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Autism, Functional Medicine, and Personalized Interventions: A Conversation with Theresa Lyons, PhD, a Yale-trained scientist and medical strategist who became an autism expert after her daughter's diagnosis and now runs AWEtism.net. Lyons describes dissatisfaction with conventional guidance that offers limited drugs for irritability and primarily ABA (Applied Behavioral Analysis), which is insurance-covered, often recommended at 40 hours/week, uses extrinsic rewards, and may help some skill-learning but has controversies and limitations for social development; she contrasts newer approaches such as RDI (Relationship Development Intervention) and PRT (Pivotal Response), which aim to build intrinsic motivation but are typically not covered by insurance. The discussion covers autism heterogeneity, changes in diagnostic categories (e.g., Asperger's folded into autism), and research including a Boston Children's Hospital study reporting 37% of children in a cohort lost their autism diagnosis over time (diagnosis based on observation). Lyons addresses debates about rising autism prevalence, noting multiple potential contributors and rejecting single-cause explanations, while citing risk-factor examples such as family autoimmune history and air pollution exposure. She outlines a functional medicine “why” approach using constipation as an example (root causes vs. symptomatic treatment), and emphasizes basic, low-risk steps such as evaluating diet, inflammation, hydration/electrolytes, and blood work for nutrients. Specific topics include gluten-free approaches (mechanisms involving gut permeability, immune burden, and CNS effects), dairy/inflammation, vitamin D deficiency and monitoring, melatonin as a well-studied short-term aid in autism (considered safe for a couple of years in studies) while still seeking underlying causes, and omega-3 fatty acids for focus and inflammation. Lyons explains leucovorin (folinic acid, prescription vitamin B9) as a targeted approach for children with folate receptor antibodies (reported in ~70% of autistic children), discusses the value and cost (~$300) of specialized testing from one U.S. lab, and notes reports of major speech and behavior improvements in responders, with dosing nuances. The episode also reviews evidence and cautions around the microbiome, including fecal microbiota transplant (FDA-approved for C. difficile; discussed as having an ~80% response rate in autism-related studies when gut issues are a key driver, but with major donor/compatibility considerations) and probiotics (some small trials and high costs). Other themes include “clean eating,” organic foods and toxin-load considerations tied to genetic detoxification vulnerabilities, discussion of acetaminophen/Tylenol in pregnancy in the context of glutathione pathways and personalized risk, and using genetics to guide interventions. Lyons warns that analysis of top autism TikTok videos found ~70% were inaccurate or overdramatized, recommending social media only for ideas, not decision-making. She also highlights parent stress, citing emerging research on increased PTSD risk among autism parents, and emphasizes support and community. Lyons advises parents to understand their child's specific health drivers and match them to appropriately specialized clinicians, noting her curated doctor listings in The Lyons Report.
Dr. Hoffman continues his conversation with Theresa Lyons, PhD, a Yale-trained scientist and medical strategist who became an autism expert after her daughter's diagnosis and now runs AWEtism.net.
