330 - Autism, ADHD, and Anxiety: the rise in autism & an approach to diagnosing & treating children

[@PeterAttiaMD]

We discuss: 0:01:09-A passion for developmental-behavioral pediatrics (DBP), & the process of diagnosing anxiety, ADHD, & autism 0:08:53-Anxiety & ADHD: assessing impairment & self-esteem & identifying anxiety & emotional well-being in young patients 0:16:45-Evolving diagnosis of autism: the spectrum & individual needs 0:28:32-Dramatic rise in autism spectrum disorder (ASD): genetics, environment, expanded diagnostic criteria 0:41:40-Exploring epigenetics & the potential multigenerational impact of environment exposures on susceptibility 0:46:22-Evolution of autism classifications, & the particular challenges for children with mildautism due to a lack of support 0:54:20-Broadening of the autism spectrum: benefits/risks of expanded diagnostic criteria & the need to focus on better outcomes 1:05:49-Overlap between ASD, ADHD, & anxiety 1:09:57-Understanding oppositional defiant disorder, & the importance of understanding the “why” behind a behavior 1:17:05-Defining developmental-behavioral pediatrics (DBP) 1:25:08-Updated methods of ABA (applied behavioral analysis) therapy: evolution, controversies, challenges of scaling autism care, & tailored interventions 1:36:21-Tips for parents trying to find & evaluate care for children with autism, ADHD, or anxiety 1:43:51-Tailored treatments for ADHD: balancing stimulant medications with behavioral training 1:56:28-The interplay between medication, behavioral therapy, & neuroplasticity in managing ADHD 2:02:10-Using medication to treat anxiety & other symptoms in kids with autism without ADHD 2:04:19-FAQs about medicating children with ADHD: benefits, side effects, dosage 2:06:52-The “superpowers” associated with level 1 autism 2:09:26-The next steps to increase support for children with ASD, anxiety, & ADHD

[@frewerage]

Why isnt she talk about diet? There're research paper about the relation between adhd and gut microbiome

[@infiniteworfare5089]

because im too busy thinking about howmuch the animals suffer when we dfeestroy their habitats, and massively alter their environments. plus they lack natural selection from the destruction of habitats and its unknown how much they suffer as bacteria and viruses evolve.

[@brm3546]

Please appreciate that those of us who are AuDHD (2e) - Level 1 expend tremendous amounts of energy masking (read: attempting to pass as "neurotypical"). Every work/social situation is not too unlike trying to complete a 1,000 piece monochrome jigsaw puzzle.Then there's the burnout, autistic burnout that is and the accompanying shame. No surprise that more than two thirds of us-irrespective of high IQ's, graduate degrees, etc-cannot hold down a job (70%-90%). We are in desperate need of support, understanding and compassion. Lastly, with respect to the DSM-5 and future DSM-6, it might be appropriate to hold space for neurodivergent individuals who are ready and capable to help develop improved diagnostic frameworks informed by our collective lived experience. What's the phrase? "Nothing about us without us."

[@mflynnnj1]

Peter, if you are reading: One big reason that kids don't get more help is because the parents feel threatened to bring many of these problems up for fear their kids will be taken away. (For many reasons. 1 ex- split homes getting sue happy over any tiny thing. 2 ex- some kids with ODD are compulsive liars & God knows the outcome of that. 3 ex- some of these kids are actually capable of fooling people around them very well & so the parents concerns are looked at as crazy. Many more examples though.) Also, the parents who are trying to get help, are often told well here's this drug for your kid, but you won't get in with a specialist for a minimum wait time of 2-3 years. Another thing, this is really very unfortunate, many of these parents are abused by these children. That might sound off the wall, but I promise ---it's happening.

[@victoria256r]

I have read many books, I listened to many KZbin videos by many of the world's leading gurus and health experts but nothing came close to the 23 former doctor truths by lauren clark. I recommend everyone giving it a read.

[@fdsa1981]

For some of us, I didnt know I had a problem or even know what I went through especially when I was younger to my mid 20s could be described. I am 43 and realized my youth was plagued by autism. I seriously thought I was just doing things wrong and didnt know how to properly handle things. I think the increase in autism cases is due to the amount of sharing and talking people do these days without being judged.

[@lillyoliver2056]

I suddenly became a very anxious person 2 years ago. I am also suddenly very overwhelmed when it comes to loud noises and large groups. I feel I almost picked up anxious and autistic tendencies like a bad cold. When I think about the two greatest contributors to these I think of my smart phone and stress.

