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430: Does debt increase suicide risk in teens? 'Mind the Kids' podcast04 Nov 202600:31:56

⚠️ Content warning: This episode discusses non-suicidal self-injury (NSSI) and suicidality in adolescents. Some listeners may find this content upsetting. If you or someone you know is struggling, please reach out to a mental health professional or crisis service in your area.

Learn more at 'Understanding and Responding to Self-Harm: Latest Evidence and Clinical Practice'

Can debt and financial stress really affect a teenager's mental health? In this episode of Mind the Kids, host Clara Faria — an academic clinical fellow in child psychiatry — sits down with researchers Nita de Neve-Enthoven and Susan Ravensbergen, PhD candidates in the Department of Psychiatry at Erasmus University Medical Center, Rotterdam, to unpack their new study on debt, experienced financial scarcity, and their links to non-suicidal self-injury (NSSI) and suicidality in adolescents at risk for psychopathology.

Drawing on data from the iBerry study — a landmark longitudinal cohort following over 1,000 adolescents for more than a decade — Nita and Susan reveal some striking findings: teens carrying debt were nearly twice as likely to report suicidality compared to their peers, yet debt showed no clear association with non-suicidal self-injury. Meanwhile, experienced financial scarcity (how young people subjectively feel about their financial situation) was linked to both NSSI and suicidality — even after controlling for household income.

The conversation explores:
- Why adolescent financial stress has been so understudied compared to adult populations
- How researchers partnered with Nibud (the Dutch National Institute for Family Finance Information) to measure both objective debt and subjective financial scarcity
- Why student loans — the most common type of debt in the study — still carried mental health risks, despite being socially "acceptable" debt
- The cost-of-living and youth unemployment pressures facing young people in the UK and the Netherlands today
- What these findings mean for clinicians, parents, and policymakers around financial literacy, debt prevention, and youth mental health screening
- Why simply asking "how are you doing financially?" could be a powerful, low-cost prevention tool

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Read the CAMH journal paper ‘Debts and experienced financial scarcity: associations with nonsuicidal self-injury and suicidality in adolescents at risk for psychopathology'
https://doi.org/10.1111/camh.70065
Susan J. Ravensbergen, Nita G.M. de Neve-Enthoven, Diandra C. Bouter, Wilco W. van Dijk, Witte J.G. Hoogendijk, Nina H. Grootendorst-van Mil
First published: 22 January 2026

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#MindTheKids #ChildMentalHealth #AdolescentMentalHealth #YouthMentalHealth #SuicidePrevention #SelfHarmAwareness #FinancialWellbeing #MentalHealthResearch #ACAMH

429: Positive Memory Bias: How Teen Memory Shapes Mental Health - A 'Mind the Kids podcast28 Oct 202600:34:34

Why do mentally healthy teenagers tend to remember the good times more vividly than the bad — and what happens to that "positive memory bias" in young people at risk of depression, anxiety or PTSD?

In this episode of Mind the Kids, host Clara Faria, academic clinical fellow in child psychiatry, University of Cambridge, talks with Alice Roe, a PhD candidate at the Medical Research Council Cognition and Brain Sciences Unit (MRC CBU), University of Cambridge.

They discuss Alice's new paper, 'Remembering the bad times: Autobiographical memory fluency, specificity, and fading affect bias in adolescents at clinical risk of affective disorder', published in the Journal of Child Psychology and Psychiatry (JCPP), which used a novel task called the Good Day-Bad Day task with 318 adolescents aged 16-18 to explore how memory shapes mental health risk.

In this conversation on autobiographical memory, adolescent mental health and cognitive risk markers for depression, anxiety and PTSD, Clara and Alice unpack:

  • What autobiographical memory actually is, and why it plays such a central role in identity, wellbeing and mental health during adolescence
  • The 'fading affect bias' — the well-documented tendency for positive memories to keep their emotional glow longer than negative ones — and why this may help protect our mental health
  • What the Good Day-Bad Day task involves, and why the researchers chose it over the traditional cued-word memory test
  • The key finding: teens at clinical risk of affective disorder didn't show more negative memories — they showed a reduced positive bias, recalling fewer good-day memories and holding onto more bad-day memories
  • Why the fading affect bias was still present but significantly weaker in the at-risk group, echoing prior findings in adults with depression
  • The surprising result that memory specificity — usually reduced in at-risk and clinical populations — showed no difference between groups in this community sample
  • What these findings could mean for future memory-based interventions, including whether positive memory recall can be trained or strengthened in therapeutic work
  • Why longitudinal research is needed to see whether these memory patterns can predict who goes on to develop a mental health problem

📄 Read the full paper: Roe, A., Gormley, S., Stephens, E., Mapleston, E., & Dalgleish, T. (2026). Remembering the bad times: Autobiographical memory fluency, specificity, and fading affect bias in adolescents at clinical risk of affective disorder. Journal of Child Psychology and Psychiatry, DOI: 10.1111/jcpp.70191

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 #MindTheKids #ACAMH #ChildMentalHealth #AdolescentMentalHealth #AutobiographicalMemory #FadingAffectBias #MemorySpecificity #TeenMentalHealth #DepressionResearch #AnxietyResearch #PTSD #CognitivePsychology #JCPP #ChildPsychiatry #ClinicalPsychology 

428: Adolescent Self-Diagnosis of Mental Health Issues: Clinicians' Perspectives - Mind the Kids podcast21 Oct 202600:36:37

What happens when young people diagnose their own mental health conditions? How are clinicians responding to a growing trend shaped by social media, online communities, and increasing mental health awareness?

In this episode of Mind the Kids, host Dr Clara Faria, Academic Clinical Fellow in Child and Adolescent Psychiatry at the University of Cambridge, speaks with Katie Cunningham-Rowe from the Institute of Psychiatry, Psychology & Neuroscience, King's College London, about her qualitative study exploring clinicians' perspectives on adolescent self-diagnosis of mental health disorders.

Together they discuss the complex realities behind self-diagnosis in young people, including the influence of TikTok and online mental health communities, the role of identity formation during adolescence, and the potential benefits and risks of adopting diagnostic labels without formal assessment.

The conversation explores:

🔹 Why self-diagnosis has become increasingly common among adolescents
🔹 The impact of social media algorithms on mental health identities
🔹 How online communities can provide validation, belonging, and support
🔹 Concerns about misinformation and diagnostic accuracy
🔹 The relationship between self-diagnosis and help-seeking behaviour
🔹 Why clinicians view self-diagnosis as valuable therapeutic material
🔹 When diagnostic labels can become restrictive or central to identity
🔹 The importance of empathy, curiosity, and nuanced clinical practice
🔹 Future research on adolescent self-diagnosis and mental health care

Katie highlights that self-diagnosis is rarely a simple issue. While clinicians identified potential risks, they also recognised that young people often turn to diagnostic labels in an attempt to understand genuine distress, seek support, and make sense of their experiences.

This thoughtful discussion offers important insights for clinicians, researchers, educators, students, and anyone interested in adolescent mental health in the digital age.

📖 Read the paper: 'Adolescent Self-Diagnosis of Mental Health Disorders: A Qualitative Study of Mental Health Clinicians' Perspectives'  Katie Cunningham-Rowe, Lucy Foulkes
First published: 15 July 2026

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#MindTheKids #MentalHealth #SelfDiagnosis #AdolescentMentalHealth #CAMHS #YouthMentalHealth #ChildPsychiatry #ClinicalPsychology #TikTokMentalHealth #MentalHealthResearch #ACAMH #KatieCunninghamRowe #ClaraFaria #PsychologyPodcast #ChildAndAdolescentMentalHealth

427: Weight Concerns: What 34,000 Teens Said - A 'Mind the Kids' podcast14 Oct 202600:34:39

Why are so many teenagers worried about their weight — and why do so few know where to turn for support?

In this episode of Mind the Kids, host Clara Faria, academic clinical fellow in child psychiatry, University of Cambridge,  talks with Dr. Melissa Little, who recently completed her doctorate at the Nuffield Department of Primary Care Health Sciences, University of Oxford, and works clinically as a paediatric dietitian.

They discuss Dr. Little's new paper, 'Weight concern and desire for weight loss support in adolescents: Results from a large cross-sectional school survey', published in JCPP Advances, which analysed data from over 34,000 young people aged 11–18 taking part in the 2023 OxWell Student Survey.

In this conversation on adolescent mental health, body image and weight-related distress, Clara and Melissa unpack:
- Why 41% of adolescents report some level of weight concern — and why it isn't just girls: 1 in 4 boys are affected too
- Why gender-diverse young people have up to eight times higher odds of weight or shape concern than boys, according to the published findings
- Why weight concern doesn't reliably track with BMI — and what that means for who gets excluded from weight management services
- Why 1 in 3 young people want weight-related support, far beyond the capacity of current obesity and weight clinics
- The silos between mental health services and obesity/weight management services, and why disordered eating is too often used as an exclusion criterion rather than a reason to help
- How social media, the UK's under-16s social media ban, and "wild west" online weight-loss content are shaping teen body image
- Practical, non-stigmatising ways for parents, GPs, teachers and clinicians to talk about weight with young people — including why it's best to let them raise the topic first
- What anonymous, digital-first support (chat-based, app-based, or social-media-native) could look like for teens too ashamed to ask for help face-to-face

📄 Read the full paper: Little, M., Fazel, M., Jebb, S. A., Wane, S., OxWell Study Team, & Aveyard, P. (2026). Weight concern and desire for weight loss support in adolescents: Results from a large cross-sectional school survey. JCPP Advances, https://acamh.onlinelibrary.wiley.com/doi/10.1002/jcv2.70124

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#MindTheKids #ACAMH #ChildMentalHealth #AdolescentMentalHealth #WeightConcern #BodyImage #TeenMentalHealth #EatingDisorders #PaediatricObesity #YouthMentalHealth #OxWellSurvey #CAMHS #ChildPsychiatry #JCPPAdvances

426: Is language disorder linked to law breaking? - 'Mind the Kids' podcast07 Oct 202600:41:29

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Is developmental language disorder linked to law breaking?

