ADHD, Anxiety & More: Child Mental Health for Pediatrics
ADHD, Anxiety & More - formerly Child Mental Health for Pediatric Clinicians / PsychEd4Peds - is the podcast for pediatric primary care clinicians who want practical, evidence-based guidance for diagnosing and treating children and adolescents with mental health conditions.Hosted by Elise Fallucco, MD, a nationally recognized child and adolescent psychiatrist and speaker whose educational programs have helped thousands of pediatric clinicians improve their confidence in caring for children with mental health problems. This podcast is for pediatricians, pediatric nurse practitioners, physician assistants, family physicians, and other pediatric clinicians who want to confidently care for kids with ADHD, anxiety, depression, autism spe...
89. Autism and Parenting : What Pediatricians Need to Know about Meltdowns, Emotions, and Family Stress with Greer Jones
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What is it really like to parent an autistic child? And what do pediatricians need to understand about the experience that families may not share during a brief office visit?
In Part 1 of this two-part conversation, I’m joined by Greer Jones, a UK-based neuro-affirming parent coach, speaker, host of the Neurodivergent Podcast, and "mum" to two neurodivergent children. Greer brings a valuable perspective to this conversation, helping us better understand the day-to-day realities of raising a neurodivergent child.
In this episode, we discuss:
Th...88. Raising Resilient Kids: When to Step In, When to Step Back (Rescuer vs Coach Parenting)
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Dr. Elise Fallucco, child psychiatrist and host of the ADHD Anxiety and More podcast, shares parent-focused tips for raising resilient, capable children.
She talks about 3 contrasting parenting styles—rescuer, laid-back, and coach— and talks about when each style makes sense.Â
The Rescuer Parent - wants to FIX problems FOR their child
The Laid-back Parent - lets their child sort things out on their own
The Coach Parent - Workings WITH the child to help them solve problems
She explains common age-based struggles (emotional regul...
87. Teen Suicide Prevention: Why Depression Screening Isn't Enough
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Depression screening and suicide screening are not the same thing—and relying on the PHQ-9 alone can miss youth who are at risk for suicide.
In this episode, I break down a quick, practical approach to suicide screening and risk assessment in primary care —including what to do when a screening tool comes back positive.
In this episode, you’ll learn:
🚨 Why the PHQ-9 isn’t enough — and how many at-risk youth can slip through the cracks when you rely on depression sc...86. Pediatric Mental Health: From Overwhelmed to Confident
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Where are YOU on your pediatric mental health journey?
If you’ve ever felt nervous when a child’s mental health screen comes back positive, frustrated when straightforward ADHD treatment suddenly becomes complicated, or overwhelmed because you’ve become the “mental health person” in your practice—this episode is for you.
In this episode, Dr. Elise Fallucco introduces the 4 phases of the Pediatric Mental Health Champion Journey:Â
Phase 1: Running Scared →Â
Phase 2: Basic Treatment Frustration →Â
Phase 3: Mental Health Overload → <...
85. Anxiety in Kids: When Is Therapy Enough—and When Should You Add an SSRI? (And why Remission Matters)
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Episode 85 of ADHD, Anxiety & More is for pediatric clinicians who want to know when to prescribe medication for children and teens with anxiety.Â
In this episode, you will learn about:
Which treatment (therapy, medication, or combination of both) offers the highest response for child and teen anxiety Why it is important to treat anxiety to remission The 3 things to do when referring to CBTShe explains why remission matters, citing follow-up findings that remission is ass...
84. Anxiety: When is it normal? When does it need treatment?
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Anxiety is a normal human emotion. So, how do you know when it’s developmentally typical and when it has crossed the line into something that needs treatment?Â
In this episode, Dr. Fallucco walks through a practical approach pediatric clinicians can use to recognize clinically significant anxiety that requires treatment. Â
We talk about Screening, Taking a focused history of Anxiety, and determining whether the anxiety needs treatment.
In this episode, you’ll learn:
Who to screen for anxiety—and when to keep anxiety on your rada...83. ADHD and Epilepsy: Can You Safely Prescribe Stimulants?
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Join us for the latest Mystery Case: A teen with ADHD + Epilepsy
Would you prescribe a stimulant?
How do you treat ADHD in people who have epilepsy?
