Help Kids to Understand their Brains and Assessments with Dr. Liz Angoff: Episode 213

You can listen wherever you get your podcasts, OR— BRAND NEW: we’ve included a fully edited transcript of our interview at the bottom of this post.

In this episode of The Peaceful Parenting Podcast, I speak with Educational Psychologist Liz Angoff.

We discuss when and why a child might need an assessment, what information you get from an assessment, how to help children understand their brains and diagnosis, and celebrating neurodiversity.

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We talk about:

* 7:00 What are some signs that your child should get an assessment?

* 9:00 Getting to the “why” and the “so what”

* 10:00 What do you assess for?

* 14:00 Why it is important to get an assessment?

* 23:00 Should you tell your child about their diagnosis?

* 31:00 Scripts and metaphors for talking to your kids about diagnosis

* 39:00 Red and Green flags with clinicians

* 44:00 Celebrating neurodiversity

Resources mentioned in this episode:

* Yoto Player-Screen Free Audio Book Player

* The Peaceful Parenting Membership

* Dr. Liz’s website and books

xx Sarah and Corey

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Sarah: Hey everyone. Welcome back to another episode of the Peaceful Parenting Podcast. Today my guest is Dr. Liz Angoff, who is an educational psychologist. She does testing, looking at helping kids understand how their brain works and helping their adults understand how their children’s brains work. She has loads of wonderful resources, which we will link to in the show notes.

I love how Dr. Liz takes this approach. It’s about how our brains can work in different ways, and understanding that really can help our child understand themselves, and help us understand our child in a better way.

As you’ll hear in this conversation with Dr. Liz, she really talks about how, if your child is experiencing some challenges or struggles—or you’re experiencing struggles or challenges with them—it can be helpful to get an assessment and possibly a diagnosis to understand exactly what’s going on and how your child’s brain works. Whether it could be anxiety or depression or neurodivergence or learning challenges or any sorts of things that can be uncovered through psychological testing, you can really understand the differences in your child’s brain that could be making life feel more challenging for them and/or for you. And she has a beautifully neurodiversity-affirming lens, where she talks about—you’ll hear her talk about this in the episode—looking at a child’s brain in terms of both the strengths and the challenges.

As always, we would love if you would share this episode with anyone you think might find it useful, and leave us a five-star rating on your favorite podcast player app and leave us a review. It really helps us reach more families and therefore help more families.

Alright, let’s meet Dr. Liz.

Hello, Dr. Liz. Welcome to the podcast.

Liz: Thank you for having me. I’m really excited to be here, Sarah.

Sarah: Me too. So tell us about who you are and what you do before we dive in.

Liz: Right. Well, I go by Dr. Liz, and I am a licensed educational psychologist. I’m in the Bay Area, California, and my focus—my passion—is working with kids to understand how their brains work. I am a testing psychologist, so I do assessment to understand, when things are challenging for kids, why things are challenging and what we’re going to do to really support them.

But one of the things that really caught my interest a number of years ago is that so often we bring kids through the assessment process and we don’t talk to them about what they did or what we learned about them. So I got really passionate about talking to kids directly about how they can understand their brains—what comes easily for them, how they can really use their strengths to help them thrive, and then what’s challenging and what they can do to advocate for themselves and support themselves. So all of my work has been really focused on that question: how do we help kids understand themselves?

Sarah: Which is perfect, because that’s exactly why I wanted to have you on. I’ve had so many parents ask me, “Well, how do I… I’ve got the assessment. How do I tell them? Do I tell them? How do I tell them?” We’re going to get into all of that.

But first I want to start with: what are some signs… I imagine some of the people listening are already going to have had assessments or are in the process of getting an assessment. But there also are some people who maybe—at least in our world—what we look at is: if you feel like you’re struggling way more than everybody else, that could be one sign. And if you’ve already made shifts and you’re trying to practice, in our case, peaceful parenting, and you’re still finding that things are really hard—that could be a sign that you might want to get an assessment.

But what are some signs that you look for that you might want to get your child assessed?

Liz: Yeah, I mean, you named a couple of them that I think are actually really important. All kids have times when they struggle. Growing up is hard. There are a lot of challenges, and they’re really important challenges that kids face. They need to know that it’s okay when things are hard. They need to know they can do hard things and come out the other side.

