Following up on last week’s episode, we are joined once again by Lance Steinberg, M.D. to further discuss the complex issue of medicating children with conditions like ADHD, anxiety, and depression, and if you missed part 1 of the discussion, be sure to go back and listen to that before diving into part 2! In this continuation of our discussion, Dr. Steinberg sheds more light on the approach that is required when considering medication, stressing that a thoughtful evaluation is important before immediately jumping to medical solutions. Dr. Steinberg offers some insights into the FDA-approved medications, why it's important to adhere to age guidelines, and the differences between stimulant options. Dr. Steinberg also explores balancing managing side effects while optimizing benefits, the use of non-stimulant alternatives, and the possibility of off-label treatments for unique situations. The conversation touches on the variety of medication forms available and why it is necessary to customize treatments to each child's needs, taking into account academic, social, and psychological factors. Dr. Steinberg’s practical advice on starting with low doses, monitoring progress, and adjusting strategies offers a great perspective on this important part of mental health care for youth.  Show Notes: [1:20] - Karen stresses that it's important to take a thorough, holistic approach before considering ADHD medication for children. [2:08] - Dr. Lance Steinberg discusses why understanding FDA age limits and medication safety for ADHD treatment is important. [5:34] - Stimulant medications are generally highly effective for ADHD. [8:32] - Dr. Steinberg advises starting ADHD medication at low doses in order to minimize possible side effects. [11:28] - Regular evaluation is important when managing ADHD treatment via medications. [13:27] - Non-stimulant and off-label medications can also be effective for ADHD, especially with comorbid conditions. [16:16] - Dr. Steinberg discusses the effectiveness and side effects of off-label medications like Modafinil for motivation. [19:03] - Dr. Steinberg talks about structured support for executive functioning. [21:37] - Intervention requires a holistic approach and involves therapists, coaches, and team communication. [24:00] - Dr. Steinberg stresses careful medication management for neurodiverse individuals. [26:04] - He touches upon combining stimulants and non-stimulants for ADHD treatment. [29:18] - Dr. Steinberg warns about the careful combination of SSRIs and stimulants due to potential electrical abnormalities. Links and Related Resources: Episode 105: Medication Helps But is Not a Magic Potion for ADHD with Syed Naqvi, MD Episode 173: Why Treating Symptoms Isn’t Enough for Child Wellbeing with Hokehe Eko, MD MPH FAAP Episode 203: ADHD and the Gut-Brain Connection: Exploring Integrative Treatments with Sara Langley, MSN, PMHNP-BC Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Dr. Lance Steinberg: Lance Steinberg, MD's Website Phone: 818-224-3540 Email: steinberg.practice@gmail.com   

We are joined this week by Lance Steinberg, M.D. Dr. Steinberg is an expert in psychopharmacology, specializing in conditions such as OCD, ADHD, and autism. He has taught internationally and at institutions like UCLA, earning multiple awards for his outstanding teaching. He completed his medical training at Dartmouth, UCLA, and Stanford, and he currently practices in Calabasas, Encino, and Valencia. Dr. Steinberg joins us today in this first part of a two-part episode to discuss managing medication for youth with conditions such as ADHD, anxiety, and depression. We discuss the important factors parents should consider when considering medication for their children. Dr. Steinberg also stresses why it's important to consider various elements such as family dynamics, the impact of education, and medical history in planning treatment. We cover why it's important to go through a careful process to accurately diagnose and create personalized interventions for each child. Dr. Steinberg shares his holistic perspective, including insights from psychology, neurology, and education to provide a well-rounded view of a child's needs.  This conversation is packed with valuable information for parents, educators, and healthcare professionals. Again, it is the first part of a two-part series; so be sure to tune in next week when we will dive even deeper into some strategies for managing medical treatment! Show Notes: [0:08] - This episode discusses medication for ADHD, anxiety, and depression in young people. [2:21] - Dr. Lance Steinberg explains his interest in psychiatry, focusing on the connections between medicine, neurology, and education. [5:16] - Hear how Dr. Steinberg enjoys helping patients, emphasizing considering factors for effective treatment. [6:32] - When determining if medication is appropriate, Dr. Steinberg explains why a holistic approach is important. [9:12] - Dr. Steinberg highlights the need to rule out coexisting issues via thorough history-taking. [11:38] - Dr. Steinberg discusses the impact of medical issues and substances