[@ryccoh]

Covid

[@YamileYemoonyah]

@@ryccohyou probably were able to mask your autistic traits until now. The older we get, the harder it is to mask and then the autism seems to come out of nowhere, even though it’s been there all along.

[@thaliakate888]

Autism traits and CPTSD symptoms have a lot of crossover in a Venn diagram. To the untrained eye, CPTSD can appear as autism. Stress and smartphone is a smart insight. I work on a laptop alone and find if I do so for long periods, I feel very anxious when interacting with people again. I’m aware of it, so I know I just need to persevere post-device as I readjust to human interaction again. I also structure my life, work, home, relationships etc to reduce or eliminate stressors as much as possible. I do yin yoga to calm my body and mind as much as possible.

[@rrrrrrrrrrrrrrrrrrrrrrrrrrr1]

52:51 The most important statement of the episode: "The label's a tool to understand and get resources." The ADA has thoroughly poisoned research, identification, and amelioration of autism and similar problems.

[@Skyeisforthelulz]

She didn't touch on the differences of ADHD presentation between boys and girls. I think thats a big thing that a lot of parents don't understand.

[@TheHalfmanofOz]

Can I ask what these differences are?

[@jennifermoffitt7294]

My 13 daughter is autistic.. She is what this Dr calls Level 1... She has repetitive behavior and restrictive activities... she is smart but she def has social cue issues, social skill deficits, executive function deficits.. She's been in therapies since 1. She was also globally delayed since infancy. She has sensory issues and anxiety also. She had to be put in private apa school not a large mainsreamed class. She also talks to a therapist weekly she enjoys.. Things have def improved but has issues with being independent and we are still working on these things like hygiene, etc... She had to learn to do everything.. and still learning.

[@nickibourlioufas5639]

Such a good podcast; my son was diagnosed with ODD and ADHD at 6 years old, and by then he'd already been kicked out of school. The ODD label was nasty and used by his educators to boot him hard. I thought my son was on the road to 'conduct disorder'; the question 'why' his behaviours manifested wasn't asked, his educators were quicker to boot him out. That has been repeated in high school - ODD is a label that should be kicked out of the DSM! Later he was diagnosed with ASD by a psychologist as his psychiatrists missed it; but I knew something was up with that rigidity and sensory problems. I too have ADHD and anxiety it has been a long road to understand my son's and my own neurodiversity and anxiety, but I have overcome much of that (meditation and ice bath help! Knowledge is power and helps us all understand the 'why'. But there is still a long way to go; despite my son's specialised learning plans, many teachers still do not read them, but label my kid as a problem kid and kick him out. he's lucky, he's smart and often ahead of his teachers, but it has been a very long road for me and my son lobbying schools on why he should be treated as a 'student' and not a problem kid or referred to the police.

[@auntyJanette]

Trenna Sutcliffe is the speaker. Her name appears briefly at the beginning of the video. It could be posted more clearly. Excellent show

[@momod7837]

Did she speak to the topic of vaccines and I just missed it or did they forget to discuss it as promised?

[@Some_kind_of_wonderfü]

It’s also in the description box 😊

[@savvyjoule]

Autism is definitely a complex topic and I enjoyed the really great questions being asked and without the topic simply being presented as a pathology to be "fixed", but speaking to being a range of neurotypes and the attempt to see people as individuals matters a lot. Labels do matter given current social constructs. If when you aren't labeled, you are not accepted for who you are because you don't fit the norm it leads to a lifetime of being misunderstood at best and at the worst being pathologized and misdiagnosed with wrong treatment forced upon you. Look at suicide numbers and chronic illness stats with Autistics. Labels sometimes give you the validation for being a different neurotype that otherwise would not happen. Being expected to be like neurotypicals is very harmful. Consider what a world would be like if it was created by Autistics for example. Would their behavior be seen as problematic then? I'm speaking more to Support Level 1 & 2 of Autism. Also, spectrum is not on a continuum, it is more a circle with strengths and challenges in certain areas that aren't static. It could be argued that if it was ok to be different and people in general knew how to appreciate differences then the world would be very different for all the DSM diagnosis. This is deeply personal to me. I was a special educator for 14 years. I have an Autistic adult daughter and I am Autistic. Now, I am a psychotherapist who works with late identified Autistics many who are in their 30s and 40s or older. Why people do what they do has been my special interest that I have dove deep into my whole life. Women and girls are only recently being seen for their unique presentations of Autism and we have very different special interests and challenges. I could go on and on. I hope you do continue to ask questions and develop more of an individualized way of viewing all conditions and this is what I do see with this podcast in general which keeps me listening. I appreciate all the time and energy and resources you and your team expend to help educate and show us how to critically think about topics.

