Shows
Pediatric Meltdown246. Pediatric Psychopharmacology: Tips for PrescribersCan medication truly transform the landscape of pediatric mental health, or are we oversimplifying the complexities of growing minds? In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes Dr. Jess Pierce, a hospital-based child psychiatrist whose expertise bridges the worlds of pediatrics and mental health, especially for children in rural areas. Unraveling the fascinating history of psychopharmacology and delving into the mechanisms of action for the antidepressants, this episode offers a roadmap for pediatricians navigating the maze of SSRIs, SNRIs, risks like serotonin syndrome, and difficult conversations about side effects. The nuances matter and Dr. Pierce guid...2025-05-151h 01
Pediatric Meltdown244. Taming Pediatric Anxiety with Brain-Body-Behavior StrategiesHave you ever wondered why anxiety in children can look and feel so physical—and what we as pediatricians, parents, or caregivers can do about it? We’re visiting a fan favorite from Episode #26 of Pediatric Meltdown, Dr. Lia Gaggino sits down with Dr. Colleen Cullinan, a leading pediatric psychologist, to dissect the powerful 3 B’s approach: Brain, Body, and Behavior. Together, they reveal eye-opening truths about integrated behavioral health, the ways anxiety manifests in kids, and practical, actionable strategies for managing emotional meltdowns in real-time. This is not just about recognizing anxiety—it's about transforming how we support...2025-04-3053 min
Pediatric Meltdown242. Making Sense of a Mess: My Giant To-Do ListCan one person truly make a difference in the complex world of pediatric healthcare?In this episode of Pediatric Meltdown, host Dr. Lia Gaggino explores how primary care pediatricians can step up amidst the chaos in Washington DC and stand as the trusted advocates children need. While Lia prepares for the pediatric academic society PAS in Honolulu, she is wrestling with the disastrous current health policy challenges and calls for local action. Lia pleads with her peers to organize and cause “good trouble”. This episode underscores that our most vulnerable population — children — deserves the unwavering dedication of empowere...2025-04-1621 min
Pediatric Meltdown238. Dr. Gaggino Goes to Washington: Advocacy for KidsHave you ever wondered what happens when children's healthcare programs like Medicaid and CHIP face cuts? In this episode of Pediatric Meltdown, Dr. Lia Gaggino emphasizes the urgent need to stand up for kids, who are disproportionately impacted by shifts in policy and funding. She highlights the power of sharing real-life stories and forging unexpected partnerships to protect essential resources. Advocacy takes perseverance and creativity, as complacency only enables political and social obstacles to harm children. Pediatricians and other advocates must unite, use their voices effectively, and push for healthier, safer lives for all kids. So...2025-03-1918 min
Pediatric Meltdown237. Physician Wellness: Needed Now More Than EverCould coaching be the key to overcoming burnout and moral injury that plagues the medical profession? In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes back Dr. Adrienne Mann and Dr. Tyra Fainstad, pioneers in physician well-being research, as they unpack the results from their studies on the impact of group coaching on physicians. Drs. Mann and Fainstad share their journey from a "cute little study" to a groundbreaking national program that offers a lifeline to medical students, residents, and faculty. As they study the struggles and triumphs of physicians battling burnout, moral injury, and self-compassion d...2025-03-121h 02
Pediatric Meltdown236. Mental Health Advocacy: The Youth Power ProjectAre today's youth the missing voice in mental health advocacy?In this episode of Pediatric Meltdown, host Dr. Lia Gaggino invites passionate mental health advocate Ria Babaria to talk about the unique struggles and strengths of today's youth. In her journey from high school advocate to college policy specialist, Ria emphasizes the need for youth representation in mental health decisions. She discusses the Youth Power Project's initiatives, access to mental health resources, and the importance of bridging societal and systemic gaps. From personal challenges to state-wide advocacy, Ria highlights the transformative power of youth voices in policy-making. J...2025-03-051h 01
Pediatric Meltdown235. Managing Chronic Pain: Creative Healing for Youth in PainHave you ever wondered what to do when traditional treatments for chronic pain in children don’t seem to help? In this episode of Pediatric Meltdown, Dr. Lia Gaggino chats with Dr. Lonnie Zeltzer and Kim Poston Miller about innovative ways to address pediatric chronic pain. They discuss CHYP (Creative Healing for Youth in Pain), an organization offering hope to families through a creative, holistic approach to healing. Kim shares her personal story of supporting her son Grant’s remarkable recovery, showing how creativity can play a powerful role in pain management. Tune in to learn...2025-02-261h 01
Pediatric Meltdown234. Chronic Pain in Kids: An Innovative ApproachDid you know that nearly twenty-five percent of adolescents suffer from chronic pain, and for some, it’s severe enough to impact daily life? In this episode of Pediatric Meltdown, Dr. Lia Gaggino and guest Dr. Lonnie Zeltzer talk about the complexity of chronic pain in children and adolescents—a subject often misunderstood and inadequately addressed in pediatric medicine. Through personal anecdotes and expert insights, Dr. Zeltzer shares her journey from a curiosity about adolescent medicine to specializing in pediatric chronic pain using modern pain science. This conversation not only unravels the preconceived beliefs surrounding chronic pain but al...2025-02-191h 00
Pediatric Meltdown232. And to My Pediatric FriendsEver wonder how the current chaotic world and the state of healthcare are affecting our children, the most vulnerable members of society and those of us who care for them? Listen to this episode as Lia shares her angst and hope with the complexities of a world facing climate disasters, political strife, physician burnout, and a dwindling trust in science. This solo episode is a self-reflection about building the courage, commitment, and resilience required to safeguard children's health in these turbulent times. As Lia recounts her own experiences during the pandemic and advocates for unwavering i...2025-02-0516 min
Pediatric Meltdown229. What Parents Need to Know About Teenage Emotions and Suicidal ThoughtsIn 2020, I had the privilege of being a guest speaker on Sandy Fowler’s podcast “Mighty Parenting” for a candid discussion about youth mental health, suicide prevention, and the critical role parents play in supporting their children through emotional challenges. I thought it would be interesting to blow the dust off this episode where I was being interviewed by Sandy. As a medical professional deeply committed to improving mental health care in primary care settings, I shared insights specifically for parents about how to recognize warning signs, have difficult conversations, and access appropriate resources. That conversation became a pivot...2025-01-1553 min
Pediatric Meltdown228. How a Pediatric Expert Balances Life & LossWhat happens when a physician who regularly discusses wellness and burnout finds herself in need of her own advice? In this personal episode of "Pediatric Meltdown," host Dr. Lia Gaggino candidly shares her journey through an overwhelming period in late 2024, marked by her father's death, her mother's hip surgery and subsequent move-in, and the unexpected loss of her beloved pet. Despite having a strong support system that includes her husband Rodger, adult daughters, and one-year-old grandson George, she acknowledges her exhaustion and struggles with sleep, nutrition, and exercise habits. This episode is an honest confession of...2025-01-0816 min
Pediatric Meltdown227. Relationships with Others: The Antidote to Loss, Fear, Greed and HateWhat does it truly mean to cultivate resilience and well-being in today's challenging world? In this insightful episode of Dr. Lia Gaggino's podcast (episode 227), she thoughtfully explores seven fundamental pillars of well-being while reflecting on the transition into 2025. Drawing from both professional expertise and personal experience, particularly while caring for her aging mother, Dr. Gaggino presents a comprehensive approach to health that encompasses sleep, nutrition, movement, family connections, friendships, creativity, and spirituality. She authentically acknowledges the struggles many face, from avoiding overwhelming news to managing daily stresses, while offering practical, judgment-free advice that balances aspiration with self-compassion. ...2025-01-0115 min
