Nimble Youth

Matthew Butterman

Welcome to the Nimble Youth podcast, where we provide expert insights and valuable resources for parents navigating the complexities of their children's mental health. We empower parents to nurture healthy minds in children, teens, and young adults through real conversations. Our team of seasoned professionals, including physicians, therapists and educators, delve into pressing topics, share research-based strategies, and offer practical advice for fostering mental and emotional well-being within your family.

  1. 2D AGO

    Episode 37: The Overlooked Epidemic: Depression in Young Children

    Episode 37: The Overlooked Epidemic: Depression in Young Children Summary In this episode of the Nimble Youth Podcast, host Matt Butterman and pediatrician Dr. Gretchen Hoyle discuss the often-overlooked issue of depression in elementary-aged children. They explore why depression is frequently missed in this age group, the diagnostic criteria for major and persistent depressive disorders, and the importance of assessing for anxiety alongside depression. The conversation also covers the tools used for assessment, the significance of a comprehensive evaluation, and the treatment options available for young children experiencing depression. Takeaways Depression in young children is often overlooked and misunderstood.Young children may express distress through behavior rather than language.Symptoms of depression can be mistaken for behavior problems.Major depressive disorder is episodic, while persistent depressive disorder is chronic.1-2% of elementary-aged children meet the criteria for depression.Anxiety often presents before depression in young children.Assessment for anxiety and depression should be done together.Structured questionnaires are used for assessing anxiety and depression.Comprehensive evaluations are crucial for accurate diagnosis.Understanding the biopsychosocial framework aids in treatment planning.Sound bites "Depression in young children is often overlooked.""Symptoms often get labeled as behavior problems.""We assess for both anxiety and depression together." Chapters 00:00 Understanding Depression in Young Children09:17 Assessment and Diagnosis of Depression11:48 Treatment Options for Pediatric Depression

    19 min
  2. FEB 6

    Episode 36 - Building Resilience in Teens and Parents with Dr. Kate Lund

    Episode 36 - Building Resilience in Teens and Parents with Dr. Kate Lund We apologize for the audio distortion caused by internet connectivity issues due to ice storms in the Southeastern U.S. Summary In this episode of the Nimble Youth Podcast, host Matt Butterman speaks with Dr. Kate Lund about the critical importance of resilience for both parents and teenagers. They explore how resilience is not just about toughness but involves flexibility, awareness, and the ability to recover from life's challenges. Dr. Lund shares insights from her book, 'Step Away,' emphasizing the need for parents to model resilience and manage their own stress to effectively support their children. The conversation also addresses the pressures teens face today, the impact of technology on their mental health, and practical strategies for families to build resilience together. Takeaways Resilience is about integrating coping strategies into daily life. Parents must model resilience for their children. High expectations and social media contribute to teen stress. Understanding individual needs is key to resilience. Parent resilience is crucial for family well-being. Self-awareness helps parents optimize their well-being. Regular practices can help manage stress responses. Technology overload affects focus and calmness. Recognizing signs of distress in teens is essential. Hope lies in helping teens harness their strengths. Titles Building Resilience in Families The Power of Resilience for Parents and Teens Sound bites "We're being barraged by so much." "Resilience is more of a lifestyle." "It's a balancing act for parents."

    18 min
  3. JAN 24

    Episode 35: Dyslexia, Part Two

    Summary In this episode of the Nimble Youth Podcast, host Matt Butterman continues the discussion on dyslexia with Dr. Gretchen Hoyle, focusing on actionable strategies for parents after a diagnosis. The conversation emphasizes that simply increasing reading practice is not sufficient; instead, it is crucial to address the underlying decoding pathways in a child's brain. Dr. Hoyle uses a swimming metaphor to illustrate that practicing with incorrect techniques can reinforce ineffective pathways, akin to running on a sprained ankle. The episode introduces the concept of structured literacy, particularly the Orton-Gillingham method, which is designed to explicitly teach reading through a systematic approach that includes explicit instruction, sequential learning, cumulative reinforcement, and multisensory engagement. Dr. Hoyle elaborates on the four key principles of the Orton-Gillingham method, explaining how each principle supports children with dyslexia in building a strong foundation for reading. The discussion also touches on the challenges faced in public schools regarding the implementation of structured literacy programs due to funding and resource limitations. The episode concludes with insights on the importance of collaborative care in managing dyslexia, emphasizing that with the right support and instruction, children can thrive despite their challenges. Takeaways Effort alone doesn't fix the underlying problem.Structured literacy explicitly teaches how language works.The Orton-Gillingham method is effective for dyslexia.Children with dyslexia need granular instruction.Multisensory approaches strengthen neural connections.Sound bites "Effort alone doesn't fix the underlying problem.""Structured literacy explicitly teaches how language works.""Engaging the whole brain is crucial."