[@Disastrous_Macaron]

Agree ❤ (ADHD here)

[@kaizen_ventures_671]

I have 2 children in my family who are "Non-Verbal," and what hurts me the most is that they cannot communicate with me in a clear enough way to where I can help them with their feelings or emotions like the way I could help the "fully-verbal" with dealing with their emotions. In my culture, the 'elders' (Manamko)guide us so we are better equipped to live in a complex and often cruel society, especially during childhood, cause kids can be mean. I can't imagine the hell of not being able to communicate conflicting emotions.

[@Cathy-e1s]

Do not bother with developmental pediatricians unless your kid is not getting good services. After 30 years in pediatrics in a wealthy community, I have yet to have a client get anything AT ALL from a developmental pediatrician. They charge upwards of 4K here and simply tell parents to get more therapy for their child. USELESS to see a developmental pediatrician. One told a kid with gaze indifference that he only had a speech disorder. As he displays perseveration speech and is massively self-directed in his conversations. And poorly tolerates sensory input.

[@Find-Your-Wellness-With-Me]

So true, ours told us to place our child into preschool

[@cheriespriggs1078]

Not peters best podcast. Too often asks a question that a parent would really want to hear her answer about but HE suggests what the answer will/should be.

[@milenabellotti9771]

Because she is being evasive as most clinicians in this arena are. They just don’t know. He’s asking. She’s not answering. We need alot more research and Drs willing to be responsible for answers.

[@BrockKaye]

This is great. Big thanks for this episode.

[@nicolewallace3617]

Finding help is very difficult. ABA was not covered by insurance when my son was diagnosed. Housing and support for adults with autism who can’t live independently is extremely difficult to find. MedMaps is trying but we still don’t have enough physicians who understand medical issues and comorbidities or how to treat ASD.

[@evanmoyle]

Having young children I was very interested in this episode. I found the signal to noise ratio to be underwhelming. Going to try listening again to see if I can glean some takeaways.

[@PaulTurner-r9l]

psychprofile AI fixes this. Rise in autism and approach.

[@protovu]

Fascinating. Thank you for sharing this great interview.

[@kellipadgett]

Where is the discussion on diet changes? Maybe I missed it but all I hear is medicate, medicate, medicate.

[@natpaler883]

I had several cases of Austism, ADHD in my surroundings and what I observed is that all had a terrible eating habits. Eg. eating only 3 types of foods, candy one of them, no protein, no fiber. Can anyone explain if there is any correlation?

[@NashJovanovic]

They don't even mention food. Stunning.

[@pobishop235]

I know a child diagnosed with ADHD whose parents allow him to refuse to eat anything but hot dogs, breakfast cereals and french fries and the professionals consulted claim that his eating habits are a result of the ADHD rather than a cause.

[@YamileYemoonyah]

Autistic people have a lot of sensory issues because of how their brain processes sensory input like sounds, smells, touch, etc. Because of that they wear headphones against loud noises, remove labels from clothing to feel comfortable, and often eat the same safe foods over and over agai . So, the restrictive food choices are not the cause of autism, it’s one of the traits of autism.

[@uniqueusername22337]

level 1 autism seems more akin to a personality disorder than a level 3 autism. level 1 autism can function in society just like personality disorders can, until there is trauma and then perhaps they can't function. level 3 has almost no chance to ever function like a "normal person". how about DSM VI creates autistic personality disorder. not sure if this helps outcomes but the treatment for level 1 autism and level 3 autism can't be the same

[@cyndijohnson5473]

It’s not a personality disorder. Those don’t come with sensory issues, digestive issues, autoimmune disease, and a slew of other things

[@Stagnak]

For "level 1", society itself often is traumatic because of the sensory challenges. So it isn't as simple as a just a personality disorder. They experience the world differently because their brains work differently than neurotypical people.