Pediatric Meltdown226. Holiday Rituals and TraditionsEver wondered what it's like to blend personal traditions with familial expectations during the holidays? In this episode of Pediatric Meltdown, Dr. Lia Gaggino shares her experiences with Christmas celebrations, highlighting the unique blend of Polish traditions from her husband's heritage and her own family's rituals.Family Rituals: Dr. Gaggino discusses the significance of family rituals, such as sharing a wafer similar to the Catholic host and wishing each other well, despite some family members finding it cringey.Meal Traditions: She talks about the specifics of their holiday meal, including mushroom soup and homemade pierogies, and h...2024-12-2513 min
Pediatric Meltdown218. Vote For KidsWhat happens when the wealthiest nation in the world fails its children? In this short but important solo episode, Dr. Lia Gaggino, speaking as a mother, grandmother, and pediatrician, shares her concerns about the state of children's welfare in America. She addresses multiple challenges facing our youth today, from healthcare and poverty to gun violence and education. As the November 5th election approaches, Dr. Gaggino makes an impassioned plea to voters to consider the impact their choices will have on the next generation. Her message transcends political lines, focusing instead on fundamental human values and the moral i...2024-10-3008 min
Pediatric Meltdown215. Pediatric Social Influencers of Health: Screening and InterventionIn the realm of pediatrics, can a child's ZIP code be a stronger predictor of health outcomes than their genetic code? Dr. Lia Gaggino examines this critical question alongside pediatric residents Dr. Nicole Hickman and Dr. Kathleen Kelly. These passionate advocates for health equity discuss their innovative work integrating social influencers of health into pediatric residency programs and primary care practices. They address the complexities of tackling food insecurity, housing instability, and other social influencers of health that significantly impact children's well-being. Drs. Hickman and Kelly provide practical strategies for screening patients and implementing community re...2024-10-0951 min
Pediatric Meltdown214 Autism and Sexuality: The Birds and The BeesHow do we address the often-overlooked sexual health needs of individuals with Autism Spectrum Disorder (ASD)? Dr. Zakia Alavi, a seasoned child and adolescent psychiatrist specializing in pediatric mental health and developmental disabilities, joins Dr. Lia Gaggino to unpack this critical yet often neglected aspect of care for individuals on the autism spectrum. Drawing from her extensive experience in child and adolescent psychiatry, Dr. Alavi reveals the patterns she's observed in patient referrals, particularly concerning autism and behavior problems, including inappropriate sexual behavior. This frank discussion covers everything from understanding puberty in children with autism to addressing t...2024-10-0239 min
Pediatric Meltdown213. Vaccine Hesitancy and Refusal: Fact and EmotionVaccine Hesitancy and Refusal: Fact and EmotionHave you ever wondered why vaccines spark such strong opinions, even as they play a pivotal role in infectious disease prevention and public health response?Join Dr. Lia Gaggino and guest Dr. Robert Frenck as they unravel the complexities of vaccine hesitancy in our pandemic-prepared world. They delve into how the effectiveness of the COVID-19 vaccine and childhood vaccinations paradoxically fuels skepticism, and how public health communication strategies can bridge the gap between medical professionals and parents. Dr. Frenck shares real-life stories and explains the benefits o...2024-09-251h 09
Pediatric Meltdown212. Chronic School Absenteeism: The Role of PediatriciansHave you ever wondered how missing a few school days could dramatically alter a child's future? In this eye-opening episode of Pediatric Meltdown, host Dr. Lia Gaggino and guest Dr. Heidi Schumacher unravel the staggering disparities in school quality and attendance amplified by the pandemic. As a general pediatrician and health policy advocate, Heidi discusses the urgent need for systemic support, the hidden toll of chronic absenteeism, and the crucial interventions needed to ensure educational equity. While truancy often leads to punitive measures, chronic absenteeism requires a supportive and compassionate approach to unveil the deeper...2024-09-1854 min
Pediatric Meltdown209. The Joy of Pediatrics: The Magic in the RoomHave you ever wondered what keeps pediatricians going despite the challenges of modern healthcare? In this episode of the Pediatric Meltdown podcast, host Dr. Lia Gaggino celebrates four years of insightful conversations while going into the heart of pediatric practice. She talks about the delicate balance between technology and human connection, emphasizing the importance of creating space for magical moments with patients. From the joys of a baby's laughter to the struggles with electronic health records, Lia paints a vivid picture of the pediatric landscape. As she reflects on the evolution of her podcast and the field itself, one...2024-08-2810 min
Pediatric Meltdown208. Life Outside of Medicine: Please Have One!What if the key to being a better doctor lies in not being a doctor all the time? Dr. Lia's solo episode of Pediatric Meltdown highlights the critical need for healthcare professionals to cultivate interests and experiences beyond their medical careers. She draws parallels to Mr. Rogers' iconic routine of changing into a cardigan, symbolizing the vital separation between work and personal life. From the joy of reading non-medical literature to the perspective-altering power of travel, Dr. Lia offers a blueprint for a more balanced, fulfilling life. She doesn't shy away from addressing the challenges of maintaining t...2024-08-2113 min
Pediatric Meltdown206. Pediatric Meltdown ReflectionsHave you ever wondered what parents truly desire from their pediatricians? In this week's episode of Pediatric Meltdown, Dr. Lia goes into the heart of parental needs, drawing from her 34 years of experience and insights gleaned from her podcast interviews. She explores the universal desire for reassurance, the challenges of modern parenting in the age of social media, and the importance of fostering positive childhood experiences. Dr. Lia emphasizes the critical role of relational health in supporting families, especially those facing adversity. She reminds us that the most powerful tool in a pediatrician's arsenal isn't f...2024-08-0726 min
Pediatric Meltdown204. Perinatal Mood Disorders: Dr. Lia Gaggino's Personal StoryWhat life-saving benefits can psychopharmacology offer for mental health disorders postpartum? In this week’s episode of Pediatric Meltdown, Dr. Lia Gaggino unravels the intense highs and lows of perinatal mood and anxiety disorders (PMADs), as she bravely shares her own struggles and triumphs. She highlights the crucial red flags that every parent and healthcare provider should recognize as well as practical strategies from top experts to enhance your clinical practice and better support families navigating this emotional landscape. With this useful advice and resources, Dr. Gaggino provides a beacon of hope and understanding for both healthcare profe...2024-07-2422 min
Pediatric Meltdown200. Reflections of 200 EpisodesIn this milestone episode of Pediatric Meltdown, host Dr. Lia Gaggino takes a few minutes and celebrates an incredible achievement—reaching episode #200 and marking nearly four years of engaging, insightful, and impactful discussions centered on children’s mental health and emotional well-being. She expresses profound gratitude to her global audience, spanning six continents, and reflects on the journey that has brought her and her listeners to this point.Dr. Gaggino reminisces about some of her favorite episodes and gives thanks to her mentor Mark Sloane who inspired her venture into mental health. She also extends her appreciation to t...2024-06-2606 min
Pediatric Meltdown192. Explosive Outbursts in Kids: Guide to Diagnosis and TreatmentIn this episode of Pediatric Meltdown, we dive into the complexities of disruptive mood dysregulation disorder (DMDD) and how the DSM-5's new classification aims to solve the puzzle of childhood bipolar misdiagnosis by distinguishing DMDD from other behavioral disorders like conduct disorder and oppositional defiant disorder. Join host Dr. Lia Gaggino and child psychiatry expert Dr. Gabrielle Carlson as they explore the intricate challenges of diagnosing and treating irritability and outbursts in children. This episode is essential for anyone struggling to understand or manage aggressive behavior in children, providing a roadmap to better interventions and outcomes. You’ll fin...2024-05-0155 min
