Maybe it’s not ADHD, maybe it’s something else we’re not seeing. I’ll be discussing this with today’s guest Dr. Arthur Lavin. Dr. Lavin was educated at Harvard (BA) and Ohio State (MD). At Harvard, Boston Children’s Hospital, and MIT, he completed training, became board-certified in general pediatrics and the subspecialty of newborn medicine, taught, and published original research in such journals as Science. He has been in pediatric practice for more than 25 years and has served on several national committees of the AAP, as president of the Northern Ohio Pediatrics Society. Dr. Lavin is also co-author of the book, “Who’s the Boss? Moving Families from Conflict to Collaboration. Let’s dive into Dr. Lavin’s incredible insights on school struggles, childhood experiences, and ADHD.    [00:01 - 07:57] Opening Segment Introducing today's guest, Dr. Arthur Lavin Expertise and work  Dr. Lavin gives us a bit of his background  Experience in Harvard training  Passionate to work with people through relationships Dr. Lavlin’s experience in the Neo-Natal ICU  Building trust with families   Dr. Lavin’s thoughts on psycho-social  It’s our entire experience  Connecting with people 

[07:58 - 19:05] Let Them Solve the Problems They Started  Dr. Lavin talks about writing his book  Meeting the co-author  The collaboration process  Dr. Lavin shares about speaking on struggles and family dynamics  Most intense discussions  It’s not the parent’s job  If the child creates the problem let the child solve it  Person A can’t solve the problem that person B started  The adolescent makes the choices  Looking at yourself as the parent  What makes you care so much about this issue  It may not be all about the child 

[19:06 - 34:32] Impairing Childhood Behaviors; Is it Really ADHD? Dr. Lavin shares his insights on ADHD  Coming at ADHD like it’s a fever  Why do you have a fever?  It is a symptom of underlying issues  When you treat the better explanation  A 3rd of the kids coming in for ADHD didn’t actually have it AAP article - link below  Understanding the underlying issues  My own analogy  Do the drugs work?  Learning disabilities, anxiety, messy family  How relationships come into play  An opportunity to help  These issues tend to be mutually exclusive  What is the engine driving the issues?  Good relationships get answers  The diagnosis is in the history 

[34:33 - 40:50] The AAP Guidelines  Dr. Lavlin talks about the changes in the AAP  The two papers on the guidelines - links below  Differential Diagnosis  Looking at all the possibilities and resources  We talk about other helpful resources Look at the resources below 

[40:51 - 52:03] Closing Segment What would you say to a younger Dr. Lavin?  Recognize that the MD carries a lot of power  Thoughts on burn out and relationships  The music analogy  Final Takeaways It’s all about relationships  Child behavior problems take reframing  Think bigger to include other issues  The fever analogy  Use your title  Do what you love and love what you do Dance 

Tweetable Quotes: "That’s when I learned, in my time in the ICU, that I was more suited, more interested, more passionate really, about working with people through relationships rather through crises.” - Dr. Arthur Lavin “If you take care of someone, it’s as if you are an honored person in a king or queen’s court.” - Dr. Arthur Lavin “How do you know it’s a better explanation? Because when you treat the better explanation, the ‘ADHD’ symptoms go away.” - Dr. Arthur Lavin

Resources Mentioned: Books: https://amzn.to/2JlDIcj (Who’s the Boss? - Arthur Lavin) https://amzn.to/3ej0ygj

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