In this episode, we unpack:
• The surprising relationship between ADHD and epilepsy
• Why ADHD is easy to miss in kids with epilepsy
• Where the concern about stimulants and seizures came from
• What newer research tells us about stimulant treatment in kids with epilepsy
• How I would approach treatment—and monitoring—i...
82. ADHD Treatment beyond Meds: Exercise and Nutrition
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What ELSE helps ADHD symptoms (in addition to meds?) What does the evidence say about non-medication treatment options for ADHD? We talk about...
behavioral therapy  exercise - which is an under-prescribed intervention,  Think 30 minutes of moderate-to-vigorous activity 3 times weekly for 8–12 weeksWhat about Nutrition?omega-3 fatty acids may help with emotional lability in ADHD  broad-spectrum micronutrients??00:00 ADHD Treatmetn BEYOND MEDS Overview
02:16 Therapy Evidence Basics
03:47 Medication Hesitancy Case
04:53 Exercise As Treatment
06:34 How Exercise Works
08:14 Exercise Prescription Tips
08:59 Omega 3 For Mood
11:08 M...
81. Chronic Abdominal Pain in Kids: The Gut-Brain Connection and How to Help
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How can we support children and families who struggle with chronic abdominal pain? Dr. Fallucco shares an episode from The Pediatrician Next Door, an excellent podcast hosted by pediatrician Dr. Wendy Hunter. Dr. Hunter talks with Dr. Ali Navidi, a psychologist who specializes in disorders of gut-brain interaction.Â
Dr. Navidi explains why some kids experience abdominal pain, nausea, diarrhea in a way that makes sense to families Dr. Navidi talks about the role of psychological treatments—including clinical hypnosis—in helping kids retrain these brain-gu...80. Viloxazine (Qelbree) or Atomoxetine (Strattera) for ADHD: Which should you choose?
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 Dr. Elise Fallucco continues this series on non-stimulant medication for ADHD and shares practical tips about using Norepinephrine Reuptake Inhibitors (NRIs): viloxazine ER (Qelbree) and atomoxetine (Strattera) for pediatric clinicians.
Who can benefit from NRIs? What are the potential benefits, drawbacks, and side effects?Â
Working through the case of a 12-year-old girl with inattentive ADHD and anxiety who cannot tolerate methylphenidate or amphetamine , she explains why she generally prefers Viloxazine ER (Qelbree)
FDA approval for ADHD in children ages 6+Quicker onset (often within 1–2 weeks vs 4–6 weeks for atomoxetine)Better...79. When stimulants don't work: Guanfacine and Clonidine explained
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While stimulant meds are first-line treatment for ADHD, they do NOT work for everyone... or sometimes they only PARTIALLY help. So, what can you do in these situations?
When is the right time to try a non-stimulant medication like Guanfacine and Clonidine (a.k.a - alpha-agonists?)? In which clinical situations can these alpha-agonists be helpful?  How do you know when to switch from one stimulant to another stimulantWhen should you try adding on or switching to an alpha-agonist?In this episode, Dr. Elise Fallucco talks about guanfacine XR (Intuniv) and clo...
78. ADHD Meds: Which Stimulant Should you start first?
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It’s back-to-school season—and that often means a surge of ADHD concerns as academic demands ramp up, especially around key school transitions like 3rd, 6th, and 9th grade.Â
In this episode of ADHD, Anxiety, and More, Dr. Elise Fallucco shares a practical, confidence-building approach to picking stimulant treatment for children and teens, answering questions like:
Which ADHD medication should I start first?
When should you use methylphenidate medications like Ritalin or Concerta?
When should you use amphetamine-salt medications like Adderall or Vyvanse?
How do...
Helping Kids Thrive Through Sports with Coach Peter Verhoef (Summer Replay)
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What can we learn from an Elite Coach about how to help young athletes THRIVE through sports? Join us as we chat with Coach Peter Verhoef, head coach and aquatics director at the Bolles School Swimming Program and former Olympic Trials finalist (2x).
We discuss:
 Why do so many kids quit organized sports by age 13?How can we prevent burnout?When are teens MOST vulnerable to burnout? How much time off/rest is reasonable? Does it very by sport?03:36 Benefits of Youth sports
06:04 Preventing Burnout in Youth Sp...
