Focusing on a child’s strengths can transform assessments – and help them thrive after an ADHD or autism diagnosis

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When parents are concerned about their child’s development, they often seek an assessment to address concerns and identify any conditions, such as autism, attention-deficit hyperactivity disorder (ADHD), or learning disorders.

Common worries include difficulties making friends, focusing on tasks, or meeting educational goals.

It might seem counter-intuitive but assessments are starting to focus on a child’s strengths during this process. This can create powerful opportunities to improve child and family outcomes, particularly when too much of the focus is on challenges in the family home, school and play settings.

There is, however, a lack of evidence about how to do such assessments and how certain strengths can be used in assessment.

In a new research paper, we have developed a strengths checklist for parents, carers and clinicians to more easily identify children’s skills, talents and positive qualities – and understand the type of support they need at home, school or socially.

The aim was to provide an easy way for parents and clinicians to identify strengths in children, and to provide a method for studying the role of strengths in development. This assessment can be used alongside more established assessments of challenges.

Jota Buyinch Photo/Shutterstock

Why highlight a child’s strengths?

Focusing on a child’s strengths can have a powerful impact on children and parents. It can boost a child’s motivation, self-esteem, cognitive skills, language development, problem-solving abilities and build stronger relationships.

For parents and caregivers, it can increase their own feelings of self-worth and improve the quality of their relationship with their own children.

When parents and caregivers believe in their child’s abilities and encourage their strengths, children and families thrive.

However, there are many gaps in research about how to apply a strengths-based approach in the context of a neurodevelopmental assessment.

Currently, while the basic principle of incorporating strengths is clear, clinicians need to rely on intuition and creativity to guide their practices.

We have long needed better evidence-based methods to guide this.

This is where our research comes in

Our new study used the Sydney Child Neurodevelopment Research Registry, which aims to improve the neurodevelopmental assessment processes and the evidence for what works for families and clinicians. We asked caregivers to identify their child’s strengths on their first assessment visit.

Nearly 700 caregivers reported an average of 2.8 strengths about their children. Using these themes, we developed a child strengths checklist to use for clinical assessments.

We showed caregivers identified six categories of child strengths: cognitive and intellectual, social and interpersonal, hobbies and passions, character and personality, physical, and resilient behaviours.

Some caregivers might report that while their child had difficulty with peer interactions, they were also kind, affectionate, honest and caring.

Other caregivers described concerns about cognitive delays, but they also described how children persevered and persisted with tasks.

A child twirls in autumn leaves
We asked parents and caregivers about their child’s strengths and found they fell into six categories. HopeNFPhotography/Shutterstock

Analysing the data qualitatively – where we read caregiver transcripts and extracted themes – we captured the richness and detail of unique strengths. In total, we identified 61 unique strengths.

With community representatives and clinicians, we used this to develop a strengths-based checklist we’re calling the Child Autism and Neurodevelopment Strengths Checklist, or the CANS checklist.

This type of research will provide the evidence needed to be able to implement national guidelines and to develop better evidence about how strengths can be used to improve outcomes. We want to develop best practices for combining concerns and strengths into feedback, support plans and intervention strategies.

What can caregivers and clinicians do now?

Support schemes including the National Disability Insurance Scheme (NDIS) often require families to highlight what children can’t do. Still, there are some practical ways caregivers and clinicians can ensure a child’s strengths are kept front and centre.

For caregivers, along with discussing concerns, reflect on and talk with your clinicians about your child’s strengths. Make sure clinicians keep these in mind when devising supports.

For both caregivers and clinicians, it can be helpful to think about characteristics often seen as challenges – such as a strong need for routine – as also potential strengths. It may lead to new ways of supporting children. With the right environment and support, these traits can be valuable assets in a child’s development.

Children build with lego
Parents we talked to highlighted their children’s hobbies and passions. Cloudy Design/Shutterstock

For clinicians, consider how a child’s strengths can inform your assessment and intervention strategies. Make sure you don’t only focus on what children can’t do or need support with.