    27 min
  4. JAN 22

    Episode 34: Dyslexia, Part One

    Episode 34: Dyslexia, Part One Summary In this episode of the Nimble Youth Podcast, host Matt Butterman and pediatrician Dr. Gretchen Hoyle delve into the complexities of dyslexia, a learning disability that affects many children but is often misunderstood. Dr. Hoyle provides a comprehensive definition of dyslexia, emphasizing that it is not related to intelligence or effort but rather a difference in how the brain processes written language. She explains that dyslexia manifests in various ways at different ages, from preschool through high school, highlighting the emotional and behavioral challenges children face as they struggle with reading and writing tasks. The conversation also touches on the overlap between dyslexia and ADHD, as both can present similar symptoms, making diagnosis challenging. Dr. Hoyle discusses the importance of formal evaluations and the role of family history in understanding dyslexia. She shares insights on how parents can recognize signs of dyslexia in their children and the significance of early intervention. The episode sets the stage for a follow-up discussion on effective management strategies and educational support for children diagnosed with dyslexia. Takeaways Dyslexia is an unexpected difficulty with reading.It's not about intelligence or effort; it's about brain processing.Dyslexia often runs in families, indicating a genetic component. Sound bites "Dyslexia is an unexpected difficulty with reading." "It's not clicking for the kid." "We ask the kids to read nonsense words." Chapters 00:00 Introduction to Dyslexia 01:03 Defining Dyslexia 03:09 Signs of Dyslexia in Early Childhood 08:18 Behavioral Challenges and Emotional Responses 10:02 Family History and Genetic Links 12:12 Diagnostic Approaches and Testing 15:28 Overlap Between Dyslexia and ADHD 17:31 Formal Diagnosis of Dyslexia

    24 min
  5. JAN 15

    Episode 33: You're On Fire, It's Fine with Katie K. May

    Summary In this episode of the Nimble Youth Podcast, therapist and author Katie K. May discusses the complexities of parenting highly emotional teenagers. She shares insights from her book, 'You're On Fire, It's Fine,' emphasizing the importance of understanding teen emotions, the concept of 'fire-feelers,' and the necessity of radical acceptance. The conversation explores common parental challenges, the impact of validation, and the significance of natural consequences over punitive measures. Katie provides practical strategies for preventing emotional escalation and rebuilding trust with teens, ultimately offering hope for meaningful change in the parent-teen relationship. Note: In the interview, host misidentifies the title of the book, which is "You're On Fire, It's Fine." Takeaways Parents often lack the skills to support emotional teens.Understanding behaviors as solutions, not just problems, is crucial.Fire-feelers experience emotions intensely and need different approaches.Counterproductive responses can invalidate a teen's feelings.Radical acceptance helps parents cope with their reality.Acceptance does not mean approval of all behaviors.Recognizing early signs of emotional escalation is key.Natural consequences teach valuable lessons more than punishment.Self-destructive behaviors are often coping mechanisms for pain.Emotional dysregulation can improve with time and effort.Sound bites "Emotions can be like a wildfire." "Parents go first." "You're On Fire, You're Okay" Chapters 00:00 Navigating the Emotional Landscape of Teens 02:01 Understanding Parental Challenges 04:39 The Concept of Fire-Feelers 06:25 Counterproductive Responses from Parents 08:29 Radical Acceptance in Parenting 10:16 The Importance of Acceptance vs. Approval 12:33 Preventing Emotional Escalation 14:38 Teaching Lessons vs. Natural Consequences 16:22 Understanding Self-Destructive Behaviors 20:21 The Hope of Change 22:05 The Role of Environment in Emotional Dysregulation 24:46 The Power of Validation 26:48 Embracing Good Enough Parenting 28:00 Rebuilding Trust and Connection 30:40 Final Thoughts for Parents