on ADHD-like symptoms. [15:00] - Dr. Steinberg acknowledges Dr. Wilson's reputation for being an open-minded individual in assessing ADHD symptoms. [15:50] - Treatment ultimately differs if the issue is sleep apnea or ADHD without a sleep component. [18:57] - Dr. Steinberg stresses the importance of executive functioning in managing ADHD. [22:16] - Environmental adjustments can enhance learning and self-esteem for kids with ADHD. [25:42] - Lance appreciates Karen's concise approach to considering factors before medication. [28:48] - Careful medication choices must account for medical status, family history, and potential side effects. Links and Related Resources: Episode 105: Medication Helps But is Not a Magic Potion for ADHD with Syed Naqvi, MD Episode 173: Why Treating Symptoms Isn’t Enough for Child Wellbeing with Hokehe Eko, MD MPH FAAP Episode 203: ADHD and the Gut-Brain Connection: Exploring Integrative Treatments with Sara Langley, MSN, PMHNP-BC\ Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Dr. Lance Steinberg: Dr. Steinberg's Website Phone: 818-224-3540 Email: steinberg.practice@gmail.com 

We are joined for this episode by Dr. Jyoti Mishra to help us discuss an incredibly important and timely topic - the impact of wildfires on mental health.  Dr. Mishra is an Associate Professor of Psychiatry at UC San Diego, the founder of NEATLabs, and co-director of the UC-wide Climate Change and Mental Health Initiative. Dr. Mishra specializes in climate trauma, resilience, digital health interventions, and precision psychiatry, with her work featured in major media outlets like CNN, TIME, and NPR. In this episode, we explore how natural disasters (such as the recent wildfires in Southern California) not only devastate homes and communities but also cause psychological trauma, with Dr. Mishra sharing her insights from studying the 2018 Camp Fire in Northern California, where her team uncovered alarming rates of PTSD, anxiety, and depression – all symptoms that can last for years even after the disaster itself is over. Our conversation touches upon the concept of "fire brain," a state of cognitive hyperarousal that mirrors PTSD and can impair focus, decision-making, and emotional regulation. Dr. Mishra also sheds some light on the unique vulnerability of children, whose mental and emotional well-being can be deeply affected by wildfire smoke and the disruption of their routines. Beyond individual struggles, we also highlight the collective trauma experienced by entire communities, including those indirectly impacted, and we discuss the importance of fostering resilience through community support, shared routines, and acts of kindness. Dr. Mishra explores how even just small acts of kindness and compassion such as offering hugs or participating in community fundraisers can lead to healing. This timely conversation truly stresses the need to address mental health in the wake of climate-related disasters, so whether you have experienced a wildfire firsthand or want to better support those who have, this episode offers insights and actionable steps to help individuals and communities recover. Show Notes: [3:50] Dr. Jyoti Mishra’s research explores how the brain and environment (including climate) shape mental health. [6:14] - Her study of the 2018 Camp Fire revealed high rates of PTSD, anxiety, and depression that persist long-term. [7:57] - We learn how wildfire survivors experience "fire brain” which is marked by distractibility, hyper-arousal, and impaired decision-making for months. [11:57] - Wildfire smoke affects children’s breathing, cognition, and emotions, requiring adults to provide stability. [14:19] - Dr. Mishra touches upon the difficult balance between physical safety and social connection. [16:57] - Wildfire recovery requires community-wide healing via collective support, shared routines, and working toward a sense of normalcy. [20:00] - Supporting each other during crises leads to resilience and promotes long-term mental well-being. [23:20] - It's important to address both visible and invisible wildfire impacts. [25:11] - Highlighting positive narratives and community support can transform disaster recovery into shared growth. [28:54] - Dr. Mishra points out how preparing for future disasters requires mindfulness and planning with community leaders. [32:25] - Post-trauma recovery should involve small steps, mindfulness, and self-compassion. [35:03] - Everyone can make a difference by serving others, even with small acts of kindness. Wildfire / Mental Health Resources: Disaster Distress Helpline: 1-800-985-5990 (available 24/7) CalHOPE LACPA’s Disaster Response Committee Bounce Back Organization Pro Bono Therapy for Los Angeles Wildfires (1) Pro Bono Therapy for Los Angeles Wildfires (2) Parent Guidelines for Helping Children Impacted by Wildfires Parent Guidelines for Helping Children Impacted by Wildfires (en Español) Wildfires: Tips for Parents on Media Coverage Wildfires: Tips for Parents on Media Coverage (en Español) Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Dr. Jyoti Mishra: Jyoti’s Instagram Page NEATLabs Website Email: jymishra@health.ucsd.edu UC Climate Resilience Course The Little Brain (Book) Listen Up Kids! Our Climate Changing (Book by Jyoti’s Son Ayan)

