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Trenna Sutcliffe, M.D.

๐Ÿ‘ค Person
534 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

How does it impact function and impact someone doing their job? And for a child, their job is to learn and go to school, make friends, practice communicating and interacting with other peers, and be a positive contributor in their community, which is school. So it's about how these traits impact their function in that job.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

How does it impact function and impact someone doing their job? And for a child, their job is to learn and go to school, make friends, practice communicating and interacting with other peers, and be a positive contributor in their community, which is school. So it's about how these traits impact their function in that job.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So for autism, although the typical age for diagnosis is more like three or four, we can confidently make that diagnosis as young as 18 months of age. And I'll be honest, in the last 20 years, there's been one or two cases where I've made it at 15 months of age because it was very significant and obvious.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So for autism, although the typical age for diagnosis is more like three or four, we can confidently make that diagnosis as young as 18 months of age. And I'll be honest, in the last 20 years, there's been one or two cases where I've made it at 15 months of age because it was very significant and obvious.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

Most often at that young age, we do wait a few more months to watch how the child develops because kids are a moving target. But with autism, it can be 18 months, two years of age, although half of the cases of autism are diagnosed over six. With ADHD, you can make a diagnosis as young as four years of age.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

Most often at that young age, we do wait a few more months to watch how the child develops because kids are a moving target. But with autism, it can be 18 months, two years of age, although half of the cases of autism are diagnosed over six. With ADHD, you can make a diagnosis as young as four years of age.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

But again, I'll just tell you from my clinical experience, I rarely jump onto the diagnosis with a four or five-year-old because they're still a moving target. Although I may start interventions, behavioral interventions and parenting support, but there are a lot of four-year-olds who are pretty busy. So I generally wait closer to school age, although technically you can make it as young as four.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

But again, I'll just tell you from my clinical experience, I rarely jump onto the diagnosis with a four or five-year-old because they're still a moving target. Although I may start interventions, behavioral interventions and parenting support, but there are a lot of four-year-olds who are pretty busy. So I generally wait closer to school age, although technically you can make it as young as four.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

Five to six, I think. A lot of people will wait till five or six to really see how that child is evolving, although technically you could make it younger. And then with anxiety, there's separation anxiety. There's something called selective mutism in young kids, in preschoolers. So anxiety, there's many different types of anxiety, but there's definitely anxiety conditions in preschoolers.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

Five to six, I think. A lot of people will wait till five or six to really see how that child is evolving, although technically you could make it younger. And then with anxiety, there's separation anxiety. There's something called selective mutism in young kids, in preschoolers. So anxiety, there's many different types of anxiety, but there's definitely anxiety conditions in preschoolers.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So again, just to emphasize, anxiety is actually a normal emotion that we should all have. So it's all about whether it's created enough impairment. So in the anxiety bucket, there's multiple different types. So someone may have generalized anxiety where that's exactly it. It's generalized. It's seen in multiple places as pretty pervasive.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So again, just to emphasize, anxiety is actually a normal emotion that we should all have. So it's all about whether it's created enough impairment. So in the anxiety bucket, there's multiple different types. So someone may have generalized anxiety where that's exactly it. It's generalized. It's seen in multiple places as pretty pervasive.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

People can have specific phobias towards dogs or spiders or other things. I mentioned separation anxiety, so that is a condition. And again, yes, many toddlers have separation anxiety. That's very normal. It's about how severe and significant the anxiety is and how pervasive it is and whether it is impacting function.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

People can have specific phobias towards dogs or spiders or other things. I mentioned separation anxiety, so that is a condition. And again, yes, many toddlers have separation anxiety. That's very normal. It's about how severe and significant the anxiety is and how pervasive it is and whether it is impacting function.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So when it's impacting the ability for a child to go to childcare or preschool, then it's something we need to help. Other types of anxiety, there's something called selective mutism. Children who are able to speak very well and speak well at home or with familiar adults, but do not speak and are mute outside that familiar environment.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

So when it's impacting the ability for a child to go to childcare or preschool, then it's something we need to help. Other types of anxiety, there's something called selective mutism. Children who are able to speak very well and speak well at home or with familiar adults, but do not speak and are mute outside that familiar environment.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

There's also obsessive compulsive disorder, where people have obsessive thoughts or compulsive behaviors. So there's many types of anxiety conditions out there, and children have these.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

There's also obsessive compulsive disorder, where people have obsessive thoughts or compulsive behaviors. So there's many types of anxiety conditions out there, and children have these.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

It does.

The Peter Attia Drive
#330 โ€“ Autism, ADHD, and Anxiety: Understanding the rise in autism and a multidisciplinary approach to diagnosis and treatment of each condition in children | Trenna Sutcliffe, M.D.

It does.