Are Youth Athletes Burning Out? 2 Questions To Ask at Every Sports Physical with Dr. Joel Brenner (Summer Replay)
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Summer sports physical season is here! Before you sign that next pre-participation physical, are you asking the questions that could help prevent burnout, overuse injuries, and early sports dropout?Â
In this timely replay, pediatric sports medicine expert Dr. Joel Brenner shares practical, evidence-based strategies to help young athletes stay healthy—and stay in the game. Learn why early sports specialization may do more harm than good, how much rest young athletes really need, and the two simple questions every pediatric clinician should ask during every spo...
77. ADHD Treatment Essentials for Pediatric Clinicians: Earn CME Credit
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Would you be surprised to learn that there has been a MAJOR INCREASE in child mental health visits in primary care? A recent study published in JAMA Network Open found clinically significant increases in child mental health visits over a 10-year period. While ADHD remained the most common MH concern, ANXIETY visits rose by 300% from 2014-2023.Â
We know that it can be challenging and sometimes nearly impossible to connect these children and families with specialty child mental health care. AND we know that families often PREFER to receive care from their trus...
76. 5 ADHD & Pediatric Mental Health Clinical Pearls Every Clinician Should Know
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Dr. Elise Fallucco reviews five practice-changing lessons from the previous season of Child Mental Health for Pediatric Clinicians:Â
1 - Ask better questions For example, use Dr. Waxmonsky’s ADHD assessment prompt, “When is the hardest time of day, and what is going on there?” to guide ADHD medication choice2 - Look for the problem behind the problem Ask teens about energy drinks/caffeine and sleep timing, recognizing energy drink use may signal sleep deprivation; 3 - Update how we talk to families about stimulants Emphasize that stimulants support wakefulness, alertness, and motivation rather than direct...75. Energy Drinks and Teens: What Pediatric Clinicians Need to Know with Roshni Patel
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Highly caffeinated energy drinks are taking the teenage world by storm! While the AAP (Peds) says that these beverages are NOT safe, a growing number of kids and teens use them. To help us learn the latest about the health risks, join this conversation with Registered Dietitian, Roshni Patel! We talk about:
What is really INSIDE these eye-catching, bright, metallic cans?Hint: potentially toxic amounts of caffeine plus sugar  What are risks for teens?What are HEALTHY but practical alternatives for our sleep-deprived, overstretched teens?ÂRoshni Patel, MS...
74. Burnout in Healthcare: "The Pitt", Stats, and Solutions!
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Let's talk about clinician wellbeing and burnout...
In this episode, Dr. Elise Fallucco shares results from the recent AMA national survey about physician and APP burnout, and then shifts to talk about the portrayal of burnout and boundaries in a scene from HBO's "The Pitt". Â
She shared resources to address SYSTEMIC issues that contribute to burnout -
The AMA's “Saving Time Playbook” found at:  https://www.ama-assn.org/practice-management/sustainability/saving-time-playbookFinally, we talk about a simple, grounding exercise
Pay attention to - 3 things you can see, 3 t...73. ADHD Assessment + Treatment: 3 Clinical Pearls from Dr. James Waxmonsky
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Three Clinical Pearls for Evaluating and Treating ADHDÂ
Dr. Elise Fallucco chats with Dr. James Waxmonsky (Chair of Child Psychiatry at Penn State) about practical strategies to evaluate and treat children and teens with ADHD.
 Clinical Pearl #1 - Ask Patients about their biggest Challenge and define their Goals, Set Relevant Finish Lines
Dr. Waxmonsky emphasizes starting with family- and patient-defined functional goals rather than symptom scores, Keep in Mind: stimulant sensations like alertness or “academic confidence” can fade with physiologic tolerance and may not...72. Can we develop Tolerance to stimulants? with Dr. James Waxmonsky
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Does our brain adapt to stimulant medication over time, develop tolerance, so that we require higher doses to achieve the same effect?
When patients tell us their stimulant doesn't seem as helpful (after working well for a while), could this be tolerance? ... or could it be something else?Â
To answer these questions, Dr. Elise Fallucco chats with Dr. James Waxmonsky, co-PI for NIMH-funded study: Examining Tolerance to CNS Stimulants in ADHD.Â
00:00 Introduction of Dr. James Waxmonsky
01:26 What Is Tolerance?