Pediatric Meltdown190. Recognizing Burnout in Healthcare: Strategies for Self-CareHey, Healthcare Heroes, are you neglecting this critical aspect of your life?" In this episode of Pediatric Meltdown, host Dr. Lia Gaggino, teams up with the renowned psychologist Dr. Karen Doll to discuss the mental health strategies essential for every healthcare worker. This conversation is a game-changer as they talk about the systemic neglect that is pushing healthcare professionals to the brink, and the institutional changes urgently needed to address this perilous oversight. The impact of psychological fitness on both our personal and professional lives can no longer be an afterthought. Empowering medical professionals to not just survive, but t...2024-04-1749 min
Pediatric Meltdown189. Fetal Alcohol Spectrum Disorders: Recognition MattersAre you unwittingly overlooking a silent epidemic affecting newborns right under your nose? This game-changing episode of Pediatric Meltdown will redefine everything you thought you knew about molding young minds. We delve deep into the world of FASD (Fetal Alcohol Spectrum Disorders) and the critical need for timely screening at newborn visits. Hosted by Dr. Lia Gaggino, we dive into the transformative world of the oft-missed signs of fetal alcohol spectrum disorders and the life-altering implications they hold. Uncover the resources every parent and pediatrician should have at their fingertips, the surprising truth about the plasticity of the brain...2024-04-1059 min
Pediatric Meltdown188. Teenage Pregnancy: Supporting Moms and BabiesThink teen pregnancy rates are an unsolvable crisis? Think again! In this episode you’ll hear about the plummeting teen pregnancy statistics with the insight of pediatric veteran Dr. Pat Flanagan. With rates dropping a staggering 70% since the '90s, we unravel the intricate web of education, contraception, and internet resources that made this decline possible. Host, Dr. Lia Gaggino and Dr. Pat Flanagan, dive deep into the transformative power of integrated behavioral health within pediatric practice. It's evident that when we support early relational care and address social determinants of health, we can make a significant positive impact on...2024-04-0344 min
Pediatric Meltdown187. New Challenges, New Directions: Designing Better Mental Health SystemsStep into a world of innovation and growth as we delve into a special episode of Pediatric Meltdown, featuring our host, Dr. Lia Gaggino. The seasoned primary care pediatrician takes the helm as she embarks on a new direction in her endeavors to enhance pediatric mental health care. In this solo episode, she shares insights and challenges listeners to join her in a transformative journey. She’ll ask you to embrace the call to action as she reveals her upcoming projects designed to revolutionize pediatric mental health care. Let this solo episode serve as a rallying cry for pediatric cli...2024-03-2713 min
Pediatric Meltdown186. Immigrant Children and Families: Health Policy and AdvocacyThink health inequity doesn't affect you? Think again! This week's Pediatric Meltdown podcast tackles a topic that's more relevant than ever in today's diverse society. Host Dr. Lia Gaggino is joined by Dr. Julie Linton, a champion of health equity and a leading voice on child immigrant welfare. together, they will unravel the complex web of health care challenges for children of immigrant families. It's clear that Dr. Linton’s compassion and education are key in addressing the challenges faced by children in immigrant families. Her expertise underscores the importance of understanding the various aspects of immigration, from DACA to...2024-03-2054 min
Pediatric Meltdown185. Cultural Competency: Health Equity and OutcomesThink you know the secrets to pediatric mental health care? Well, this week’s episode will make you think again! Your host, Dr. Lia Gaggino, will dive deep into the nuanced world of cultural sensitivity in pediatric healthcare with the inspiring psychiatrist, Dr. Farah Abbasi. As an advocate for minorities and newcomers, Dr. Abbasi unpacks the layers of health disparities and speaks to the heart of cultural competency. Learn how to navigate the complex tapestry of identities you encounter in your practice and why understanding each child's background is crucial for effective treatment. By revealing her journey as an imm...2024-03-1343 min
Pediatric Meltdown183. Healthy Social Media Use: A Doctor's Perspective!Are you worried about your kids' social media use? In this episode of Pediatric Meltdown, Dr. Lia Gaggino weighs in with her insights, thoughts and suggestions. From tackling the prevalence of smartphones among teens to navigating the digital world as a non-digital native, she presents practical strategies for parents and pediatric professionals. By being curious, nonjudgmental, and seeking to understand our children’s digital experiences, we can build trust and open lines of communication. Together, let's work towards creating a safer digital environment for the kids. Take a listen for more insightful content, and let's empower each other to ma...2024-02-2813 minPediatric Meltdown182. Social Media Dangers: Protecting and Educating YouthDo you know what lurks behind every click and scroll in your child's digital playground?? Join host, Dr. Lia Gaggino and guest expert Dr. Ashvin Sood as they expose the alarming rise of cyberbullying among children. Where a simple 'like' can shape a child's self-worth, and a 'share' might lead to a spiral of anxiety. They’ll talk about the fine line between connection and addiction in the age of snaps, tweets, and likes, and find out how you can help your child navigate this complex landscape. Listen in as they do a deep dive into the intersection of so...2024-02-2147 minPediatric Meltdown181. Social Media: Guidance for Youth and FamiliesAre your kids glued to their screens? Discover the shocking effects of unlimited social media! Pediatric Meltdown is giving a wake-up call to parents navigating the treacherous waters of their children's online presence. This is the second installment of our series on social media and your children. Host Dr. Lia Gaggino and guest expert Dr. Jane Harness tackle the urgent matter of social media safety, sharing eye-opening insights and actionable advice. Jane's experience in child and adolescent psychiatry shines a light on not only setting digital boundaries but equipping our kids with the skills to surf the web with wisd...2024-02-1458 minPediatric Meltdown180. Social Media and Kids: The Big PictureAre social media algorithms secretly manipulating what your kids see online? Pediatric Meltdown brings you an exclusive conversation with Dr. Jenny Radesky, where she sheds light on the alarming influence of social media algorithms on children's online experiences. Host Dr. Lia Gaggino and Dr. Radesky unravel the complexities of kids' tech use, from the dangers of unmonitored content to the pivotal role of parents in fostering digital literacy. Dr. Radesky presents compelling evidence about how digital platforms shape children's online experiences while advocating for greater parental awareness and legislative action. She highlights the urgent need for a healthier social m...2024-02-0748 minPediatric Meltdown179. Teen Dating Violence: The Role of Pediatric CliniciansDid you know that 1 in 3 young people in the US have experienced or survived dating abuse? In a candid and crucial conversation on Pediatric Meltdown, host Dr. Lia Gaggino is joined by guest Dr. Lenore Jarvis to tackle the sensitive issue of adolescent relationship abuse (ARA). From identifying red flags to discussing prevention strategies and resources, this eye-opening episode provides essential insights for parents, educators, and healthcare professionals working with adolescents. Dr. Jarvis will take a deep-dive into the different types of ARA, the power dynamics at play, and the impact of abuse on mental and physical health will h...2024-01-311h 07Pediatric Meltdown177. Traumatic Stress: Screening and Targeted InterventionGet ready to unravel the complexities of childhood trauma as Pediatric Meltdown brings you an insightful episode featuring expert guests Dr. Brooks Keeshin and Dr. Jessica Griffin. Host Dr. Lia Gaggino will dive into the shifting paradigms from disease to trauma models, and the vital role of pediatricians in identifying and addressing traumatic stress in children. Uncover groundbreaking strategies for supporting children through trauma in this latest episode. prepare to dive deep into trauma-focused care and the 'three r's' approach to help pediatric clinicians navigate the complexities of children’s