therapy

Dr. M’s SPA Newsletter Volume 16 Issue 1 – Beyond Behaviors Part 3, Mona Delahooke, PhD

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Chapter 3 – Individual Differences

Dr. Delahooke starts Chapter 3 by allowing Margaret Mead to remind us that each child is absolutely unique: “Always remember that you are absolutely unique. Just like everyone else.” This is more than a witty paradox, it is the hinge upon which all effective pediatric care swings. When we take individual differences seriously as neurobiological fact, we can finally stop confusing adaptive survival responses with defiance, stop labeling children as problems, and begin the real work of supporting the mind body systems that shape behavior from the inside out.

Let us review what we have learned in Beyond Behaviors so far – We are invited to descend below the waterline of the behavioral iceberg. What we see at the surface: the tantrum, withdrawal, rigidity, hyperactivity, the refusal to transition is merely a set of observable outputs from deeply personal internal variables. The sensory wiring, physiological states, immune triggers, thoughts, feelings, memories, and the child’s moment-to-moment sense of safety. Without diving into these subterranean layers, we risk treating smoke while ignoring the fire, which is the general state of current pediatric psychiatric medical therapeutics. We mostly treat the smoke. We don’t often ask about the fire. Her central thesis is simple, clinically robust, and profoundly humane:

Children behave according to the state of their nervous system, and their nervous system is shaped by individual biological, emotional, and sensory differences.

Once we understand this, behavior becomes not a moral test but a window into the child’s internal world…..

Dr. M

Dr. M’s Women and Children First Podcast #92 – Kristin Jones, OT – A Therapists View of the World Today

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Welcome back to Dr. M’s Women and Children First podcast where we look at the world of Women and Children’s Health through an anthropological lens with the humble understanding that we have a lot to learn.

Today, we’re honored to welcome Kristin Jones, a seasoned occupational therapist from Mooresville, North Carolina, whose career reflects both deep compassion and bold innovation in the service of neurodivergent children. Kristin brings 24 years of clinical and educational experience, including the past 14 spent working in a K-12 public charter school. Recently, she shifted gears in the most personal of ways—taking time away from school-based therapy to homeschool her daughter, who has Down Syndrome.

Kristin earned her Master of Occupational Therapy from Misericordia University in 2000 and has spent her career supporting children and families across a broad spectrum of settings from early intervention and outpatient sensory clinics to schools and feeding therapy. Her passion lies in translating complex concepts from brain development and the Autistic lived experience into practical, accessible strategies for educators.

In addition to her clinical work, Kristin is committed to the education of future therapists. She serves as adjunct faculty at Misericordia University and teaches with Education Resources Inc. Her presentations with the Therapist Neurodiversity Collective reflect her ongoing mission to uplift neurodivergent voices and move beyond outdated therapeutic norms.

Kristin’s voice is one of clarity and respect for children, for families, and for the evolving science of how we learn, communicate, and thrive.

Let’s dive in,

Dr. M

Dr. M’s SPA Newsletter Volume 14 Issue 49

Over the next few weeks, I will be doing a deeper dive into the world of eczema or atopic dermatitis. In the greek language where we derive many of our medical terms, eczema is spelled ἔκζεμα or ékzema which means to bubble up. This weeks podcast guest is Dr. Ana Maria Temple, an expert in eczema. We go all over the place in the pod and it is so worth your time if your child suffers from eczema.

Eczema is a multifactorial skin condition that affects millions worldwide, manifesting as red, itchy rash due to inflamed skin. Its prevalence has been steadily rising, particularly in industrialized nations, which suggests a complex interplay of genetics, environmental factors (epigenetics), and immune dysregulation. As we unpack the root causes of eczema over the coming weeks, an integrative functional medicine approach highlights not only the “what” but the “why” behind this condition—providing opportunities for both prevention and healthier management…..plus a section on Skin pH.

Dr. M

Dr. M’s SPA Audiocast Newsletter Volume 14 Issue 30

Sleep Part II

Let us pause here! So far we now know that humans at all ages will suffer from memory dysfunction and brain sewage cleanup problems leading to inflammation and damage long term. What ages are most at risk? They are likely mirrored by other physiologic events that are at risk based on age. Teenagers, infants and toddlers are rapidly growing creatures requiring more macro/micronutrients, water, and toxin avoidance for success. It is likely that sleep follows these same principles.