02:10 Clinical Evidence for Tolerance
...71. ADHD stimulants do NOT impact the brain's attention networks?!?! with Dr. Nico Dosenbach
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Bench to Bedside: How ADHD Stimulants Really Work—Arousal and Reward, Not Attention Networks
Dr. Elise Fallucco launches a new “Bench to Bedside” series and interviews Dr. Nico Dosenbach, senior author of a ground-breaking fMRI study published in CELL that found that stimulants do NOT significantly change the brain’s attention networks!?!?!Â
Instead, effects are strongest in arousal (less drowsy, more wide awake) and reward/motivation systems (increasing predicted reward and tolerance of “drudgery”).Â
We discuss:
how these findings align with patient experiencewhy ADHD can be a misnomer how v...70. Anxiety that has failed 2 SSRIs: How to switch and which med to choose next with Dr. Strawn
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SSRI Switching in Pediatrics: When to Try a Third SSRI, When to Use Luvox, and Key Metabolism Pearls
Dr. Elise Fallucco continues her discussion with child psychiatrist Dr. Jeffrey Strawn (University of Cincinnati; co-author of Stahl’s DePrescribing) on practical tips regarding how to stop/decrease an SSRI and switch to another SSRI (or SNRI) for pediatric anxiety.Â
Highlights from the Episode:
After trying 2 different SSRIs for pediatric anxiety, in most cases, it makes sense to try a third SSRI as opposed to an SNRIRationale: SSRIs ten...69. How to Switch SSRIs with Dr. Jeffrey Strawn
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3 Ways to Switch SSRIs in Kids: Direct Switch vs Taper vs Cross-TitrationÂ
Dr. Elise Fallucco continues a conversation with child psychiatrist and anxiety GURU Dr. Jeffrey Strawn about evidence-informed ways to switch SSRIs in pediatric patients when an adequate trial hasn’t led to remission.Â
They review 3 strategies:
1.  direct stop/start
a.  Stop SSRI#1 then start SSRI#2: best for patients with side effects on the 1st SSRI, but creates a gap in antidepressant coverage during the transition
2.  taper-then-switch
a.  Taper SSRI#1 off then sta...
68. Deprescribing - The Science and Art of Stopping Medication with Dr. Jeffrey Strawn
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What is the safest, most effective way to taper or stop psychotropic meds in children and teens? Dr. Elise Fallucco kicks off a new Deprescribing series with guest Dr. Jeffrey Strawn, coauthor of Stahl’s Deprescriber’s Guide. Â
 They discuss how clinicians and patients “deprescribe” in real life, and what can happen when tapering off or abruptly stopping medication including:
 how to distinguish discontinuation (withdrawal) from relapse Focus on timing, symptom pattern (including dysesthesias/“brain zaps” and dizziness), and symptom trajectoryhow to manage cases of discontinuationpause - then more slowly taper off of medi...67. From Screen Addiction to Sextortion: Your Guide to Digital Safety with Tech Insider Ashley
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On Part 3 of our Series on Tech and Child Mental Health, Dr. Elise Fallucco continues her conversation with Ashley (Tech Insider, Senior Manager of Global Risk Assessment at Twitch)Â about:
"Screen addiction" How to talk with kids and teens about online privacy and potential dangers like groomers and sextortion in an age-appropriate way Go-to resources for families navigating the digital world like The Family IT Guy on Social Media and online App/game parental control webpagesCommon Sense MediaHow to take down inappropriate content online Report directly to the app/platform Where/how to repo...66. Keeping Kids Safer Online with Tech-Insider Ashley: Parental Controls, Hidden App Risks, and Tech Alternatives to Smartphones
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How can parents set real boundaries around kids’ screen use when every app has different settings—and kids can get around them? In part two of this tech safety series, Dr. Elise Fallucco continues her conversation with tech trust-and-safety insider (and mom) Ashley, senior manager of global risk assessment at Twitch. They break down why parents need to set parental controls inside each individual app (not just on the device), what to watch for in hidden or unexpected features like messaging and photo uploads (even in seemingly harmless games), and how kids may disg...