mental health. From the SEEK screen to evidence-based trauma tre...2024-01-171h 02Pediatric Meltdown176. ACES and the Power of Positive RelationshipsIn a world where pediatricians hold the key to promoting healthy relationships and emotional well-being, this latest episode delves into the transformative power of recognizing and addressing toxic stress in children. Join Dr. Lia Gaggino and renowned pediatrician, Andy Gardner, expertly navigates the terrain of primary prevention and the crucial role pediatricians play in shaping the future of our youth. This episode will uncover the secrets to safeguarding children's mental health and well-being. Lia as she explores Andy's insights on primary prevention, emotional management, and the profound impact of nurturing relationships. Discover how this episode sheds new light on...2024-01-101h 06Pediatric Meltdown175. Beyond Trauma: Strengthening the Caregiver-Infant DyadJoin Dr. Lia Gaggino on Pediatric Meltdown in welcoming her guest, Dr. Ed Tronick. This episode unveils the transformative power of non-verbal communication between infants and caregivers, as explored through the lens of the 2-minute Still Face Experiment. Discover how Dr. Tronick's lifetime dedication to understanding these silent dialogues has reverberated, influencing fields as diverse as therapy and law enforcement. As they dive into the choreography of connection and disconnection between child and adult, you’ll gain an insight into how these foundational moments shape emotional health and interpersonal skills. Find inspiration in the poignant discussion that explores the ve...2024-01-0357 minPediatric Meltdown174. Reflections of 2023Listen to Dr. Gaggino reflect on 2023 and the journey that Pediatric Meltdown has led her on. As we come to the end of this episode, she wants to express her deepest gratitude to all the listeners who have been a part of the Pediatric Meltdown community. The magic of caring for kids and the belief that we can do better drives us forward. Your involvement in this podcast is invaluable, so keep tuning in, sharing, and downloading. Let's make 2024 a year of empowerment and growth for pediatric mental health. Together, let's make a lasting impact and create a world...2023-12-2712 minPediatric Meltdown173. Neurodivergent Youth: What Support Looks LikeAre you tired of sifting through endless articles for helpful tips on managing neurodiverse conditions like ADHD and autism? Look no further, as this episode of Pediatric Meltdown brings you a game-changing discussion on practical strategies for symptom control and fostering independence in neurodiverse children. In this episode, host Dr. Lia Gaggino and her guest, Noreen Russell, PhD shake up the conversation by debunking misconceptions, highlighting invaluable resources, and advocating for a more nuanced understanding of neurodiversity. Say goodbye to quick fixes and unattainable expectations as you dive deep into a comprehensive discussion on embracing individual needs. Get ready...2023-12-2057 minPediatric Meltdown172. Burnout Prevention: A 15-Minute Game ChangerAs the holiday season approaches, it's crucial to address the emotional well-being of healthcare professionals. Host Dr. Lia Gaggino sits down with Ariel Lucas, a pediatric nurse practitioner, who shares her journey into the field and her personal struggle with exhaustion and emptiness. She opens up about the physical and emotional toll it took on her and how it affected her interactions with patients and loved ones. As a pediatric professional navigating personal and professional challenges, Ariel found solace and motivation during her cycling workouts, which ultimately led to a positive transformation in her mental health and outlook on l...2023-12-1334 minPediatric Meltdown171. Pharmacogenetics: Guiding Psychotropic Medication RxDiscover some eye-opening exploration of genetics, medication choices, and evidence-based practices in pediatric psychiatry! Join host Dr. Lia Gaggino and guest Dr. Lisa Namerow as they navigate the intricate world of pharmacogenomic testing, the impact on prescribing behavior, and the crucial relevance of genetic panels for pediatric patients. From the evolving landscape of pharmacogenomics to the challenges of interpreting genetic findings, this discussion sheds light on the pivotal role of nonpharmacologic options and the need for validated guidelines in treating pediatric anxiety and depression. The conversation between Dr. Gaggino and Dr. Namerow has shed light on the challenges and op...2023-12-0652 minPediatric Meltdown170. Bioethics in Pediatrics: Finding Your Way Through the Grey AreasAre you ready to dive deep into the Bioethical challenges that pediatricians encounter on a daily basis? Host, Dr. Lia Gaggino, talks with guests Dr. Lauren Azevedo and Dr. Naomi Laventhal about the difficult decisions and moral dilemmas that arise in outpatient and inpatient settings. From controversial topics like vaccine hesitancy and substance abuse to the delicate balance between autonomy and parental involvement, this episode leaves no ethical stone unturned. They’ll take you through their day as they navigate the treacherous terrain of consent, confidentiality, and decision-making in both outpatient and inpatient care. You’ll hear about scenarios of c...2023-11-291h 03Pediatric Meltdown169. Parenting the Neurodivergent Child: What Pediatric Clinicians Need to KnowIn a heartfelt conversation, host Dr. Lia Gaggino is joined by Julius Towers, a remarkable father and advocate who opens up about his personal journey raising twins with autism. From highlighting the importance of early testing to addressing equity and stigma, this episode sheds light on the realities faced by families of children with special needs. It’s clear that the journey of parenting a child with autism is filled with challenges and uncertainties. Pediatricians have a crucial role to play in supporting families dealing with autism. By providing clear and compassionate communication, offering guidance and resources, and advocating fo...2023-11-221h 07Pediatric Meltdown167. Gender Affirming Care: A Mother’s StoryPrepare to be thoroughly moved and enlightened in this groundbreaking episode of Pediatric Meltdown, as we unravel the deeply personal journey of a Mother and her daughter, exploring the intricacies of gender affirming care. From initial confusion and grief to unwavering support and acceptance, their story will challenge your preconceptions and inspire you to embrace empathy and understanding. Step into the shoes of this multiracial, adopted teenager who fearlessly stands tall amidst the challenges of living her true self. As they navigate through complex healthcare settings to championing understanding within conservative communities, their story will challenge your perspectives and...2023-11-0845 minPediatric Meltdown166. Chronic Illness and Mental Health: The Roadmap ProjectDiscover the untold stories of resilience, uncertainty, and emotional turmoil in the latest episode of Pediatric Meltdown! host Dr. Lia Gaggino is joined by The Women of the RoadMap Project; Dr. Carol Lannon, Dr. Lori Crosby, Robin Kinebrew, and Meghan Didier as they dive deep into the struggles and triumphs of parents navigating the complexities of their children's chronic diseases. From navigating hospital admissions to tackling the daunting tasks of missed homework, these parents courageously share their journeys of finding strength amidst the chaos of mental health. This episode will highlight how crucial it is for medical sub-specialists to ca...2023-11-011h 09Pediatric Meltdown165. Pediatric Perspectives: Musings, Insights and EncouragementFrom Measles to Mass Epidemics: This episode is dedicated to a pediatrician's journey through medical challenges and advocacy. Join host Dr. Lia Gaggino this week, as she features heartfelt conversations with renowned pediatricians, Dr. Bravo and Dr. George Rogu. Listen in as they share personal stories from their medical careers and highlight the importance of preventive care. From preventing infectious diseases to the struggles of combating mental health crises, they stand at the frontline of pediatric care. Pediatricians feel their call of duty is to advocate for the health and wellbeing of their young patients. But pediatricians will say “we...2023-10-2550 minPediatric Meltdown164. Protecting Innocence: Talking to Children About WarThe world weeps as innocence crumbles amidst the madness of war in Gaza and Israel. This is an impromptu episode based on the conflict in the middle east. Dr. Lia Gaggino unravels the profound impact on children who bear no responsibility for the conflict yet suffer its horrifying consequences of human depravity. She also shares the powerful guidance of renowned pediatric