Going to a simple google scholar search for “sleep deprivation age risk” brings up countless articles on the effects of sleep deprivation in mothers and children on risk of obesity, diabetes, premature birth and much more.

….Plus more on gender and emotion as well as a recipe of the week.

Enjoy,

Dr. M

Dr. M’s Women and Children First Podcast #75 – Jeff Kessler, FACHE – Allergies and Therapy

Jeff Kessler, FACHE

Allergy Choices

This week I sit down with Jeff Kessler to discuss allergies and sublingual immune therapy.

Jeff Kessler is a business leader and a thought leader in the allergy therapy space. His relevant backstory goes back to 1999 when he had the fortunate opportunity to work on a project to select and implement an Electronic Medical Record system for the Allergy Associates of La Crosse (AAOL) clinic in La Crosse WI. Fortuitously for his daughter who at the time suffered profoundly with allergies, asthma and eczema, this opportunity presented a new course of therapy that would eventually be taken for the entire family leading to allergic disease modification. Enthralled with the therapy and company, Jeff dedicated his career in the healthcare industry from that point on to the allergy treatment approach that he witnessed change thousands of lives including his families. The growing AAOL organization became linked to Allergychoices, an education company dedicated to teaching healthcare providers around the U.S. on the protocol (La Crosse Method – LCM) that had been perfected since 1970. Jeff has served as President of Allergychoices since its formation and its services have grown to help providers deliver immunotherapy using the LCM to their patients directly at the primary care level. Bringing together AAOL, the most advanced allergy immunotherapy clinic in the U.S. and Allergychoices, capable of delivering the benefits of disease modifying allergy immunotherapy to anyone, anywhere, the distinctive competencies of these companies continue to help hundreds of thousands of allergy sufferers of all types, including foods.

Jeff earned a bachelors in science from the University of Wisconsin LaCrosse before he received his MBA in Strategic Planning from University of Minnesota’s Carlson School of Management in 1987.

Please enjoy my conversation with Jeff Kessler,

Dr. M

Dr. M’s Women and Children First Podcast #64 – Dan Shapiro, Ph.D. – Provider Burnout

Dan Shapiro is a man on a mission to help physicians, other providers and the medical healthcare administrators understand the reality of healthcare provider burnout. He is currently the Director of the Chartis Center for Burnout Solutions, where he and his team assist leaders of multi-hospital systems with efforts to reduce burnout and the turnover of high-value physicians, nurses, advanced practice providers, and other staff.

Dan’s education goes back to my alma mater, Vassar College. He graduated with a BA in Psychology before going to the University of Florida for his doctorate in clinical psychology. He completed a post doctoral degree in Medical Crisis Interventions at Harvard University. He held faculty positions at the University of Arizona as well as at Penn State rising to the Chair and Professor of Humanities at Penn State College of Medicine. In 2017, he developed a systematic method for assessing and addressing burnout leading to consulting services focused on multi-hospital systems. In 2023, he left his role as Vice Dean and Chair to pursue the reduction of burnout full time with colleagues at Chartis.

Dan is a frequent contributor to thought leadership in the physician burnout space. In 2003, Random House published his landmark memoir about one physician’s burnout, titled, “Delivering Doctor Amelia,” which was required reading at some colleges and medical schools. He’s written two other books, also for Random House. Dan’s additional writings have appeared or been featured in, among others, the New York Times, Proceedings of the National Academies of Science, the New England Journal of Medicine, JAMA, Academic Medicine, and NPR’s All Things Considered.

As a hobby, he worked for ten years as a weekly consultant to the hit television shows Grey’s Anatomy, Private Practice, How to Get Away with Murder and on-camera for the Discovery, National Geographic, and FYI channels.

Please enjoy my conversation with Dan Shapiro,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 43

The Power of Suggestion
Can our thoughts affect us at a biological level not just a subjective level?
In a new study published in pre print in BioRxIV entitled: A thalamic circuit represents dose-like responses induced by nicotine-related beliefs in human smokers, we see some new research looking at the power of suggestion well beyond the placebo effect……
Plus a mini literature review as well as a discussion on autism etiology.
Enjoy,
Dr. M