In this episode of Mind the Kids, hosts Dr. Jane Gilmour (Honorary Consultant Clinical Psychologist and Child Development Programme Director at UCL) and Professor Umar Toseeb (Professor of Psychology at the University of York) flip the format — Umar takes the guest seat to discuss his own new paper on developmental language disorder (DLD) and youth offending.

They dig into 'Developmental Language Disorder and Offending: A Prospective Longitudinal Cohort Study with Linked Education and Crime Data', published in the Journal of Child Psychology and Psychiatry, by Megan Frith, Hannah Hobson, Jo Hutchinson, Anna Leyland, Nathan Hughes and Umar Toseeb. The study used the ALSPAC birth cohort (the Avon Longitudinal Study of Parents and Children), linking childhood language assessments at ages 7-9 with school records and police crime data on offences committed between ages 13 and 29.

In this conversation on developmental language disorder, special educational needs, school exclusion and the youth justice system, Jane and Umar unpack:
- What developmental language disorder (DLD) actually is — a "hidden disability" affecting 7-9% of children (roughly two per classroom) — and how it differs from normal language delay or being a "late talker"
- Why DLD is diagnosed in the absence of autism, sensory impairment or physical causes, and how it overlaps with (but isn't the same as) social communication difficulties
- The headline finding: young people with DLD are significantly more likely (74% higher odds) to have a recorded offence — arrested, cautioned or charged — than those without DLD
- Why school suspension is a key mediator linking DLD to offending, supporting a "school-to-prison pipeline" hypothesis
- Why being formally identified with special educational needs (SEN) at school did not reduce the risk of offending
- Why DLD did not affect how young people were treated once in the justice system — no difference in caution vs. charge, or in reoffending rates
- The idea that "behaviour is communication" — how unrecognised language difficulties in the classroom can be misread as defiance, disengagement or bad behaviour
- Why awareness of DLD lags far behind autism, ADHD and dyslexia, and what that means for police, teachers, and the "appropriate adult" safeguarding system
- Practical implications for schools considering suspension as a response to persistent disruptive behaviour

📄 Read the full paper: Frith, M. L., Hobson, H., Hutchinson, J., Leyland, A. F., Hughes, N., & Toseeb, U. (2026). Developmental Language Disorder and Offending: A Prospective Longitudinal Cohort Study with Linked Education and Crime Data. Journal of Child Psychology and Psychiatry. DOI: 10.1111/jcpp.70182

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#MindTheKids #ACAMH #DLD #DevelopmentalLanguageDisorder #SEN #SpecialEducationalNeeds #SchoolExclusion #YouthJustice #YouthOffending #SpeechAndLanguageTherapy #ChildPsychology #EducationalPsychology #JCPP #ALSPAC #SchoolToPrisonPipeline

425: Rates of Anxiety: Is It Time to Press the Panic Button? 'Mind the Kids' podcast30 Sep 202600:51:04

📅 Professor Sam Cartwright-Hatton is hosting an ACAMH webinar, 'Helping Anxious Parents Raise Confident Children: Preventing the Intergenerational Transmission of Anxiety', on 17 November 2026 at 2pm UK time.

📷 Follow Fearless Labs on Instagram for practical, evidence-based tips for parents and professionals: @fearless.labs

In this episode of Mind the Kids, hosts Dr. Jane Gilmour (Honorary Consultant Clinical Psychologist and Child Development Programme Director at UCL) and Professor Umar Toseeb (Professor of Psychology at the University of York) sift through the data, dilemmas and debates around childhood anxiety disorders — before bringing in special guest Professor Sam Cartwright-Hatton, Professor of Clinical Psychology at the University of Sussex and Director of Fearless Labs.

Drawing on Tamsin Ford's influential editorial, 'Why I am now convinced that emotional disorders are increasingly common among young people in many countries', published in the Journal of Child Psychology and Psychiatry, Jane and Umar open by questioning society's mixed messaging around anxiety, before Sam joins to unpack the evidence on prevention, parenting and treatment.

In this conversation on childhood anxiety, parenting and prevention, mental health literacy, and digital interventions, the trio unpack:
- Why distinguishing "I'm anxious about this" from "I have an anxiety disorder" matters — and why avoidance, not anxiety itself, is often the real problem
- The latest UK prevalence data: around 3.9% of 5-10 year-olds and 13.1% of 17-19 year-olds have a diagnosable anxiety disorder, according to the British Child and Adolescent Mental Health Survey
- Why it's genuinely difficult to know if anxiety disorders are truly increasing, given changing questionnaires and growing openness about mental health — and the "dark side" of destigmatisation flagged by researcher Lucy Foulkes
- Why anxiety is an adaptive personality trait that evolution needed — and what determines whether it tips over into a disorder
- Sam's "Three L's" framework for parents: Love, Limits, and Little -Pushes — and why good behaviour management matters just as much for anxious kids as for behaviourally-challenged ones
- Why universal, whole-classroom anxiety and mindfulness programmes (including findings from the MYRIAD trial) show weak or even harmful effects — and why targeted, opt-in approaches may work better
- How the school environment itself — nutrition, exercise, relationships — functions as a passive mental health intervention
- Evidence from a randomised controlled trial of over 1,800 families showing that a scalable, unsupported digital parenting course, Parenting with Anxiety, produced real reductions in child anxiety symptoms with no reported harms
- Why an app being popular or "feeling helpful" doesn't mean it's evidence-based — and why unregulated mental health apps could do more harm than good

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#MindTheKids #ACAMH #ChildAnxiety #AnxietyDisorder #ParentingSupport #ChildMentalHealth #AdolescentMentalHealth #DigitalMentalHealth #FromTimidToTiger #FearlessLabs #EvidenceBasedParenting #ChildPsychology #JCPP #MentalHealthAwareness

424: Parenting Intervention: Finding the Goldilocks Zone. A 'Mind the Kids' podcast23 Sep 202600:47:48

This episode of the Mind the Kids podcast is called "Parenting Intervention: Finding the Goldilocks Zone." Hosts Dr. Jane Gilmour, honorary consultant clinical psychologist and Child Development Programme Director at UCL, and Professor Umar Toseeb, Professor of Psychology at the University of York specialising in children and young people's mental health and special educational needs, are joined by a trio of experts: Julia Ruggiero, advanced PhD student in clinical psychology at the University of Oregon, Dr. Xiaolan Liao from the University of Oklahoma, and Professor Elizabeth Skowron from Penn State University.

The guests are co-authors of "Effects of Parent-Child Interaction Therapy Dosage on Child and Parent Outcomes: Differentiating Child-Directed Interaction and Parent-Directed Interaction Session Impacts in Child Welfare-Involved Families," published in the Journal of Child Psychology and Psychiatry (JCPP). Drawing on a sample of 204 child welfare-involved families, the study examines how the dosage of the two phases of Parent-Child Interaction Therapy (PCIT) — child-directed interaction (CDI), which builds warmth and relationship quality, and parent-directed interaction (PDI), which teaches safe, effective discipline and limit-setting — shapes parenting skills and child behaviour outcomes.

The conversation explores:
- What Parent-Child Interaction Therapy actually looks like in the room, including the therapist "in the parent's ear" coaching model
- Why the relationship-building CDI phase and the limit-setting PDI phase teach parents distinct skills, and how the two phases interact with each other
- The evidence base for PCIT with child welfare-involved families, including striking three-year re-abuse rates and cost-effectiveness data
- Why the study's key finding — that dosage in one phase interacts with dosage in the other — challenges the assumption that "more sessions" always means "better outcomes"
- Barriers to engagement facing families experiencing deprivation, and practical strategies (transport, childcare, food, community-based delivery) that improve treatment completion
- How the core principles of PCIT, connection before correction, might translate differently across developmental stages, from preschoolers to teenagers
- Why caution is needed before drawing strong causal conclusions from dose-response data that wasn't itself randomised

This episode is essential listening for clinical psychologists, child welfare practitioners, family therapists, researchers, and policymakers interested in evidence-based parenting interventions, child welfare services, and how treatment dosage and sequencing affect outcomes for vulnerable families.

📄 Read the full paper, published in the Journal of Child Psychology and Psychiatry: 'Effects of parent–child interaction therapy dosage on child and parent outcomes: differentiating child-directed interaction and parent-directed interaction session impacts in child welfare-involved families'
Xiaolan Liao, Julia P. Ruggiero, David E. Bard, Adon F. G. Rosen, Elizabeth A. Skowron

First published: 03 February 2026 https://doi.org/10.1111/jcpp.70106

Mind the Kids is brought to you by ACAMH (Association for Child and Adolescent Mental Health), translating the latest child and adolescent mental health research into evidence-based conversation.

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#MindTheKids #ParentChildInteractionTherapy #PCIT #ChildWelfare #EvidenceBasedParenting #ChildMentalHealth #ParentingSupport #ACAMH #MentalHealthResearch

423: Problem eating in a community sample, the thin end of a wedge. A 'Mind The Kids' Podcast16 Sep 202600:48:19

This episode of the Mind the Kids podcast is called "Problem Eating in a Community Sample: The Thin End of a Wedge." Hosts Dr. Jane Gilmour, honorary consultant clinical psychologist and Child Development Programme Director at UCL, and Professor Umar Toseeb, Professor of Psychology at the University of York specialising in children and young people's mental health and special educational needs, are joined by Dr. Clara Faria from the University of Cambridge to discuss eating difficulties and eating disorders in young people.