And there’s so much out there—what I think of as parenting 101—that helps us figure out: how do we help our children navigate these tough times? And then there’s kind of the next level where you might get a little extra support. So you read a book on parenting, or you find a different approach that matches the way your child shows up in the world a little bit better. You might meet with the school and get a little bit of extra help—sometimes called student study teams or SSTs—where you might meet with the teacher and the team.

For most kids, that little extra boost is enough to get them through those hard times. But for some kids, there are still questions. That next level, that extra support—it’s still not working. Things are still hard, and we don’t know why.

Sarah: Mm-hmm.

Liz: And when you have that question—“Why isn’t this working? It works for so many kids, but it’s not working for my child”—that’s when an assessment can be really helpful to get at the why. The so what.

So the why is: why are things harder for my child, and why are the traditional things that help most children not working? And then the so what is: so what do we do about it? How do we do things differently? And for kids who are wired differently, they need different things. And that’s what we focus on in the assessment process.

Sarah: And so, what kinds of… You know, we’ve gotten extra support, we’ve educated ourselves, and things are still hard for our child—or maybe also hard for us at home with our child. What are the kinds of things that you assess for? I guess that’s the best way to ask. The big ones I think about are ADHD and autism, but what else might be possibilities that are going on?

Liz: I really think of assessment—at the core of it—as understanding how this child’s brain works. The diagnoses that we look at… a diagnosis is just a kind of way to orient us toward the path of support that’s going to be most helpful. But even ADHD, autism, dyslexia—these common things we might look for—show up differently in different kids. There are diagnostic criteria, but they mix and match a little bit. No two ADHD-ers show up the same way. No two autistic kids show up the same way. Even dyslexic kids show up differently.

So at the core of it, we’re trying to figure out: what makes this child’s brain unique? What are the unique strengths and challenges that they have? And we’re going to be able to explain that. A shortcut for explaining that might be dyslexia or autism or ADHD.

We also might be looking at things like anxiety and depression that can really affect kids in a big way—sometimes related to other brain styles, because navigating the world as a different kind of brain is really hard and can lead to a lot of anxiety and depression. Sometimes anxiety can look like ADHD, for example, because it really hijacks your attention and makes it hard to sit still at school when your brain is on high alert all the time.

So we’re really trying to tease apart: what’s the root cause of the challenges a child is facing? So that we know what to do about it.

Some other things we might look at: one of the big questions that comes to me is when there are some really challenging behaviors that kids have, and we want to know what’s underneath that. Sometimes there might be questions about sensory dysregulation or emotional dysregulation—just real difficulty understanding the emotions that are coming up and what to do about them. Some kids get hit like by a tsunami by their emotions. And so learning how to regulate or manage those big feelings might be something we’re looking at. And again, that might be part of a bigger diagnosis, but more importantly it’s something we want to understand so we can support a child, regardless of what we call it.

Sarah: That makes so much sense. And it makes me think about my daughter, who’s 18 now. And just for anyone listening, she’s okay with me talking about her assessment and diagnoses. And I think sometimes when you talk about challenging behavior, we think we know why there’s challenging behavior—but sometimes we can be totally wrong.

I remember when she was in elementary school, her teachers—one after another—would always talk about how she was repeatedly at their desks asking, “What do I do next?” Asking for instruction. And she’s a kid whose connection is super important to her, and I always thought it was because she was looking for more connection from the teacher. That she was always at their side, and that was a “good” reason to go up and talk to the teacher because she loved her teachers.

And then come to find out, when we had her assessed, that she has working memory challenges. She actually literally couldn’t remember what the next thing to do was, because she could only keep one or two things in her head at a time. And that was really helpful information. It completely shifted how her teachers—and how I—saw her classroom behavior.

Liz: Isn’t that amazing? Just getting at the why. Getting underneath and figuring out the why completely shifts our perspective on things. And I think for a lot of kids, that first-line parenting—for many kids, yeah, they’re looking for connection. They’re looking for that. It makes total sense that that would be our first assumption. And for some kids, that’s just not true.

So when we do the assessment, we find out this important information that is so important to understanding what’s going on. And for your daughter to understand: “Oh, there’s this thing called working memory, and that is different in my brain than in other brains.” So I’m not dumb or lazy or all these labels we give ourselves. It’s: “Oh, I have a working memory challenge, so let’s brainstorm some ways I can work with the way my working memory works.” And that might be asking the teacher—that might work for everybody—but there might be something else.

