239.  Autism Spectrum Disorders:  Parent Navigation Through the Teen Years

Autism Spectrum Disorders:  Parent Navigation Through the Teen Years

 

What does it really take to guide a teenager toward independence in an ever-changing world? 

From managing IEPs and beginning transition planning at 14 to fostering self-awareness and skills for adult life, the journey is layered with challenges and growth. Parents like today’s guest, Natasha Robertson grapple with teaching social media safety, addressing emotional needs, and balancing day-to-day struggles with long-term goals. The process is both exhausting and inspiring, requiring patience, persistence, and firm advocacy.

While the tools like coaching, therapies, and community support help, the weight often falls on families to navigate complex systems, such as educational frameworks and disability services. For teens, building independence means developing judgment, learning routines, and understanding boundaries in a digital age. For parents, like Natasha, it means preparing them for emotional, financial, and social self-reliance while ensuring basic skills are mastered.

 Are we as a society truly equipping these families and teens with the tools they need, or are we still leaving them to figure it out in isolation?

 

[00:00 – 05:09]  Evolving Services and Self-Advocacy

  • Realizing that past trial-and-error with therapies informs current decisions

  • The child’s ability to describe symptoms (e.g., stomach pain, insomnia) guides interventions

  • Emphasizing the shift from purely parent-led advocacy to incorporating the teen’s direct feedback

  • Preparing for ongoing changes in support needs as the child advances academically and socially

 

[05:10 – 12:31] Navigating the Teen Years

  • Addressing the impact of puberty and hormonal shifts on behavior

  • Considering new social interactions and the need for structured support

  • Implementing coaching strategies for everyday routines (e.g., chores, picking out clothes)

  • Recognizing that independent living skills build gradually through guided practice

 

[12:32 -31:06]  Managing Digital Boundaries

  • Establishing phone usage restrictions (e.g., set times) to protect against late-night browsing

  • Finding monitoring tools (apps that flag concerning words) to balance privacy and safety

  • Realizing that direct honesty about monitoring builds trust with teens

  • Coaching the teen on responsible online communication and the risks of oversharing personal data

 

[31:07 – 42:06]  Caregiver Self-Care and Resilience

  • Carving out small daily moments for personal relaxation (e.g., a movie break or foot soak)

  • Relieving stress by connecting regularly with supportive friends

  • Observing that the teen’s increased coping skills allow the caregiver to pause before intervening

  • Trusting the cumulative impact of years of therapies and interventions

 

[42:07 – 55:46]   Dr. G’s TakeAways

 

Contact Natasha Robertson

 [email protected].

 

Additional Resources Mentioned

 

Resources:  

Bark App Family Controls:

https://www.bark.us/?ref=73YKTCT

 

Transition planning Michigan:

 https://www.michigan.gov/mde/-/media/Project/Websites/mde/specialeducation/iep/TransitionPlanning.pdf

 

AAP Supporting Transition from Adolescence to Adulthood:  https://publications.aap.org/pediatrics/article/142/5/e20182587/38577/Supporting-the-Health-Care-Transition-From?autologincheck=redirected 

 

Here are some more episodes you may like

https://pediatricmeltdown.com/episodes

  1. Chronic School Absenteeism: The Role of Pediatricians

97  Helping Kids Thrive: A Parent’s Story

59 Autism Spectrum Disorders: Early Intervention and Referral is Crucial

58 Autism Spectrum Disorders: What Pediatric Clinicians Need to Know



Tweetable Quotes:

“And just having a free budget to kind of be able to do that without guilt. Right? Because when you’re low income and those sorts of things, it can be hard to justify buying pizza once a week out or going out for a steak dinner just because, you know, and then actually tipping somebody to bring you your plate.”…. Natasha Robinson on Financial Freedom for Simple Pleasures

“And so, it’s one of those things where we’ve had to start having some really tough conversations about, okay, what kind of conversations are appropriate, with girls online? What, information can you share online with people? Like our address? Definitely not. You don’t know them, you know?”…. Natasha Robinson on Navigating Online Safety

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Dr Lia Gaggino

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • OCD
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sexual Trauma
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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