Dr. Faria is the lead author of "The Prevalence of Eating Difficulties in Children and Young People in England: A Large, Cross-Sectional School Survey," published in JCPP Advances, one of ACAMH's journals. Drawing on 2023 data from the OxWell Student Survey — a large school-based survey led by Professor Mina Fazel — the study found that eating difficulties are common among secondary school students, with a weighted prevalence of 62.5% reporting at least one type of eating difficulty. Using the DAWBA screening items, the most endorsed difficulty was believing you were fat when others said you were thin (47.3%), while the least endorsed, but still striking, was self-induced vomiting (17.7%).

The conversation explores:
- The difference between disordered eating, problem eating, and clinically diagnosable eating disorders such as anorexia nervosa, bulimia nervosa, ARFID (avoidant/restrictive food intake disorder), OSFED, and binge eating disorder
- What the evidence says about the transition from disordered eating to a diagnosable eating disorder, including longitudinal and twin-study findings on body dissatisfaction and gender differences in risk
- Whether eating disorders sit within an internalising or externalising framework, and why binge eating disorder may not fit neatly into either
- The impact of COVID-19 lockdowns on eating difficulties, body image, and screen time among young people
- What schools and clinicians can learn from family-based treatment and non-judgmental approaches such as the Body Project when supporting young people with problematic eating

This episode is essential listening for child and adolescent psychiatrists, clinical psychologists, researchers, educators, and school staff interested in youth mental health, eating disorders, body image, and evidence-based approaches to supporting young people with problem eating.

📄 Read the full paper, published in JCPP Advances: The prevalence of eating difficulties in children and young people in England: A large, cross-sectional school survey
Clara Faria, The OxWell Study Team, Mina Fazel, Emma Soneson, Tamsin J. Ford, Simon White

https://doi.org/10.1002/jcv2.70111

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#MindTheKids #EatingDisorders #ChildMentalHealth #AdolescentMentalHealth #BodyImage #YouthMentalHealth #EatingDisorderAwareness #ACAMH #MentalHealthResearch

422: Diagnosed; The Teenage Brain Experience. An 'Inside the Teen Brain' podcast11 Sep 202600:32:36

Watch the interview on ACAMH Learn at https://bit.ly/Diagnosed-Experience and get a free CPD/CME certificate by registering for a FREE ACAMH Learn account at https://bit.ly/4fF4BBW

In this episode of Inside the Teen Brain, Dr. Jane Gilmour speaks with Rayne Huggins about the experience of being diagnosed with Tourette syndrome. Drawing on personal lived experience, Rayne reflects on what a diagnosis can mean for a young person and explores the pros and cons of receiving one. Together, they consider how a diagnosis can shape not only how a person understands themselves, but also their sense of identity and connection to a wider community. Honest and thought-provoking, the conversation offers a valuable first-hand perspective on living with Tourette syndrome and what diagnosis can come to represent.

Learning Objectives
A. To understand what it means to be diagnosed with tourette syndrome.
B. To explore pros and cons of attaining a diagnosis of tourette syndrome.
C. To explore how this may shape identity and community

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421: Poverty, Policy, and Politics. A Mind the Kids podcast09 Sep 202600:42:24

How does research actually change government policy? In this episode of Mind the Kids, hosts Dr Jane Gilmour (UCL) and Professor Umar Toseeb (University of York) sit down with Baroness Ruth Lister — Emeritus Professor of Social Policy at Loughborough University, Fellow of the British Academy, and a Labour peer in the House of Lords — to unpack how evidence, political will and public appetite combine (or collide) to shape social policy for children living in poverty.

This conversation goes behind the headlines of the UK's child poverty strategy, including the abolition of the two-child benefit limit from April 2026 — a change expected to be the single biggest reduction in child poverty any UK government has delivered at a stroke, after CPAG research linked the policy to roughly 109 children entering poverty every day.

In this episode we cover:
– How the House of Lords scrutinises legislation, and Baroness Lister's role as a backbench "critical friend"
– Why politicians cherry-pick evidence — and when evidence gets overridden by ideology or public appetite
– The real story behind scrapping the two-child benefit limit, and why the benefit cap remains in place despite similar evidence of harm
– Why UK child poverty sits at 27% (down from around 30% following a measurement change) and what's really driving it — frozen benefits, insecure work, and rising housing costs
– The civil service vs. ministers vs. MPs: who academics should really be talking to for policy impact
– Why "child poverty," not "family poverty," was the deliberately chosen framing that built public support
– The power of lived experience in policymaking, including the Changing Realities project and the Timms PIP review
– Interpersonal relationships and community interventions as a positive, low-cost buffer against the harms of poverty
– Why child poverty is a mental health issue — and how squeezed welfare budgets often resurface as pressure on CAMHS and schools

Whether you're a researcher trying to translate evidence into real-world impact, a clinician working with families affected by poverty, or simply want to understand how policy really gets made in Westminster, this episode is essential listening.

Mind the Kids is brought to you by ACAMH (Association for Child and Adolescent Mental Health), translating the latest child and adolescent mental health research into evidence-based conversation.

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420: ADHD; Risk, Reward and the Teenage Brain. An 'Inside the Teen Brain' podcast.04 Sep 202600:44:54

Watch the interview on ACAMH Learn at https://bit.ly/ADHD-Teen-Brain and get a free CPD/CME certificate by registering for a FREE ACAMH Learn account at https://bit.ly/4fF4BBW

In this conversation, Dr. Jane Gilmour and Professor Susan Young explore what it means to understand ADHD through the lens of the teenage brain. Adolescence is a period of rapid change, marked by increased risk-taking, emotional intensity, and a drive for novelty—characteristics that are also central to ADHD. She considers what happens when these developmental processes intersect, and how to distinguish between what is typical, what is neurodivergent, and what may be misunderstood.

Professor Young reflects on how ADHD presents and evolves across adolescence and into young adulthood, challenging dominant narratives, including debates around overdiagnosis and late identification. She also examines more complex and often overlooked issues in practice, such as the relationship between ADHD and trauma, risk-taking behaviours including substance use, and pathways into the criminal justice system.

The discussion moves beyond theory to consider what works in practice, including how clinicians can better engage young people in evidence-based interventions such as CBT, and what practical changes can make a meaningful difference. Overall, this conversation brings together research, clinical experience, and real-world challenges to better understand and support neurodivergent young people.

Learning Objectives
A. To understand ADHD through the lens of adolescent development
B. To recognise areas of debate and uncertainty in ADHD (e.g. diagnosis, trauma, risk)
C. To identify practical approaches to supporting and engaging young people

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419: How smart is a phone ban? A Mind the Kids podcast02 Sep 202600:54:43

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How smart is a phone ban, really? With the UK's under-16s social media ban confirmed for spring 2027 and mobile phones now expected to be banned from every English school day by default, this episode of Mind the Kids tackles one of the biggest parenting and policy debates of our time: what does the evidence actually say about smartphones, social media and children's mental health?

Hosts Dr. Jane Gilmour (Honorary consultant clinical psychologist and child development programme director at UCL) and Professor Umar Toseeb (Professor of Psychology at the University of York) are joined by Professor Lisa Henderson from the University of York, author of two Child and Adolescent Mental Health Journal papers: "Digital Safeguarding Incidents in Schools With and Without Smartphone Policies" and "Innovations in Practice: A Pilot Randomised Trial on Smartphone and Social Media Abstinence."

In this episode we unpack:
– What the UK's social media ban for under-16s actually means for platforms like TikTok, Instagram, YouTube and Snapchat
– Why comparing the UK ban to Australia's isn't a fair like-for-like comparison
– New pilot RCT data on smartphone and social media abstinence, sleep quality and wellbeing in adolescents
– What happens to digital safeguarding incident reporting when schools introduce phone policies
– The "lost generation" risk — teens already embedded in social platforms navigating an abrupt policy shift
– Why parental phone habits predict children's smartphone use
– The "Goldilocks" amount of social media time, and why moderate use isn't the enemy

If you work in education, child psychology, safeguarding, or you're a parent trying to make sense of the smartphone ban headlines, this conversation goes well beyond the soundbites.

Mind the Kids is brought to you by ACAMH (Association for Child and Adolescent Mental Health), translating the latest child and adolescent mental health research into evidence-based conversation.

🔔 Subscribe for new episodes on child development, adolescent mental health, and the research shaping child psychology practice.

Read the JCPP paper ‘Digital safeguarding incidents in schools with and without smartphone policies: a cross-sectional study in England'
https://doi.org/10.1111/camh.70079
Emma Sullivan, Rob Dallison, Pete Montgomery, Lisa Henderson
First published: 11 March 2026

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Don't miss our webinar debate 'Regulating Social Media Use in Children and Young People – Are bans justified?' This 1.5-hour online debate brings together leading experts to examine whether age-based social media bans are an appropriate policy response to concerns about children and young people’s mental health.
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418: Bullied; the teenage brain under threat. An 'Inside the Teen Brain' podcast28 Aug 202600:39:39

Watch the interview on ACAMH Learn at https://bit.ly/Teen-Brain-Bullied and get a free CPD/CME certificate by registering for a FREE ACAMH Learn account at https://bit.ly/4fF4BBW

In this interview, Dr. Jane Gilmour talks to Mairéad Foody, Assistant Lecturer in Psychology at University of Galway, Ireland.

Bullying is a harmful experience for many children and young people, affecting their mental health, relationships, and wellbeing into adulthood.

This talk will help listeners understand what bullying and cyberbullying are, and why they happens. It will discuss the impact of victimisation on children and adolescents and it will outline the different roles involved in bullying/cyberbullying situations (not just bullies and victims, but also bystanders and defenders).

Overall, the goal is to provide a clearer picture of how complex bullying and cyberbullying really are and why effective responses must consider individuals, peer groups, families, and schools together.

Learning Objectives
A. To understand what bullying and cyberbullying are and their prevalence.
B. To outline the impact of bullying and cyberbullying on children and adolescents.
C. To describe anti-bullying interventions.

