Diverse Thinking Different Learning

For this episode of Diverse Thinking Different Learning, we are excited to welcome two guests - Kristin Lombardi, MA, BCBA and Christine Drew, PhD, BCBA-D! Kristin Lombardi, MA, BCBA, is a behavior analyst specializing in helping children and families build independent living skills through her private practice in Locust Valley, New York. With expertise in special education, psychology, and behavior analysis, Kristin supports individuals from early childhood through young adulthood, customizing her approach to a range of developmental and support needs.

Dr. Christine Drew, PhD, BCBA-D, is an Assistant Professor of Special Education at Auburn University, where she teaches both graduate and undergraduate students. She is involved in Auburn's inclusive higher education program for students with intellectual disabilities, and before transitioning to academia, she led a middle school behavior program, gaining hands-on experience in supporting students with diverse needs.

We touch upon topics in this episode such as how parents and educators can help children with learning challenges develop real independence rather than unintentionally reinforcing dependence. Kristin and Christine are the co-authors of Spectrum of Independence, and they discuss the shift from focusing on deficits to recognizing potential. They challenge the common instinct to always step in and do things for children, explaining why that approach, while well meaning, can actually hold them back.

The conversation offers some practical strategies that are grounded in behavioral science, including how to break down complex tasks into small, achievable steps. They share real-life success stories, illustrating how small changes can ultimately lead to big transformations. Whether it's brushing teeth, getting dressed, or prepping for college, helping them become more independent starts with small, everyday moments.

Parents who worry that they've waited too long to start are sure to find reassurance and a clear starting point, with this discussion also highlighting the role of the home environment in reinforcing new skills and making independence a natural part of daily life.

With a focus on empowerment over enablement, this episode offers a thoughtful, science-backed guide for anyone supporting a neurodivergent child on the path to greater autonomy!

Show Notes:

[2:33] - Hear how Kristin realized the need to bridge the gap between K-12 and inclusive higher education. [3:44] - Christine explains how students with neurodiversity struggle with independence in college due to not having early prep. [6:39] - Hear how a parent mistakenly believed that her child was independent with medication, unaware of her hidden support. [9:09] - Kristin and Christine wrote Spectrum of Independence to help parents fade out support from early childhood. [12:08] - Some students rely on parental presence for routines, making college independence difficult. [14:03] - Many parents lack access to therapists, so the book guides them in teaching life skills to their children. [17:06] - The book focuses on daily routines and the importance of developing skills early. [19:13] - Christine explains how to break down complex routines into steps, making skill-building easier. [22:43] - Breaking tasks down into smaller steps is common in education but overlooked at home. [23:04] - Kristin stresses the need for teaching self-care skills at home rather than relying solely on schools. [25:01] - Christine warns against creating dependency by always assisting children instead of helping them gain independence. [27:15] - Neurotypical children develop independence early, while those with developmental disabilities may require more parental involvement. [28:24] - Parents should gradually reduce their assistance, as sudden independence can be overwhelming. [30:58] - Teaching children to plan ahead for privacy after showering is very important for independent living. [33:45] - It is never too late to teach independence, but prerequisite skills must be developed first. [34:58] - Christine emphasizes starting small by focusing on one daily routine to gradually build independence.

Links and Related Resources:

• Episode 83: What Students with Disabilities Should Do When Starting College with Eric Endlich, Ph.D

• Episode 125: Does Your Teen Need a Transition Assessment? with Dr. Gwen Palafox

• Kristin Lombardi & Christine Drew - Spectrum of Independence: How to Teach Your Neurodiverse Child Daily Life Skills

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 the Guests:

• Spectrum of Independence Website
• Zeal Behavior Website
• Email Kristin

We are excited to have Samantha Levy, PhD join the show again this week to discuss Functional Neurological Disorder (FND). Dr. Samantha Levy is a clinical psychologist specializing in youth with chronic pain disorders. She uses a biopsychosocial approach to address both physical and emotional struggles, working with children, families, and parents to help them align the mind and body for improved functioning. Dr. Levy also runs parent groups, writes a parenting blog for Creative Healing for Youth in Pain, and works as a psychologist for Whole Child LA. Functional neurological disorder (FND) is a condition in which often debilitating neurological symptoms appear without a clear medical cause, and this episode helps make some sense of FND, from the ways it manifests (paralysis, seizures, sensory disruptions) to the underlying emotional and psychological factors that ultimately shape it.

