エピソード

  • T1D Deep Dive

    T1D Deep Dive
    2026/07/02

    Most kids with type 1 diabetes are diagnosed in crisis: thirsty, exhausted, losing weight…they end up in the hospital and often the ICU. In this deep dive, I make the case that it no longer has to start that way. Type 1 is an autoimmune condition that shows up in the blood years before the first symptom, and we finally have the science to catch it early.

    What you’ll take away:

    * Why type 1 is an immune system problem, not a blood sugar problem, and why a normal finger-stick can falsely reassure

    * The old rule that misses most kids: 90% of those diagnosed have no family history

    * The three stages, and why stage three (the ER, the DKA) is the end of a process that began years earlier

    * The new JAMA study (Winkler et al., May 2026): 200,000 kids screened at well checks, DKA at diagnosis dropping from 40 to 60% down under 10%

    * When to screen, what the antibody panel involves, and why knowing early lowers anxiety rather than raising it

    Screening at Frontier Pediatrics:

    We are now offering this screening even if your child isn’t our patient! These are virtual visits and we don’t need to see the kid(s), just parent! We can do one visit and order screening for all the kids. Available as a virtual visit in Nebraska, Iowa, Kansas, Illinois, Texas, and Florida. Most insurance plans cover the testing and we can also help find low-cost or free alternatives like the research sites.

    Click here to learn more and book.



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    40 分
  • AMA: Dysregulated + Aggressive 6 year old

    AMA: Dysregulated + Aggressive 6 year old
    2026/06/30

    Have a question? Ask yours here https://drphilboucher.com/ask

    Curious about my ADHD Compass?

    Find out where your child falls across all 4 domains of ADHD (hyperactivity, inattention, emotional regulation, executive function) and get a custom-tailored report based on their age, stage, and current strengths & challenges ($19)

    https://drphilboucher.com/adhdcompass



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    12 分
  • Keeping Kids Hydrated with Cure Founder, Lauren Picasso

    Keeping Kids Hydrated with Cure Founder, Lauren Picasso
    2026/06/26

    This week I’m talking with Lauren Picasso, founder and CEO of Cure Hydration, about something that comes up constantly in my practice: how do I actually keep my kid hydrated?

    We get into when water alone isn’t always enough, how oral rehydration solution works (the WHO formula that’s been around over 50 years), and why kids dehydrate faster than adults... smaller bodies, developing kidneys, and the toddler who can’t tell you they’re thirsty until they’re already behind.

    We also cover:

    * The difference between rehydrating and just loading up on sugar (some sports drinks pack nearly 40g per serving)

    * When to reach for electrolytes instead of plain water: fever, vomiting, diarrhea, heat, sports, and even air travel

    * Why I keep these packets in the parent kits we hand out

    * What Cure built specifically for kids

    * Hydration in pregnancy, including Lauren’s take!

    If you’ve ever stood in the pharmacy aisle at 2am with a vomiting kid, this one’s for you!!

    More at dearparents.substack.comCure Hydration: www.curehydration.com



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    26 分
  • Feeding Without the Anxiety with Jennifer Anderson, MSPH, RDN

    Feeding Without the Anxiety with Jennifer Anderson, MSPH, RDN
    2026/06/05

    Feeding kids has never felt harder, and today we chew on how much of that difficulty is manufactured. Jennifer Anderson, MSPH, RDN, founder of Kids Eat in Color, joins me to cut through the conflicting six-second advice and hand parents something better: a way to make their own calls. You are the expert on your own child. If a strategy is making things worse in your house, that’s reason enough to drop it.

    What you’ll take away:

    Why a consistent meal and snack routine is the best place to start when feeding feels like chaos

    What grazing does to hunger and fullness cues, and why fewer, fuller meals usually serve kids better

    Why “good food, bad food” language backfires, and what to say instead: different foods do different things in your body

    Why dessert as a reward teaches the opposite of what you want

    Where food dyes actually rank against what matters most: calories, protein, water, and fiber

    The line between typical picky eating and ARFID, and a simple screener to tell the difference

    Please please please:

    Pre-order Jennifer’s book Feed Them Well

    PSA Eat screener for ARFID and extreme picky eating



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    46 分
  • Ultraprocessed Foods and Behaviors

    Ultraprocessed Foods and Behaviors
    2026/05/08

    Ultra-Processed Foods and Kids’ Behavior: What the New JAMA Study Means for Your Family

    A new JAMA study followed over 2,000 preschoolers and found that higher ultra-processed food intake at age three predicted worse behavior at age five: more anxiety, withdrawal, aggression, and hyperactivity. At age three, UPFs already made up 45.5% of these kids’ daily calories.

    The good news: researchers modeled what happens when you swap just 10% of UPF calories for real food, and behavior scores improved across every domain. Small and intentional beats dramatic and unsustainable.

    In this episode, I walk through two quick rules of thumb for spotting a UPF, why “organic” and added-vitamin labels give parents a false sense of security, and how to actually reduce UPFs at home using the authoritative approach.

    Study: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2845768Later this month, I’m launching the Authoritative Approach Study Group: a daily text message with one small parenting nugget, plus a weekly Zoom call for live coaching, cases, and Q&A. No course logins, no homework piling up. One registration covers two adults, so both parents (or you and a co-caregiver) can learn together and stay on the same page. Seats are super limited.

    Authoritative Approach Study Group



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    20 分
  • Authoritative Approach: "What do you want to watch?"

