Magnificent Minds: Demystifying Autism with Dr. Suzanne Goh, MD, BCBA

Suzanne Goh

I'm Dr. Suzanne Goh—pediatric neurologist and Chief Medical Officer at Cortica. Magnificent Minds brings science, heart, and clarity to conversations about autism and child development. Each episode, I break down the research and answer the questions parents actually ask—from early signs and diagnosis to medical therapies and evidence-based treatments. If you're looking for honest, compassionate, science-backed guidance, you're in the right place.

  1. 3d ago

    Why The Future of Autism Care is Holistic with Savannah Jaska, MT-BC, BCAT | Part 2

    In this episode, I’m continuing my conversation with Savannah Jaska on why the future of autism care is holistic, and what it actually looks like for your family. If your child has been stuck on the same therapy goal for months, or you’ve found yourself acting as the bridge between providers who never talk to each other, this conversation is for you. Savannah is Cortica’s Senior Manager of Transdisciplinary Collaboration and a board-certified music therapist. In Part 2, she gets practical about what happens when care is fragmented, and what changes when it isn’t. Together, we unpack why a purely behavior-focused model is no longer the gold standard, and what it means to ask what a behavior is telling us about a child’s brain and body instead of asking how to change it. Savannah explains why a child covering their ears may not be ignoring you at all, but managing sensory overload. I share why autistic brain development often doesn’t follow neurotypical milestones, including children who learn to read before they speak, and Savannah describes how many autistic children learn language in whole phrases first and then take them apart. We also explore what transdisciplinary care really means through a simple analogy: a cake, where once the ingredients are mixed, you can’t take the egg back out. And I talk about the part of holistic care I believe matters most: recognizing that your child is already whole, just as they are. This episode is for you if your child’s progress has stalled and no one can tell you why, you’re coordinating multiple therapies and feel like the only one connecting the dots, your child’s development doesn’t match the milestones on the checklist, you want to know what gold-standard collaboration should look like on your child’s care team, or you’re a clinician looking to work more closely with other disciplines. Throughout, Savannah reminds caregivers that you know your child in environments professionals never see, and you are a vital member of your child’s care team.

  2. Oct 19

    Why The Future of Autism Care is Holistic with Savannah Jaska, MT-BC, BCAT | Part 1

    In this episode, I’m taking you inside why the future of autism care is holistic, and why it’s long overdue. If you’ve ever felt like you’re piecing together your child’s care from different clinics, different specialists, and different recommendations that never quite connect, this conversation is for you. I’m joined by Savannah Jaska, Cortica’s Senior Manager of Transdisciplinary Collaboration and a board-certified music therapist. Savannah has spent her entire career working side by side with ABA clinicians, occupational therapists, speech-language pathologists, physicians, and counselors. In her words, she was never in the room by herself, and that experience shaped a role that didn’t even have a name until recently. Together, we walk through Cortica’s whole-child development framework using a simple image: a tree. The roots are your child’s daily life at home, at school, and in the community. The trunk is the health of the brain and body, including sleep, nutrition, gut health, immune function, stress, and neurological activity. I explain why autistic children are 2 to 4 times more likely to have gastrointestinal problems, and how something as common as constipation can show up as aggression or refusing to sit for circle time. Once the medical picture is addressed, the behavior plan often isn’t even needed. We also cover why 10 to 20% of autistic individuals experience seizures and how that can affect learning and development. Then we move to the branches, the six domains of brain development: sensory, motor, cognitive, language, social, and emotional. We break down why your child has eight senses, not five, why struggling to speak doesn’t mean struggling to understand, and why autistic socializing isn’t less social, just different. We also explain why pain scales and “use your words” check-ins may not work for every child, and how a meltdown is really a nervous system that has taken in more than it can process. Savannah shares a powerful insight: regulation is something children learn with us before they can do it alone. This episode is for you if your child sees multiple specialists who don’t seem to talk to each other, you’ve wondered whether a “behavior” might actually have a medical cause, your child communicates differently and you know they understand more than others assume, or you’re a professional who wants to see the whole child instead of a list of separate problems. Throughout, we emphasize that behavior is the output, not the starting point, and the best care starts with understanding everything underneath it. This is Part 1 of our conversation, so stay tuned for the next episode!

