Trenna Sutcliffe, M.D.

So kids who are siblings also at risk for language delays, anxiety. So already they have, again, that predisposition, that load to have some developmental differences. So that's one.

So kids who are siblings also at risk for language delays, anxiety. So already they have, again, that predisposition, that load to have some developmental differences. So that's one.

There is a big genetic piece to this. So they truly do have these conditions, language delay, autism traits, ADHD. It's very often you see a sibling with one of those other conditions, and there's that genetic piece. But you're right, there's a behavioral component, coping component, anxiety component that may be related to family stress, attention-seeking behavior.

There is a big genetic piece to this. So they truly do have these conditions, language delay, autism traits, ADHD. It's very often you see a sibling with one of those other conditions, and there's that genetic piece. But you're right, there's a behavioral component, coping component, anxiety component that may be related to family stress, attention-seeking behavior.

At the same time, I also see the opposite. I also see many siblings who have incredible empathy for people who are different because they have a sibling who has a developmental disability.

At the same time, I also see the opposite. I also see many siblings who have incredible empathy for people who are different because they have a sibling who has a developmental disability.

So I do recommend it. It should be a part of a child's treatment plan. The tricky part is you want it done with people who are well-trained, who understand autism, who understand behavioral therapy well. That's the why it's sometimes controversial is because there is such a huge demand for therapy for kids with autism because the numbers are so high.

So I do recommend it. It should be a part of a child's treatment plan. The tricky part is you want it done with people who are well-trained, who understand autism, who understand behavioral therapy well. That's the why it's sometimes controversial is because there is such a huge demand for therapy for kids with autism because the numbers are so high.

It's hard to find enough people to provide therapy. It's also an industry. And there's people who take jobs in this industry who actually are not well-trained or well-supervised or really understand the nuances. Because if you know one child with autism, you know one child with autism. And if you're just following a recipe, you might run into people, therapists who are not making a

It's hard to find enough people to provide therapy. It's also an industry. And there's people who take jobs in this industry who actually are not well-trained or well-supervised or really understand the nuances. Because if you know one child with autism, you know one child with autism. And if you're just following a recipe, you might run into people, therapists who are not making a

huge difference and are not that helpful, but I do offer it. I do recommend it.

huge difference and are not that helpful, but I do offer it. I do recommend it.

There's a burden. I don't know the exact numbers, but it's grown. But because it's growing, it's scaling. And when you scale... You dilute. Yeah. You run into issues with quality when you scale. So it's hard. But that's the thing. How do we keep up?

There's a burden. I don't know the exact numbers, but it's grown. But because it's growing, it's scaling. And when you scale... You dilute. Yeah. You run into issues with quality when you scale. So it's hard. But that's the thing. How do we keep up?

So what my advice would be for them would be start with your pediatrician. You start with your pediatrician, but you need to find, your hope is with the pediatrician that they are able to connect you to resources and the network because you really need to find a team. It's finding a team.

So what my advice would be for them would be start with your pediatrician. You start with your pediatrician, but you need to find, your hope is with the pediatrician that they are able to connect you to resources and the network because you really need to find a team. It's finding a team.

It's hard.

It's hard.

No, it's not easy to find.

No, it's not easy to find.