This week, Lisa Topp, M.S., BCBA joins us to talk about the role of behavioral aides or "shadows" in schools, focusing on how they help children with unique behavioral challenges thrive in the classroom. Lisa is a board-certified behavior analyst with a master's in Applied Behavior Analysis and more than a decade of experience in private practice. She provides 1:1 support for children and teens with autism, ADHD, anxiety, and other behavioral challenges, along with parent coaching. In this episode, we dive into the types of challenges that might indicate a need for a behavioral aide, such as social conflicts, difficulty accessing the curriculum, or challenging behaviors such as refusing to participate. Lisa addresses some of the most common concerns from parents, especially around the stigma of having a shadow in the classroom, sharing how a well-designed support system can improve a child's behavior and relationships with classmates. Our conversation also touches upon the nuances of securing an aide in public vs. private schools and the importance of advocating for children's needs. Lisa highlights why it's important to monitor progress and ensure that children gain independence over time. She also talks about strategies like visual schedules and reinforcement systems to help children stay on track. By the end of this episode, parents are sure to have a better understanding of how behavioral aides can make a huge difference in their child’s educational experience and how they can best take on the process of getting the right support in place.  Show Notes: [2:33] - Behavioral aides support children in various school activities, addressing issues such as challenging behaviors. [5:53] - The stigma around classroom shadows is ultimately outweighed by their benefits. [7:38] - Lisa discusses how public and private schools differ in their approach to providing shadows. [10:07] - Some schools don't approve shadows for children, which creates further challenges for families looking for support. [12:52] - Lisa argues that children usually appreciate shadow support. [15:07] - Lisa explains how families and shadows meet to make child-friendly introductions and discuss the support plan. [17:32] - Some children need long-term shadow support. [19:23] - The need for a shadow in high school often indicates significant challenges that require academic support or a new school placement. [21:42] - To address struggles, Lisa assesses skills, collaborates with teachers, and occasionally involves additional specialists. [24:49] - Understanding underlying learning challenges helps address behaviors and reduces anxiety, preventing further issues. [25:35] - Lisa discusses how adjusting assessments, such as offering oral tests, helped a student with dysgraphia excel despite writing struggles. [27:39] - Assessments ultimately seek to find the best support, track progress and involve parents in home strategies. [29:03] - Hear how Lisa observes family dynamics, creates plans, and uses visual schedules to support children at home. [30:34] - Learn how proactive strategies can help prevent challenging behaviors. [33:48] - Lisa argues that consistent planning across home and school, along with advocacy, is important to support children. Links and Related Resources: Episode 210: Challenging Behaviors or Communication? How Parents Can Respond with Dr. Andrew Kahn Episode 218: Understanding IEPs and 504 Plans: Which One Is Right for Your Child? - Marisol Chianello Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Lisa: Lisa’s Website Phone: 310-709-2885 Email: toppaba@gmail.com

Dr. Samantha Levy joins us this week to discuss the challenges of supporting kids with chronic pain. Samantha is a clinical psychologist specializing in youth with chronic pain disorders, using a biopsychosocial approach to address both physical and emotional challenges. She also supports parents through individual sessions, group facilitation, and a parenting blog for Creative Healing for Youth in Pain, while working with Whole Child LA. In this episode, we discuss the complexities of chronic pain and explore its neurological nature and the effects that it has on one's body, mind, and family dynamics.  