We explore why FND tends to surface in individuals with a history of anxiety, depression, trauma, and/or other medical conditions and how social media and peers, particularly during the COVID-19 pandemic, have played a role in its seeming to be more common. In this episode, you will gain insight into how staying calm, validating emotions, and avoiding reinforcement of symptoms can help support recovery.

Dr. Levy helps us understand that treatment for FND is not a one-size-fits-all approach. We discuss the importance of a multidisciplinary approach instead, including individual therapy to address emotional triggers, physical therapy to rebuild control over the body, and family therapy to create a stable support system. We also stress how schools and healthcare providers play a key role in recovery, and we explore strategies to ensure that the right team is in place.

This episode of the podcast ultimately offers a message of hope – that FND can feel overwhelming, but with the right interventions, many children see significant improvement, and the experience can even lead to personal growth for the entire family!

Show Notes:

[2:46] - Dr. Levy explains how FND causes real neurological symptoms without medical explanation and has historically been misdiagnosed. [4:49] - FND can involve paralysis, sensory loss, and/or seizures, resulting from the brain misinterpreting signals. [7:14] - FND often affects individuals with anxiety and can spread via social influence. [10:13] - Dr. Levy discusses how pandemic-related stress and social media exposure contributed to FND symptoms. [12:22] - Dr. Levy argues that identifying emotional, physical, and environmental triggers for FND episodes helps prevent and reduce symptoms. [15:14] - To avoid reinforcing FND symptoms, parents should minimize attention during non-epileptic episodes. [18:45] - Professional guidance is very important for parents who have children with FND. [19:19] - Encouraging open emotional expression helps children with FND take on triggers. [22:43] - Therapy for teens with FND tends to address anxiety, trauma, and coping strategies. [25:22] - Dr. Levy discusses how physical therapy, guided imagery, and emotional validation help teens with FND regain body confidence. [28:38] - Dr. Levy reflects on how a child's FND episodes decreased significantly after shifting family dynamics. [30:32] - Overprotectiveness can actually worsen FND symptoms, so teens should maintain safe, independent activities. [33:39] - Parents should seek support themselves because their stress can worsen their child's FND symptoms. [35:45] - Dr. Levy points out that FND can be a wake-up call, prompting families to develop healthier ways to handle emotions. [38:00] - Dr. Levy reflects on how a girl's involuntary kicking symbolized suppressed anger, stressing a need for emotional expression. [41:27] - Various resources such as reactive programs and CHIP webinars help provide support for FND treatment.

Links and Related Resources:

• CHYP's Website

• Dr. Samantha Levy, PhD - "Navigating a Functional Neurological Disorder (FND) Diagnosis in Children: Understanding, Coping, and Finding Support"

• Episode 220: How to Support Children and Teens with Chronic Pain with Dr. Samantha Levy

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. Samantha Levy:

• CHYP's Website

• CHYP - Our Team

We are joined this week by Dr. Meredith Gansner. Dr. Gansner is a child psychiatrist at Boston Children's Hospital and an instructor of Psychiatry at Harvard Medical School, specializing in high-risk digital media use in teens. She has received multiple research grants, including a K23 career development award from the National Institute on Drug Abuse, and she is an active member of the American Academy of Child and Adolescent Psychiatry media committee. Her first book, Teen Depression Gone Viral, explores the challenges of treating adolescent depression in the digital age.

In this episode, Dr. Meredith Gansner discusses depression in teens, something that has been on the rise especially in today's digital age. She sheds some light on how adolescent depression often looks different from adult depression, sometimes showing up as irritability, aggression, or even physical symptoms like headaches and stomach pain. She helps us break down why it's so important for parents to recognize these signs early on and seek professional support instead of just dismissing them as typical teenage behavior. Dr. Gansner also examines the relationship between social media and mental health. While some teens find support online, others are exposed to harmful content that can reinforce unhealthy coping mechanisms and worsen or even cause poor mental health. She offers some practical advice on improving digital media literacy, setting boundaries, and developing safety plans to help young people engage with the internet and social media in a way that is not detrimental to their well-being.