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417: ADHD and Emotional Regulation. A 'Mind the Kids' podcast26 Aug 202600:28:28

Please email ppls.adhdstudy@ed.ac.uk if you would like to learn more.

Why do so many young people with ADHD find it harder to bounce back from difficult emotions — and what can actually help?

This episode of the Mind the Kids podcast features Professor Aja Murray, Professor of Developmental Psychology of Mental Health at the University of Edinburgh's School of Philosophy, Psychology and Language Sciences. Aja's research examines mental health across the lifespan, with a particular focus on the links between ADHD symptoms and co-occurring mental health issues such as anxiety and depression, especially during adolescence.

Hosted by Mark Tebbs, the conversation explores the Mental Health in the Moment ADHD (MHIM-ADHD) programme of research, funded by the Medical Research Foundation, conducted with colleagues including Dejla Hoxha, Daria Melashenko, and Amanda Russell at the University of Edinburgh, alongside guidance from the project's young person and lived-experience advisory group.

The discussion opens by unpacking two key terms: ADHD, characterised by difficulties with attention, hyperactivity and impulsivity and diagnosed in up to around 8% of children and adolescents globally, and emotion dysregulation, the breakdown of the processes people use to identify, manage and respond to their emotions. Aja explains how emotion dysregulation, while not a core symptom of ADHD, is a commonly associated feature that can show up as intense or changeable emotions, emotions that take longer to settle, or emotionally driven behaviour such as lashing out.

Drawing on ecological momentary assessment methods that capture emotion regulation as it unfolds in daily life, alongside longitudinal data, Aja shares findings on how emotion dysregulation sits on the pathway between ADHD symptoms and elevated risk of anxiety and depression, and how patterns like rumination are a particularly important feature of this pathway. The conversation also explores rejection sensitivity dysphoria — the tendency to anxiously or angrily anticipate social rejection — a concept gaining significant attention within the ADHD community. The project's lived-experience advisory group specifically recommended including a measure of rejection sensitivity, informed by broader work on co-producing adolescent mental health research with young people (Health Expectations). Findings show rejection sensitivity dysphoria is linked to more negative emotions day to day, but that positive peer interactions can buffer this effect, pointing to peer acceptance as a promising avenue for support.

Aja also sets out practical, evidence-based strategies for adolescents with ADHD and the adults who support them, including cognitive reappraisal, techniques for interrupting rumination, acceptance, square breathing, and the "grounding" 5-4-3-2-1 technique. The conversation covers the crucial role of parents and caregivers in modelling emotion regulation, understanding how the ADHD brain processes emotion, and responding supportively rather than dismissively to emotional expression — plus a look at positive emotion regulation, including noticing, savouring and sharing good moments. Aja closes with an update on the team's emerging work on teacher relationships, autistic traits, and a co-produced digital emotion regulation app for adolescents with ADHD.

This conversation is essential listening for clinicians, researchers, educators, and parents and caregivers interested in child and adolescent mental health, ADHD, emotion regulation, and rejection sensitivity dysphoria. It offers a clear, hopeful message: emotion regulation is a skill that can be learned, practised, and strengthened over time.

Learn more about the MHIM-ADHD study protocol: 'Illuminating the daily life experiences of adolescents with and without ADHD: protocol for an ecological momentary assessment study', Aja Murray, Lydia Speyer, Melissa Thye, et al. BMJ Open, published 29 September 2023. https://doi.org/10.1136/bmjopen-2023-077222

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Don't miss our webinar on 04/11/26 Led by leading expert Dr. Alessio Bellato 'Assessment Tools and Interventions for Emotion (Dys)Regulation: Practical Approaches'. Emotion regulation is a key skill for well-being, yet individuals, particularly those who are neurodivergent, may experience unique challenges in managing emotions in daily life. This two-part short course provides a practical approach to understanding, assessing, and providing personalised support across diverse populations.

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416: Self Harm; supporting the overwhelmed teenage brain. An 'Inside the Teen Brain' podcast21 Aug 202600:43:45

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In this interview, Dr. Jane Gilmour talks to Professor Michael Kaess and Professor Dennis Ougrin, who describe self-harm as self-injury or self-poisoning, irrespective of suicidal intent, encompassing both non-suicidal self-injury and suicide attempts. 

They highlight that the lifetime prevalence of self-harm is approximately 20% among young people. They outline that initial assessment should include evaluation of risk, development of a safety plan, and a therapeutic component focused on understanding the nature of self-harm, instilling hope, and linking young people with follow-up treatment. 

They discuss evidence-based approaches to intervention, noting that Dialectical Behaviour Therapy should be offered to young people with severe self-harm. They also consider preventative approaches, including school-based interventions such as the Youth Aware of Mental Health programme, which may reduce self-harm in young people.

Learning Objectives
A. To define self-harm
B. To understand the prevalence and risk factors
C. To critically evaluate treatment evidence-base

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415: Violence Exposure and Adolescent Conduct. A 'Mind the Kids' podcast19 Aug 202600:38:03

Can behaviour be understood without understanding the violence that surrounds it?

This episode of the Mind the Kids podcast features Susan Swingler, a researcher at the University of Oxford's Department of Social Policy and Intervention, who recently completed a PhD in social intervention and policy evaluation. Her research focuses on how young people respond to chronic stress and violence exposure in low- and middle-income country contexts, and how this shapes mental health and behavioural development through adolescence.

Hosted by Mark Tebbs, the conversation explores a landmark near two-decade longitudinal study built on data from the Thula Sana birth cohort in Khayelitsha, South Africa, conducted with colleagues Qing Han, Alexis E. Cullen, Stefani du Toit, Sarah Skeen, Jane Barlow, and Mark Tomlinson.

The discussion centres on adolescent conduct problems — persistent patterns of aggression and rule-breaking that place young people at higher risk of anti-social behaviour and poorer mental health. Susan explains why violence exposure between the ages of 12 and 14 is best understood in context rather than as an individual failing, and outlines how the study tracked adolescents from early into late adolescence using both self-report and caregiver-report measures across a community shaped by decades of structural disadvantage.

Drawing on one of the longest-running adolescent cohort studies in a high-adversity setting, Susan shares the study's central finding: violence exposure in early adolescence predicted higher conduct problems both at the time and four years later in late adolescence, even after accounting for broader socioeconomic hardship — while the reverse pathway, from conduct problems to later violence exposure, was not statistically significant. The conversation also explores exploratory sex differences in these pathways, the extraordinary effort required to retain 70% of the original cohort across 20 years, and what genuinely contextually grounded violence prevention could look like using the WHO's INSPIRE framework.

This conversation is essential listening for clinicians, researchers, educators, and policymakers interested in child and adolescent mental health, developmental psychopathology, and violence prevention in low-resource settings. It offers both rigorous longitudinal evidence and a clear message: adolescence is not too late for intervention, and understanding the context around a young person's behaviour is key to changing it.

Read the JCPP paper 'Longitudinal associations between violence exposure and adolescent conduct problems in a high-adversity, South African setting'
Susan Swingler, Qing Han, Alexis E. Cullen, Stefani du Toit, Sarah Skeen, Jane Barlow, Mark Tomlinson
First published: 11 February 2026
https://doi.org/10.1111/jcpp.70132

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414: Education; Leveraging the power of the teenage brain. An 'Inside the Teen Brain' podcast14 Aug 202600:42:24

In this episode of Inside the Teen Brain, Takako Yeung explores how neuroscience can inform everyday teaching practice. Drawing on more than twenty years of experience driving systemic change in education, Takako discusses how the adolescent brain's heightened sensitivity to social and emotional cues makes the student–teacher relationship a powerful lever for both wellbeing and academic attainment.

In conversation with Dr Jane Gilmour, Takako reflects on what it means to truly value and believe in each young person, and how that belief shapes the way teachers respond, set expectations, and support students through the ups and downs of adolescence. Her insights offer a thoughtful look at how small shifts in practice can make a lasting difference.

Learning Objectives
A. To understand how the adolescent brain's heightened sensitivity to social and emotional cues shapes learning and influences academic attainment.
B. To explore how strong student–teacher relationships can be built and used to support young people's wellbeing, motivation, and engagement.
C. To consider practical strategies for setting appropriately high expectations and supporting students through challenges without fuelling stress or perfectionism.

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413: Breaking the Cycle of Violence: 3-Generation Study. A Mind the Kids podcast12 Aug 202600:33:11

Can the cycle of violence that passes from one generation to the next be broken?

This episode of the Mind the Kids podcast features Dr. Laura Gorla, a postdoctoral fellow at the Center for Child and Family Policy at Duke University. Originally from Italy and now based in the United States, Dr. Gorla's research focuses on parenting, parent-child relationships, and child and adolescent mental health from early childhood through late adolescence.

Hosted by Mark Tebbs, the conversation explores a landmark three-generation study built on data from the Fast Track intervention, conducted with colleagues Dr. Rotenberg, Dr. Godwin, and the Conduct Problems Prevention Research Group, alongside Fast Track principal investigators Dr. Jennifer Lansford and Dr. Kenneth Dodge.

The discussion centres on early emerging conduct problems — persistent patterns of aggressive and disobedient behaviour that place children at higher risk of anti-social behaviour, criminal involvement, and mental health difficulties later in life. Dr. Gorla explains the theory of intergenerational transmission of violence, describing how cycles of harm can pass from one generation to the next, and outlines how this study uniquely tracked three generations — grandparents, parents, and children — using prospective rather than retrospective data, a rare advance in this field of research.

Drawing on Fast Track, one of the most influential randomised controlled trials in developmental psychology, Dr. Gorla shares the study's central finding: intimate partner violence in the first generation predicted parent-child violence in the second generation, which in turn led to poorer mental health in the third generation — but only within the control group. Crucially, this negative chain was disrupted among families who received the Fast Track intervention, offering compelling evidence that early, multi-component prevention can break cycles of violence across generations.