Communicate clearly about the child’s strengths and consider how these strengths can:

  • support the child’s long-term development and goals. If the child thrives on routine and pays close attention to details, showing them how to embrace these strengths can teach them how to use them to reach their own goals and to be more independent
  • be the target of an intervention. Everyone needs to experience success. Designing activities around strengths can make intervention more enjoyable and engaging, and the effects are more likely to be long-lasting
  • be used to support the wellbeing of families. Helping families focus on each other’s strengths and improve the way family members talk about and support one another creates a positive environment where they can all feel valued, respected and cared for.

By focusing on strengths, we want to create more effective and personalised support for children with neurodevelopmental conditions to reach their full potential.

Building a strong, evidence-based approach will help ensure children’s strengths are consistently considered in assessments and intervention planning.

Adam Guastella, Professor and Clinical Psychologist, Michael Crouch Chair in Child and Youth Mental Health, University of Sydney; Kelsie Boulton, Senior Research Fellow in Child Neurodevelopment, Brain and Mind Centre, University of Sydney, and Natalie Silove, Neurodevelopmental Paediatrician and Associate Professor, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • No More Restrictions In This Diet Against Thyroid Disease?

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    Thyroid disease, especially hypothyroidism (an underactive thyroid) is a common risk, especially from our 40s onwards.

    Often this is approached from the perspective of “can we fix it with diet?”, and indeed, there are prevailing methods for at least managing the condition, for example:

    But what if it could be simpler?

    Positive dieting

    We’ve talked about this concept sometimes before—putting the focus more on what we put into our diet than what we exclude from it. The idea is simple; most people find restrictive diets hard to follow, and if not well-managed, they can lead to nutrient deficiencies. In contrast, if we focus on ensuring we get good, nutritionally-dense, varied foods, plants-centric and minimally-processed, then generally speaking, it’s hard to go far wrong.

    Researchers (Dr. Rosaria Maddalena Ruggeri et al.) did an extensive research review, and found that yes, diet clearly influences thyroid health, but not through extreme restrictions. In other words, overall dietary patterns matter more than single foods or the latest trend.

    As for iodine specifically, yes iodine is essential for thyroid hormone production, but both too little and too much can disrupt function and increase risks like hypothyroidism, hyperthyroidism, or autoimmune thyroiditis.

    For more on those two, see:

    In other words: by trying to micromanage things to hit the sweet spot from the right direction (depending on whether the main threat is hypo- or hyperthyroidism), it’s very easy to overcorrect and swing the other way. The body, intuitive organism that it is, can then try to save you from your overcorrections, but itself can also overcorrect, putting you back where you started.

    So, where should the focus be?

    The team found that selenium, iron, and zinc support hormone production and enzyme activity, while vitamin D and B12 support immune function, and deficiencies in these are linked to higher risk of thyroid disorders.

    However! Supplementation (especially selenium, vitamin B12, or vitamin D) doesn’t consistently help unless you’re actually deficient.

    The good news: the Mediterranean diet is very consistently associated with lower inflammation, better thyroid markers, and fewer autoimmune antibodies.

    The researchers also note that soy and cruciferous vegetables are generally safe in normal amounts if iodine intake is adequate, even though they’re often wrongly blamed for thyroid problems.

    In short: a balanced, nutrient-dense diet—especially a Mediterranean pattern—is more effective and evidence-based for supporting thyroid health than restrictive or fad diets.

    You can read the paper in full, here: The role of nutrition on thyroid health and disease: myths and facts

    And if you want to get directly to enjoying a Mediterranean diet, we outlined it in a previous main feature, so here it is for your convenience:

    The Mediterranean Diet: What Is It Good For? ← also covers which foods actually go into it, and which don’t 😎

    Want to learn more?

    You might like this book we reviewed a while back:

    The Thyroid Connection – by Dr. Amy Meyers

    Take care!

