Dear Parents with Phil Boucher, M.D.

Phil Boucher, M.D.

Dear Parents is a podcast for parents who want calm, confident guidance grounded in science—not trends, fear, or perfection. Hosted by pediatrician and parent Dr. Phil Boucher, each episode offers practical, real-world insight to help you navigate discipline, behavior, screens, ADHD, and everyday parenting challenges with clarity and confidence. dearparents.substack.com

  1. Jul 15

    Before Dinner Window Sibling Squabbles

    I love teaching authoritative parenting. Above is a very real response from a dad to my lesson on the handling window between getting home from school/work and dinnertime. Watch the lesson on after school meltdowns this question came from: https://apsg.drphilboucher.com/apsg-demo-22 Authoritative parenting is both high in warmth and high in boundaries. It has by far the best research on short-term outcomes, such as getting through difficult day-to-day moments and seasons, as well as long-term outcomes related to our children’s development and our relationship with them as they grow. Authoritative parenting is not as easy as authoritarian and permissive parenting. Authoritarian and permissive parenting are really based on avoiding discomfort. In authoritarian parenting, you use your big voice and threats and coercion and guilt and shame to get compliance. In doing so, parents try to avoid the discomfort that we face when our children don’t do as they prefer immediately. It is high in demands and low in warmth/connection. In permissive parenting, warmth is present, but limits and boundaries are lacking. Permissive parenting is a response aimed at avoiding the discomfort the child might face if a parent sets a boundary or expectation. It is high in warmth but low in boundaries and limits. Authoritative parenting, by contrast, takes the good side of both…. it is high in warmth and connection and also high in boundaries and expectations. Read more about authoritative parenting: https://dearparents.substack.com/t/authoritative This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe

    Before Dinner Window Sibling Squabbles
  2. Jul 13

    AMA Toddler Sleep Regression/Anxiety

    This is a free preview of a paid episode. To hear more, visit dearparents.substack.com Your Toddler’s Sleep Didn’t Break. She’s Just Missing You. Read/watch/listen to the full post https://dearparents.substack.com Ask your question: https://drphilboucher.com/ask This week’s episode is an Ask Me Anything from a mom named Emily, and it’s one so many of you are living right now: Hi, Phil. My name is Emily, and our daughter Remy turns three in about three weeks, and recently has really regressed with her sleeping over the last two weeks. Particularly at nighttime, she lays in her bed until we leave, and then immediately goes to the door and screams for about an hour, bangs on the door crying, hits her toys against the door, and it just really goes on from there. It’s also happening at nap time at home, even though she’s napping great at daycare. I think it’s some sort of separation anxiety. Not entirely sure what triggered it. We did start swim lessons a couple weeks ago that she had a lot of separation anxiety with, but she’s gotten a lot better. Her daycare class has also been a lot more chaotic than usual, and we notice that when things are a little up and down at school, she tends to regress. So just curious if this is a phase. We’ve been letting her cry it out. We did try laying in there till she fell asleep. Within the minute she woke up and realized we weren’t there, pattern starts all over again. Tried leaving the door open with a barrier to say, “Hey, stay in there.” But that didn’t work. She kept coming out and then wanted us to sleep in there with her. So right now we’re just kinda letting her scream. And we have an infant at home that can wake up when she does scream. So anyway, just curious what you think. It’s happening at night and at nap time when we’re at home. And really don’t wanna get into a co-sleeping situation, ‘cause the last time we brought her into our big bed when she regressed, it was really hard to break her of that. She usually loves her bed and sleeps really great. So curious what you think. Thanks. My response: First, the co-sleeping trap is real, and you can avoid it This is one of the most common issues parents bring to me, and it very often leads to co-sleeping, because we’re all exhausted, there’s a new baby at home, and it’s so easy to fall into “just get in bed with me,” or to not even realize they climbed in because you were too tired to notice. Avoiding co-sleeping is possible. It just takes some intentionality. We have six kids and never fell into it Emily clearly wants a peaceful bedtime and an end to the nightly door battle, and we can get her both. This is not a melatonin problem Before we go further: a lot of well-meaning friends will hear this and say, “Oh, just give her some melatonin.” Please don’t. This is not a melatonin deficiency. This is a habit, separation anxiety, and busyness-of-life situation that we fix with new practices, not with something that chemically knocks a kid out. Melatonin might work temporarily, but it won’t fix the real issue. And I don’t love putting young kids on it for any stretch of time. Remember, melatonin is a hormone, not a vitamin. It has effects all over the body, and when it isn’t indicated, I’d much rather skip it. The big picture: this is separation anxiety, not broken sleep I honestly don’t even think of this as a “sleep regression.” People talk about regressions like a child hits a magic age and their sleep just detonates. There are windows where it’s more common, sure. You’ve heard about the four-month one, the eight-month, the nine-month. It’s tough to keep them straight because you can find a blog post about the 6.4-month regression if you look hard enough. It just happens across babyhood and toddlerhood. Here’s what tells me this is typical separation anxiety specifically:

    AMA Toddler Sleep Regression/Anxiety
  3. Jul 2

    T1D Deep Dive

    Most kids with type 1 diabetes are diagnosed in crisis: thirsty, exhausted, losing weight…they end up in the hospital and often the ICU. In this deep dive, I make the case that it no longer has to start that way. Type 1 is an autoimmune condition that shows up in the blood years before the first symptom, and we finally have the science to catch it early. What you’ll take away: * Why type 1 is an immune system problem, not a blood sugar problem, and why a normal finger-stick can falsely reassure * The old rule that misses most kids: 90% of those diagnosed have no family history * The three stages, and why stage three (the ER, the DKA) is the end of a process that began years earlier * The new JAMA study (Winkler et al., May 2026): 200,000 kids screened at well checks, DKA at diagnosis dropping from 40 to 60% down under 10% * When to screen, what the antibody panel involves, and why knowing early lowers anxiety rather than raising it Screening at Frontier Pediatrics: We are now offering this screening even if your child isn’t our patient! These are virtual visits and we don’t need to see the kid(s), just parent! We can do one visit and order screening for all the kids. Available as a virtual visit in Nebraska, Iowa, Kansas, Illinois, Texas, and Florida. Most insurance plans cover the testing and we can also help find low-cost or free alternatives like the research sites. Click here to learn more and book. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe

    T1D Deep Dive
  4. May 8

    Ultraprocessed Foods and Behaviors

    Ultra-Processed Foods and Kids’ Behavior: What the New JAMA Study Means for Your Family A new JAMA study followed over 2,000 preschoolers and found that higher ultra-processed food intake at age three predicted worse behavior at age five: more anxiety, withdrawal, aggression, and hyperactivity. At age three, UPFs already made up 45.5% of these kids’ daily calories. The good news: researchers modeled what happens when you swap just 10% of UPF calories for real food, and behavior scores improved across every domain. Small and intentional beats dramatic and unsustainable. In this episode, I walk through two quick rules of thumb for spotting a UPF, why “organic” and added-vitamin labels give parents a false sense of security, and how to actually reduce UPFs at home using the authoritative approach. Study: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2845768Later this month, I’m launching the Authoritative Approach Study Group: a daily text message with one small parenting nugget, plus a weekly Zoom call for live coaching, cases, and Q&A. No course logins, no homework piling up. One registration covers two adults, so both parents (or you and a co-caregiver) can learn together and stay on the same page. Seats are super limited. Authoritative Approach Study Group This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe

    Ultraprocessed Foods and Behaviors

About

Dear Parents is a podcast for parents who want calm, confident guidance grounded in science—not trends, fear, or perfection. Hosted by pediatrician and parent Dr. Phil Boucher, each episode offers practical, real-world insight to help you navigate discipline, behavior, screens, ADHD, and everyday parenting challenges with clarity and confidence. dearparents.substack.com

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