associations on how to soothe children, families, and ourselves amid the chaos and tragedy. As the world witnesses the horrors of armed conflicts and the devastating effect on innocent lives, we must pause and reflect. Dr. Lia offers...2023-10-1814 minPediatric Meltdown163. Period Poverty and the Tampon Tax: The Audacity of AdvocacyWhat if one conversation in a bustling New York City restaurant could spark a movement in menstrual equity? You’re about to hear a story of passion, dedication, and the audacity of advocacy. In this episode of Pediatric Meltdown, your host Dr. Lia Gaggino sits down with special guest Anusha Singh, a medical student at Ohio State who is harnessing a powerful force of change. Together, they explore Anusha's journey as a student-turned-advocate, from organizing a press conference that caught the attention of five presidential candidates to testifying in front of lawmakers to repeal the tampon tax. Her dedication to...2023-10-1136 minPediatric Meltdown162. Migraine Headaches: Assessment, Management and ReliefAttention all parents, caregivers, and medical professionals! Are you ready to take control of pediatric migraines? Then tune in to the latest episode of Pediatric Meltdown with your host Dr. Lia Gaggino, as she teams up with migraine specialists Dr. Sarah Dixon and Dr. Emily Foxen Craft. From debunking common misconceptions to exploring the power of cognitive behavioral therapy, they have all the information you need to effectively manage migraines in children. The Pediatric Headache Echo program is not just a training program, but a game-changer in the world of pediatric headache and migraine care. By equipping primary providers...2023-10-0455 minPediatric Meltdown161. Menstrual Equity Changes Lives: The Power of DaysImagine a world where menstruation is not a taboo topic, but rather a catalyst for empowerment, education, and change. In this episode of Pediatric Meltdown, join host Dr. Lia Gaggino as she interviews Celest Mergen, a passionate advocate for menstrual equity and the founder of Days for Girls. Prepare to have your preconceptions shattered as Celeste reveals the transformative power of simply listening and inviting others to be part of the solution. From engaging communities worldwide to reinterpreting past traumas, every moment is an opportunity for change. Days for Girls is not just a movement for girls, but for...2023-09-2759 minPediatric Meltdown160. Youth Suicide Prevention: What About the Parents?Welcome to Pediatric Meltdown, the podcast where we discuss the unique challenges parents face when it comes to their child's mental health. Host Dr. Lia Gaggino teams up with guest Dr. Cynthia Ewell-Foster to tackle the pressing issue of suicide prevention and support for families. Learn how parents can better navigate this challenging terrain as they uncover the importance of community engagement, clear communication, and empowering parents to implement discharge recommendations effectively. You’ll hear about the vital role of caregivers, the role of firearm safety, and the remarkable impact of a supportive network in times of crisis. It is...2023-09-2056 minPediatric Meltdown159. Youth Suicide Prevention: Safety Planning and Lethal Means Safety CounselingTRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers.Welcome to the Pediatric Meltdown podcast, where Dr. Lia Gaggino will take you into the world of pediatric care to tackle the most important topics that impact the well-being of our little ones. In today's episode, Dr. Gaggino and her guest, Dr. Alejandra Arango, explore the critical role of safety planning in preventing child suicides. Their heartfelt conversation takes a deep dive into the intricacies of safety planning within...2023-09-131h 05Pediatric Meltdown158 Preventing Youth Suicide: Risk Assessment and Managementhttps://swiy.co/WhatAreYourThoughtsTRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers.In this thought-provoking episode, Dr. Lia Gaggino invites Dr. Lisa Horowitz back to the mic to discuss important aspects of suicide prevention programs and validation studies. They specifically focus on the role of pediatricians in identifying and supporting young people who may be at risk. They introduce the Brief Suicide Safety Assessment (BSSA), a tool that can help in these situations. Dr. Horowitz...2023-09-0649 minPediatric Meltdown157: Celebrating 3 Years: Reflecting on Pediatric Meltdown's Journeyhttps://swiy.co/WhatAreYourThoughtsIn this abbreviated episode of Pediatric Meltdown, Dr. Lia Gaggino celebrates 3 years of the Pediatric Meltdown podcast and opens up about the challenges and uncertainties that come with transitioning from a daily pediatric practice. Join her as she explores the psychological grief and identity crisis she faced when stepping away from patient care. Dr. Gaggino shares the realization that being a pediatrician goes beyond simply seeing patients in an office, reminding us that purpose and impact can take various forms. From her involvement with the American Academy of Pediatrics to her role as...2023-08-3008 minPediatric Meltdown155. Surveying for ACES in Primary Care: A Pediatrician’s Experiencehttps://swiy.co/WhatAreYourThoughtsGet ready for another thought-provoking episode of Pediatric Meltdown, the podcast that explores the untold stories and groundbreaking developments in pediatrics. Host Dr. Lia Gaggino sits down with Dr. Wendy Hunter, a remarkable pediatrician who has revolutionized the way pediatric care is delivered. Reflecting on Wendy's inspiring journey, we are reminded of the profound impact that social determinants of health have on pediatric patients' lives. As healthcare professionals, it is our duty to not only treat their physical symptoms but also understand their unique experiences and address the underlying issues. By incorporating trauma...2023-08-1651 minPediatric Meltdown154. The Joys and Challenges of Pediatrics: Gather Your Spoons!https://swiy.co/WhatAreYourThoughtsWelcome to the Pediatric Meltdown podcast, where we delve into the challenges and triumphs of pediatric healthcare. Today, host Lia Gaggino has the pleasure of introducing her guest, (and self-proclaimed “superfan” of Pediatric Meltdown), Dr. Alisa Minkin, a trailblazing pediatrician and host of the JOWMA Podcast, a show dedicated to health education for the Orthodox Jewish community. In today’s episode, Dr. Minkin shares her inspiring journey as a pediatrician and her unwavering commitment to mental health awareness. Drawing from her experiences as a parent to a child with special needs, as well as her...2023-08-0940 minPediatric Meltdown153. Caring for Children in Military Families: What Pediatricians Need to Knowhttps://swiy.co/WhatAreYourThoughtsWelcome back to Pediatric Meltdown. In this week’s episode, host, Dr. Lia Gaggino welcomes Dr. Lee Beers and Dr. Binny Chokshi, where they discuss the often-overlooked topic of military families and the unique challenges they face. As a military pediatrician, Dr. Beers shares her personal journey and experiences taking care of military-associated families. Dr. Chokshi, a civilian pediatrician who provides care to military families, also shares her role in researching the impact of military life on children's mental health and overall well-being. Together, they highlight the importance of understanding the demographics and sp...2023-08-0252 minPediatric Meltdown152 The Mysteries of Abdominal Pain: Disorders of the Gut-Brain Interactionshttps://swiy.co/WhatAreYourThoughtsWelcome to this week's Pediatric Meltdown Podcast, where host Dr. Lia Gaggino invites guests Dr. Bruno Chumpatazi and Dr. Amanda Deacy to unravel the mysteries behind chronic symptoms in children. Together, they delve into the complexities of post infectious IBS, highlighting the multifaceted causes that contribute to these symptoms. From altered pain perception and processing to the potential role of inflammation, the experts leave no stone unturned. Discover how food sensitivities, the microbiome, and seasonal allergies come into play in shaping the experience of chronic symptoms. Join us as we explore the multidisciplinary...2023-07-261h 08Pediatric Meltdown150 Integrating Behavioral Health: PCP Transformation!Welcome to Pediatric Meltdown, the podcast dedicated to exploring the complexities and challenges of pediatric care. Today, host Dr. Lia Gaggino and guest speaker Dr. Marian Earls tackle the concepts of mental health competencies and integrated behavioral health. As pediatricians, it is crucial to have a multifaceted understanding of mental health and offer the necessary support to children in need. From debunking myths surrounding SSRIs to advocating for policy and payment support, Lia and Marian offer valuable insights into the integration of mental health into pediatric