65. Digital Dangers: Tips from a Tech Insider
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Just when you thought it was safe to let kids play online... a Tech Insider shares surprising information about online/digital safety. Dr. Fallucco chats with a seasoned professional in the trust and safety field about...
How to balance the benefits of technology while minimizing RISKS like exposure to violence, cyberbullying, and grooming. How to set up a Child Tech contract - that defines WHEN a child can use technology, WHERE they can use it, and HOW they can use it (i.e. which apps/games are safe and approved)The NUMBER on...64. Mystery Case: 12yo ADHD "acts like she is on speed"
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Let's kick off the new year with a NEW Mystery Case! Dr. Elise Fallucco works through the case of a 12-year-old girl with ADHD and a family history of bipolar. After starting a new stimulant medication, the patient exhibits what seems like 'super ADHD.' Could this be a medication side effect, emerging bipolar, or something else? Dr. Fallucco guides you through a detailed differential diagnosis, exploring possible causes and solutions. Tune in to discover effective strategies for managing ADHD medications and ensuring better outcomes for your pediatric patients!
00:00 Introduction and...
63. Top 3 Things I Learned in 2025
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Dr. Elise Fallucco reviews the highlights from 2025 and the TOP THREE things she learned about Child Mental Health from 2025 podcast episodes. Celebrate surpassing 50 episodes, explore exciting new episode formats like 'mystery cases,' and gain insights from impactful discussions with parents about ADHD and anxiety in children.Â
 Tune in for excerpts from some of the most memorable episodes, including from the MOST downloaded episode of the year!
00:00 Introduction and Year in Review Overview
00:50 Podcast Milestones and Global Reach
02:05 New Episode Formats: Mystery Cases
03:16
...62. Letting Go of Perfect: Finding Joy this Holiday Season
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As a recovering perfectionist, Dr. Elise Fallucco shares insights ad strategies, for combating perfectionism, especially during the holiday season.  Do YOU have some unrealistic expectations for yourself? Do you want permission to take some pressure off so that you can enJOY the holiday season? If so, take a listen!
0:00 Letting Go of Perfect
01:02 Defining Perfectionism
02:32 Adaptive vs. Maladaptive Perfectionism
03:34 Self-Critical
05:05 Consequences of Perfectionism
06:29 Perfectionism during the Holidays!
08:54 Examine your own Expectations
10:14 Unrealistic Expectations
...
61. ADHD + Anxiety: Rapid Review of Medication treatment
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Navigating Treatment for ADHD and Anxiety in Kids
Ever wondered which to treat first in kids who have both ADHD and anxiety? Dr. Elise Fallucco, child psychiatrist, tackles this common dilemma in the latest episode of Child Mental Health for Pediatric Clinicians. She shares fresh insights and data, stressing the importance of starting with stimulant medication for ADHD. Dr. Elise also discusses medication types, dosages, and the rationale behind her treatment choices, while addressing common parental concerns and considerations. Tune in to understand how to navigate this complex but crucial aspect...
60. Cannabis and Teen Mental Health: 3 Things You Should Know
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 In this episode, we dive deep into the topic of CANNABIS and its impact on the developing teen brain and MENTAL HEALTH.Â
Dr. Fallucco discusses the latest research on THC and CBD, revealing how modern cannabis has become significantly more potent. Learn about the risks associated with adolescent cannabis use, such as impaired prefrontal cortex development, increased anxiety risk, and associations with psychosis. Dr. Fallucco also offers practical tips for clinicians on how to counsel teens and their families about cannabis use and harm reduction strategies. Don’t miss out on thes...
59. PMDD: How Hormones Can Affect Teenage Girls with Laurina
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Dr. Elise Fallucco welcomes Laurina, a pediatric nurse practitioner and mom of four. Laurina shares her experience parenting her teenage daughter, Beth, who has ADHD and anxiety. The discussion covers Beth's initial symptoms, her treatment journey and the discovery of Beth's premenstrual dysphoric disorder (PMDD). Laurina offers insights on tracking symptoms and treatment options, providing valuable advice for clinicians and parents alike. Tune in to learn about managing ADHD, anxiety, and hormonal changes in teenage girls.
00:00 Introduction WHAT TO EXPECT and Guest Welcome
01:13 Lorena's Clinical Background
02:10 Recognizing...
