Opinion

What can be new about developmental milestones?
- Author:
- Barbara J. Howard, MD
While the milestones we were trained on were a good start and highlighted the developmental progression central to pediatrics, they were not based...
Opinion

Did you know these things about nicotine? Your patients don’t
- Author:
- Barbara J. Howard, MD
We need to inform youth that using e-cigarettes actually reduces rates of success in quitting.
Opinion

Don’t give up on relentless youth depression
- Author:
- Barbara J. Howard, MD
Even when patients are willing and able to go, mental health specialists are in short supply or have months-long waiting lists.
Opinion

Sorting out the meaning of misbehavior: The invisible culprit
- Author:
- Barbara J. Howard, MD
Throughout life, putting feelings into words is the main way meanings that are contributing to misbehaviors or parenting dysfunction can be...
Opinion

No more encopresis!
- Author:
- Barbara J. Howard, MD
While constipation has consequences besides functional fecal incontinence that are physical, emotional, and social, we can be supportive and...
Opinion

Is your patient having an existential crisis?
- Author:
- Barbara J. Howard, MD
COVID-19 has reduced or blocked access to old and new friends and the ability to fulfill Erickson’s stages of “mastery” and “productivity.”
Opinion
I sent my suicidal teen patient to the ED: Whew?
- Author:
- Barbara J. Howard, MD
We now know that certain kinds of psychotherapy have evidence for preventing subsequent suicide in teens at high risk due to suicidal ideation and...
Opinion

Child ‘Mis’behavior – What’s ‘mis’ing?
- Author:
- Barbara J. Howard, MD
Considering child behavior as resulting from both parent and child factors is central to the current transactional model of child development.
Opinion

To vape or not to vape: Is that really a question?
- Author:
- Barbara J. Howard, MD
In addition to its inherent risk, vaping increases the risk of severe COVID-19 disease.
Opinion

Manners matter
- Author:
- Barbara J. Howard, MD
Modeling manners around the child is the most important way to teach courtesy.
Opinion

How dogs can teach parenting
- Author:
- Barbara J. Howard, MD
Behavior management works best and fastest if all the humans agree on the rules and follow them.
Opinion

Racism: Developmental perspective can inform tough conversations
- Author:
- Barbara J. Howard, MD
Racist discrimination, fear, trauma, or distress may produce or exacerbate conditions we are treating.
Opinion

Making something ordinary out of the extraordinary
- Author:
- Barbara J. Howard, MD
Establishing and maintaining routines is important for both physical and mental health at every age and time, but especially when a major change...
Opinion

Play it as it lies: Handling lying by kids
- Author:
- Barbara J. Howard, MD
Lying is a normal part of child development, and a tricky part of parenting.
Opinion

Poor sleep due to ADHD or ADHD due to poor sleep?
- Author:
- Barbara J. Howard, MD
The first line and most effective treatment for sleep problems in children with or without ADHD is improving sleep hygiene.