Dr. Gansner also discusses effective treatments for teen depression, stressing a multi-faceted approach including lifestyle changes, therapy, and medication when appropriate. She also clarifies the differences between suicidal thoughts and non-suicidal self-injury, offering guidance on how parents and caregivers can respond with the right level of support. With a focus on family-based strategies, this conversation with Dr. Meredith Gansner helps provide insightful information for anyone looking to strengthen emotional resilience in today's teenagers!

Show Notes:

[2:13] - Dr. Gansner reflects on initially feeling optimistic about addressing mental health in youth online but grew frustrated. [5:56] - The youth mental health crisis peaked during COVID and remains a pressing issue. [6:23] - Depression is a physiological illness with many contributing risk factors. [8:03] - Teen depression often manifests as irritability or anger, making it harder for parents to recognize. [11:29] - Some children with depression experience physical symptoms like headaches or stomachaches. [13:08] - Hear about the inspiration behind the title of Dr. Gansner's book. [15:53] - Social media spreads both helpful and harmful information about depression, requiring careful oversight and guidance. [18:32] - Social media can both support and worsen teens' mental health, creating harmful echo chambers. [19:26] - Dr. Gansner feels that rather than banning social media, teaching digital literacy can help children take on harmful content. [21:40] - Teaching teens responsible internet use with guidance, like learning to drive, helps ensure safer engagement. [24:43] - What are some of the best ways to treat depression in teens? [27:31] - Parents often struggle to differentiate suicidal thoughts from non-suicidal self-injury in teens. [28:05] - Dr. Gansner explains that non-suicidal self-injury involves self-harm without suicidal intent, often as a distress signal or coping mechanism. [31:21] - Simply telling teens to "just stop" self-harm can lead to shame, worsening depression and leading to a harmful cycle. [33:17] - Improving sleep is important for teens' emotional resilience, helping prevent impulsive decisions and risky behaviors. [36:58] - Parents limiting their own screen use helps depressed teens feel supported and less isolated. [38:38] - Be sure to get Dr. Gansner's book at a discounted price here! Links and Related Resources:

• Episode 131: Cognitive Behavior Therapy for Kids and Teens with Dr. Shadab Jannati

• Episode 148: How Sleep Affects Academic Performance and Mood

• Episode 160: The Sleep-Deprived Teen with Lisa Lewis

• Episode 169: The Science of Exercise and the Brain with Dr. John Ratey

• Discount on Teen Depression Gone Viral

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. Meredith Gansner:

• Boston Children's Hospital - Meredith Gansner

This week on the podcast, we are happy to have Dr. Chandni Singh on the show. Dr. Singh is a licensed clinical psychologist with more than a decade of experience in diagnosing Autism Spectrum Disorder (ASD) and other neurodevelopmental conditions in children, adolescents, and young adults. She is committed to providing evidence-based assessments and tailored treatment recommendations, and she strongly focuses on serving culturally and ethnically diverse communities. At West LA Neuropsychology, PC, she specializes in early diagnostic evaluations for young children and comprehensive assessments for school-aged children with neurodevelopmental challenges and co-existing mood disorders. While assessments can feel overwhelming for parents and educators who suspect that a child might be autistic, Dr. Chandni Singh breaks down the assessment process, from recognizing early signs to understanding why some children are diagnosed later than others. She explains how social and emotional challenges often become more noticeable as kids get older and why autistic traits can be mistaken for anxiety, ADHD, or other conditions.

Dr. Singh also sheds some light on the gold standard tools used in evaluations, including the ADOS (Autism Diagnostic Observation Schedule), which creates structured social scenarios to observe how a child interacts. We discuss the importance of gathering input from multiple sources such as parents, teachers, and the children themselves to get a full picture of their strengths and challenges.

This episode of the podcast also explores the lived experiences of autistic children and teens, with Dr. Singh highlighting the role of masking, where kids adjust their behavior to fit in but often experience exhaustion and distress as a result. She also discusses the impact of cultural background on both receiving and understanding an autism diagnosis.