I can't believe it's been over two years since Andy Bondy of PECS fame came on the show! How time flies... This episode was inspired by a Facebook post Andy made a few weeks ago talking about how mand repertoires go beyond simply requesting preferred items. There were some interesting exchanges that followed Andy's post, and upon reading them, it occurred to me that this would make for a fun and educational podcast chat. (IMAGE CREDIT J. MCANINCH) So in this episode, we talk about what inspired Andy to write the post in the first place, and discuss teaching mand repertoires across a variety of contexts, many of them beyond requesting preferred items. We also take some excellent questions that were generated by The Behavioral Observations Membership Group. Specifically, Andy gets asked about autoclitic frames, core versus fringe vocabulary, and why prompts - from Andy's perspective - are like knives (you'll have to listen to understand what this means). Here are links to resources, etc... that we discussed: The Facebook post that spurred this conversation. The new extended edition of Verbal Behavior. The PECS USA homepage. Latest PECS research. Delaware Autism Program. Eve Skinner multi-part interview w/BF Skinner (YouTube). Andy's first appearance on BOP. An upcoming workshop from Andy on prompting, stimulus control, and error correction. (more workshops here). Schreibman and Stahmer (2014). Randomized control trial study comparing PECS and Pivotal Response Training. Charlop-Christy, et al., (2002). Using the picture exchange communication system (PECS) with children with autism: assessment of PECS acquisition, speech, social-communicative, and problem behavior. The BOP membership program. This podcast is brought to you by: Gateway Learning Group, and their Autism Leadership Academy. Designed for new Regional Directors, the Autism Leadership Academy develops motivated BCBAs into successful leaders in the autism field. If you’re interested in running your own regional center and want to learn the skills to do so successfully, check out gatewaylg.com/BOP. Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their brand new 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. The Whoop Strap! I've been wearing the Whoop Strap for just a few weeks and I can't tell you how much I've enjoyed getting quantitative information on all aspects of my health, including sleep analytics, heart rate, along with heart rate variability, calorie burn, exercise intensity, and Whoop's proprietary "strain" score. I could extol this neat device's virtues indefinitely to you, but instead, you can go check it out for yourself. To get your first month free, head over to behavioralobservations.com/whoop!
In this episode Janice Chan sits down with Dr. Kelly to discuss classroom Pivotal Response Training. In this episode, Janice shares similarities and differences between a DTT and PRT approach to instruction. Janice also describes some strategies for teachers who are looking to implement CPRT in their classrooms. To learn more visit www.classroomprt.org. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Like Autism Live on Facebook at http://facebook.com/autismlive Dr. Adel Najdowski explains how Pivotal Response Training fits into a quality ABA program for ideal generalization. Autism Live is a production of the Center for Autism and Related Disorders (CARD), headquartered in Tarzana, California, and with offices throughout, the United States and around the globe. For more information on therapy for autism and other related disorders, visit the CARD website at http://centerforautism.com
Temple Grandin Today on a Special Extended Version of Autism Live: Dr. Adel Najdowski explains how Pivotal Response Training fits into a quality ABA program for ideal generalization and then answers parent questions about when to potty train, how to work on parent separation issues and what to do when one parent can’t follow through on an extinction procedure. Dr. Jonathan Tarbox answers viewer questions about teaching coping skills to teens on the spectrum, how to help an adult with ASD with flexibility issues around wearing several pairs of underwear. Race car driver Jason Cherry speaks from the ASA conference about being an Autism sibling and how he is using his talents as a race car driver to bring awareness about Autism. Finally, Dr. Temple Grandin answers viewer questions LIVE from the ASA conference after giving her Keynote address!!! Dr. Grandin shares insights on how to encourage children with ASD, to educate to take away anxiety and to set them up for success with sensory issues!
We are what we eat. We are facing a national epidemic of childhood obesity, hypertension, and high cholesterol from our bad eating habits. Dr Alan Greene, author of “Feeding Baby Green” joins me in a Skype video-visit to talk about teaching children to love great food by starting them early. Since Alan is a Pediatrician we also discuss the health and education related issues of the Autism epidemic and other health related issues.With autism reported by the Center for Disease Control to be one percent of our population and anecdotal accounting by teachers of much higher numbers, we need to focus on strategies for early diagnosis and treatment. Lynn Koegel Co-director of the Koegel Autism Research and Training Center of the University of California, Santa Barbara joins me in a Skype video-chat to discuss Pivotal Response Training, which has been described as a “kindlier and gentler ABA”. We also delve into several topics including some exciting new news about very early diagnosis and treatment (six months of age) of children with autism. (excerpt)Can every child learn to read? An intriguing question. We talk like every child can learn to read equally and at the same pace. But in reality, is this true? There has been a lot of quality research into why and how children learn to read. Recently, I was fortunate to speak to Dr. Joe Torgesen, Director Emeritus of the Florida Center for Reading Research. Joe was a very likable guy and we covered many reading issues. (excerpt)