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  • What Is Progesterone Intolerance & How Can We Fix It?

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    Progesterone is great, unless…

    Right hormone, wrong way

    Although progesterone intolerance isn’t an official textbook diagnosis, clinicians use the term to describe bothersome side effects from progesterone, most often from oral micronized progesterone (e.g. Prometrium, Utrogestan, etc).

    How it happens: progesterone crosses the blood–brain barrier and can slow things down in the central nervous system and digestive tract—similar to its effects during early pregnancy, when progesterone is highest.

    Progesterone is nevertheless important for: metabolism (with this in turn having many knock-on effects), mood, bone turnover, and is protective against some cancers (e.g. uterine/endometrial cancer*), as well as improving sleep quality without usually being a sedative (simply, for most people it won’t make you sleep, but it’ll make your sleep more restful when you do sleep).

    *Note: at one point, Dr. Hirsch mentions that you don’t need progesterone if for example you’ve had a hysterectomy, but it seems she’s only talking about the cancer issue in that case, i.e. you can’t get uterine cancer without a uterus, and endometrial cancer is rather dependent on having endometriosis, which while strictly speaking isn’t impossible to get without a uterus (endometriosis is, after all, hormonally-mediated uterine tissue getting generated somewhere it shouldn’t and it can even appear far from the uterus’s normal position) but it’s very unlikely, as we may hypothesize that it requires at least one starting cell to proliferate, and in the case of uterine tissue appearing apparently spontaneously elsewhere, it’s probable that a cell that that was originally grown correctly in utero accidentally took a tour through the circulatory system to get somewhere else, where it got stuck and then proliferated, mistaking its new location for a uterine site.

    However, all the other reasons to take progesterone still stand whether you have a uterus or not, with bone turnover being the least negotiable consideration.

    That said, there are possible side effects, including sedation, dizziness (sometimes severe), next-day grogginess, mood worsening and/or depression, bloating, constipation, and water retention that can make weight appear to jump up suddenly.

    If this is a problem, the recommended solution is simply to take it a different way, with transdermal options being best—however, since compounded progesterone creams don’t absorb well, this makes pessaries a top choice (this writer uses Cyclogest pessaries and has never had a problem with them, for what it’s worth).

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like:

    How Estrogen & Progesterone Affect Your Pain

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  • Best Workouts for Women Over 40 To Give Your Metabolism A Makeover

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    After 40, the usual course of events goes: your lean muscle mass decreases, which slows your metabolism and makes it easier to gain fat. At the same time, bone density decreases, increasing the risk of osteoporosis and frailty. This leads to lower mobility, flexibility, and overall frustration.

    But it doesn’t have to be that way! Fitness coach Jessica Cooke explains how:

    It all depends on this

    Strength training helps counteract these effects by increasing lean muscle mass, which boosts metabolism and fat burning. It also improves bone density, reducing the risk of osteoporosis. Plus, it builds strength, fitness, and a toned physique.

    The best part? It doesn’t require long workouts—short, effective sessions work best.

    While walking is very beneficial for general health, it doesn’t provide the resistance needed to build muscle. Without resistance, your body composition won’t change, and so your metabolism will remain the same. Strength training is essential for burning fat at rest and improving overall fitness.

    You don’t have to do high-impact exercises or jumping to see results. Low-impact strength training is effective and gentle on the joints. Lifting weights or using your body weight in a controlled manner will help build muscle and improve strength.

    Many women only do cardio and neglect strength training, leading to minimal progress. Another common mistake is overcomplicating workouts—simple, consistent strength training is all you need.

    Aim to strength train three times per week for 20 minutes. Focus on compound movements that work multiple muscle groups, such as:

    • squats
    • lunges
    • deadlifts
    • press-ups
    • shoulder presses
    • upright rows
    • planks
    • glute bridges
    • sit-ups
    • Russian twists

    Start with light (e.g. 2-3 kg) weights and maintain proper form.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like:

    Don’t Let Menopause Run You Down: 4 Critical Things Female Runners Should Know

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  • Can You Change Your Sleep Schedule?