This conversation is essential listening for clinicians, researchers, educators, and policymakers interested in child and adolescent mental health, early intervention, and violence prevention. It offers both rigorous longitudinal evidence and a genuinely hopeful message: outcomes for children are not predetermined by family history, and investment in early intervention protects not just today's children, but generations to come.

Read the JCPP paper 'The randomized controlled trial Fast Track multilevel intervention for children with early-emerging conduct problems breaks intergenerational transmission of violence across three generations'
Laura Gorla, W. Andrew Rothenberg, Jennifer Godwin, Conduct Problems Prevention Research Group
First published: 11 February 2026
https://doi.org/10.1111/jcpp.70133

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412: Depression; through the lens of the teenage brain. An 'Inside the Teen Brain' podcast07 Aug 202600:31:55

Dr. Jane Gilmour returns with Inside the Teen Brain. In this episode Jane talks to Dr. Victoria Pile about depression.

This talk explores the presentation, recognition, and psychological intervention for depression in adolescence, a developmental period marked by heightened vulnerability and significant opportunity for intervention. Depression commonly emerges during adolescence and is associated with substantial long-term consequences, including social and academic impairment. 

Despite its prevalence and impact, the majority of young people with depression do not receive timely or effective support. The talk highlights how adolescent depression is often under-recognised, perhaps due to its overlap with developmental changes and its heterogeneous clinical presentation. 

Recent work that highlights central symptoms of depression is discussed. Current treatment approaches are described and evidence explored that suggests many established interventions show only modest efficacy, and a substantial proportion of young people do not respond. In response, emerging approaches are discussed that aim to improve both access and effectiveness. These include school-based delivery models and the co-development of treatments with young people. 

Finally, the talk considers a shift toward targeting specific symptoms and psychological mechanisms, such as self-compassion, sleep, and emotional mental imagery. Novel interventions are presented as promising avenues for improving outcomes. Overall, the talk suggests a more developmentally informed, accessible, and mechanism-focused approach to addressing adolescent depression.

Learning Objectives

  1. To understand the presentation and challenges of recognising adolescent depression.
  2. To appreciate the effectiveness and limitations of current psychological interventions for adolescent depression
  3. To explore emerging, developmentally informed approaches to intervention
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411: Inhibitory Control vs Emotion Regulation. A Mind the Kids05 Aug 202600:27:02

Have you ever wondered how a child's ability to manage their emotions and impulses might shape their later mental health? And, what if one of the most important predictors isn't about how clever they are, but how well regulated they are on the inside?

This episode of the Mind the Kids podcast features Lilja Jónsdóttir, a PhD student at the Department of Psychology at Uppsala University, Sweden, who will shortly take up a postdoctoral research position in child and adolescent psychiatry at Uppsala's Department of Medical Sciences.

Hosted by Mark Tebbs, the conversation explores her paper, Examining Early Inhibitory Control and Emotional Regulation as Predictors of Childhood Internalizing and Externalizing Problems: A Longitudinal Study, co-authored with her supervisor Professor Karen Brocki, co-supervisors Dr. Matilda Frick and Dr. Andreas Frick of Stockholm University, and fellow PhD researcher Emma Heemann.

The discussion unpacks the hierarchical development of self-regulation, examining how simpler skills such as inhibitory control — the ability to override an automatic impulse, illustrated through the classic marshmallow test — feed into more complex abilities like emotion regulation. Drawing on data from the long-running Effect Project, a longitudinal study following 94 typically developing children in Uppsala from infancy, Lilja explains how inhibitory control was measured at age four using the day-night Stroop task, emotion regulation was assessed at age six via validated parent-report measures, and internalizing and externalizing problems were captured at nine to ten years using the Strengths and Difficulties Questionnaire.

Contrary to prior research and theoretical expectations, the study found no link between early inhibitory control and later emotion regulation or behavioural outcomes. Instead, emotion regulation at age six emerged as a robust, transdiagnostic predictor of both internalizing problems (such as worry and withdrawal) and externalizing problems (such as impulsivity and defiance) three to four years later — a finding that held even within a relatively advantaged community sample, strengthening the case for universal, early support.

This conversation is essential listening for clinicians, educators, and parents interested in child development, self-regulation, and early intervention. Lilja discusses the importance of co-regulation between caregivers and children, promising directions for emotion-regulation-focused support, and why publishing null results — such as the absence of an inhibitory control effect here — matters for advancing the field.

Read the JCPP Advances paper 'Examining early inhibitory control and emotion regulation as predictors of childhood internalizing and externalizing problems: A longitudinal study'
Lilja K. Jónsdóttir, Matilda A. Frick, Andreas Frick, Emma J. Heeman, Karin C. Brocki
First published: 07 January 2026
https://doi.org/10.1002/jcv2.70093

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410: IQ Is Not the Ceiling: Rethinking Daily Living Skills in Autism - a Mind the Kids podcast29 Jul 202600:34:54

In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Mark Tebbs is joined by Dr. Elaine Clark, postdoctoral researcher at the Lifespan Autism Lab, Rutgers University.

Dr. Clark shares findings from her recently published paper in JCPP Advances, ACAMH's open-access research journal, co-authored with Dr. Vanessa Ball and Dr. Katherine Lord. Drawing on the Longitudinal Study of Autism (LSA) — tracking autistic individuals from ages 2–3 through to their mid-twenties — the study examines how daily living skills develop across the lifespan in autistic individuals, both with and without a co-occurring intellectual disability.

Daily living skills — the practical abilities that underpin independent adult life — are broken down into three domains: personal skills (hygiene, dressing, grooming), domestic skills (cooking, household chores), and community skills (managing money, navigating public spaces, vocational readiness). These are the skills that shape autism outcomes across education, employment, and quality of life, yet they have been chronically under-researched, particularly for autistic individuals with co-occurring intellectual disability.

The headline finding is striking: approximately 80% of autistic individuals with co-occurring intellectual disability demonstrated daily living skills equal to or stronger than their measured cognitive ability — directly challenging the widespread assumption that adaptive behaviour in autism is constrained by IQ. Developmental trajectories between groups were indistinguishable up to age five, clearly differentiated by age nine, and those differences strengthened into adulthood.

Dr. Clark and Mark discuss why domestic skills represent the most promising early intervention target, why community skills are the hardest to move, and how schools, IEP goals, and caregivers can reshape expectations to create opportunity-rich learning environments for autistic young people. The conversation closes with a look ahead at Dr. Clark's next research phase — examining individual skills for adults with profound autism and the caregivers who support them.

A must-listen for anyone working in autism education, autism support, early intervention, or child and adolescent mental health.

Read the JCPP paper ‘Relative strengths in daily living skills among autistic individuals and individuals with related developmental conditions who have co-occurring intellectual disability' - https://doi.org/10.1111/jcpp.70124
Elaine B. Clarke, Catherine Lord, Vanessa Hus Bal
First published: 28 January 2026

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409: Can we predict childhood mental health from birth? A Mind the Kids podcast22 Jul 202600:41:39

In this episode of the Mind the Kids podcast, host Mark Tebbs sits down with Emma Butler — an occupational therapist with over 20 years of clinical experience in neonates and paediatrics — to explore one of the most pressing questions in child mental health research: can we predict poor mental health in childhood as early as birth?

Emma, a PhD researcher working across multiple institutions including Trinity College Dublin, the Royal College of Surgeons in Ireland, and University College Cork, shares findings from her groundbreaking work using the Avon Longitudinal Study of Parents and Children (ALSPAC) — one of the world's leading pregnancy cohort studies — to develop a multivariable prediction model for childhood mental health outcomes at age seven.

With children's mental health rising sharply across Europe and England — from one in eleven in 2017 to one in five by 2023 — Emma makes the case for why a preventative, early intervention approach is not just desirable but essential. The conversation covers the growing global burden of childhood mental health disorders, the critical difference between prediction and causation in research, and why psychosocial and socioeconomic factors consistently emerge as the strongest predictors of later poor mental health.

Emma also unpacks a striking finding from her PhD: that fine motor skills measured at just 18 months can predict mental health outcomes at age seven — a discovery with significant implications for early childhood development and infant mental health services.

From the ethics of predictive modelling and the risk of labelling children, to what a tiered, community-based early intervention system could look like in practice, this episode offers a rich, evidence-based discussion for clinicians, researchers, policymakers, and anyone passionate about improving outcomes for children and young people.

Read the paper 'Predicting 7-year-olds mental health in the perinatal period: Development and internal validation of a multivariable model using the prospective ALSPAC cohort' https://doi.org/10.1002/jcv2.70091
Emma Butler, Michelle Spirtos, Linda M. O’Keeffe, Mary Clarke
First published: 03 January 2026

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408: How Teens Learn from Rewards: New Research on Anhedonia and Depression Risk - Mind the Kids podcast15 Jul 202600:35:59

In this episode of the Mind the Kids podcast, we explore how adolescents learn from rewards and what this means for depression risk and mental health outcomes. Drawing on longitudinal research from the Temple Adolescent Development Study, our guest breaks down the complex science of reward processing, anhedonia, and reinforcement learning in young people.

Anhedonia—defined as a reduced ability to experience pleasure—is a key symptom across multiple mental health conditions, including depression, and is linked to poorer long-term outcomes. But what actually drives these changes in reward responsiveness during adolescence? And how do differences in learning from rewards and punishments shape emotional development?

We discuss cutting-edge findings using the Iowa Gambling Task and computational modelling to better understand how reward learning evolves between ages 9 and 17. The conversation highlights how adolescents may fine-tune their learning strategies over time, and why subtle differences—particularly in young people at higher risk of depression due to parental history—could have meaningful implications.

This episode is essential listening for clinicians, researchers, and anyone interested in child and adolescent mental health, offering evidence-based insights into how reward systems develop and how they may inform early identification and intervention strategies.