There are any number of strategies we can use to really help her once we know what that is. And when we talk to kids about it, we can brainstorm with them to figure out what the best strategy is going to be—one that works for our child, that works for the teacher, that works for everybody involved.

Sarah: Yeah, for sure. It’s so illuminating. There were so many things about her diagnosis when she got assessed that helped so much to explain behavior that a lot of people found perplexing, and also helped her understand herself and make adjustments she needed to make to be successful.

For example, even now she’s in first-year college, and she knows—this has continued through her whole school career—that because of her focus challenges, she can’t really do any homework after six o’clock at night. Her focus is just not good. She can try, but it’s really hard for her. So she plans her day around: “I know that I’ve only got until six o’clock to really get my good work done.” She’ll even come home, do homework, and then go back into the city to go to the gym or something, whereas other people might do it the other way around.

So I think just knowing—kids knowing—how their brain works is really setting themselves up for success.

Liz: I love that.

Sarah: Yeah. So, which brings me to the next question I was going to ask you, and I think you’ve already answered it or we’ve talked about it together: anything you want to add about why it’s important to get an assessment? I mean, you talked about helping kids understand how their brain works, really getting to the root of the problem, and helping the people around them understand how their brain works. Is there anything else you want to add about why we would want to get an assessment that we haven’t already talked about?

Liz: Yeah. Well, one of the things we talk about a lot is that an assessment can result in a label of sorts. A diagnosis is a kind of label. And something I get asked a lot is: “What do we do when parents feel nervous about having their child have a label?”

There is—as much as I am a proponent and supporter and celebrator of neurodiversity—the truth is that our society still has some pretty challenging stereotypes about what it means to be ADHD or autistic, or to have a different way your brain is wired.

Sarah: Or stigma.

Liz: Yeah—stigma. That’s the word. And so I think it’s a real fear that families have.

There are a couple of things that are important to know about these “labels.” One is that the world is changing. We are understanding these diagnoses in a totally different way—not as something that’s broken or needs to be fixed, but as something that is different. A normal variation of how brains appear in the world. And that is a real change that is happening.

And that label can be—as you were just saying—so helpful, as a way to guide what we do to support our children so they can be successful. Like your example with your daughter: she can learn how to work with her brain so she can be really successful. I think it’s brilliant that she knows that after six o’clock, her brain won’t study anymore. That simple change is the difference between feeling like a failure and feeling like a success.

And I think the more dangerous thing—the scarier piece—is the labels we give children who aren’t properly diagnosed. Those labels are the ones kids give themselves, like “I must be dumb,” or the labels others give kids, like “This is a lazy child,” or “This is a defiant child.” Those labels are so much more negative and harmful to our kids because they tell them there’s something wrong with them.

Are these diagnoses labels? Yes. But I would argue they are such helpful guideposts for us in understanding: this is a difference, not a deficiency.

Sarah: I love that. And I’ve heard people say that you can avoid getting a diagnosis for your child because you don’t want to have them labeled, but they will still get labeled—just with the wrong labels instead of the right labels.

Liz: Exactly. Yeah.

Sarah: Mm-hmm. I know people who… I have a friend who didn’t find out until they were in their late teens, I guess, that they had inattentive ADHD, and they spent years unlearning, “I’m just lazy,” and, “I’m a lazy person, that’s why I have trouble doing things on time,” and really unlearning that bad… that bad idea of themselves that had been put on them when they weren’t aware of their inattentive ADHD.

Liz: Exactly.

Sarah: Yeah. I also have another friend who got diagnosed as autistic late in life, and they wish that they had known that so much earlier because they spent—you know, they’re one of those people that, back when they were a child, the diagnostic criteria missed them. Right? Like they were just quirky, odd, like the little-professor type of autistic kid. But they spent their whole life thinking, “There’s something wrong with me. I just don’t know what it is, but I know I feel different from everybody else,” and searching for, “What is this thing that’s wrong with me?” And finding it in all sorts of things that weren’t actually… you know, obviously there’s not anything wrong with them, they’re just autistic. But thinking how different their life would’ve been if they had known that, and hadn’t spent all those years trying to figure out why they felt so different from everybody else.