    25 min
  6. JAN 7

    Episode 32 - ADHD and Anxiety, Part 2

    Summary In this episode of the Nimble Youth Podcast, host Matt Butterman and pediatric mental health expert Dr. Gretchen Hoyle delve into the complexities of ADHD and anxiety in children and teens. They discuss the prevalence of these overlapping conditions, the effects of medications on each other, and the importance of addressing both issues simultaneously. The conversation highlights the risks of untreated ADHD and anxiety, the challenges parents face in seeking treatment, and the need for a balanced approach to medication. Ultimately, the episode aims to provide hope and guidance for parents navigating these difficult topics. Takeaways About 40% of kids with ADHD also have anxiety.Treating ADHD without addressing anxiety can worsen anxiety symptoms.SSRIs can sometimes activate ADHD symptoms in children.Monotherapy may not be effective for kids with both ADHD and anxiety.Parents often find it easier to treat ADHD than anxiety.There is a stigma around using medication for anxiety in children.Managing anxiety is crucial; you can't just grit through it.Untreated ADHD can lead to significant academic and social issues.There is a higher risk of substance abuse with untreated ADHD.Early intervention can significantly improve outcomes for children. Titles Navigating ADHD and Anxiety in Youth The Interplay of ADHD and Anxiety Medications Sound bites "Sometimes SSRIs can activate ADHD symptoms." "Monotherapy doesn't always work for ADHD and anxiety." "Hopeful takeaways for parents feeling overwhelmed." Chapters 00:00 Understanding ADHD and Anxiety Overlap 02:08 The Impact of Medications on ADHD and Anxiety 07:58 Monotherapy vs. Combination Therapy 09:39 Parental Perspectives on Treating ADHD and Anxiety 17:35 Risks of Untreated ADHD and Anxiety

    18 min
  7. 12/17/2025

    Episode 31 – Homebound and Healing: Parenting Through Autism and Addiction

    Summary In this episode of Nimble Youth, host Matt Butterman speaks with Jamie Hrobar, a mother of two autistic children and a woman in recovery from alcoholism. They discuss the challenges of parenting children on the autism spectrum, the impact of addiction on family life, and the importance of community support. Jamie shares her journey through early diagnoses, the struggles with severe autism, and the fight for necessary services. She emphasizes the need for advocacy, understanding, and the power of hope in navigating these challenges. Takeaways Parenting a child with autism is incredibly challenging.Both of Jamie's children have taught her invaluable life lessons.Early diagnosis can significantly impact the support a child receives.The reality of severe autism includes significant behavioral challenges.Addiction can complicate parenting, but recovery is possible.Finding a higher power can provide strength in difficult times.Navigating the system for autism services is often a battle.Building a community of support is crucial for families.New parents should educate themselves about their child's rights.Resources for families with severe autism are critically lacking.Titles Navigating the Challenges of Autism ParentingThe Journey of a Mother in RecoverySound bites "I see you and I understand." "You are not alone." "We need more resources." Chapters 00:00 Navigating Autism and Family Life 06:03 Early Diagnosis and Its Impact 12:28 Struggles with Addiction and Recovery 18:49 Finding a Higher Power in Recovery 25:40 Navigating the Autism Service System 32:17 Practical Steps for New Parents 36:14 Building Community and Sharing Stories 40:12 Messages of Hope for Parents 45:37 Advocating for Better Resources

    45 min
  8. 12/10/2025

    Episode 30: When ADHD and Anxiety Overlap

    Summary In this episode of the Nimble Youth Podcast, hosts Matthew Butterman and Dr. Gretchen Hoyle discuss the complex interplay between ADHD and anxiety in children, particularly when disruptive behaviors lead to school challenges. They explore the symptoms, the impact of trauma, and the importance of accurate diagnosis and treatment. The conversation emphasizes the need for a comprehensive approach that includes medication, therapy, and sleep hygiene to support children's mental health effectively. Takeaways Understanding the overlap between ADHD and anxiety is crucial.Children with disruptive behaviors are often overwhelmed, not bad.Emotional dysregulation can stem from trauma, not just ADHD or anxiety.Measurement tools like questionnaires help in diagnosing conditions.Treatment plans may require balancing medications for ADHD and anxiety.Sleep hygiene is essential for mental health and medication effectiveness.Parents should limit children's access to phones at night.Early intervention can lead to significant improvements in behavior.Support from healthcare professionals is vital for families in crisis.It's important to recognize that struggling children need support, not blame. Titles Navigating ADHD and Anxiety in Children Understanding Disruptive Behaviors in Kids Sound bites "These are not what you call bad kids, right?" "Medicine to me is gonna be on the table." "It means that their brain needs support." Chapters 00:00 Understanding Disruptive Behaviors in Children 05:44 The Overlap of ADHD and Anxiety 11:02 Navigating Treatment Options 16:54 The Importance of Sleep in Mental Health 19:01 Hope and Support for Families

    19 min

Ratings & Reviews

5
out of 5
2 Ratings

About

Welcome to the Nimble Youth podcast, where we provide expert insights and valuable resources for parents navigating the complexities of their children's mental health. We empower parents to nurture healthy minds in children, teens, and young adults through real conversations. Our team of seasoned professionals, including physicians, therapists and educators, delve into pressing topics, share research-based strategies, and offer practical advice for fostering mental and emotional well-being within your family.