[@uniqueusername22337]

@@Stagnak going through the world with a personality disorder can 100% be traumatic

[@uniqueusername22337]

@@cyndijohnson5473 pretty sure you can develope autoimmune, digestive issues from the mental hardship that comes along with having a personality disorder

[@uniqueusername22337]

@@Stagnak also you think borderline, narcissists, schizoids experience the world the same as neurotypicals? surely not

[@juliepiquette173]

The big problem is there are no financial resources to help parents pay for services. This hold a lot of austic kids back. So many services are needed but people just can’t afford it so the child suffers

[@StaceyShaf]

My 12yo son has ADHD & now massive social anxiety. Was confident, hyper, class clown in elementary school. After constant shaming by teachers, rejection from peers & bullying in 6th grade. Started avoiding school 2nd half of 6th grade now his self esteem is shattered & he physically cannot go into his school bldg. He is even panicking about joining virtual classes at a separate online school. He will hardly leave the house. I’m drowning… trying to figure out how to help him! Spent $10k at Brain Balance at 4 years old to avoid meds… didn’t work! We’ve tried every med, since,, Genesight test=MTHFR mutations, all the therapy… oodles of supplements.

[@c450-v2b]

judo class for self confidence and self reflection.

[@Earl_E_Burd]

@c450-v2b For the parents who caused it, or for the product of their environment?

[@Cathy-e1s]

Please consider occupational therapy. We treat sensory processing issues that contribute to anxiety and inatttention. No drugs. We aren't prescribers. It is sometimes covered by insurance, but the most trained therapists are often private pay.

[@Find-Your-Wellness-With-Me]

Learning about anxiety. I prob won't be able to post a name here

[@christinasefton4839]

Does dissociative schitzophrenic disorder come with this? As child ages?

[@pobishop235]

We have a saying about badly behaved dogs: "there are no bad dogs, just bad owners". Aside from some breeds that are specifically developed to be fighters, almost always the reason dogs behave badly is that the owners have trained them to behave that way. I wonder what has changed in our society in the last 50 years when almost everyone is now defined to have some sort of mental illness (now called a "behavioural disorder")?

[@sesson4623]

When there is parental neglect how does it impact these diagnosis and impairment?

[@popeopera]

Awesome stuff!!❤‍🔥 Just further confirmed my POV about anxiety, which as specified isn’t a disease since it can’t be measured directly in the body, and also a natural mechanism I believe is inexorably tied to survival/ego. Essentially, nobody has anxiety so much as experiences it under certain conditions. Which is where personality types come in relative to “elemental” programming/traits. I‘d even go as far to say that I consider anxiety and the like to be Psychological Inflammation. The treatment for which is more about the ability to “command” FOCUS (away from the state) and becoming more responsive than reactive in the long run. Considering the diminishment of attention span exacerbated by an overabundance of stimuli, it’s no surprise why anxiety seems so prevalent. ☕

[@Thesunkissedkid]

26:13 thought she said “P-Diddy-NOS” at first ahahah

[@ajaysuri3101]

Excellent podcast.

[@sneezeyeller]

I think the spectrum also means that kiddos can move between the levels. I live in Canada and we do use levels because things like puberty, large changes in their lives ,etc. can change their need for resources.

[@sneezeyeller]

Sorry we do NOT have levels.

[@seyiagboola]

We gonna need a part 2 to discuss diet, at home tips, vaccines, self diagnoses as adults and more

[@Find-Your-Wellness-With-Me]

Great topic! Hopeful it has a lot of good info!

[@NBW29627]

An article about causative biomarkers for mental disorders has been published a few weeks ago in Europe…! Helpful.

[@angeladebes1947]

Where? how can i find it?

[@SnowboredK]

​@@angeladebes1947in Europe

[@Silver-k9c]

The weirdest thing about this episode is, I never heard either of the two doctors blame the person with autism for the problems. I kept waiting and waiting for the hammer to drop and it never did. Very novel experience for me.

[@appl314]

How does regressive autism fit into this? Seems that they received something inuterus that ran out and their body couldn't produce when they hit 18 months, Also, the time the skull closes up and there is pruning. Is it possible that the brain is still growing, but the skull closes and squishes the brain, and they lose folds?

[@ATA-YOLUNDA]

Can ve use Mumiyo by autism?

[@debbenarie]

So important a subject Most doctors do not pick up in a patient that they are on the spectrum of autistic disorders. They really need special needs in the medical setting. Very often they do not get suboptimal care because they don’t follow what the doc is saying and how to participate in a treatment plan.

[@debbenarie]

Sorry about my comment. They get suboptimal care because of their special needs

[@KLYSIZZLE]

I can speak as an adult with adhd that it can still be difficult to think about myself objectively.

[@canUfeelMYface]

Don't lie

[@skl2k]

So many great questions

[@fozz878]

Found this one quite painful. Really didn't give firm advice for the vast amount of ppl who need help. "find a team"... Thanks for the advice for the 1% of the global population can access.