58. Mystery Case: "My ADHD medicine stops working sometimes"
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On this MYSTERY CASE episode of Child Mental Health for Pediatric Clinicians, Dr. Elise Fallucco dives into the case of a 12-year-old girl with ADHD whose symptoms are "on again, off again". Join us to work through a differential diagnosis, discover the history, and most importantly learn about HOW TO HELP!  Let's unlock the mystery together!
00:00 Introduction to the Podcast
00:26 Presenting the Mystery Case
01:13 Exploring Possible Causes
01:56 Investigating the On-Off Pattern
03:51 Discovering the Pattern
05:32 How Hormones Help and Hijack the Brain
...57. Teen SUICIDE peaks in October - What You can do to reduce risk
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Did you know that teen suicide attempts PEAK in October? In this episode, we share why October is so stressful for US teens, what YOU can do in your office to identify and help teens with suicidal thoughts. FInally, we share THREE THINGS we wish everyone knew to reduce suicide risk in teens!Â
00:00 Introduction and World Mental Health Day
01:07 The October Suicide Peak
02:20 Factors Contributing to October's Suicide Risk
04:39 Identifying At-Risk Groups
05:44 Strategies for Clinicians to Help
09:46 The Importance of Sleep
<...56. Challenging Child Behaviors: Help Families Use Selective Attention
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Join us as we talk about challenging child behaviors! We'll explore why these behaviors can be developmentally typical and introduce the selective attention strategy for handling them. Learn key techniques such as specific praise, time ins, and the stoplight approach to help parents manage green, yellow, and red behaviors. Additionally, discover important clinical questions to determine when children might need further evaluation and treatment. Join us for practical insights to support both parents and children through difficult behaviors.
00:00 Introduction to Challenging Child Behaviors
00:42 Understanding Challenging Behaviors
01:44 Reframing...
55. What Parents wish you knew about ADHD with Ashley and Lauren
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What do parents wish *all* clinicians knew about raising kids with ADHD? How can we ask more effective questions to learn about how ADHD symptoms are affecting a child's life at home and at school? We answer these questions and more in Part 3 of Child Mental Health talks w/ Parents about ADHD with Ashley and Lauren!
00:00 Advice for Parents and Clinicians
01:12 Advice for Clinicians from Ashley
05:17 The Importance of Community and Support
05:17 Navigating ADHD as a Parent
08:58 Advice for Parents and Clinicians
<...54. Masking: Can you hide ADHD? with Ashley and Lauren
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Dr. Elise Fallucco talks with parents and neurodiversity advocates Ashley and Lauren about the concept of 'masking' symptoms in ADHD. They discuss how children, especially girls, consciously or unconsciously camouflage their ADHD symptoms to fit into social norms, and the emotional toll it takes. Through personal anecdotes and reflections, Ashley and Lauren reveal how they identified masking in their children and the impact it has on their emotional well-being and self-esteem. The episode emphasizes the importance of recognizing strengths and the therapeutic value of a diagnosis.
00:00 Talk with Parents about Masking...
53. Early signs of ADHD with Lauren and Ashley
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Understanding ADHD from a Parent's Perspective
In This episode of Child Mental Health for Pediatric Clinicians, we begin a new series, 'Child Mental Health Talks with Parents,' featuring advocates Ashley and Lauren, who share their experiences raising children with ADHD. They discuss the creation of a Mental Health and Neurodiversity PTA committee, early signs of ADHD in their children, and practical insights for clinicians. Listen in to understand how morning routines and psychoeducational testing can aid in assessing ADHD, and stay tuned for more on masking and self-esteem in the...
52. ADHD in Girls - All of the things you should know
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In this episode, Dr. Fallucco dives into the nuances of ADHD in girls, explaining why it is so important to recognize girls with ADHD, how girls with ADHD present with different symptoms than boys, and why girls often go undiagnosed.Â
She highlights the importance of early recognition and treatment to reduce risks like suicide, drug abuse, accidents, and social struggles. Dr. Fallucco also discusses the subtle inattentive symptoms in girls, genetic risk factors, and ADHD 'superpowers' such as hyperfocus and creativity.Â
Tune in to learn why it's crucial for cli...
