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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.

That's profound. And I'm thinking about a number of different things. One, I'm thinking about, because you're talking about this one in three.

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.

That's profound. And I'm thinking about a number of different things. One, I'm thinking about, because you're talking about this one in three.

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.

Yeah. And so one of the issues, though, is how we define the condition. That's the thing. So there is still that, although I believe that there is this piece with genetics and the environment and how we are evolving. And there's this phenotype.

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.

Yeah. And so one of the issues, though, is how we define the condition. That's the thing. So there is still that, although I believe that there is this piece with genetics and the environment and how we are evolving. And there's this phenotype.

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.

This phenotype where there is differences in social communication skills and repetitive behaviors of restricted interests, this phenotype, which is on a huge spectrum as well. I should make sure this is the thing. When we're talking about these numbers like 1 in 36 and this number continues to increase, it's not just the kids who are like nonverbal autism.

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.

This phenotype where there is differences in social communication skills and repetitive behaviors of restricted interests, this phenotype, which is on a huge spectrum as well. I should make sure this is the thing. When we're talking about these numbers like 1 in 36 and this number continues to increase, it's not just the kids who are like nonverbal autism.

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's this really wide phenotype is increasing. And so it is important we understand the cause of why this phenotype is increasing. And then what should we or should not be doing about that?

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's this really wide phenotype is increasing. And so it is important we understand the cause of why this phenotype is increasing. And then what should we or should not be doing about that?

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.

I believe there's an increase in that number as well, but the numbers that are put out there, the really profound numbers actually describe the entire spectrum and they don't actually subdivide into the different parts of the spectrum.

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.

I believe there's an increase in that number as well, but the numbers that are put out there, the really profound numbers actually describe the entire spectrum and they don't actually subdivide into the different parts of the spectrum.

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 we subdivide autism spectrum into three buckets, level one, level two, level three. So the more significantly impaired children would fall into level three, where they require very substantial support. There are very few research studies that actually look into these sub-buckets And I have to be honest, I'm not sure clinicians are always great at identifying kids in the sub buckets either.

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 we subdivide autism spectrum into three buckets, level one, level two, level three. So the more significantly impaired children would fall into level three, where they require very substantial support. There are very few research studies that actually look into these sub-buckets And I have to be honest, I'm not sure clinicians are always great at identifying kids in the sub buckets either.

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.

Like you and I are talking about a very specific profile that should be very obvious to identify. But there's other kids in sub bucket three that are sometimes put in sub bucket two, depending on what clinician they see.

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.

Like you and I are talking about a very specific profile that should be very obvious to identify. But there's other kids in sub bucket three that are sometimes put in sub bucket two, depending on what clinician they see.

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.

Yes.

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.

Yes.

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.

I'm not sure if anyone's looked into it, but yeah, I don't know. But even if they did, it wouldn't be apples to apples. It's not.

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.

I'm not sure if anyone's looked into it, but yeah, I don't know. But even if they did, it wouldn't be apples to apples. It's not.

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.

By the way, one of the reasons they actually went from the Asperger syndrome, PDD-NOS, autistic disorder, because that was actually quite controversial when they actually decided to put all three of those things under one umbrella called Autism Spectrum. was because clinicians did a really poor job of deciding- Which bucket you were in. Which bucket you were in.

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.

By the way, one of the reasons they actually went from the Asperger syndrome, PDD-NOS, autistic disorder, because that was actually quite controversial when they actually decided to put all three of those things under one umbrella called Autism Spectrum. was because clinicians did a really poor job of deciding- Which bucket you were in. Which bucket you were in.