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    There is science to it:

    To take arms against a sea of sleepiness and, by opposing, end it?

    While people can be broadly categorized into “early birds” or “night owls”, most fall somewhere along a spectrum determined by their circadian system.

    This circadian rhythm is regulated by nerve cell clusters in the hypothalamus, which detect light through your eyes and synchronize your body’s internal clock with the day-night cycle. This circadian system acts like a conductor, coordinating hormone release and helping organs function in sync, while managing the necessary transitions between wakefulness and sleep.

    Note: the circadian system can’t directly force sleep, but it predicts when you’ll need rest based on your habitual light exposure and sleep patterns, then prepares your body by releasing hormones such as melatonin. This means that if you consistently go to bed at the same time, melatonin production typically begins about two hours beforehand to promote sleepiness.

    Early birds vs night owls: early birds generally experience a cortisol surge just before waking, while night owls often reach peak cortisol levels around 30 minutes after getting up.

    There is inherent difficulty in fighting biology: maintaining a schedule that strongly opposes your natural preferences is challenging, and a single disrupted night can quickly shift your circadian timing back towards its baseline.

    So the options become:

    • Go with the flow and end up wherever it takes you (can be dangerous if life’s responsibilities mean that this results in irregular sleep)
    • Make small changes and shift your sleep schedule gradually to where you want it to be, then consciously maintain it there, by using light/dark cues and other “time anchors” that you can usually control, such as mealtimes and exercise times.

    For more on all of this, enjoy:

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    Want to learn more?

    You might also like:

    Early Bird Or Night Owl? Genes vs Environment

    Take care!

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  • How Much Does A Vegan Diet Affect Biological Aging?

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    Slow Your Aging, One Meal At A Time

    This one’s a straightforward one today, and the ““life hack” can be summed up:

    Enjoy a vegan diet to enjoy younger biological age.

    First, what is biological age?

    Biological age is not one number, but a collection of numbers, as per different biomarkers of aging, including:

    • Visual markers of aging (e.g. wrinkles, graying hair)
    • Performative markers of aging (e.g. mobility tests)
    • Internal functional markers of aging (e.g. tests for cognitive decline, eyesight, hearing, etc)
    • Cellular markers of aging (e.g. telomere length)

    We wrote more about this here:

    Age & Aging: What Can (And Can’t) We Do About It?

    A vegan diet may well impact multiple of those categories of aging, but today we’re highlighting a study (hot off the press; published only a few days ago!) that looks at its effect on that last category: cellular markers of aging.

    There’s an interesting paradox here, because this category is:

    • the most easily ignorable; because we all feel it if our knees are giving out or our skin is losing elasticity, but who notices if telomeres’ T/S ratio changed by 0.0407? ← the researchers, that’s who, as this difference is very significant
    • the most far-reaching in its impact, because cellular aging in turn has an effect on all the other markers of aging

    Second, how much difference does it make, and how do we know?

    The study was an eight-week interventional identical twin study. This means several things, to start with:

    • Eight weeks is a rather short period of time to accumulate cellular aging, let alone for an intervention to accumulate a significant difference in cellular aging—but it did. So, just imagine what difference it might make in a year or ten!
    • Doing an interventional study with identical twin pairs already controlled for a lot of factors, that are usually confounding variables in population / cohort / longitudinal / observational studies.

    Factors that weren’t controlled for by default by using identical twins, were controlled for in the experiment design. For example, twin pairs were rejected if one or more twin in a given pair already had medical conditions that could affect the outcome:

    ❝Inclusion criteria involved participants aged ≥18, part of a willing twin pair, with BMI <40, and LDL-C <190 mg/dL. Exclusions included uncontrolled hypertension, metabolic disease, diabetes, cancer, heart/renal/liver disease, pregnancy, lactation, and medication use affecting body weight or energy.