practice. By incorporating evidence-based therapies and working collaboratively with mental health specialists, pediatricians...2023-07-1252 minPediatric Meltdown149 Management of Youth Depression: Beyond Medicationshttps://302.buzz/PM-WhatAreYourThoughtsYouth mental health is a pressing issue that often goes untreated, but in this episode of Pediatric Meltdown, Dr. Lia Gaggino and Dr. Rich Dopp shed light on effective strategies for addressing this challenge. Dr. Dopp's expertise in treating adolescents with depressive disorders shines through as he discusses the use of SSRIs and the significance of understanding family history. The episode also highlights the importance of gathering information from multiple sources and utilizing various measures and questionnaires to assess depression in younger children. From recognizing the benefits of exercise in improving mood to discussing...2023-07-051h 02Pediatric Meltdown148 Mental Health Leadership: AAP President Dr. Sandy Chung’s Journeyhttps://302.buzz/PM-WhatAreYourThoughtsThis episode of "Pediatric Meltdown" features an insightful conversation with Doctor Sandy Chung, the 2023 president of the American Academy of Pediatrics. Dr. Chung joins host Dr. Lia Gaggino to discuss the importance of investing in children's mental health. The AAP is a national organization that represents over 67,000 pediatricians and aims to promote the health and well-being of children. Dr. Sandy Chung's advocacy work through VMAP and AAP has been instrumental in shaping the discourse on children's mental health and providing access to mental health care. While policymakers need to understand the need for long-term...2023-06-2846 minPediatric Meltdown147 Racial Discrimination and Black Infant Morbidity and Mortality: Systemic Change Starts with Youhttps://302.buzz/PM-WhatAreYourThoughtsUnless you’ve been a victim of Healthcare Disparity and systemic racism, you may not be aware that such a thing exists, and that’s exactly why this episode of “Pediatric Meltdown” is especially important for you to hear. Host Dr. Lia Gaggino and her guest Dr. Terri Major-Kincade, discuss the structural barriers that exist in hospitals and Dr. Terri will give some practical advice on being empathetic and listening to patients' concerns. From Dr. Terri’s expertise in racial health disparities to Dr. Lia's wisdom in pediatric mental health, this episode represents a step towar...2023-06-211h 03Pediatric Meltdown146 Racism, Medicine, and Transformation: Eliminating Health Disparities and Systemic Inequitieshttps://302.buzz/PM-WhatAreYourThoughtsThe adverse effects of racism in healthcare have increasingly become a topic of discussion among medical professionals worldwide. In this episode of the Pediatric Meltdown, host, Dr. Lia Gaggino, is joined by Dr. Joseph Wright, Chief Health Equity Officer of the University of Maryland Medical System, to discuss the role of race consciousness in addressing systemic and structural inequities in healthcare delivery. Dr. Wright talks about how we can no longer ignore the impact of racism on child development, which can have long-term consequences for their health and well-being. It is the responsibility of p...2023-06-1456 minPediatric Meltdown145 Youth Opioid Use Disorder: What Primary Care Needs to Knowhttps://302.buzz/PM-WhatAreYourThoughtsDespite ongoing efforts to combat the opioid crisis, there has been a steady increase in the number of individuals struggling with substance use disorder. This trend has left healthcare providers and parents searching for effective ways to address the problem. In this episode of Pediatric Meltdown, Dr. Lia Gaggino and Dr. Deepa Camenga delve into the impact of the opioid epidemic on children and teenagers. They also discuss strategies for screening, identifying, and treating substance use disorder in pediatric patients. One of the primary challenges faced by clinicians is maintaining confidentiality. It is crucial...2023-06-0756 minPediatric Meltdown144 Self-Injurious Behaviors in Youth: Assessment and Managementhttps://302.buzz/PM-WhatAreYourThoughtsMental health is a crucial aspect of our lives, yet it's often neglected and stigmatized. Dr. Lia Gaggino and her guest, Dr. Carol Chen, will discuss the delicate subject of self-harm and how it pertains to mental health in this episode of Pediatric Meltdown. They examine the numerous causes of young people's self-injury as well as the risk factors and comorbidities that go along with it. You'll learn about Dialectical Behavioral Therapy (DBT), a successful therapy, and how parents can help their kids who engage in self-harming behaviors. For parents, educators, and mental health...2023-05-3147 minPediatric Meltdown143 Moral Injury and Well-being: Channeling Mr. Rogershttps://302.buzz/PM-WhatAreYourThoughtsPsychological safety is crucial and cannot be undervalued in the continuing and challenging process of addressing physician burnout and prioritizing well-being. Dr. Gaggino's guest, Karen Horneffer-Ginter, PhD, discusses how organizations and institutions can start to acknowledge and deal with the systemic problems causing burnout by creating a space where clinicians can openly express concerns without fear of retaliation or condemnation. Individuals must prioritize their own self-care and wellness in addition to organizational and institutional reforms. Karen Horneffer-Ginter believes It's time to change the way healthcare is perceived and to value the humanity of people...2023-05-2455 minPediatric Meltdown142 Difficult Childhood Behaviors: Meeting the Challenges of Parentinghttps://302.buzz/PM-WhatAreYourThoughtsIf you're a parent, you know that there's nothing quite as challenging as dealing with difficult childhood behaviors. Tantrums, potty training, and biting are just a few of the challenges that parents face on a daily basis. Today, Dr. Lia Gaggino talks with pediatrician Dr. Arthur Lavin and Therapist Susan Glaser who have not only authored several books on parenting But are the hosts of the highly acclaimed podcast Parent Talk that offers practical parenting tips and expert insights on everything from child development to managing conflicts with your kids. The explain how “Potty ma...2023-05-1757 minPediatric Meltdown140 Eating Disorders: Avoidant/Restrictive Food Intake Disorder (ARFID)https://302.buzz/PM-WhatAreYourThoughtsDo you have a picky eater in the house? Then this is the episode you’ve been waiting for. Dr. Lia Gaggino’s guest this week is Dr. Natalie Prohaska where they’ll discuss avoidant, restrictive food intake disorder (ARFID), which was previously referred to as feeding disorder of children. They will break down the three different types of ARFID and discuss how they affect children's psychosocial and nutritional functioning. As the COVID-19 pandemic continues to affect our daily lives, mental health concerns such as eating disorders have seen a resurgence. Whether it's a fear o...2023-05-0351 minPediatric Meltdown138 Aggression in Youth: Assessment and Treatmenthttps://302.buzz/PM-WhatAreYourThoughtsAggression in children is a complex issue that can leave parents feeling helpless and desperate for a solution. Many turn to medication as a quick fix, but according to Dr. Lia Gaggino’s guest, Dr. Peter Jensen, multiple medications are not always the answer. It's important to assess the situation correctly and consider alternative approaches before turning to medication. In this episode, Doctors Gaggino and Jensen explore the various causes of aggression in children and provide tips on how to handle it effectively without resorting to excessive medication. Whether you're a parent, caregiver, or ed...2023-04-191h 04Pediatric Meltdown137 Understanding Aggressive Behaviors: Who, What, Why, When and Wherehttps://302.buzz/PM-WhatAreYourThoughtsChildhood can be a challenging time for many young individuals. As they try to navigate the world around them, they often display aggressive behaviors in different situations. But not all aggression is harmful, as it can be a normal part of development. Understanding what constitutes normal childhood aggression and identifying its triggers is essential for parents and clinicians alike to help children thrive. In this 2nd of a 3-part series on childhood aggression, Dr. Lia Gaggino talks with Dr. Elizabeth Wallis from the REACH Institute. They discuss the nature of childhood aggression, how parents...2023-04-1251 minPediatric Meltdown135 Physician Wellness: Find Your ‘One Thinghttps://302.buzz/PM-WhatAreYourThoughtsJoin your host, Dr. Lia Gaggino, on this episode of Pediatric Meltdown as she chats with Dr. Danny Mallen, a pediatric gastroenterologist and medical educator at Cincinnati Children's Hospital Center. Dr. Mallen talks about his interest in nutrition, the puzzle that is the