Read the JCPP paper 'Reward-specific learning parameters change across normative adolescent development and are blunted in youth with high risk for depression' at https://doi.org/10.1111/jcpp.70086
Holly Sullivan-Toole, Jeremy M. Haynes, Helen Schmidt, Bart Larsen, Nathaniel Haines, Thomas M. Olino
First published: 22 December 2025

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407: Are we measuring what matters? Life impact, functioning, and quality of life in youth mental health - A Mind the Kids podcast08 Jul 202600:36:30

In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Clara Faria — academic clinical fellow in child psychiatry — is joined by Dr. Karolin Krause, clinical epidemiologist and measurement scientist at the Center for Research in Epidemiology and Statistics (CRESS), Université Paris Cité.

Dr. Krause shares findings from her recently published paper in JCPP, the Journal of Child Psychology and Psychiatry. The paper — a scoping umbrella review — systematically maps 80 instruments used to measure life impact in youth mental health research across three interconnected domains: functioning, quality of life, and well-being. Despite major international core outcome set initiatives — including ICHOM and In-ROADS — consistently identifying functioning and quality of life as critical outcomes alongside symptoms, no consensus exists on which instruments to use, and the landscape remains highly fragmented.

The rationale runs deeper than methodology. Outcomes measurement in child and adolescent mental health is foundational to evidence-based, person-centred care. Symptom severity and life impact do not always move in step — the DSM-5 itself requires both symptom threshold and clinically significant impairment for diagnosis, yet instruments frequently conflate the two constructs, making it difficult to track which improves first in treatment and whether the gains that matter most to young people are being captured. Across the 80 instruments identified, the review found wide variation in informant type, length, age range, and developmental setting. More than a quarter were classified differently across reviews — a consequence of unclear construct definitions, limited co-production with young people, and what the paper terms "jingle-jangle fallacies." A notable gap emerges for the 19–24 age group navigating the transition from CAMHS to adult services, for whom no instrument has been specifically validated.

Clara and Karolin discuss why functioning and life impact deserve dedicated measurement separate from symptom scales, the case for self-report over adult-observer-dominated measures, the trade-offs of multi-informant approaches, and a Wellcome-funded project focused on the development of an evidence synthesis platform for patient-reported outcome measure selection aimed at making evidence-based instrument choice more accessible to researchers worldwide”

A must-listen for anyone working in child and adolescent mental health, CAMHS outcomes, youth mental health outcomes measurement, functioning measures, quality of life in children and young people, patient-reported outcome measures, or routine outcome measurement in research and practice.

The the JCPP paper 'Research Review: Measuring life impact of youth mental health difficulties: scoping umbrella review of 80 instruments'
Karolin R. Krause, Sophie Chung, Christiane Konstantopoulos, Terri Rodak, Ana Calderón, Nichol Edwards Snagg, Kristin Cleverley, Nancy J. Butcher, Giovanni A. Salum, Kathleen R. Merikangas, Peter Szatmari
First published: 11 March 2026
https://doi.org/10.1111/jcpp.70134

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406: Can schools prevent childhood anxiety with parent-led CBT? - Mind the Kids podcast01 Jul 202600:38:47

In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Clara Faria, academic clinical fellow in child psychiatry, is joined by Dr. Tessa Reardon, research fellow in the departments of experimental psychology and psychiatry at the University of Oxford.

Dr. Reardon shares findings from her recently published paper in JCPP, the Journal of Child Psychology and Psychiatry, co-authored with colleagues. Drawing on the My Cats cluster randomised controlled trial, the study recruited children aged four to seven identified as being at heightened risk for anxiety disorders through schools across England. The intervention — known as OSI (Online Support and Intervention for Child Anxiety) — is a parent-led, therapist-supported online cognitive behavioural therapy programme, in which parents work through digital modules of approximately 20 minutes each, supported by brief telephone or video calls with a children's wellbeing practitioner, amounting to around two and a half hours of contact time in total.

The research sits against a backdrop of a growing gap between the need for child mental health support and access to evidence-based care. CAMHS thresholds are high, and many families cannot access help until difficulties are already entrenched — yet anxiety disorders in children can onset as early as age five and a half. Schools offer a distinctive opportunity to reach families before problems escalate, and England's Mental Health Support Teams (MHSTs) represent a trained, scalable future workforce for delivering this type of early intervention in child mental health.

The primary outcome — anxiety disorder diagnosis at 12 months — showed fewer diagnoses in the intervention group, though the difference did not reach statistical significance. All secondary outcomes were statistically significant, however, including reductions in child anxiety symptoms, inhibited temperament, parental anxiety, and targeted child and parent behaviours. Approximately three quarters of families completed the programme — a notably strong completion rate for a school-recruited, at-risk population who were not actively help-seeking. Qualitative findings, forthcoming, point to broader ripple effects within families beyond the targeted outcomes.

Clara and Tessa discuss why schools were chosen as the recruitment setting; why the integrated practitioner calls in therapist-supported online CBT appear central to completion rates compared with fully self-guided approaches; and what the findings mean for scaling school-based mental health intervention. The conversation also turns to a key challenge ahead — addressing inequalities in participation, particularly among families from socioeconomically disadvantaged backgrounds, to ensure the benefits of parent-led CBT reach those who need them most.

A must-listen for anyone working in child anxiety prevention, early intervention, school-based mental health, CBT for young children, CAMHS, or child and adolescent mental health.

Read the JCPP paper 'Parent-led CBT delivered via online and telephone support alongside usual school practice versus usual school practice only for young children identified as at risk for anxiety disorders through screening in schools: a cluster randomised controlled trial'
Tessa Reardon, Obioha C. Ukoumunne, Helen Dodd, Gemma Halliday, Claire Hill, Bec Jasper, Benjamin Jones, Peter J. Lawrence, Fran Morgan, Anna Placzek, Ronald M. Rapee, Mara Violato, Shuye Yu, MYCATS Team, Cathy Creswell   
First published: 19 February 2026
https://doi.org/10.1111/jcpp.70119

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405: Similar vocabulary but different socioeconomic status, means unequal educational outcomes - Mind the Kids podcast24 Jun 202600:25:32

In this Mind the Kids podcast, we explore how early childhood vocabulary links to later educational outcomes—and why socioeconomic inequality continues to shape children’s life chances, even when ability appears similar.

Host Clara Faria is joined by Dr. Emma Thornton (University of Manchester) and Professor Danielle Matthews (University of Sheffield) to discuss their research published in the Journal of Child Psychology and Psychiatry. Using data from the UK Millennium Cohort Study, they examines whether children with the same early language skills achieve similar GCSE outcomes, and how socioeconomic circumstances influence that trajectory.

The findings challenge simple meritocratic assumptions. While stronger vocabulary at age five predicts better educational attainment overall, this relationship varies significantly across socioeconomic groups. Children from disadvantaged backgrounds have markedly lower chances of achieving key GCSE benchmarks—even with strong early language skills—while those from more advantaged backgrounds are more likely to succeed regardless of early ability.

This conversation unpacks the implications for early intervention, education policy, and equity in child development. It also highlights the need for more targeted, evidence-based support for families and schools, and a deeper understanding of the mechanisms linking early cognitive skills to long-term outcomes.

Read the JCPP paper ‘Unequal educational outcomes for children with similar early childhood vocabulary but different socioeconomic circumstances' https://doi.org/10.1111/jcpp.70117
Emma Thornton, Danielle Matthews, Praveetha Patalay, Colin Bannard

First published: 26 January 2026

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404: Why sleep is at the core of children's mental health - Mind the Kids podcast17 Jun 202600:26:02

In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Dr. Clara Faria — academic clinical fellow in child psychiatry — is joined by Alina Marinca, PhD student in Psychological Medicine at Queen Mary University of London and clinical psychologist, whose research is funded by the London Interdisciplinary School of Science Doctoral Training Partnership.

Alina shares findings from her JCPP Advances paper  ‘Sleep disturbance as a transdiagnostic marker of children's mental health difficulties: A network analysis of item-level associations between different types of sleep problems and different behavioural and emotional symptoms'.

The study draws on data from the Development of Emotional Resilience observational cohort — a school-based sample of over 500 primary school children aged 7 to 12 from East London, one of the most ethnically diverse and economically deprived urban cohorts in UK child mental health research.

Using network analysis — a powerful statistical approach that maps relationships between symptoms simultaneously — the study examines how specific sleep problems relate to emotional difficulties (anxiety and depression) and behavioural difficulties (hyperactivity, inattention, and conduct problems) in middle childhood, moving beyond the composite sleep scores that have dominated previous research.

The headline finding is striking: sleep anxiety and general anxiety emerge as the most central, influential nodes in the network — sitting at the core of children's emotional and behavioural difficulties and functioning as a transdiagnostic mechanism across multiple mental health conditions. Emotional symptoms were found to be more tightly interwoven with sleep problems than behavioural symptoms, a developmentally meaningful finding with direct implications for how we assess and treat sleep disturbances in primary school-aged children.

Alina and Clara discuss what this means for school-based mental health intervention, why sleep should no longer be treated as a secondary or peripheral feature of child mental health, and how a modular, targeted approach focusing on sleep-related anxiety could benefit children, parents, educators, and clinicians alike. The episode closes with a preview of Alina's next research phase: a longitudinal network analysis tracking whether these core sleep and anxiety symptoms remain stable over time.

Essential listening for anyone working in child mental health, sleep research, school-based intervention, or child and adolescent psychiatry.

Read the CAMH journal paper ‘Sleep disturbance as a transdiagnostic marker of children's mental health difficulties: A network analysis of item-level associations between different types of sleep problems and different behavioural and emotional symptoms'
Alina A. Marinca, Julia E. Michalek, Alice M. Gregory, Afia Ali, Jennifer Y. F. Lau
First published: 04 March 2026 https://doi.org/10.1002/jcv2.70104

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403: Beyond the Diagnosis: Supporting Executive Function to Improve Autism Mental Health - Mind the Kids podcast10 Jun 202600:43:14

In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Dr. Clara Faria — academic clinical fellow in child psychiatry — is joined by Professor Lauren Kenworthy, Division Chief, Neuropsychology Director, Center for Autism Spectrum Disorders Pediatric Neuropsychologist, at the Children's National Hospital, based in Washington DC.