  3. Oct 5

    Autism in the News

    In this episode, I'm taking you inside the latest autism research, and showing you why some of the most powerful science points right back to you. If you've ever sat in a waiting room or scrolled your phone at 2am wondering what's actually happening in autism research, and whether any of it matters for your child right now, this conversation is for you. I start with the future: two new studies that are reshaping how scientists understand the biology of autism. Then I bring us back to today, because decades of research, including a brand-new 2026 meta-analysis, say something both empowering and comforting. You, the parent, are a powerful part of your child's progress, and taking care of your own stress isn't a luxury. I walk you through a landmark UC San Francisco study published in Science that mapped more than 1,800 protein interactions linked to autism, 87% of which had never been reported before. I explain why hundreds of different autism genes may lead to just a small number of shared "rooms" in the brain, and how AI is helping researchers find where things break down so future medications can target them. We look at a study from Korea where scientists improved social communication and repetitive behaviors in mice by turning key brain receptors back on. It worked in adult animals, not just young ones, and it was also tested in "mini-brains" grown in a dish. I'm honest about what this means for your family: none of it changes your next appointment, and the road to new treatments will take years. But it is real hope grounded in real biology. Then we turn to what works today. Parent coaching measurably improves children's communication, social skills, and behavior. And the REACH-ASD trial, published in Lancet Psychiatry, found that mental health support for parents improved not only parents' well-being but their children's emotional and behavioral difficulties too. This episode is for you if you want to understand what the latest autism research really means for your child, you're on a waitlist and wondering what you can do right now, you've felt like your own exhaustion is a personal failing, you want practical questions to bring to your child's care team, or you're a professional who wants to better support the families you work with. Throughout, I emphasize that your well-being isn't competing with your child's care. It's part of it. The future of autism care is being built in labs, but the present of autism care includes you, and you deserve support too.

  4. Jul 21

    The Four Biological Subtypes of Autism

    In this episode, I'm taking you inside one of the most important and often overlooked pieces of the autism puzzle: your child's biology. When a child is diagnosed with autism, that diagnosis is based on behavior, and for most families, the story stops there. But underneath the same diagnosis, children can look completely different biologically, and once we begin supporting each child based on their actual biology, things start to shift in ways they couldn't before. I walk you through the four broad biological categories researchers have identified, and the more specific subtypes within each. We start with metabolic, including how the mitochondria (the power plants inside every cell) produce energy, and the nutrient deficiencies like iron, vitamin D, B12, and folate that show up so often. Then we move to immune and inflammatory, where the brain's own immune cells, the microglia, are in constant conversation with the body. Next is cortical patterning, which is really about how the brain was physically built during pregnancy, and what a marker like head circumference can tell us. And finally single gene, where one identifiable gene shapes a recognizable pattern, in conditions like Fragile X, Rett, and tuberous sclerosis complex. This episode is for you if: you've heard that there are "types" of autism but no one has explained what that actually means, your child struggles with sleep, digestion, energy, or sensory overwhelm and you're not sure why, you want to understand the biology behind your child's behavior, or you're looking for a science-backed framework that goes beyond behavior alone.

  5. Jul 6

    The Girl Gap: Why Autism Is Missed in Girls

    In this episode, I'm taking you inside one of the most important and under-recognized issues in autism: why girls are so consistently missed, often for years, sometimes for decades. I open with a story about a seven-year-old who loves cats, reads chapter books on her own, and holds it together all day at school, until she walks in the front door and falls apart. Her teachers say she's fine. Her parents know something is going on, but they don't have a name for it yet. I walk you through the brain science and the history that explains how this happened (almost all of the foundational autism research, going back to Leo Kanner's work in 1943, was conducted on boys, so the screening tools and diagnostic checklists were built on a mainly male picture), and more importantly, what autism actually looks like in girls once you know what to look for. I break down a landmark 2026 study published in the British Medical Journal that tracked nearly 2.7 million people in Sweden over 35 years and found that by age 20, the male-to-female ratio approaches 1 to 1, nearly equal. If autism occurs at roughly the same rate in girls and boys, why are girls being missed during the exact window when recognition and support would make the biggest difference? We cover the four key differences that make autism harder to see in girls: social motivation and why an autistic girl often wants connection deeply yet works extraordinarily hard to navigate it, special interests and why a passion for animals or fiction draws praise instead of recognition, masking and the cost of performing neurotypical behavior for years (three out of four autistic women in one study said camouflaging directly affected their ability to get a diagnosis, compared to one in four men), and the misdiagnosis maze of anxiety, depression, OCD, and more that so often comes first. I close with the part I find most heartbreaking and most hopeful: what happens when a girl is finally seen, and how the single question "what kind of environment and support would have helped me thrive?" can change everything. I also give you a concrete list of things worth paying attention to if you have a daughter, a student, a niece, or a patient, so you can see what you couldn't see before. If today's episode made you think of someone in your life, I hope you'll follow that instinct. The earlier we recognize autistic qualities in girls, the less of that road they have to walk alone.