Dr. Levy explains the difference between acute and chronic pain, highlighting how the latter often persists even after healed injuries, creating a cycle of anxiety and misunderstood suffering. Our conversation goes into common causes of chronic pain in children and teens, including the interplay of biological, psychological, and social factors. We talk about how these can contribute to the development of pain around puberty, and Dr. Levy highlights the emotional and social burden that this puts on kids, with children often withdrawing from school, friends, and activities which, of course, only worsens their pain and mental health. With practical advice, Dr. Levy shares how treatment can address the root causes via a more holistic approach, including psychotherapy and mindfulness. She also discusses the importance of family support, the idea of "backward parenting," and strategies to reintegrate children into daily activities such as modified school accommodations. Finally, Dr. Samantha Levy offers insights for caregivers, encouraging them to prioritize their own well-being via self-care and support networks! Show Notes: [2:19] - Dr. Levy explains how acute pain alerts us to harm, while chronic pain creates anxiety and misunderstood distress. [4:51] - Chronic pain is a neurological condition that causes changes in the brain, often making it invisible. [6:06] Chronic pain is typically viewed holistically and includes biological, psychological, and social factors. [8:43] - Things like puberty, stress, and social complexities can make it even more difficult for kids to manage chronic pain. [11:16] - Kids with chronic pain are often perfectionists, emotionally sensitive, and/or tend to internalize stress. [14:47] - Chronic pain leads to isolation which then affects daily life, school, and relationships. [15:20] - Chronic pain ultimately impacts every aspect of a child's life, worsening mental health and often resulting in isolation. [18:54] - Isolation, anxiety, and chronic pain often create a vicious cycle that's further affected by family dynamics and support. [19:30] - Samantha explains how medical trauma from misdiagnosis or mistreatment leaves many kids feeling hopeless and resistant to new treatments. [21:02] - Strategies such as a team approach, psychotherapy, and/or mindfulness can help break the chronic pain cycle. [24:23] - Recovery from chronic pain involves re-engaging in activities and a shift in the approaches that parents are used to taking, [27:02] - Dr. Levy discusses how backward parenting encourages connection and avoids pressuring progress. [29:17] - Dr. Levy feels that parents must acknowledge discomfort and anxieties to support their child's recovery. [32:09] - Samantha argues that advocating for accommodations such as extra time and modified schedules helps kids with chronic pain. [35:19] - Physical accommodations, such as flexible bathroom breaks or desk signals, ultimately support kids with chronic pain! [36:57] - Dr. Levy points out how caregivers of children with chronic pain need self-care, therapy, and activities that offer healing. Links and Related Resources: CHYP’s Website CHYP’s YouTube Channel Fact Sheet: Chronic Pain in Children and Adolescents Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia   

This week, we discuss the complexities of dysgraphia, a neurodevelopmental disorder that can greatly affect written expression.  We are joined by Natasha Gray, founder of Spark Learning in the Caribbean. We unpack dysgraphia and what it is and highlight its varied types and how it often overlaps with other challenges such as ADHD and dyslexia. Natasha explains the different ways that dysgraphia can manifest and discusses some of the warning signs such as illegible handwriting, avoidance of writing tasks, and challenges with spelling and spacing. Natasha also shares her insights into the neurological and motor components behind these struggles, and she highlights why it's important to understand each child’s individual needs. Our conversation offers strategies and advice for parents and educators to support children with dysgraphia, with Natasha discussing the role of occupational therapy in developing fine motor skills and classroom accommodations such as typing out assignments and providing extra time for written tasks. We tackle common challenges, such as how to address fatigue and pain caused by writing, and Natasha offers some ways to build on patience and understanding in educational environments. If you’re a parent, teacher, or someone eager to learn about supporting neurodivergent children, this episode is filled with expert advice, actionable strategies, and a compassionate approach to navigating dysgraphia! Show Notes: [2:59] - Dysgraphia varies widely and affects writing speed, expression, and presentation differently in each child. [4:44] - Natasha addresses dyslexic dysgraphia which impacts spelling, handwriting, and articulation despite strong verbal skills. [7:11] - Lexical dysgraphia in older children and adults stems from weak mental visualization of words. [8:43] - Writing difficulties in dysgraphia include poor spacing and dexterity, requiring customized accommodations. [11:46] - Dysgraphia often co-occurs with dyslexia, sharing sound-symbol association and written expression challenges. [12:58] - Natasha explains how children with dysgraphia often avoid writing and require patience, support, and therapy from teachers and parents. [15:30] - Natasha highlights the importance of improving children's fine motor skills in order to improve their handwriting. [17:05] - Natasha uses techniques such as practicing letter formation, strengthening exercises, and spacing tools to improve writing skills. [19:46] - Older children and adults can benefit from functional handwriting tasks, multisensory techniques, and assistive technology. [22:17] - ​​Assistive