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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.

And the two areas that we look at, social communication skills, and the other is the repetitive behaviors restricted interests. So for social communication skills, our current diagnostic criteria requires that a patient has differences in three specific areas. One is their social reciprocity. So this is the back and forth of social interactions. It's how do you initiate socially?

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.

And the two areas that we look at, social communication skills, and the other is the repetitive behaviors restricted interests. So for social communication skills, our current diagnostic criteria requires that a patient has differences in three specific areas. One is their social reciprocity. So this is the back and forth of social interactions. It's how do you initiate socially?

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 do you respond socially? The second area is related to nonverbal communication skills. So it's how someone uses their nonverbal communication, eye contact gestures, as well as how they understand and interpret somebody else's nonverbal communication. And then the third area is related to how they understand relationships.

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 do you respond socially? The second area is related to nonverbal communication skills. So it's how someone uses their nonverbal communication, eye contact gestures, as well as how they understand and interpret somebody else's nonverbal communication. And then the third area is related to how they understand relationships.

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 it's about building friendships, playing with peers, how they understand the social context of being in a group. So those are the three key areas when it comes to the social communication piece. And in order to get the diagnosis, you do have to have differences in all those three areas.

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 it's about building friendships, playing with peers, how they understand the social context of being in a group. So those are the three key areas when it comes to the social communication piece. And in order to get the diagnosis, you do have to have differences in all those three areas.

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.

Depends on the level of severity in the child. So first of all, it's important that whoever's doing the assessment really understands that child.

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.

Depends on the level of severity in the child. So first of all, it's important that whoever's doing the assessment really understands that child.

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 can be a physician or it can be a psychologist. That's generally who does it. So physician would either be a developmental behavioral pediatrician or a psychiatrist. That's most often. Occasionally, it's a pediatric neurologist or somebody else with some sort of similar background and training, but generally DBP or psychiatrist.

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 can be a physician or it can be a psychologist. That's generally who does it. So physician would either be a developmental behavioral pediatrician or a psychiatrist. That's most often. Occasionally, it's a pediatric neurologist or somebody else with some sort of similar background and training, but generally DBP or psychiatrist.

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.

And if it's not a physician, then it's a psychologist that usually does the assessment. And so the assessment could be multiple things. There's no gold standard, like the assessment has to include certain components. But again, like I mentioned, it's important that the clinician get to know the child. I think it's important to understand the child's profile. The label is only one piece of it.

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.

And if it's not a physician, then it's a psychologist that usually does the assessment. And so the assessment could be multiple things. There's no gold standard, like the assessment has to include certain components. But again, like I mentioned, it's important that the clinician get to know the child. I think it's important to understand the child's profile. The label is only one piece of it.

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.

If someone tells me their child has autism, I actually really don't know much about their child.

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.

If someone tells me their child has autism, I actually really don't know much about their child.

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.

Because you tell me your child has autism, I really don't know what your child is like if someone tells me that on the street. Then we come up with treatment plans for like a child with autism. It's like, well, there's a saying, you've met one child with autism, you've met one child with autism. And so to really make a difference with the treatment plan,

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.

Because you tell me your child has autism, I really don't know what your child is like if someone tells me that on the street. Then we come up with treatment plans for like a child with autism. It's like, well, there's a saying, you've met one child with autism, you've met one child with autism. And so to really make a difference with the treatment plan,

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.

you need to understand that profile of that child, that child's strengths and challenges. And so for me, there's multiple goals with the assessment. One part of the assessment is to make a diagnosis because the diagnosis can be a tool to help the adults around that child better understand that child.

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.

you need to understand that profile of that child, that child's strengths and challenges. And so for me, there's multiple goals with the assessment. One part of the assessment is to make a diagnosis because the diagnosis can be a tool to help the adults around that child better understand that child.

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 gives some sort of structure of like how to approach that child and leverage their strengths and work on skill building. It can help get resources at school or through insurance. So the diagnosis is a tool. However, to really make a difference, you want to understand What about that child is unique and different? And how do you support that child?

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 gives some sort of structure of like how to approach that child and leverage their strengths and work on skill building. It can help get resources at school or through insurance. So the diagnosis is a tool. However, to really make a difference, you want to understand What about that child is unique and different? And how do you support that child?