[@nicolejoswiak9860]

I keep waiting for more people to talk about Plasmalogens in the brain and these disorders. Need to get Dr Goodenowe on the program.

[@HoobaBros]

great episode

[@khjewels]

Ok, basically going around in circles. The most valuable info was given in the first 5 minutes. It’s a problem if it impairs the persons ability to live amongst others. Too many vague factors to consider and diagnose. This is a tough one. The damage parents cause is underrated.

[@momod7837]

Did they forget to talk about vaccines or did I just miss it?

[@lizzyward1381]

Attia actually mentioned it as one of the proposed causes of things that have changed in the environment, and asked her what she thought about vaccines among a host of other environmental changes. She answered “it’s a lot of things” and “we don’t know”. I was surprised he even asked the question and included vaccines.

[@momod7837]

@@lizzyward1381 - ok - awesome - thanks so much! I appreciate your help 🙂

[@mezerome]

It's nice to see this in contrast with the "food coloring exacerbates ADHD" route Huberman has been taking.

[@Disastrous_Macaron]

Huberman is not a doctor nor ADHD specialist. Trenna Sutcliffe is :)

[@mflynnnj1]

Food & additives play a huge role. When we cut dairy & colors out of my son's diet he made HUGE improvements!

[@mTaR36S]

So enjoyed this interview. I absolutely agree with what Trenna says about the importance of the "bridge", medical, mental health and education. I have been a school based pediatric occupational therapist for 30 years. Often my students have a diagnosis of speech or language impairment and I see the autistic traits and they don`t have the "label", so their parents and teachers have no idea. Information is incredibly empowering. How to help parents is overwhelming. I see young therapists are discouraged quickly with the way the education system is set up currently. So many systems need to be reset to be able to reach our children. Thankyou Peter for asking all the right questions and for bringing such an important topic to your platform. Well done !!!

[@milenabellotti9771]

No more with the, “Great Question!!!!!!!” It is now officially w@nk-word bingo worthy.

[@pobishop235]

A great example of how people like this are damaging us all.

[@Polishlifter]

People dedicating their life to helping families as much as possible is damaging? Maybe it's not perfect, but damaging??? Really?

[@LorraineMoore-zl7ig]

quality of life matters

[@James-ip7zk]

This is a very confused field. The new diagnostic criteria complicated the whole narrative. She insisted in the different causes and also the impact of environment, while some groups say that this is exclusively normal genetic variation. If it is so genetic why you keep studying environment as a major cause?

[@PepperAnnT]

I agree!

[@chrisarp4111]

The people involved in psychology and psychiatry are completely on the wrong track. A group of people that continue to accept and explain away their complete failure. We wouldn’t except this from a cardiologist. Build backwards from when it wasn’t an epidemic. What variables have changed. Very simple concept.

[@Cathy-e1s]

I have treated kids with genetic issues that clearly caused their autism. They are among the most impaired kids I have ever treated and behavioral treatments rarely make a big difference.

[@docgonzo3517]

Because the rate of observation of the adhd and autism phenotype has increased higher than expected than considering genotype alone, thus reasonable to suspect there are environmental triggers causing the expression aka epigenetics. There is no confusion or conflict in that. The only confusion is around mechanism which isn't understood. Just because there is genetic link doesn't mean it will be expressed thus she mentioned that, and that is where the answers to both mechanism and treatment/support etc are likely to lie too.

[@James-ip7zk]

@@docgonzo3517I agree. However, if there are different causes, as she admits, why the new system put everything under the same umbrella? It creates a problem for researchers and later for clinicians when you try your make sense of all of this. Its like treating fever as treatment for all sorts of infections (keeping the proportions). Thats also why parents associations has opposed the narratives in research. She uses the word disorder, well, for a lot of people this is not a disorder, is normal variation. I understand is a very complicated issue, but the dms5 criteria complicates the translation to the public.

[@GodMode-xv6sw]

I Stopped listening after midway. The conversation was going completely nowhere

[@cleb5558]

Wild how many non-experts feel so comfortable thinking they are qualified to comment about Autism and ADHD.

[@KeilGries]

Found you through More Plates More Dates, can't wait to dive into some of these other conversations 🙏

[@Earl_E_Burd]

As the guest, Is her name worthy of being included in the title or thumbnail? On the thumb she looks kind of like Kati Morton who speaks on the same topics and has a popular channel.