    Eligibility was determined via online screening, followed by an orientation meeting and in-person clinic visit. Randomization occurred only after completing baseline visits, dietary recalls, and questionnaires for both twins❞

    ~ Dr. Varun Dwaraka et al. ← there’s a lot of “et al.” to this one; the paper had 16 collaborating authors!

    As to the difference it made over the course of the 8 weeks…

    ❝Various measures of epigenetic age acceleration (PC GrimAge, PC PhenoAge, DunedinPACE) were assessed, along with system-specific effects (Inflammation, Heart, Hormone, Liver, and Metabolic).

    Distinct responses were observed, with the vegan cohort exhibiting significant decreases in overall epigenetic age acceleration, aligning with anti-aging effects of plant-based diets. Diet-specific shifts were noted in the analysis of methylation surrogates, demonstrating the influence of diet on complex trait prediction through DNA methylation markers.❞

    ~ Ibid.

    You can read the whole paper here (it goes into a lot more detail than we have room to here, and also gives infographics, charts, numbers, the works):

    Unveiling the epigenetic impact of vegan vs. omnivorous diets on aging: insights from the Twins Nutrition Study (TwiNS)

    Were they just eating more healthily, though?

    Well, arguably yes, as the results show, but to be clear:

    The omnivorous diet compared to the vegan diet in this study was also controlled; both groups were given a healthy meal plan for their respective diet. So this wasn’t a case of “any omnivorous diet vs healthy vegan diet”, but rather “healthy omnivorous diet vs healthy vegan diet”.

    Again, the paper itself has the full details—a short version is that it involved a healthy meal kit delivery service, followed by ongoing dietician involvement in an equal and carefully-controlled fashion.

    So, aside from that one group had an omnivorous meal plan and the other vegan, both groups received the same level of “healthy eating” support, guidance, and oversight.

    But isn’t [insert your preferred animal product here] healthy?

    Quite possibly! For general health, general scientific consensus is that eating at least mostly plants is best, red meat is bad, poultry is neutral in moderation, fish is good in moderation, dairy is good in moderation if fermented, eggs are good in moderation if not fried.

    This study looked at the various biomarkers of aging that we listed, and not every possible aspect of health—there’s more science yet to be done, and the researchers themselves are calling for it.

    It also bears mentioning that for some (relatively few, but not insignificantly few) people, extant health conditions may make a vegan diet unhealthy or otherwise untenable. Do speak with your own doctor and/or dietician if unsure.

    See also: Do We Need Animal Products To Be Healthy?

    We would hypothesize, by the way, that the anti-aging benefits of a vegan diet are probably proportional to abstention from animal products—meaning that even if you simply have some “vegan days”, while still consuming animal products other days, you’ll still get benefit for the days you abstained. That’s just our hypothesis though.

    Take care!

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  • Generation M – by Dr. Jessica Shepherd

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    Menopause is something that very few people are adequately prepared for despite its predictability, and also something that very many people then neglect to take seriously enough.

    Dr. Shepherd encourages a more proactive approach throughout all stages of menopause and beyond; she discusses “the preseason, the main event, and the after-party” (perimenopause, menopause, and postmenopause), which is important, because typically people take up an interest in perimenopause, are treating it like a marathon by menopause, and when it comes to postmenopause, it’s easy to think “well, that’s behind me now”, and it’s not, because untreated menopause will continue to have (mostly deleterious) cumulative effects until death.

    As for HRT, there’s a chapter on that of course, going into quite some detail. There is also plenty of attention given to popular concerns such as managing weight changes and libido changes, as well as oft-neglected topics such as brain changes, as well as things considered more cosmetic but that can have a big impact on mental health, such as skin and hair.

    The style throughout is pop-science; friendly without skimping on detail and including plenty of good science.

    Bottom line: if you’d like a fairly comprehensive overview of the changes that occur from perimenopause all the way to menopause and well beyond, then this is a great book for that.

    Click here to check out Generation M, and live well at every stage of life!

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