Liz: Exactly. And that’s what the research is showing us too—that so many individuals who are diagnosed as adults had these really harmful and unhelpful narratives as kids. And the first emotion that those diagnosed adults feel is this relief: “Oh, that’s why things feel different for me.” But the second emotion I find so much more interesting, because across the board, the second thing that people report is anger. And it’s anger at having lost decades to those false narratives that were so, so unhelpful.

And I think that there are kind of two facets to my passion about talking to kids. One was understanding that kids—they often know that something is different about them way before we even pick up on it, no matter how old they are. They have this sense that, “Oh, I’m walking through the world in a different way.” So the earlier we can have these conversations with them, the better, because we have this opportunity to rewrite that narrative for them.

But the second huge piece for me was working with adults and doing that later-in-life diagnosis, and hearing time after time, story after story about adults who are completely rewriting their self-narrative through the process of our assessment—and what a relief that is. And how frustrating it is that they’ve lost so much time not knowing, and now having to go through the process of identity formation again, because they have this new, critical piece of information that helps them understand things so differently about their childhood, their young adulthood—depending on how old they are.

Sarah: Yeah, it’s so important. And when you just said, “Kids often know that there’s something different about them,” I remembered my daughter. She didn’t—I think partly because I’m, I’m not saying this to toot my own horn, but I’m an extraordinarily patient person, and so some of the things about her ADHD—so she has an ADHD diagnosis—and some of the things about that, I think it took me a long time to sort of think, “Okay, this is unusual, that these behaviors are still happening,” because I was so patient with it, you know? And I think other parents may have been a little less patient at an earlier age and gotten her… and I feel bad about that, because I wish she had gotten her assessment earlier. I think it would’ve been helpful for her.

But I remember one thing that spurred me to finally seek an assessment was she asked me what ADHD was. She was probably nine, ten, maybe. And I told her, and she said, “I have that.” She was like, “I have that.” And I’m like, “Really?” Like, you know… anyway, it was just interesting.

Liz: I think kids know. I’ve had that experience so many times, I can’t even tell you. I’m halfway through a feedback session with a child and I haven’t told them yet, and they come out with, “Do I have ADHD?” Or in the middle of the assessment, they’re wondering about it and asking. And I say, “Well, what do you understand about ADHD, and why are you asking that question?” And I can kind of get more information from them and let them know, “We don’t know yet, but that’s what we’re here for. We’re exploring your brain and we’re trying to understand it.”

But I think that information, I mean, that just speaks to how much our world is changing. This information is out there in the world. We’re talking about it, which I think is so, so important to normalizing the fact that brains come in all different shapes and sizes and ways of being. And so it becomes a point of discussion—like a really open point of discussion—about, “I wonder how my brain is wired.”

Sarah: Mm-hmm. Mm-hmm. So interesting. I’m pretty sure I know the answer that you’re gonna give: if you do get a diagnosis of something—ADHD or autism—should you tell your child?

Liz: So I do believe that we should be talking to kids about how their brains work. And I want to be really mindful of the parent journey as I talk about this. I think that the most important piece is that, as a parent, you understand how your child’s brain works, and that you go through your own process of integrating that with how you see your child. And that’s a really important journey and a huge piece of the journey, because when we start talking to kids about how their brains work, we need to be really confident as adults.

So I think that while I see this as so important—talking to kids about their diagnosis—I want to make sure that parents are taking time and space to understand it themselves first.

Sarah: I love that. That’s such a sensitive answer, because if, say, you get the diagnosis of your child and to you it feels like, you know, it’s this horrible thing—that would not be a good frame of mind to tell your child about their diagnosis in. Right? So really working through your own fears and your own… getting proper information about what the diagnosis means before you go to your child with that information.

Liz: Exactly. And understanding what it means and what it doesn’t mean. Because there’s a lot of messages out there, especially around autism and ADHD, that are negative: that your child is broken in some way, we need to fix them, we need to make them more “normal,” whatever that means. I mean, all these messages are not helpful, not accurate. So really diving into the neurodiversity-affirming framework around these different neurotypes or brain types is a really important piece to give yourself time to process as a parent.

That said, I do think that being able to have a really supportive conversation with your child about, “What did we learn about the assessment?”—you know, we already talked about that kids know something’s different about them before we know. And so when they go through the assessment process, there’s no hiding from them that we’re doing something different for you. And they’re the ones that go through all these different activities as part of the assessment; they’re working very hard.