Show Notes:

[3:04] - Dr. Singh explains how autism diagnoses are often delayed because early strengths can mask challenges. [5:03] - Social difficulties in children can stem from autism, ADHD, anxiety, or overlapping conditions. [8:50] - Autistic teens often withdraw socially, reinforcing isolation, low mood, and struggles in school. [10:45] - Parents often seek autism assessments after noticing persistent behavioral, emotional, or communication challenges. [13:44] - Dr. Singh points out how increased school refusal often signals deeper emotional or social struggles. [16:13] - Dr. Singh discusses and explains the ADOS (Autism Diagnostic Observation Schedule). [19:57] - One-on-one evaluations can provide important insights into a child's social world and emotional experiences. [22:35] - Comprehensive autism assessments include IQ tests, behavioral observations, and parent-teacher scales. [25:05] - Cultural background, values, and parenting styles shape families' understanding of autism. [27:01] - Dr. Singh discusses how families and schools increasingly embrace neurodivergence, reducing stigma. [30:43] - Many parents seek guidance on supporting their child's development rather than just seeking a diagnosis. [31:34] - Providing support includes therapy, and school and community recommendations customized to individual needs. [34:12] - Autism support tends to focus on therapeutic tools, school accommodations, and social skills. [38:24] - Autism assessments can strengthen parent-child relationships by leading to understanding.

Links and Related Resources:

• Episode 119: Autistic Girls - Overlooked and Underrecognized with Megan Beardmore, PhD, NCSP

• Episode 185: Late Diagnosis: Why Did I Get Missed? with Monica Blied

• Episode 205: Understanding ADHD Assessments

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. Chandni Singh:

• West LA Neuropsychology, PC - Website

• Email: ​​[email protected]

• Email: [email protected]

This week on the podcast, we welcome Shelley Woon to the conversation. Shelley is a dedicated educator and school leader with over three decades of experience supporting students, families, and staff in overcoming learning challenges. She holds a Master of Education in Leadership, has specialized qualifications in Special Education and Reading, and serves as Head of School at Arrowsmith School and Superintendent of Special Education. Shelley values the brain-learning connection and is committed to helping others unlock their potential.

Shelley joins us to explore how we can move beyond compensatory strategies and actually strengthen cognitive function for students who have dyslexia, ADHD, and other learning challenges. We discuss why depending only on accommodations can actually limit students' career opportunities and how interventions that are rooted in neuroplasticity can actually rewire the brain. She explains the Arrowsmith approach, which involves targeting cognitive weaknesses via specific exercises designed to create real, measurable improvements in reading, writing, and executive function.

We also take on common skepticism around cognitive training. With so many programs that promise miracles, how can parents and educators separate science-backed interventions from empty claims? Shelley shares research that supports neuroplasticity-based learning, and she gives us real-world success stories from students who have greatly improved their academic abilities through structured training.

Show Notes: [2:52] - Shelley transitioned from focusing on accommodations to addressing cognitive challenges. [4:15] - Accommodations help, but actual progress comes from strengthening cognitive skills. [6:28] - Shelley discusses how ignoring learning disabilities can hinder careers and mental health, even with accommodations. [8:51] - We learn that Arrowsmith identifies cognitive deficits and uses neuroplasticity-based exercises to improve reading and writing. [10:04] - Shelley explains how neuroplasticity enables the brain to rewire itself. [13:52] - Addressing learning difficulties requires not just accommodations but also cognitive training. [15:01] - The Arrowsmith program develops cognitive functions by integrating supportive technology. [18:53] - Cognitive training can improve executive functioning, but programs like Arrowsmith are and should be evidence-based, [21:52] - It is reiterated that the Arrowsmith program improves learning capacity using neuroplasticity for academic and cognitive success. [23:02] - In Arrowsmith classrooms, Shelley discusses, students engage in individualized cognitive exercises customized to their needs. [25:52] - Shelley further explains that teachers guide students with personalized feedback. [27:33] - Education is evolving with neuroplasticity and integrating technology. [29:14] - Improving cognitive functions can improve multiple skills, sometimes yielding unexpected benefits in daily life. [31:33] - We learn how cognitive training such as sports practice requires mastering basic skills. [35:23] - Shelley shares how she can be contacted online.

Links and Related Resources:

• Unleashing the Power of Neuroplasticity (Webinar Series)

• Shelley Woon - "Overcoming Dysgraphia and Dyslexia with Neuroplasticity"

• Barbara Arrowsmith-Young - The Woman Who Changed Her Brain: How I Left My Learning Disability Behind and Other Stories of Cognitive Transformation

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 Shelley Woon:

• Arrowsmith's Website

• Email: [email protected]

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: [email protected]

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: [email protected]

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: [email protected]

• 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: [email protected]

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!

[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.

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