    Authoritative Approach: "What do you want to watch?"
    2026/05/06

    Quick video on how to save yourself a lot of headaches and time when your child wants to watch a show but you don’t have 47 minutes to flip through 3 different streaming services to find what they want to watch.

    Also, if you are interested in learning and actually implementing authoritative parenting, I have an upcoming authoritative parenting study group starting on May 19th. It will be a really cool experience (I think) for parents to learn authoritative principles and approaches to make parenting more enjoyable from toddlers through teens. Daily lessons delivered straight to you over text message so you don’t have to do any digging to keep learning & growing paired with weekly live learning for cases and Q&A time! Click this button to learn more ⤵️



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    3 分
  • AMA: 6 year old wants to be in control

    AMA: 6 year old wants to be in control
    2026/04/21
    A mom left this question in the chat:“My six-year-old wants to be in charge, and we have let her. We break down and allow bad habits because it’s easier for us and her three-year-old brother — but now her brother is starting to pick up on her habits. She tantrums about going to school, coming home from school, treats, new toys, iPad time, leaving or going to anything, and all food. We started introducing timeouts, mealtime at the table only when we offer, and a 30-minute daily limit on iPad away from food. She has separation anxiety and ADHD. She sees a therapist but is not on medication. How much of this is nature versus nurture?”This is an extremely common scenario. Not just with kids who have separation anxiety or ADHD, but in general: people like to be in control, kids like to be in control, and when you give them control, they want more and more of it. That doesn’t mean we can’t give our child control in some areas — and I’m actually going to suggest we do exactly that. But in a specific, intentional way.Here’s how I’d approach it.Start with the building blocks: Spirit, Mind, and BodyBefore we talk about reining anything in or setting new limits, I want to make sure the basic foundations are in place. I think about this through a framework I’ve carried since my YMCA camp days: spirit, mind, and body. When I say “spirit,” I don’t mean it in a strictly religious sense — I mean a child’s sense of self, their inner confidence, their capacity to feel okay.If we don’t have these foundations in place, we’re going to spin our wheels. We’re going to feel like either we’re broken, or our child is broken, when really we just haven’t addressed the very basic biological and developmental needs underneath.1. Free play and lower demandsEspecially after school, this child needs time with low demands and unstructured free play. Before you try to rein in her desire for control or set new limits, look at how packed your evenings are. If you’re running from activity to activity, pare down to one or two nights per week with structured commitments. Give her time to just be.2. SleepThis is the most critical foundation, and I’d prioritize it above everything else. That looks like:* No screens at least an hour before bed* A specific wind-down plan, not just “get to bed”* Recognizing that overtired kids can’t self-regulate — they’re not like us, who can fall asleep on a dime after a long day; their brains and bodies need time to off-rampMany parents pack evenings with enrichment and activities, then rush kids to sleep. What that does to the child is remove any sense of control over their own evening — and it doesn’t give them the time they need to transition.3. Protein and nutritionNeurotransmitters like dopamine, serotonin, and norepinephrine are synthesized from protein. At each meal of the day — especially first thing in the morning and after school — make sure she’s getting a good source of protein in. This is still in the “basic building blocks” category, but it matters more than most people realize. Your child’s blood sugar ups and downs have a huge impact on their behaviors as well, and so protein helps to stabilize that blood sugar all day long.Once the foundations are in place: structure control, don’t just limit itHere’s where a lot of parents go wrong: they try to take control away without giving any back. For a kid wired like this, that’s a recipe for escalation.Pick one area at a timeYou cannot fix everything at once. I usually have parents start by thinking in blocks of the day:* Morning routine* After school to dinner* Dinner to bedtimePick one and focus there. Based on what this mom shared, the after-school and evening stretch is where most of the friction is happening. Start there.Start with one new boundary — and roll it out intentionallyThe 30-minute iPad limit is a very reasonable place to begin. But the way you introduce it matters. Here’s how I’d do it:“I know it can be hard when you’re on your iPad to know how much time is left — so I got you this little timer so you can see it.”Use a visual timer (a time timer or any visual clock — you can get one on Amazon for under $10). Set it where she can see it. Check in a couple of times with how much time is left. Then practice the transition off screens, over and over again.One of the criteria I use for whether a family is in a good place with screens is this: not how much time they’re on it, but how does the transition off screens go? If she can move from the iPad to dinner or play without a meltdown, you’re in a good place. If it’s throwing the iPad or a full shutdown, that’s a signal you need more practice with the transition, not just a stricter rule.Do this for a week or two without piling on every other demand at the same time. Let her build the skill. Then move to the next thing.Give her specific areas where she’s in chargeFor a child who craves ...
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    12 分
  • Authoritative vs. Permissive Parenting with Dr. Tina Payne Bryson

    Authoritative vs. Permissive Parenting with Dr. Tina Payne Bryson
    2026/04/15

    Dr. Phil Boucher sits down with bestselling author and child development expert Dr. Tina Payne Bryson (The Whole-Brain Child, No Drama Discipline, The Way of Play) to untangle the most common parenting style confusion out there: gentle parenting vs. authoritative parenting, and why so many parents accidentally land in permissive territory.They dig into the 60-year-old research behind structure and nurture as two separate dimensions — not opposites — and why kids actually feel safer when grownups are clearly in charge. Plus, practical examples for holding a limit while staying connected, and how playfulness can do the heavy lifting when your bandwidth is low.

    Resources mentioned:

    * myskylight.com — use code DRBOUCHER at checkout for 15% off

    * dearparents.substack.com — questions, comments, and more



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dearparents.substack.com/subscribe
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    57 分