gut, and his passion for helping children with celiac disease. He also discusses his article on finding your “One Thing” and how mentors and opportunities play a role in one's career. Burnout is real. We look to physicians to take care of us, but let’s make sure that your doctor is get...2023-03-2956 minPediatric Meltdown133 Tantrums, Difficult Behaviors, “Red Alerts”: Using the “Smart Brain” for Problem Solvinghttps://302.buzz/PM-WhatAreYourThoughtsChildhood trauma can have a lasting impact on mental health and well-being, but addressing it in therapy requires a careful and compassionate approach. In this episode, child psychologist, Conni Lutes, shares her unique strategies on working with young children who may be experiencing behavior issues or challenges related to autism. Your host, Dr. Lia Gaggino and Conni discuss the importance of using language and creative outlets, such as art and play therapy, to help kids express themselves and make progress. By taking these steps, practitioners can help children feel heard and supported. By creating...2023-03-1556 minPediatric Meltdown131 BONUS- ACES Narrative: Pediatric Trainee Voiceshttps://302.buzz/PM-WhatAreYourThoughtsThe American Academy of Pediatrics Section on Pediatric Trainees is an active group that offers a variety of leadership roles for medical students, residents, and fellows. Dr. Madeleine Norris shares her journey from child neurology to pediatric mental health and her involvement in the AAP. Your host, Dr. Lia Gaggino, a leader in the AAP, explains how trainees can submit abstracts to the SOPT Abstract Competition and become a member of the Section on Pediatric Trainees or the Section on Early Career Physicians. Madeleine also discusses her role as a Deputy Editor for the...2023-03-0327 minPediatric Meltdown130 Rapid Whole Genome Sequencing: Unlocking a Puzzlehttps://302.buzz/PM-WhatAreYourThoughtsThe medical world is accomplishing great things; for example - Rapid Whole Genome Sequencing. A cutting-edge concept that has cut diagnoses of rare diseases from weeks and months to days and hours. It’s called Project Baby Deer and it’s focused on implementing evidence-based precision medicine and pediatrics to facilitate rapid whole genome sequencing for sick inpatients, neonates and children across the state. The project was born out of a collaboration between Dr. Caleb Bupp, Dr. Andrea Scheurer and Dr. Joseph Fakhoury. Your host, Dr. Lia Gaggino talks with these 3 clinicians about this grou...2023-02-2856 minPediatric Meltdown127 From Hippie to Pediatrician: Getting to Know Your Hosthttps://302.buzz/PM-WhatAreYourThoughtsThis is a very special episode where I (the Pediatric Meltdown producer) get to interview your host, Dr. Lia Gaggino. There are lots of great things happening in 2023 and we thought this would be a great way to tell you about all of it as well as getting to know your host a little bit better. We’ll talk about what made her fall in love with Pediatrics as well as her decision to step down from the practice. There is a sneak peak of some episodes coming up, an overview of the “Up Your G...2023-02-0828 minPediatric Meltdown125 Tic Disorders: TikTok Ticshttps://302.buzz/PM-WhatAreYourThoughtsDr. Lia Gaggino asks pediatric neurologist Dr. Sarah Dixon some interesting questions about a phenomenon called “TikTok Tics”. Ever hear of it?? Yeah…. Me either. But it is, indeed, a real thing. We’ve all seen TV shows or movies where someone with Tourette’s spews out a string of curse words and many people think that is the definitive symptom of the disorder. It is more complicated than that. Dr. Dixon talks about the different types of tic disorders and offers up some good news for kids and their parents who are struggling with the chall...2023-01-2546 minPediatric Meltdown122 Happy New Year!!https://302.buzz/PM-WhatAreYourThoughtsAs Dr. Gaggino looks back on her episodes over the past year, she gives out kudos to some of the standout guests of 2022. She also has some reminders of past episodes that you may have missed or may even be worth another listen, (just scroll down to get those links) and there’s a sneak peek at some of the exciting things to come in 2023. If you haven’t already, make sure to tap on that follow button and to ensure that you’ll never miss an episode, get that automatic download every Wednesday mornin...2023-01-0410 minPediatric Meltdown121 ADHD Coaching: Moving the Success Needlehttps://302.buzz/PM-WhatAreYourThoughts Norrine Russell is the creator of a cutting-edge coaching approach for challenging children, such as those who are 2E, have ADHD, Autism, or Anxiety, as well as those who have learning disabilities. Since 2009, Connected Coaching has demonstrated success with hundreds of students. Dr. Russell is an expert in child development, learning styles, special needs, and effective parenting practices. She has twenty years of experience developing positive youth development and parenting education programs. She combines her expertise to give parents and students the full support and resources they require to develop and prosper. Listen in on...2022-12-281h 00Pediatric Meltdown118 ADHD: Assessment, Treatment and Pearlshttps://302.buzz/PM-WhatAreYourThoughtsDr. Lia Gaggino talks to Dr. Herschel Lessin on how physicians can juggle their ADHD patients, parents, practice. Here are some facts on ADHD (Attention deficit hyperactivity disorder):-There's more than one type of ADHD-ADHD is genetic.-There is no cure for ADHD, but medication and therapy can control symptoms-ADHD often persists into adulthood-People with ADHD may be protected by the Americans with Disabilities Act “ADHD is a chronic condition of the brain that makes it diff...2022-12-071h 07Pediatric Meltdown117 Tobacco and Nicotine Use in Teens: Screening and Interventionhttps://302.buzz/PM-WhatAreYourThoughtsDr. Susan Walley was born to work with kids. She was hooked from the beginning. Recognizing that repertory issues are the #1 cause of hospitalization and realizing that parents don’t realize the impact on their own kids, gave her the inspiration to dive into the work of tobacco/nicotine/vaping addiction. Dr. Lia Gaggino asks the questions that you’ve been wondering about. But first, let’s look at some stats:Results from the Annual National Youth Tobacco Survey (22 findings) Almost 1 Million Youths use 2 or more tobacco products E-Ciga...2022-11-3058 minPediatric Meltdown112 Schizophrenia: Recognizing the Early SymptomsTRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers.https://302.buzz/PM-WhatAreYourThoughtsNo one expected it. How could you? I mean, he was doing so well. Taking the meds, socially engaged. Everything seemed fine….. But one day in February something went wrong. Dr. Colleen Kraft makes a second appearance on the podcast, but this time, she walks us through her very personal journey of how schizophrenia has affected her family as well as her, as a mo...2022-10-261h 03Pediatric Meltdown105 Suicide Prevention - Hope and Resilience: My Sister’s StoryTRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://302.buzz/PM-WhatAreYourThoughts In this very personal episode of Pediatric Meltdown, Dr Gaggino talks with her sister, Alyssa, who attempted to take her own life 19 years ago. As with many who attempt suicide, there were many factors that may have contributed. Risk factors include a history of trauma, mental health disorders, relationship difficulties that can all add up until the individual is overwhelmed and feels hopeless. Dr. Ga...2022-09-0730 minPediatric Meltdown95 A Child Psychiatrist's Perspective for PCP's: Leave the "Fix It" Mindset at the Exam Doorhttps://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health and behaviors and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino, Today we are joined by Dr. Sarah Mohiuddin.Dr. Mohiuddin is the Director of the Multidisciplinary Autism Program at the University of Michigan. She also is the fellowship training director of the Child Psychiatry Fellowship Program at Michigan Medicine and co-director of behavioral science sequence at the University of Michigan Medical School. She is pa...2022-06-2954 minPediatric Meltdown94 Taking My Own Mental Health Break: Bali Breatherhttps://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health and behaviors and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. Summer is here and it's time to take a breath, enjoy the sunshine and take a little downtime. Heading to Bali, yes Bali!, with my sister and daughter for a tropical adventure - My Bali Breather. Hope you will make time for yourself too! Key Highlights: [00:30 - 02:30] Taking a Mental Health Br...2022-06-2206 minPediatric Meltdown93 Trauma and Resilience: Affiliate!https://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health