  6. Jun 22

    How Much ABA Is Too Much? How Much Is Too Little? The Truth About Dosing ABA for Your Child

    In this episode, I'm taking you inside a question that keeps so many parents up at night: how many hours of ABA does my child actually need, and who really decides? I open with a scene from a recent New York Times investigation, a little girl woken from her nap after exactly seven minutes because the clinic couldn't bill insurance while she slept, and I explain why stories like that reveal a system that has, in some places, started making financial decisions in place of clinical ones. I walk you through what the research actually shows about ABA dosage (the studies that found intensive 25 to 40 hour programs help some young children were real and important, but that finding got distorted into the idea that every autistic child needs as many hours as possible, which the science simply doesn't support), and more importantly, how the right number of hours should be determined for your child: their specific developmental needs, the behaviors affecting their safety and learning, and their age. I also share brand new research, an April 2026 study in the Journal of Personalized Medicine from Cortica and NYU, showing that the greatest growth across every developmental domain came from a more integrated, whole child model of care rather than from simply adding hours. And I tell you about Max, a little boy who came to me at three and a half on a required 40 hour per week program: not sleeping, melting down, and losing weight. Once we addressed his sleep, his nutrition, and his sensory needs and rebuilt his schedule around what his nervous system could actually handle, he became a different child, and on fewer hours than before. If you're weighing an ABA prescription right now, I'll give you the exact questions to ask, where the hours happen, the balance of center, home, and community, the ratio of individual to group, and whether there's still room in the week for your child to just be a child.

  7. Jun 8

    A Caregivers Guide to Sensory Processing and Autism: Understanding How your Child Sees the World with Christine Adintori

    In this episode, I'm taking you inside something that shapes every single moment of your child's experience but is so often overlooked: sensory processing. If your child melts down at toothbrushing, covers their ears at certain sounds, seeks out spinning objects, or seems not to notice when they're hungry or hurt, this episode will give you a whole new way to understand what's actually happening. I'm joined by Christine Adintori, occupational therapist and Senior Manager of Clinical Excellence at Cortica, to walk through what the science says about how autistic children take in and make sense of the world. I walk you through the brain science behind the senses you've heard of and the ones you probably haven't (beyond the familiar five, there are three more, proprioception, vestibular, and interoception, that tell us where our body is in space, whether we're balanced, and what's happening inside us), and more importantly, what that means for how you can support your child every day. We get into why up to 97% of autistic individuals experience sensory differences, how those differences show up at every stage from infancy through adolescence, why sensory processing is now part of the diagnostic criteria for autism, and the single idea I want every parent to hold onto: all behavior is a response to sensory processing. When you ask what your child is experiencing, you get much closer to answering why they're doing what they're doing. Christine also shares real stories from her work, including a child who couldn't tolerate toothbrushing until they found the right kind of input, and a little girl who went from avoiding the whiteboard entirely to writing with confidence, and what those breakthroughs teach us about seeing the whole child.

  8. May 25

    Autism and Language: What Every Parent Needs to Know with Laura Bierck, SLP-BCBA

    In this episode, I'm taking you inside one of the most misunderstood topics in autism: how speech and language actually develop. If your child isn't talking the way you expected, or speaks in scripts and echoes, or can read words but struggles to have a conversation, this episode will give you the framework you've been searching for. I'm joined by Laura Bierck, speech language pathologist, board certified behavior analyst, and our Senior Manager of Clinical Excellence at Cortica, to walk through what the science actually says about autistic communication. I walk you through the brain science that explains why so many autistic children process language differently (many have stronger visual brain networks than auditory ones, which is why some children can read words before they ever speak them), and more importantly, what that means for how you support your child every single day. We break down Gestalt language processing and the 2025 research showing up to 90% of autistic individuals use echolalia at some point, hyperlexia and the surprising power of written words, the simple 9-to-1 language shift that changes everything, and why AAC is never a last resort. This episode is for you if: your child communicates in ways that don't match the typical milestones chart, you've been told to "wait and see" but something in you wants to do more, or you simply want to understand how your child's brain is approaching language so you can meet them there. Throughout, I want you to remember this: communication is something we build with our children. When you shift from trying to pull language out of your child to creating opportunities for connection, everything changes.

4.6
out of 5
17 Ratings

About

I'm Dr. Suzanne Goh—pediatric neurologist and Chief Medical Officer at Cortica. Magnificent Minds brings science, heart, and clarity to conversations about autism and child development. Each episode, I break down the research and answer the questions parents actually ask—from early signs and diagnosis to medical therapies and evidence-based treatments. If you're looking for honest, compassionate, science-backed guidance, you're in the right place.

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