And I, as an assessor, I’m very transparent with kids: “We’re here to understand how your brain works,” because I was trained to tell kids, “We’re going to play a lot of brain games, and it’s going to be super fun, you’ll get prizes.” Which it is fun until we do the thing that’s hard for you. And then suddenly, it’s not fun anymore. And kids are like, “Huh, I feel like you’re not telling me the whole truth. This is not fun.” They pick up on it, right?

So I tend to be really transparent with kids: “We’re here to understand how your brain works. Some of the things that we do, your brain is going to find fun and maybe even easy to do. Some of the things are really going to challenge your brain. You might learn something new while you’re here. If something’s challenging, I want you to tell me about it, and we’re going to figure it out together—like, ooh, that’s going to be really interesting.”

So we’re already talking to kids about what’s strong. And I use a construction metaphor that I can go into, but we talk about their brain highways and we talk about their construction projects—what they’re working on. So kids are already learning so much about their brain as part of the assessment. And even without sharing the diagnosis, we can talk to them about what we learned, so that there’s some de-mystifying there. “I went through this whole thing and now everyone’s talking behind my back. They’re having a bunch of meetings. There must be something wrong with me.” Instead, we can say, “I learned so many cool things about your brain. I learned that you are strong in this, and I learned that we’re going to work on this. And so that’s really helpful for me as a parent.”

And then if we do have a diagnosis, what it adds when we share that with kids is: they know that they are not alone. It gives context. It lets them know that while the way their brain works is unique, there are lots of people out there who have very similar brains, who have been really successful with that kind of brain. There’s a path laid out—that we know what to do to work with your unique brain. And so it really helps them feel like, “I’m not alone in this. It’s not weird or broken in any way. This is just a different way to be in the world, and there’s a roadmap for me.”

Sarah: I love that. Yeah. I often, when I’m talking to parents, and you know, often after a couple of parent coaching sessions there’ll be some things that make me say, “Have you ever… has anyone ever asked you if you were considering an ADHD assessment for your child?” I try to… you know, because I’m not a clinician, I can’t diagnose anyone with anything. But there are certainly things that come up that make me think, “I think these people should get an assessment.”

And often they— you know, I try to be really as positive as I can—but often they do have these really negative associations with, for example, ADHD. And then I say, like, “You know, how many entrepreneurs… there are way more entrepreneurs that have ADHD than the general population, and way more Olympic athletes and professional athletes.” And, you know, there are things that are just research- and statistic-backed that you can say that are positive about this differently wired brain.

Liz: Right. I love the research on entrepreneurship and ADHD. I think that it’s so amazing how well-equipped the ADHD brain is to be in a space where we’re disrupting the status quo and trying new things, thinking outside of the box, really using that creativity. And it’s just a world that needs this kind of brain to really move us forward. More neurotypical brains that work well with the way that society is built might not be as motivated to disrupt things in that positive way that moves us forward.

Sarah: I love that. What are some other things that—you know, I feel like we’ve kind of covered most of the questions that I had planned on asking you—but are there any things that I haven’t asked you or that we haven’t touched on? You know, you’ve modeled some really beautiful ways of how to talk to your child about how their brain works. Maybe you want to go into your construction metaphor a little bit more, or maybe there are some other things that we haven’t covered that you want to talk about.

Liz: Sure. Well, I think that one of the things that may be really helpful is thinking about: what is the script for telling kids about their diagnosis? The way that I’ve found most helpful is using this construction metaphor, because it is pretty universal and it has so many places you can go with it, and it just gives you a way to start the conversation.

For parents, it may sound something like: “You went through this whole process and I’m so grateful that you did, because we were able to learn some really cool things about your brain. Is it okay if I share that with you?” So asking that permission to start the conversation, because it is vulnerable for kids. You want to make sure that it’s the right time and place. And most of the time, opening it like that will pique kids’ curiosity, and they’re like, “Yeah, of course, I want to know what you learned.”

And then you might say, “You know, I learned that we can think of your brain like something that’s under construction, like the construction sites we see on the side of the road—that we’re always building our brain. And the way your brain works is that the different parts of your brain communicate through these neurons that make connections, like little tiny roads in your brain. And we learned that some of those roads are like highways for your brain. We learned that you have so many strengths.”

“So, for example, we learned that you maybe have a great vocabulary and really express yourself well. We learned about your creativity, and when you’re really passionate about something, you can focus in so amazingly well on that. We learned that you’re a really loyal friend, or maybe that you have a really strong memory for stories”—you know, whatever it is. “We learned that you have these highways.”