tools and accommodations can help individuals demonstrate knowledge despite writing challenges. [24:53] - Natasha asserts that writing simple notes or emails helps adults improve skills, confidence, and vocabulary. [26:38] - Practicing low-pressure writing builds important skills for students and supports struggling adults in workplaces. [29:05] - Natasha stresses the need for teachers to have empathy and to intervene with custom solutions. Links and Related Resources: Episode 39: Why Fine Motor Skills Matter with Jennifer Morgan Episode 175: How to Support Students Who Struggle with Writing with Shanna Trombetta Coping with Executive Function Deficits in the Context of Writing Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Natasha: Spark Learning’s Website Spark Learning’s Instagram Page Natasha C. Gray M.Ed., B.Sc., Dip.Ed., Cert.(Dyslexia) Board Certified Cognitive Specialist BPS Test User No. 398326 Spark Learning Suite #3 Gertz Plaza Upper Collymore Rock St. Michael Barbados Phone:1-246-825-8697 Email: sparkthelearning@gmail.com  

In this episode, we had a wonderful conversation with Marisol Chianello, TIGER Director at Learning Rights Law Center where she empowers parents of children in special education through the "Know Your Rights" program. With a legal career that began in 2005, Marisol has worked with many nonprofits advocating for marginalized groups, and she also currently serves as the President of the Rotary Club of Mental Health and Wellness. Marisol joins us for this episode to help us break down the differences between IEPs (Individualized Education Plans) and 504 plans, two essential tools that help children with disabilities receive the support they need in school. She explains how a 504 plan ensures students with disabilities receive necessary accommodations like providing Braille for blind students or access to elevators for those with mobility issues. An IEP, however, provides more specialized educational services, such as speech therapy or learning support, intended to help children make academic progress. Our conversation also explores how different disabilities (ranging from ADHD to learning disorders like dyslexia) might align with either plan and what steps parents should take if they believe that their child might need extra support. Marisol also delves into the legal safeguards that come with IEPs, empowering parents to advocate for their children’s needs in IEP meetings. With practical advice on how to request an IEP, prepare for meetings, and ensure that children receive the required assessments, this episode is a must-listen for parents who want to navigate the educational system with confidence! Show Notes: [2:42] - Marisol explains the difference between a 504 plan and an IEP. [5:37] - It's common for parents to misunderstand the IEP and 504 plan, associating certain conditions with each. [8:35] - Marisol encourages parents to trust their instincts, communicate concerns with the school, and collaborate to determine the best action plan. [10:18] - A good starting point is to request an IEP in writing, outlining concerns, and carefully reviewing the assessment plan. [13:02] - Marisol reiterates that schools must assess students suspected of disabilities, while IEPs address all school-related challenges. [16:45] - An IEP or 504 plan is necessary when a child's ability to function in school is impacted. [17:51] - Marisol points out how IEPs offer more protections for parents, including consent and participation. [20:49] - It's common for parents to be unaware of their involvement in IEPs and the rights they have. [21:23] - Marisol argues that parents are equal team members in IEP meetings and should confidently speak up for their child. [23:05] - Marisol recommends reviewing records and assessments before the IEP meeting. [26:21] - IEPs should also highlight a child's strengths! [29:33] - Parents can request assessments in a child's second language, especially for bilingual or immersion students. [30:30] - Marisol adds that the assessment should be in the child’s primary language as determined by an appropriate assessment. [32:17] - Don't allow fear or stigma to prevent you from seeking help; early intervention greatly benefits the child's progress! [34:42] - The TIGER program empowers parents through education and community. Links and Related Resources: Learning Rights Law Center Learning Rights Law Center - TIGER Program Learning Rights Law Center - Education Rights Clinic How to Initiate a Special Education Assessment Navigating Parent-Teacher Conferences with Neurodivergent Kids: Tips and Questions Episode 217: Assessing Learning Differences in Bilingual Students & Students in Dual Language Programs with Dr. Vindia Fernandez Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia 