and behaviors and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, we are joined by Dr. Heather C. Forkeyl, MDHeather C. Forkey, MD, is a Professor of Pediatrics at the University of Massachusetts Chan Medical School, and Division Director for the Child Protection Program and Foster Children Evaluation Service (FaCES) of the UMass Memorial Children’s Medical Center. She also serves as the Medical Di...2022-06-1556 minPediatric Meltdown92 Children With Disabilities: Don't Forget Their Emotional Well-being!https://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health and behaviors and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, we are joined by Katherine Steingass, MD. Dr. Steingass is a Developmental-Behavioral Pediatrician at Nationwide Children's Hospital and an assistant professor of Pediatrics at the Ohio State University College of Medicine. She is a member of the complex health care team and the medical director for the Spinal Bifida Program, as well as the...2022-06-0842 minPediatric Meltdown91 Getting Paid for the Work You Do: Financing Mental Health Care with Dr. Jon Price and Dr. Jenna Vallejohttps://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, we are joined by Dr. Jon Price and Dr. Jenna Vallejo. Jon Price, MD FAAP, is a Dublin, OH general pediatrician who has been in primary care and pediatric urgent care. He is co-chair of the Ohio Pediatric Council, a dialog group linking pediatricians and insurance plans looking for win/win solutions to improve health...2022-06-011h 13Pediatric Meltdown90 Why Kid's Mental Health Means So Much to Me: Moving Mountainshttps://302.buzz/PM-WhatAreYourThoughts"You have been assigned this mountain so you can show others how it can be moved" Mel Robbins. In this podcast, Dr. Lia Gaggino discusses her experience with children's mental health and emotional wellbeing. She shares the reason why she has been so interested in this field, and that childhood experiences can shape who you become as an adult. She also discusses the importance of seeking help and how therapy can be a gift. Dr. Lia explains why there should be no shame in seeking medication if it is necessary to help improve a...2022-05-2413 minPediatric Meltdown78 Are You Ready?: Preparing Your Office For Behavioral Health Carehttps://302.buzz/PM-WhatAreYourThoughtsIt is challenging to manage kids with suicidal ideation and parents who rely on for you help with limited resources. In this episode, I share with you the best practices, resources, and tips that could help you manage your practice and avoid that stress so you could focus on giving your patients the best experience![00:30 - 14:30] Get Your Resources Ready!The best online resources you could turn toHow to determine if you are readyChecklist to ensure you have an efficient process workflow Sharing best practices: Meet with bodies that have a p...2022-03-0214 minPediatric Meltdown72 Happy 2022: What's Coming on Pediatric Meltdown!https://302.buzz/PM-WhatAreYourThoughtsHappy 2022! In this episode, we will discuss first what should be our priorities to help ourselves draw how we want this year to look like. We will also talk about the power of family and community not only to our personal growth but also to our individual health and why we should regularly make time for our loved ones. Lastly, we will be laying down all the important topics that are going to cover this 2022, topics that we feel should be talked about more in and out of the medical space.[00:01] Here’s...2022-01-1919 minPediatric Meltdown52 Pediatric Meltdown: What a Year!https://302.buzz/PM-WhatAreYourThoughtsWelcome to the 1-year anniversary of Pediatric Meltdown! It’s been a year since I started this podcast, but I am only getting more addicted to it. This podcast has allowed me to do something that I really enjoy and made me realize that I love talking with people. Specifically, I love having conversations where we can just be in our genuine selves. Join me today as I look back on the past 52 weeks and reflect on the countless conversations and moments I shared with my guests. As we start another year, may...2021-09-0110 minPediatric Meltdown41 Parenting Styles: Cool Dad, Anxious Momshttps://302.buzz/PM-WhatAreYourThoughtsWelcome to Pediatric Meltdown! I’m your host, Dr. Lia Gaggino. Today, I'm welcoming both of my daughters Elyse and Julia and they're going to be talking about parenting styles; their dad’s and mine. I just thought it might be fun to hear from an adult “kid's” perspective what it's like growing up in a household when Mom's a doctor and dad is way more fun. My husband has gotten us through the ups and downs of parenting. And I really couldn't have done it without him. So this podcast is really a...2021-06-1626 minPediatric Meltdown37 Screening Youth For Suicide Risk: Using the Ask Suicide Screening Questions Toolhttps://302.buzz/PM-WhatAreYourThoughtsToday’s episode is an encore of an interview I did with Dr. Lisa Horowitz last fall. Suicide is the second leading cause of death in youth 15-24. Dr. Horowitz talks about how pediatricians can incorporate the Ask Suicide Screening Questions (ASQ) screening tool into their practice to help identify children and adolescents at risk of suicide and to link them to coordinated care. Dr. Lisa Horowitz is a Staff Scientist and Pediatric Psychologist at the Nation Institute of Mental Health Intermural Research Program at NIMH. The major focus of her research has b...2021-05-1956 minPediatric Meltdown34 An Upcoming Series: May Mental Health Month and Suicide Preventionhttps://302.buzz/PM-WhatAreYourThoughtsThis May for Mental Health Month, I have dedicated 4 episodes to suicide prevention. Suicide is the second leading cause of death in youth, and we have to know what to do and how to help. Our kids and families are depending on us!. [00:01 - 03:39] An Upcoming Series for Mental Health monthIn the upcoming episodes, you will hear stories of lived experiences, suicide prevention screening, and universal suicide screening. [03:40 - 05:40] Being an Advocate for Our Patient’s Well-BeingPlease send feedback and share this series with others. How we pro...2021-04-2806 minPediatric Meltdown05. Substance Use Disorders and Childhood Exposures: What you need to know with Dr. Allek Scheelehttps://swiy.co/WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I had the honor of speaking with Dr. Allek Scheele. Dr. Scheele is currently doing her pediatric hospitalist fellowship at the Helen DeVos Children’s Hospital in Grand Rapids. Her research focuses on pediatric and adolescent substance abuse and exposure.Let’s dive into Dr. Scheele’s expertise so we can learn the hard truths...2020-09-3044 minPediatric Meltdown03. Pediatric Hero: Building Safe Spaces for Kid's Emotions with Dr. Mark Sloanehttps://swiy.co/WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I brought in Dr. Mark Sloane. He is a board-certified pediatrician and an adolescent medicine specialist.Let’s dive into Dr. Mark’s story of how important it is to build a safe space for kids with mental illnesses and how to get involved in your community to help with kids’ healing process. This is a m...2020-09-1644 minPediatric Meltdown02. Caring for Children in Foster and Kinship Care: Keeping a Trauma-Informed focus with Moira Szilagyihttps://swiy.co/WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I had the honor of speaking with Dr. Moira Szilagyi. Dr. Szilagyi is regarded as one of the leading experts on the health of children in foster and kinship care and has served as chair of multiple AAP groups over the last 25 years leading the development of health care standards for children and teens in out...2020-09-0957 minPediatric MeltdownWelcome to Pediatric Meltdownhttps://cutt.ly/WhatAreYourThoughtsHello and welcome to the Pediatric Meltdown Podcast, the podcast for busy pediatricians who want to better understand emotional health and behaviors and gain the skills and knowledge to help them thrive. I’m your hostess Dr. Lia Gaggino, and I’d like you to come on this journey with me to hear from leading experts in the field as well as other parents to become the best health care practitioners and parents/guardians we can be, in a way that feels less like a lecture and more like a conversation over dinner. We n...2020-09-0408 minPediatric Meltdown01. Words Matter- Talking about Weight and BMIhttps://swiy.co/WhatAreYourThoughtsWelcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I brought in my very own daughter, Julia Parzyck. She works in the eating disorder recovery space and has recovered from an eating disorder, herself.Let’s dive into Julia’s story of how society impacts the mental health of patients suffering from eating disorders because of the BMI metric that tells them they are...2020-08-2734 min