“We also know that some parts of your brain are under construction. Like, you might remember when you were little, you didn’t know how to ride a bike yet, but then your brain had to put all those things together and now you ride your bike all the time. Do you remember kind of building that road? Well, there are some new roads that we’re working on. And so we might be working on… one of the things we learned that’s under construction for your brain is something called working memory. And I think that’s why you’re asking your teacher all the time for the next step—because you’re doing something, you’re advocating for yourself, because your brain does best when it gets one piece of information at a time. And that was so important for me to learn as a parent.”

“And when we put these things together, lots of people have highways and construction zones just like yours. In fact, we have a name for it. We call that ADHD—when you have such a creative, passionate brain that loves to focus on the things that you are really into, but sometimes have difficulty keeping stuff in mind, this working memory piece—that’s what we call ADHD. And it turns out there are lots and lots of people who have ADHD brains just like yours, and we can look at those people.”

So that’s kind of how I go through it with kids. We’re really talking about their highways and construction projects and helping them understand that—and then repackaging it with that name for it. That there’s a name for how your brain works. And that’s where we start. And then from there, we can use that metaphor to keep building the next thing, working on the next construction project as we move forward.

Sarah: Would there be anything specifically different or similar, I guess, about talking about an autism diagnosis for kids with that construction metaphor?

Liz: Yeah, so I use the same metaphor, but the highways and construction zones, for every kid, are going to be a little different. So for an autistic kid—if I think of one kid in particular—we might say that we learned that you have this really passionate brain that loves engineering and building, and the things you did with Dr. Liz where you had to solve puzzles and use logic, that was a highway in your brain. And we know that one of the ways that your brain works really well is when you have space to move and to be able to use your body in different ways.

Then some of the things that might be under construction are… usually I’ll start with something that a child has told me is more challenging for him or her. “So you know how you said that sometimes other kids might say things that feel confusing, or you’re not sure what they mean? That’s something that might be harder for your brain—or something that is a construction project that we’ll work on with you, so that it’s easier to understand other kids.”

“And when we put these things together—when kids have brains that are really passionate and pay attention to details, that love engineering, but have trouble figuring out what other kids are saying or meaning—then we call that autism. And it’s a different way of a brain being in the world. And so, as you learn to work with your autistic brain, you’ll figure out how to really dive deep into your passions and you’ll be able to thrive, find the connections that you want, and we’re here to help.”

Sarah: I love that. And I love how, when you talk about construction zones, it’s full of promise too, right? I read something from someone… that you can work on things—what I mean by full of promise is that there are things that can be worked on that might feel hard or confusing now, but it doesn’t leave a child with a sense of, “I’ll never be able to figure it out, and it’s always going to be this way.”

Liz: Yeah. One of the ways the construction metaphor has really evolved is that for some things, we’re building that road, and for some things, we’re finding a different way to get there. One of the things that I write in my books is that you might build a road there, or you might find a totally different way to get there. In the new book for parents, there’s a picture of a flying car, you know, kind of flying over the construction zone. And I think that it’s really true for our kids that for some skills, there might be some things that we need to learn and really build that pathway in our brain, but for some things, there might just be a different way.

I think for autistic kids, for example, they might connect with others in really different ways. And so it’s like building a totally new way to get there—building a different road, taking the scenic route. There are so many ways we can adapt the metaphor to say, “We’re still going to get you to your goal, where you want to go, but your road might look really different than somebody else’s, and that’s okay. It’s going to be the best road for you.”

Sarah: I love that, because it also—I mean, not only is it promising that you’re going to get to where you want to go, but it also, I think, helps relieve parents of an idea that I see sometimes, where they want their kids to be more like neurotypical kids, right? They think that’s the only way to get to the goal, is for them to have, you know, just using the example of social connections: the social connections of an autistic kid might be really, really strong but look totally different from the social connections of a neurotypical kid.

Liz: Exactly. Yeah.

Sarah: That reminds me of something that I was going to ask you earlier and I forgot, which was: you mentioned that sometimes when you get a diagnosis, you have a clinician who wants to try to tell you how you should change your child, or help them be more “normal” or more “typical,” and that clearly would be from somebody who’s not very neurodiversity-affirming. But what are some things to look out for that might be sort of, I guess, red flags or green flags in terms of the person that you’re looking for to do an assessment—or if you’ve already got the assessment, how they’re interpreting the diagnosis—that might be more or less helpful?

