Pediatric Meltdown
Tune in to Pediatric Meltdown and listen to experts provide insights and strategies on a wide variety of behavioral health and mental topics anytime and anywhere that fits your busy schedule. Guests include published researches, primary care colleagues, therapists, educators, parents and even patients. Caring for children and teens with major meltdowns, depression, suicidal ideation, anxiety, school struggles to name a few along with a myriad long list of behavioral and mental health concerns is daunting and most of us did not receive formal training in residency to prepare us to meet this need. Access to child psychiatry nationally is limited and in some regions just not available at all and as a result we must often provide what can only be called psychiatric care for our pediatric patients. In an effort to increase our understanding of behavioral and mental health assessment and treatment, we attend conferences, read articles, and participate in webinars. You can now add Pediatric Meltdown; the podcast dedicated to children's emotional well-being. Providing behavioral health care at its best is collaborative and connecting with others across disciplines enriches and enhances the care we provide. In the words of Maya Angelou "Do the best you can until you know better. Then when you know better, do better." Let's do better together!
Episodes
What does it really take to guide a teenager toward independence in an ever-changing world?
From managing IEPs and beginning transition planning at 14 to fostering self-awareness and skills for adult life, the journey is layered with challenges and growth. Parents like today’s guest, Natasha Robertson grapple with teaching social media safety, addressing emotional needs, and balancing day-to-day struggles with long-term goals....
Have 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 a...
Could 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 groundb...
Are 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'...
Have 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 sha...
Did 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...
Could a simple cash transfer program hold the key to reducing child poverty?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino chats with pediatrician and advocate, Dr. Brittney Tayler, about an innovative program called Rx Kids. Together, they explore how cash transfers can improve child health and well-being, especially in communities facing deep poverty. Dr. Tayler shares her firsthand experience in Flint, Michiga...
Ever 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, comm...
Raising Good Citizens Through Conscious Parenting
What does it take to raise thoughtful citizens and build stronger communities while navigating the challenges of parenting, aging, and personal growth?
In this episode, Dr. Robert Saul], an author and pediatrician, shares his insights from his career dedicated to advocating for children, families, and communities. Dr. Saul discusses his journey of writing books that cater to par...
This episode was actually published in June 2022, but this is STILL a huge issue, so we thought we would take another listen …
How can pediatric primary care effectively integrate mental health services amid insurance barriers and coding complexities?
In this episode, we tackle the significant obstacles impacting the compensation and delivery of mental health services for children. By examining Medicaid, CHIP and commercial ins...
In 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 me...
What 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 inc...
What 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 app...
Ever 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...
Ever wondered how a simple injury can change the course of one's life?
This episode explores the fascinating journey of a sports enthusiast turned medical professional, inspired by a personal encounter with a sports medicine provider after a college injury. The conversation delves into the complex world of concussions, discussing the evolution of treatment protocols, the importance of individualized care, and the severe risks ...
Ever wondered how to smoothly transition pediatric patients with complex conditions like ADHD into adult care?
This episode talks about the challenges and strategies involved in this critical handoff. Dr. Peter Jensen and Dr. Lia discuss the importance of educating and empowering teens to manage their conditions independently, drawing parallels with other chronic illnesses like asthma and diabetes. They explore the nuances of ...
Have you ever wondered if ADHD is being misunderstood or misdiagnosed in children, leading to feelings of failure and unchecked anxiety?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino and Dr. Norrine Russell talk about the complexities of ADHD, from its nuances to the pressing need for systemic change in how it's perceived and treated. They shed light on the importance of recognizing ADHD as non-willful behavior, ...
Can a doctor's strongest medicine be kindness to themselves?
In this candid conversation, Dr. Kathy Stepien, physician coach and advocate for medical wellness, challenges the notion that self-criticism leads to better performance. Speaking with host Dr. Lia Gaggino, she unpacks how physician coaching has evolved from executive suites to mainstream medicine, backed by clinical trials from institutions like Mayo Clinic and Stanf...
What happens when a pediatrician hands a free book to a parent and changes the trajectory of a life?
Meet Claudia Aristy whose first encounter as a new immigrant mother with “Reach Out and Read” sparked a remarkable transformation. Through her work with the Health Education and Literacy for Parents (HELP) Project, Claudia demonstrates how pediatricians can encourage literacy through books while supporting immigrant families. H...
How can we help teens with bipolar disorder manage their symptoms and transition successfully into adulthood?
In this (part 2) episode of Pediatric Meltdown, host Dr. Lia Gaggino and child psychiatrist Dr. Jeanette Scheid discuss managing bipolar disorder in young adults during major life transitions. From medications for bipolar disorder in youth to support resources, they explore how parents and healthcare providers can iden...
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