ANXIETY

WELCOME TO OUR PODCAST ON PEDIATRIC ANXIETY.

• HOW HAS CARING FOR CHILDREN WITH MENTAL HEALTH CHANGED IN YOUR PRACTICE? 
• WHAT IS ANXIETY?
• WHAT DOES “DEBILITATING” LOOK LIKE?
• SO YOU WOULD SAY THAT ANXIETY  EXISTS ON A SPECTRUM? 
• WHAT IS THE MOST COMMON TYPE OF ANXIETY?
• ARE THERE OTHER TYPES OF ANXIETY?
• DO THESE DIFFERENT TYPES SHOW UP AT DIFFERENT DEVELOPMENTAL STAGES? 
• DOES ANXIETY LOOK DIFFERENT AT DIFFERENT STAGES OF LIFE?
• WHAT ARE MIMICS TO ANXIETY?
• ANY CONCURRENT MENTAL HEALTH PROBLEMS WITH ANXIETY?
• HOW COMMON IS ANXIETY? 
• WHY DO YOU THINK WE ARE SEEING MORE ANXIETY TODAY?
• IS THERE LESS OF A STIGMA ON ANXIETY THESE DAYS?
• WHAT ABOUT INCREASED PRESSURES KIDS FACE THESE DAYS? 
• ANY SPECIFIC EXAMPLES HERE IN UTAH
• WHAT CAN BE PROTECTIVE WITH THESE INCREASED PRESSURES? 
• WHAT COMMON SYMPTOMS MAY PRESENT AS  ANXIETY?
• WHAT HELPS TO SEPARATE ANXIETY SYMPTOMS FROM OTHER REASONS FOR THE SYMPTOMS? 
• NATURE AND NURTURE COMPONENTS TO ANXIETY?
• WHAT IS THE EVALUATION PROCESS FOR DIAGNOSING ANXIETY?
• IS THERE MORE COMPREHENSIVE EVALUATION THAN THAT? 
• LET’S TALK MORE ABOUT SPECIALISTS WHO HELP WITH DIAGNOSIS AND POSSIBLY TREATMENT? 
• WHAT IS A NEUROPSYCHOLOGIST?
• WHAT IS A PSYCHIATRIST?
• HOW DO WE TREAT ANXIETY?
• WHAT ARE THE NON-MEDICATION OPTIONS?
• HOW DO PATIENTS FIND A COUNSELOR WHO IS BEST FOR THEM?
• WHAT ARE THE MEDICATION OPTIONS?
• IS THERE GENETIC TESTING TO GUIDE MEDICATION DECISIONS?
• HOW HELPFUL IS THE TESTING 
• HOW LONG DOES THE TESTING TAKE?
• ARE THERE SIDE EFFECTS TO KNOW ABOUT?
• SOME HAVE HEARD ABOUT INCREASED SUICIDE THOUGHTS.
• ARE THERE CONSEQUENCES TO NOT TREATING?
• EXPECTATIONS AFTER DIAGNOSIS?
• ANY FINAL ENCOURAGEMENT YOU WOULD GIVE TO PARENTS AND CHILDREN?
• ANY BOOKS OR APPS THAT ARE AVAILABLE?
  • Stem 4 Apps
    • Move Mood—manage low mood and depression 
    • Calm Harm—track and resist self harm 
    • Worth Warrior—self-worth and eating issues
    • Calm Fear—help to manage anxiety 
    • SafeUT--Safe Utah app super critical for being able to report concerns as well as get help
  • Books—books that utilize counseling therapy principles
    • Happiness Trap 
    • Mind Over Mood 
    • Don’t Let Your Emotions Ruin Your Life 
    •  Beyond the Blues 
    • Think Good, Feel Good

Book Reference: Smart But Scattered

CDC Link
https://www.cdc.gov/adhd

We review our intro material--Jim and Jeanie Gaffigan, Winnie the Pooh,  and Fred Rodgers.  Here is parenting wisdom and humor for the ages that we love to share with you with each podcast.
 
 We review the freestyle, parent-directed nature of this visit age.
 
 Prevention is the key to this visit--consistent visits to prevent problems from growing.
 
 We review the Plan for 9-10 year-olds to help them become independent adults.
 
 For anticipatory guidance we cover the health, safety, and social development for children this age.  We spend some time covering entitlement prevention.

We open with a discussion of a Tactical Parenting technique of making sure kids learn a good work ethic at an early age--for us it was opening a ski tuning shop.

For this age group we talk about the importance of giving children exposure to different sports, hobbies, and opportunities to gain talents.

We digest a topic that is important to me--making sure kids have access to food and water at school so they can eat and drink on a scheduled basis.

We open the door on discussions about academic performance at questions parents bring up about ADHD.

We review the Plan for helping children ages 6-8 to become independent adults.

We review the 6-8 year-old anticipatory guidance for health, screen time, internet safety, general safety, diet and exercise, and social skill development.

We cover the preschool age along with starting Kindergarten.  These kids now have FOMO which can lead to bladder and stooling problems along with headaches and stomachaches.

Prologue of Tactical Parenting taking kids out of their comfort zone to serve people in great need in Tijuana and other parts of the world.  Get them out of their bubble and learn to see people in different circumstances--very valuable experience.

Hyperactive bladders along with voiding and stooling problems reviewed along with ruling out bladder infections and diabetes.

Management of bladder hyperactivity and voiding accidents.

Evaluation and management of the common stomachaches and headaches at this age.

Tactical parenting from the "Plan" on what skills to teach children at each age.

Age-appropriate Discipline, Safety, Diet and Health, and Social Skills reviewed

Threenagers Episode

Introduction of Tactical Parenting--weekly service with trash cans.

We cover the evolution of Terrible Twos now moving into the Threenager stage. 
Review the Terrible Two episodes for some common elements of these ages.  This age can be more challenging as the kids are bigger, faster, stronger, and smarter.

Prologue of Tactical Parenting with weekly efforts to instill values of service to others through taking out the trash cans for the neighbors.

We jump right in with a discussion about Toilet Training which may or may not be the right time to start with your child at this age.

We discuss avoiding powerplay over feeding and toilet training.

We review sleep with Nightmares and Night Terrors and discuss some techniques for managing these including empowering kids against their fears.

We review Sleep Hygiene--our routines for going to sleep at night.

We cover Discipline at the start of this challenging and fun age.  We talk about the motivation behind our discipline and why the motivation matters.


Tactical parenting from the "Plan" on what skills to teach children at each age.

Age-appropriate Discipline, Safety, Diet and Health, and Social Skills reviewed

Here come the Terrible Twos!

They are the best of times and the worst of times!

We jump right in to Toilet Training--when to start, obstacles to success, and the best times to try.

We work on shaping good behavior--rewarding the behavior that helps shape their character.

Supernanny: How to Get the Best out of your Children--great book and useful TV series.

We cover screen time, sleep, speech development, and safety.

15-18 months of age is a great age!

Nutrition is big at this age as children become more picky.    It is tough to balance nutrition with conflict over food.  It's good to avoid conflict while we help our children to thrive.  The priority is no tears at the table.

Is it time to phase out bottles?

Speech becomes a big topic of conversation--pun intended.  We talk about what is reassuring and when help is needed.

We review age-appropriate discipline and safety

First birthday!

We review the milestones of Walking and Talking.

We review the challenges of comparing developmental milestones.

We discuss the challenges of phasing out bottles and pacifiers.

We talk about safety at home.  

We cover bug spray and sunblock.

We close with talking about turbulence speed--slow down with things get challenging.