[@erastvandoren]

Trenna Sutcliffe

[@auntyJanette]

See my note above yours

[@StaceyShaf]

Trenna Sutcliffe

[@Thomasj52]

Hallelujah!!!! Your channel has been a huge part of my transformation, God is good 🙌 🙌 I was owning a loan of $37,800 to the bank for my sons brain surgery (Oscar), now I'm no longer in debt after I invested $8,000 and got my payout of $340,500, every months. God bless Ms KATE ELIZABETH BECHERER God bless America 🇺🇸 ❤️

[@BobbieBarger46]

I'm feeling really motivated. Could you share some details about the biweekly topic you brought up?

[@Thomasj52]

Thanks to my co-worker (Alex) who suggested Mrs Kate Elizabeth Bocherer.

[@Thomasj52]

She's a licensed broker, very big in the states 🇺🇸. Though I met her in Texax , I did my research.

[@Thomasj52]

After I raised up to 340k trading with her I bought a new House and a car here in the states also paid for my son's surgery (Oscar). Glory to God.shalom.

[@AmandaNorbury]

I know that woman (Mrs Kate Elizabeth Bocherer) if you where born and raised in New York you’d know too No Bingle doubt she’s the one that helped me !!!

[@NashJovanovic]

What about Food? No mention of food. Pretty crazy of you two. You are shutting down parts of their brain with meds. This is a crime. Shame on you.

[@kellipadgett]

Disappointing when Peter is such an advocate for diet and that isn't discussed. Disappointing

[@EVanDoren]

Certain opinions are being deleted by Attia.

[@LibraAries82]

what a hard work for MD-s, they basically treat by giving either one or another medicine, and they have nothing else to offer. A homeopath has to chose between 10 thousand remedies when treating someone with ADHD or autism, and the results are way better than medications with no side effects.

[@pryme2013]

When was autism not prevalent? And don’t give me that “we didn’t understand it” stuff. What has changed since autism started to skyrocket? A bunch of vapid talk without tackling the tough stuff is just doing a disservice and wasting time.

[@aaronsmith454]

That’s because we don’t know exactly what is causing the precipitous increase in rates of autism, there are a myriad of environmental factors that have changed and could be playing a role in this rise. We just know that autism is much more common than it used to be, it’s not the case that we just simply understand autism better and therefore are able to diagnose it more and that’s making the rates of autism increase. That hypothesis has been sufficiently disproven

[@mariad1151]

If she says "great question" one more time....!!!!! 🤬

[@Gibby1257-oy7oi]

A real gem..who knows kids and doesn’t label kids.... kzbin.info/www/bejne/iYGrnpx9mLicnNksi=ayBbcPMNejk0uCHe

[@Gibby1257-oy7oi]

Stanford- we know what they won’t talk about.......

[@michaelcariello6233]

Did they discuss vaccines? Must have missed it.

[@emmadedic4483]

Medikalization - orherwise she and others would not have a job. Everyone who har issues or life problems gets a diagnose

[@SamShank175]

“Why do you need a label?” Because there is comfort in knowing that you are a normal zebra, not a strange horse. Because you can't find a community of other zebras, can't learn what makes a zebra thrive, what brings a zebra joy, if you don't know you are a zebra and you are learning solely from horses.

[@NataliaKarnaukh]

Can we please finally stop talking about peers?! Not all children like peers and it's normal! Most human history kids didn't have a lot of same age peers around! And communication happened with older community members most of the time. Promoting 19-20 century school setting is what driving at least some part of ASD numbers epidemic.

[@perfectworldofentanglement152]

I suspect it’s lack of blood regulation for different areas around brain. From trauma or fever creating pools of harder tissue from blood or puss during sleep, depending on sleep position. And the tensions from stretching during growth. The epidemic is probably lack of nutrients in our diet getting lower.

[@alexissambra1419]

I could diagnose the same disorder by watching a child interact with other people. I think this doctor says Um way to many times.

[@Find-Your-Wellness-With-Me]

I can spot them too....

[@Mistersgoodgirl]

It can be way more nuanced. Behaviors we attributed to ADHD (which my 14yo) does have, were actually autism. And understanding that has changed how we approach things.

[@GreatWhite7]

ADHD is not real

[@PangetKano]

You’re not real.

[@ShastaTodd]

lol

[@TheCarlinCoop]

Yea and how did you come to that conclusion. I’m seriously curious

[@uniqueusername22337]

It's as real as addiction, narcissism, borderline, or any other personality disorder.. It's not as real as autism. ADHD can surely be trained and controlled. How many buddhist monks would meet criteria for ADHD, i would assume none.

[@ingridlockey6379]

It’s a grouping of symptoms observed, that’s it. Not a disease.