Professor Kenworthy shares findings from her landmark study, 'Executive Function Challenges Persist into Young Adulthood and Predict Mental Health Outcomes in Autism', published in JCPP — ACAMH's flagship peer-reviewed journal. Drawing on over 300 autistic individuals and more than 900 observations spanning ages 2 to 25, this is one of the most comprehensive longitudinal investigations into executive function trajectories and mental health outcomes in autism to date.

The episode unpacks what executive functions are — the brain-based cognitive abilities governing flexibility, working memory, and impulse control — and why they matter so profoundly for the mental health of autistic young people. With approximately 70% of autistic children and 63% of autistic adults experiencing mental health challenges at any given time, Professor Kenworthy explains why understanding the relationship between executive dysfunction and depression and anxiety in autism is not just academically important, but urgent.

Among the most striking findings: executive function challenges — particularly cognitive inflexibility — remain clinically elevated from early childhood all the way through young adulthood, persisting even in young people who have had access to clinical support. Anxiety symptoms worsen significantly for autistic girls, with measurable divergence from their male peers emerging around age 12 — a finding with major implications for autism diagnosis, gender differences in autism, and targeted mental health intervention.

Professor Kenworthy also shares her work developing Unstuck and On Target, a school-based executive function intervention designed to be delivered by educators — not just clinicians — addressing the urgent need for scalable, real-world, evidence-based autism support in schools. The conversation covers participatory research, the 12-year evidence-to-implementation gap, the limits of existing interventions including ABA, and why autistic voices must be central to the future of autism research and intervention design.

Essential listening for clinicians, researchers, educators, and anyone with a stake in autism mental health, early intervention, and neurodevelopmental research.

Read the paper 'Executive function challenges persist into young adulthood and predict mental health outcomes in autism' https://doi.org/10.1111/jcpp.70149
Lauren Kenworthy, Lauren Baczewski, Alan H. Gerber, Cara E. Pugliese, A. Chelsea Armour, Kelsey D. Csumitta, Gabrielle E. Reimann, Caroline Candy, Gregory L. Wallace, Matthew S. Fritz
First published: 11 April 2026

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402: Understanding Climate Anxiety in Youths - a Mind the Kids podcast03 Jun 202600:31:21

This episode of the Mind the Kids podcast features Dr. Joanne Park, clinical psychologist and Principal Investigator of the Parenting Resilient Kids (Park) Lab at Mount Royal University, Canada. Hosted by Clara Faria, the conversation explores emerging research on “climate worry” in early adolescence, drawing on Dr. Park’s recent publication in Child and Adolescent Mental Health.

Dr. Park examines whether concerns about climate change represent a distinct psychological construct or are simply an extension of generalised anxiety. The discussion unpacks the difference between affective climate worry—emotional responses to climate change—and cognitive climate worry, which reflects more developed fears about future impact. Importantly, the findings suggest that climate worry is not only common among younger adolescents but may also have unique associations with wellbeing, independent of general anxiety.

The episode also highlights key developmental, social, and gender-related factors shaping how young people experience climate-related distress. Dr. Park discusses why girls and gender-diverse adolescents may report higher levels of climate worry, and considers how clinicians, educators, and parents can respond without over-pathologising what may be a rational reaction to the climate crisis.

This conversation is essential listening for clinicians, researchers, and educators interested in child and adolescent mental health, particularly those working with anxiety, emotional development, and the psychological impact of global challenges. It also offers practical insight into how to support young people in managing climate-related concerns through adaptive coping and resilience-building strategies.

Read the CAMH journal paper ‘Prevalence, conceptual distinctiveness, and cross-sectional correlates of climate worry in Canadian adolescents’ - https://doi.org/10.1111/camh.70076
Joanne L. Park, Audrey-Ann Deneault, Brae Anne McArthur, Suzanne Tough, Sheri Madigan
First published: 18 February 2026

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401: How Maternal Anorexia Shapes Offspring Mental Health - a Mind the Kids podcast27 May 202600:34:07

In this episode of the Mind the Kids, Clara Faria speaks with Professor Nathalie Auger and Professor Howard Steiger about new research exploring how maternal anorexia nervosa may influence children’s mental health and neurodevelopment.

Using a large population-based cohort, the study examines links between maternal eating disorders and outcomes such as anorexia nervosa, attentional difficulties, and other psychiatric risks in offspring. The discussion highlights the role of genetic vulnerability, environmental exposure, and epigenetic mechanisms, offering a nuanced understanding of how risk is transmitted across generations.

The episode also considers important clinical implications, including the benefits of early treatment, the importance of reducing stigma, and how supporting maternal mental health can improve outcomes for future generations.

A must-listen for professionals in child and adolescent mental health, psychiatry, psychology, and anyone interested in eating disorders and developmental research.

Read the CAMH journal paper ‘Maternal anorexia nervosa and risk of mental and neurodevelopmental morbidity in offspring'
Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie Auger
First published: 02 December 2025 https://doi.org/10.1111/camh.70051

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400: Measuring Teen Mental Health Across 12 Nations - a Mind the Kids podcast20 May 202600:41:55

In this episode of Mind the Kids, Clara Faria is joined by Dr. Ariadna Albajara-Saenz and Dr. Amirah Wahdi to discuss adolescent mental health in low- and middle-income countries, drawing on findings from a major cross-country study published in JCPP Advances. 

The conversation explores mental health measurement across 12 countries in Eastern and Southern Africa and Southeast Asia, the challenges of comparing data across cultures, and why issues such as food insecurity, gender, and service access matter for global child and adolescent mental health research.

Together, they examine the importance of culturally sensitive mental health measures, the complexities of conducting large-scale international surveys, and what future research should prioritise to improve understanding and support for young people worldwide.

Read the paper ‘Mental health measures among adolescents in 12 low- and middle-income countries: Measurement invariance and cross-sectional analyses of Disrupting Harm survey data’ - https://doi.org/10.1002/jcv2.70087
Ariadna Albajara Sáenz, Sebastian Kurten, Jennifer Saxton, Daniel Kardefelt-Winther, Tamsin Ford, Amy Orben, Simon R. White
First published: 04 December 2025

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399: ADHD & Autism: Over diagnosed or under-recognised? Prof Tamsin Ford in a Mind the Kids podcast13 May 202600:36:01

Welcome to Mind the Kids, exploring cutting-edge child and adolescent mental health research. In this episode host Clara Faria, a child psychiatry fellow, welcomes Professor Tamsin Ford, University of Cambridge to discuss over diagnosis.

The episode covers key surveys from Tamsin's group looking at data including ADHD and autism trends. Plus Clara and Tamsin talk about emotional disorder increases, rigorous multi-informant assessments, NHS waiting lists, school-based supports, private sector challenges, and AI's potential for equitable care. Don't miss this evidence-based discussion for parents, teachers, and professionals!

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S7 Ep9: Anxiety, does the apple fall far from the tree? A Mind the Kids podcast06 May 202600:40:13

Welcome to Mind the Kids, the ACAMH podcast where research meets real-world practice in child and adolescent mental health. In this episode, 'Anxiety, does the apple fall far from the tree?', Dr. Jane Gilmour and Professor Umar Toseeb explore whether anxiety runs in families, what the latest research says about clinically anxious parents and children’s anxiety disorders, and how genetic, environmental, and family factors may shape risk.

Joining them is Dr Sigrid Elfström, lead author of a population-based study published in the Journal of Child Psychology and Psychiatry. The conversation also looks at why diagnosis is not destiny, why prevention matters, and how to communicate risk without parent blaming.

They discuss whether anxiety can be transmitted through family processes, what the findings mean in practice, and how clinicians and parents can think about risk without assuming it is deterministic.

This episode covers: Children’s anxiety disorders. Clinically anxious parents. Parent-child mental health. Genetic and environmental influences. Family processes and prevention. Evidence-based child mental health research.

Read the paper 'A detailed investigation of anxiety disorders in children of clinically anxious parents: a population-based study' - https://doi.org/10.1111/jcpp.70085
Sigrid Elfström, Susanne Wicks, Christina Dalman, Johan Åhlén
First published: 04 December 2025

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S7 Ep9: Mind the Kids: ‘Delivering School Intervention: Culture, Context and Conflict’29 Apr 202600:42:41

What does it take to support children’s mental health and learning when their classrooms are in the middle of a conflict zone?

In this Mind the Kids episode ‘Delivering School Intervention: Culture, Context and Conflict’ we explore how research can really work for children and young people in the real world, not just on paper.

Dr. Jane Gilmour and Professor Umar Toseeb sit down with Professor Jean Francois Trani to delve into a classroom based psychosocial intervention delivered in rural Afghan primary schools during a period of political upheaval.

Together, they unpack how an international research team and local community partners co designed and delivered a universal, school based programme that aimed to improve mental health, boost learning, and reduce stigma in a setting marked by decades of conflict. They discuss what it means to adapt activities to local culture, the difference between accumulated and intergenerational trauma, and why task shifting to trained community members can be so powerful in low resource settings.

If you’re interested in community led interventions, global South research, or how universal school provision can support both wellbeing and inclusion, you won’t want to miss this.

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S7 Ep8: Mind the Kids 'Protecting Mental Health, the Power of Positive'22 Apr 202600:46:27

Why do so many studies – and headlines – focus on what goes wrong in childhood, when some young people go through adversity and still find ways to thrive?