Joining us for this episode of the podcast is Dr. Vindia Fernandez, who has been on the show before back in episode 3. Dr. Fernandez earned her Ph.D. in clinical psychology from the University of Houston and completed her APA-accredited internship and fellowship at UCLA, specializing in neurodevelopmental issues like autism, ADHD, and learning disabilities. As founder of the Center for Pediatric Neuropsychology and director at UCLA’s Cultural Neuropsychology Program, her focus is on culturally appropriate evaluations for Latino/a children and teaching social skills to neurodiverse youth. Dr. Fernandez discusses how bilingualism in children is often misunderstood and that it’s usually good for cognitive development. She also elaborates upon some red flags when it comes to identifying possible learning disabilities such as dyslexia and how her procedures differ depending on whether or not the bilingual child is in an English-only classroom or if the child is in a dual language immersion program. She reflects on some of her frustrations around how bilingual children are assessed and what she hopes to see change in the future. While we have certainly seen great strides and progress in this area, there is still much work to do, such as honoring heritage languages, increasing integration, and identifying problems earlier. Dr. Fernandez is a wealth of knowledge on this topic, and her passion truly shines through.  Show Notes: [2:40] - Assessing bilingual children is a true passion for Dr. Fernandez. [3:44] - She feels that bilingualism in children is often misunderstood. [5:22] - Learning another language is incredibly dynamic and complex and is different for every child. [7:06] - Vindia reflects on a recent change of more children engaged in dual language immersion programs. [9:55] - What red flags should be paid attention to that don’t tend to be problems with monolingual children? [13:11] - Vindia explains why her procedures differ depending on whether the bilingual child is in a dual language immersion program. [15:46] - Vindia explains why assessments might need to be done in both of a child’s languages. [18:07] - What role do language disorders play in bilingual children? [21:28] - We ultimately want these children to be confident and to reach milestones. [24:15] - “You teach to the skill that you want to see improvement in.” [27:16] - Dr. Fernandez mentions that 50-75% of behavior therapy involves parents.  [30:55] - She gives some helpful advice to parents. Links and Related Resources: Episode 3: Neuropsychological Evaluations Through a Cultural Lens with Dr. Vindia Fernandez Episode 214: Private Neuropsychological Evaluation vs. School Evaluation How to Initiate a Special Education Assessment Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Dr. Vindia Fernandez: Dr. Vindia Fernandez’s Website Dr. Fernandez’s ChildNEXUS Page Email: center@pediatricneuropsych.com The Diverse Thinking Different Learning podcast is intended for informational purposes only and is not a substitute for medical or legal advice, diagnosis, or treatment. Additionally, the views and opinions expressed by the host and guests are not considered treatment and do not necessarily reflect those of ChildNEXUS, Inc. or the host, Dr. Karen Wilson.  

This week, we had an engaging and enlightening discussion with Dr. Ashley Smith about teen anxiety. Dr. Ashley Smith is an award-winning licensed psychologist and expert in anxiety, and we explore the critical differences between stress and anxiety, the various factors that are causing the surge in teen anxiety, and actionable strategies for parents and educators to support teens who are struggling. Dr. Ashley highlights the importance of distinguishing typical adolescent stress from pervasive anxiety that disrupts daily life, and she discusses the role of societal shifts like technology, social media, and recent global events in shaping teens' mental health, alongside challenges like academic pressure. She also offers some practical advice on recognizing hidden signs of anxiety, such as perfectionism, avoidance, and emotional dysregulation. Our conversation also uncovers how modern culture, including the “good vibes only” mindset and misinformation on social media, impacts teens' ability to process their emotions, with Dr. Ashley highlighting early intervention and equipping listeners with tools to help teens build resilience, from modeling healthy coping strategies to encouraging bravery in the face of adversity. Whether you're a parent, educator, or caregiver of teens who suffer from anxiety, this episode provides valuable insights into supporting teens through challenges while fostering their psychological strength.  