Liz: Yeah. So I love this question, because I think one of the most important questions you can ask a clinician when you are looking for an assessment is: “How do you involve my child in the assessment?” Or, “What will you tell them about what you learned?” Looking for somebody who is really well-versed in, “How do I talk to the child about it?” is going to tell you that they’re really thinking about, “How do we frame this in a way that’s going to be helpful and affirming to a young child?”

Because anybody who’s really thinking about, “How do I communicate this in a way that’s going to make sense to a small person?” has really been thinking about, “How do we think about the whole person, and how do we capitalize on those strengths?” So that is kind of a tell, to say that this person is thinking in this more holistic way—and not just about, “Does this child fit the diagnostic criteria?”

If you’ve had an assessment with somebody that is more coming from that medical lens that we’ve all been trained in—this is so new, and so, you know, a lot of clinicians were trained from this medical lens, which is looking at, “What are the child’s deficits, and do they meet criteria from this diagnostic manual that we have, the DSM, that is a list of things that are harder or quote-unquote wrong?”—from there, I think really getting connected with some more affirming resources is important.

I have a ton on my website that can be really, really helpful. There’s a spreadsheet of ways of talking about autism, ADHD, dyslexia, behavior, anxiety, OCD in really affirming ways. And so just immersing yourself in those resources so you can get that positive language for talking to your child. Or working with the next practitioner—a therapist, a tutor—who has experience working from a neurodiversity-affirming lens, so that you can help to translate those testing results into something that’s going to really be focused on: how do we help your child thrive with the brain that they have?

Sarah: Thank you. That makes so much sense.

This has been so helpful, and I think that so many parents are going to find this really useful—in how to talk to their kids and how to think about it, how to think about it themselves. What it… oh, it has just totally thrown me that I couldn’t remember that thing. All right. So thank you so much for joining us and telling us about all this stuff. You mentioned a couple of books, so we’ll get your books in the show notes for folks, but where else is the best place for people to go and find out more about you and what you do?

Liz: Yeah, so I have a ton of free resources for parents on explainingbrains.com. There are articles—just very, very short, parent-friendly articles—with both the strengths, the “highways,” and common construction projects for ADHD brains, for autistic brains, for dyslexic brains, for kids who have difficulty regulating behavior, anxiety, intellectual disability—just ways of explaining so many different types of brains, as well as what we do about things like screen time or talking about medication. So hopefully that resource is helpful for parents.

And then I have a brand-new book out for parents called Our Brains, and it is an interactive, collaborative workbook that helps you explain a diagnosis to your child. So it’s something that you can get after an assessment, and it will walk you through explaining to your child how their brain works, what you learned from the assessment. Or, if you have a diagnosis that’s been on the table for a long time and you just haven’t had that conversation with them yet, it is designed to really help kids not just know, “Okay, this is my diagnosis,” but really understand how their brain works and how they can advocate for what their brain needs to thrive.

Sarah: Fantastic. That is going to be so helpful for so many parents. Okay, now here’s the mystery question that I told you about before we started recording, and this is a question I ask all my guests. So, if you had a time machine and you could go back in time and give a message to your younger parent self, what advice would you give yourself?

Liz: Oh. I would just constantly remind myself that there are so many ways to be in this world, and it’s all okay. I think—even I was amazed—that even as somebody who has decades of experience in this field and has made a life out of celebrating neurodiversity, there was a way that doctors communicated with me from this deficit lens that would just put my mommy brain on high alert all the time when something was just a little bit different. And I really needed just constant reminders that my child is going to show up how they’re going to show up, and that that is not only okay, but it is beautiful and amazing and so important to how they are and the unique contribution they’re going to have to this world.

And it’s something that I’ve grown into—my child’s seven and a half now—and it’s something that we get to celebrate all the time: incredible uniqueness, and celebrate. But I think I remember very distinctly as a new mom, just with all the doctors using their jargony, deficit-based language, it was just really hard to keep that solid head on my shoulders. But I think it’s a really important message to keep with us: that there’s just so many ways to be, and it’s all amazing.

Sarah: I love that. Thank you so much for joining us, and really appreciate it.

Liz: Thank you for having me. This has been a blast.

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