Tagged With "Claudia Gold"

At the outset of a Zoom visit with 7-week-old son James in my behavioral pediatrics practice, his mother Sondra explained to me that he is “stiff because of my medication.” While feeding him a bottle she told me she was unable to breastfeed due to the effects of MAT (medicated assisted treatment, now called medication for opioid use disorder, or MOUD.) It was not concern about her current use of methadone, which is widely considered to be safe for breastfeeding, but rather the in-utero...

Katie and Jason came to me at their wits’ end over four-year-old Mabel’s frequent meltdowns. “She’s been like this from birth,” Katie explained at our first visit. She described needing to nurse Mabel as an infant in a dark, quiet room because she was so easily distracted by sights and sounds. When I asked them to tell me about a recent specific moment of disruption, they described a visit to a county fair. Mabel was clearly so hungry that she was falling apart, yet despite the abundance of...

Mei, mother of four-month-old Amy, called to make an appointment in my behavioral pediatrics practice. Her thick accent made it difficult for me to understand her concern over the phone. She arrived at my office with her husband, Yuan, who spoke little English. I learned that they had recently immigrated from China. Although I had a blanket on the floor covered with toys, Mei stood tentatively, her movements awkward and hesitant, until I suggested she put Amy down. Immediately Amy gave me a...

By Claudia Gold, Claudia M. Gold MD, May 18, 2021 Recently I was asked to give a presentation for an audience of early childhood educators about the Adverse Childhood Experiences (ACE) Study . I jumped at the opportunity to frame this powerful research linking early adversity with long-term health consequences into a message of both hope and action. Thus I was particularly pleased to receive an email from an audience member with the following message: “Thank you for your work, the workshop...

John and Adam longed to follow the advice of their favorite parenting podcast and teach their 18-month-old daughter Avery to play independently. But when John left her in her playpen to go make dinner, or Adam sat on the couch doing work while Avery played at his feet, they relented to her protests within seconds. They felt torn between a wish to follow what they called “attachment parenting” where they responded to her every need, and to give her space. I began working with them when Avery...

By Claudia M. Gold MD, September 7, 2021 Among the most common sources of suffering for new parents – sleep deprivation- may lead to a desperate search for certainty. Lack of sleep can strain relationships between parents, siblings, and grandparents. It may aggravate or even precipitate depression. Once parents find their way to my pediatrics practice where I specialize in infant-parent mental health, they have typically tried all sorts of methods and prepackaged sets of instructions. They...

A New Path Forward: A Report on How Stigma Harms Youth exposed to Parental Substance Use Disorder and Recommendations for a New Path Forward NEW REPORT: On February 3rd, Starlings Community released a FIRST of its kind report on how stigma impacts youth exposed to parental substance use disorder. Approximately 1 in 6 youth are exposed to the stress and stigma of a parent's substance use disorder. These children/youth are at double the risk for depression, triple the risk for addiction, and...

By Anya Kamenetz, Illustration: L.A. Johnson/NPR, National Public Radio, February 10, 2022 Dale Farran has been studying early childhood education for half a century. Yet her most recent scientific publication has made her question everything she thought she knew. "It really has required a lot of soul-searching, a lot of reading of the literature to try to think of what were plausible reasons that might account for this." And by "this," she means the outcome of a study that lasted more than...

Pre-COVID, I was invited to speak at a conference in Flagstaff, Arizona. During lunch the organizers brought dancers from the Apache tribe to perform. What we witnessed was so powerful and moving, that it prompted me to inquire about the spiritual significance of the songs and dance. They explained to me that after going to war, the warriors returned to their land and were gathered together to perform that particular dance and song. As a tribal African woman, it all made perfect sense. As...

In the world of family violence, the focus is on healing victims (survivors). This includes funding for domestic violence shelters, thousands of research projects, state and federal legislation, and changing the criminal justice response. But that’s providing help for only half the people involved in the problem.