child needs. Start with a complimentary 15-minute conversation and we’ll help determine the right next step.