Show Notes: [2:23] - Anxiety, Dr. Ashley explains, acts as a warning system, but excessive anxiety can disrupt functioning and become a disorder. [5:45] - Dr. Ashley stresses the importance of early intervention for anxiety; it worsens over time and increases the risk of depression and suicide. [7:39] - Anxiety shows up in various ways, including aggression, perfectionism, and avoidance. [10:23] - Phones aren't inherently bad, but social media use can worsen anxiety through comparisons, cyberbullying, and sleep disruption. [12:17] - Dr. Ashley argues that technology and social media have amplified teen anxiety, with factors like COVID-19 and social inequality contributing. [15:14] - Anxiety and depression often exist in tandem, with societal pressures and heavy workloads increasing teens' stress. [18:00] - Anxiety should not be used as an excuse for inaction; building resilience and equipping teens with tools is very important. [19:26] - It's so important for parents to help kids manage anxiety, teach coping skills, and encourage being brave. [22:42] - Modeling anxiety strategies shows kids how to cope, but therapy can offer further support. [23:52] - Ashley points out that Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) are effective treatments for anxiety. [26:38] - Parents should approach therapy conversations gently, understanding that their teen may not recognize their anxiety. [27:24] - Treating teen anxiety can involve parents using strategies like SPACE, focusing on calm, non-judgmental conversations. [30:21] - Parents of teens with anxiety often feel isolated and judged, but Dr. Ashley encourages listeners that support groups can help. [32:57] - To manage social anxiety, parents should limit exposure to social media to prevent unnecessary stress. Links and Related Resources: Anxiety Mini-Course for Parents Episode 131: Cognitive Behavior Therapy for Kids and Teens with Dr. Shadab Jannati Episode 153: Understanding Obsessive-Compulsive Disorder (OCD) with Dr. Jesse Spiegel ADAA SPACE Treatment Dr. Ashley Smith - The Way I See It: A Psychologist’s Guide to a Happier Life Jonathan Haidt - The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia  Connect with Dr. Ashley Smith: Ashley’s Website Ashley’s Instagram Profile Ashley’s TikTok Profile Email: drashley@drashleysmith.com The Diverse Thinking Different Learning podcast is intended for informational purposes only and is not a substitute for medical or legal advice, diagnosis, or treatment. Additionally, the views and opinions expressed by the host and guests are not considered treatment and do not necessarily reflect those of ChildNEXUS, Inc. or the host, Dr. Karen Wilson.  

This week we sit down with Dr. Emily Levy, founder and director of EBL Coaching, to explore the complexities of reading comprehension, a skill crucial for learners of all ages. While phonics and decoding often dominate discussions around reading challenges, Dr. Levy highlights the often-overlooked significance of comprehension, explaining that it’s the very essence of why we read. Tune in to learn about common signs parents notice when their children struggle with comprehension and how these challenges often emerge as students transition from "learning to read" to "reading to learn." Dr. Levy shares actionable strategies, such as the tri-colored highlighting method, which helps students become active readers by identifying topics, main ideas, and key details. From auditory techniques for younger learners to practical interventions for high school students tackling complex subjects, Dr. Levy emphasizes the importance of tailored, research-based approaches. She also addresses how attention challenges like ADHD can compound comprehension issues and offers ways to adapt strategies accordingly.  So whether you're a parent, educator, or simply curious about enhancing reading skills, this episode provides valuable insights into fostering a lifelong love of reading and learning. Show Notes: [1:52] - Many students struggle with reading comprehension, especially during the grade 3 to 4 transition. [4:25] - Research-based strategies like tri-colored highlighting help students actively engage and comprehend material. [6:30] - Dr. Levy discusses how younger students benefit from auditory-focused comprehension strategies, while older students apply strategies to coursework. [8:50] - Teaching students to form mental images while reading significantly enhances their comprehension skills. [10:21] - With the right methods, most students show reading progress within a month, aided by multimedia tools. [12:29] - Dr. Levy argues that active reading strategies improve focus and comprehension but are customized for each child's needs. [14:24] - Parents can enhance comprehension by reading together, asking questions, and encouraging discussions about content. [16:43] - Engaging struggling readers with topics they enjoy builds confidence and fosters a love for reading. [19:12] - Emily points out how encouraging regular reading and providing classroom accommodations supports comprehension and standardized test performance. [22:42] - One-on-one multisensory tutoring supports students who struggle with reading.   Links and Related Resources: EBL Coaching - Website Book a Consultation Get Support and Connect with a ChildNEXUS Provider Connect with Us: Get on our Email List Register for Our Self-Paced Mini Courses: Support for Parents Who Have Children with ADHD, Anxiety, or Dyslexia    The Diverse Thinking Different Learning podcast is intended for informational purposes only and is not a substitute for medical or legal advice, diagnosis, or treatment. Additionally, the views and opinions expressed by the host and guests are not considered treatment and do not necessarily reflect those of ChildNEXUS, Inc. or the host, Dr. Karen Wilson.