In this episode of Mind the Kids, 'Protecting Mental Health, the Power of Positive', Dr. Jamie Hanson talks to hosts Dr. Jane Gilmour and Prof Umar Toseeb, about how early life adversity, positive affect, and internalizing difficulties like anxiety and depression are connected over time, using data from the large ABCD cohort in the United States. They unpack what counts as “early life adversity” beyond classic ACEs, what psychologists really mean by positive affect (and why it is not just the absence of negative mood), and how different trajectories of positivity across middle childhood may help explain which young people are most at risk – and who might be buffered.
​
The conversation moves from theory to practice: why optimism and joy are trainable, how strength‑based programmes and everyday passions (sport, music, clubs, “the best apple I’ve ever had”) can support resilience, and what this all means for schools, policymakers, and anyone trying to help children grow after difficult early experiences.

You can read the main JCPP paper discussed in this episode, “Positive affect as a developmental mediator of early adversity and internalizing psychopathology" at https://doi.org/10.1111/jcpp.70104

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S7 Ep7: Mind the Kids ‘Regular sleep, the balm of hurt minds'15 Apr 202600:45:19

Why do some teenagers seem permanently jet lagged, wide awake at midnight and exhausted at 8am? And what does that actually do to their mood, their learning, and their long term mental health?

In this episode of Mind the Kids, titled ‘Regular sleep, the balm of hurt minds’, Dr. Konstantin Drexl joins hosts Dr. Jane Gilmour and Professor Umar Toseeb, to unpack the science of adolescent sleep: from what terms like chronotype, circadian rhythm and REM sleep really mean, to how sleep loss and anxiety feed into each other in everyday life.

Together, they explore why regular sleep can act as a protective factor for some young people, why others seem especially sensitive to even small disruptions, and what this might mean for school start times, smartphones at bedtime, and whole family sleep hygiene. Whether you are a parent, teacher, clinician or researcher, this conversation offers clear, practical insights into how supporting teenage sleep could be one of the simplest ways to support teenage minds.

You can read the main JCPP Advances paper discussed in this episode, “Toward an idiographic understanding of the role of sleep-mood dynamics in adolescents' internalizing symptoms” https://doi.org/10.1002/jcv2.70082

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S7 Ep5: Children with MID, a multi-factored intervention offers best protection08 Apr 202600:45:01

Children with mild intellectual difficulties are often overlooked, but the evidence suggests they may face real challenges in emotional wellbeing, behaviour and education, especially when support is patchy or late.

In this Mind the Kids episode, Dr. Foteini Tseliou joins hosts Dr. Jane Gilmour and Prof Umar Toseeb to discuss the paper 'Factors Associated with Better Emotional, Behavioural and Educational Outcomes in Children with Mild Intellectual Disabilities'.

They highlight three big messages: many children with mild intellectual difficulties are in mainstream schools and may not be formally identified; peer relationships emerge as one of the strongest protective factors across outcomes; and it is the accumulation of support across home, school and friendships that seems to matter most, rather than any single intervention on its own.

At the same time, the conversation makes clear that outcomes are not fixed by IQ. With the right support, many children with mild intellectual difficulties can do well, and the protective factors that help them often help other children too – which makes a strong case for universal, inclusive provision rather than waiting until problems become severe.

You can read the main JCPPA Advances journal paper discussed in this episode, “Factors associated with better emotional, behavioural and educational outcomes in children with mild intellectual difficulties” https://doi.org/10.1002/jcv2.70072

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S7 Ep4: Mind the Kids 'Adolescence and Appearance. AI eat your words'01 Apr 202600:52:57

AI chatbots can feel warm, human and tailored, but this brings real risks when the advice is wrong or incomplete, especially for vulnerable young people with eating or body-image concerns. 

In this Mind the Kids episode “Adolescence and Appearance. AI eat your words”, Dr. Florence Sheen talks to hosts Dr. Jane Gilmour and Prof Umar Toseeb.

They highlight three big issues: we rarely know what sources the chatbot is drawing on; there is no built‑in safeguarding link back to parents, schools or services; and its list‑style “here’s what to do” responses may particularly appeal to perfectionistic or rigid thinkers, potentially fuelling disordered behaviours rather than challenging them.

At the same time, young people are using AI alongside social media and official sites in quite a savvy way – they might go to the NHS for physical symptoms, but to chatbots for lived experience and emotional validation – so opinion and evidence are constantly blended. The Florence, Jane, and Umar argue this makes digital literacy crucial: talk openly with young people about what they see, encourage them to check information against other sources, and model responsible use rather than banning AI outright. 

They also call for independent, transparent evaluation of any AI tools aimed at youth mental health, and for developers to work with researchers, clinicians and people with lived experience so that future systems are both safer and better able to support real-world wellbeing.

You can read the main CAMH journal paper discussed in this episode, “How do Artificial Intelligence chatbots respond to questions from adolescent personas about their eating, body weight or appearance?” https://doi.org/10.1111/camh.70047

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S7 Ep3: Mind the Kids - Trauma responsive care - It's all about me 25 Mar 202600:40:21

Trauma-informed and trauma-responsive care are at the heart of this thoughtful conversation about how we support children and young people who have experienced adversity.

In this Mind the Kids episode 'Trauma responsive care: It's all about me', hosts Dr. Jane Gilmour and Professor Umar Toseeb, talk with Dr. Sarah Parry, University of Manchester, about what trauma actually is, how it overlaps with adverse childhood experiences (ACEs), and why simply “totting up” ACEs scores can miss the individual context and meaning of events for each young person.

They explore the principles that should underpin good practice with all children and adolescents – consistency, curiosity, low emotional tone, and sensitivity to triggers – and ask whether these should be seen as core to high-quality care rather than an “add‑on” labelled trauma-informed.

The discussion moves from definitions to practice: Sarah unpacks the difference between being “trauma-aware”, “trauma-informed” and “trauma-responsive”, arguing that truly responsive care must be embedded across whole organisations and systems, not just in the therapy room. Drawing on her work in residential care and with young people who hear voices, she highlights the importance of framing, coping strategies, choice, safety, and timing in talking therapies, as well as the potential harms of blame and poorly timed debriefing after traumatic events.

The episode also touches on intergenerational and indirect forms of trauma, links with cultural humility, and how environments can be shaped so that all young people – including those in care or from marginalised communities – can engage and recover.

Whether you are a clinician, researcher, educator, or caregiver, this conversation offers a nuanced, practical look at moving beyond buzzwords toward everyday, trauma-responsive environments that genuinely support young people’s mental health.

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S7 Ep2: Mind the Kids - Inpatient Insights18 Mar 202600:39:23

In this episode of Mind the Kids, hosts Dr Jane Gilmour, honorary consultant clinical psychologist and Child Development Programme Director at UCL, and Professor Umar Toseeb, Professor of Psychology at the University of York, explore what happens when children and young people with severe or complex mental health difficulties are admitted to hospital.

Drawing on a powerful real-world case that sparked Umar’s interest, they ask: when is inpatient care really needed, what does a good ward environment look like, and how does admission affect young people and their families over time?

Jane and Umar are joined by Dr Dawn Cutler, Principal Clinical Psychologist, and Guy Larrington, Principal Family Therapist at Great Ormond Street Hospital for Children, who discuss:

  • Which kinds of difficulties typically lead to admission (including mood disorders, suicidality, eating disorders, and functional symptoms)
  • How clinicians weigh up risk, severity, and functioning when considering admission
  • What day-to-day life on a child and adolescent inpatient ward looks like, including education, structure, and relationships with staff
  • The role of nursing, family involvement, and “shared care” in creating a therapeutic environment
  • How goal-based outcomes can capture what matters most to young people and their families

The episode also touches on neurodiversity in inpatient settings, systemic inequalities in who is detained, and the transdiagnostic skills and therapeutic relationships that can support recovery across diagnoses. This is a practical, reflective conversation for clinicians, researchers, and anyone wanting to better understand inpatient child and adolescent mental health care.

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S6 Ep8: Mind the Kids: Navigating the service cliff - Supporting autistic youth transition into adulthood11 Mar 202600:44:18

For many families of autistic young people, leaving school feels less like a gentle transition and more like falling off a cliff into a fragmented, underfunded adult service system where no one is clearly in charge. In this Mind the Kids episode 'Navigating the service cliff - Supporting autistic youth transition into adulthood', Mark Tebbs speaks with Professor Julie Lowndes Taylor from Vanderbilt University Medical Center about ASSIST (Advocating for SupportS to Improve Service Transition), a 12‑week parent advocacy programme designed to equip families with the knowledge, skills and confidence to navigate that maze.​

Drawing on a large multi-site randomised controlled trial of 185 families, they discuss how ASSIST weaves together national-level information on adult disability services with local expert input, how moving the programme online during COVID reshaped both accessibility and peer support, and what the data show about changes in parents’ advocacy skills, service knowledge and actual access to government-funded programmes. The conversation also looks ahead to next steps, including using the ASSIST curriculum to train peer navigators, tackling structural barriers such as underfunding and provider shortages, and ensuring that efforts to boost advocacy do not inadvertently widen existing inequities.
​
You can read the main JCPP paper discussed in this episode, “Effects of a parent advocacy intervention on service access for transition-aged autistic youth,” via https://doi.org/10.1111/jcpp.70036

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S7 Ep1: Mind the Kids - Tics: Education, Education, Education04 Mar 202600:39:30

In this special episode of Mind the Kids, “Tics: Education, Education, Education”, hosts Dr. Jane Gilmour, Honorary Consultant Clinical Psychologist and Child Development Programme Director at UCL, and Professor Umar Toseeb from the University of York, take a deep dive into Tourette’s syndrome—what it is, how it manifests, and how it’s often misunderstood.

Inspired by the BAFTA award-winning film I, Swear, Jane and Umar discuss the difference between types of tics, what Tourette’s looks like in real life versus in media portrayals, and the realities for children and young people living with the condition today.

Their conversation spans everything from neurological and functional tics to the challenges of recognition, school experiences, and how we can all respond with greater empathy and understanding.

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S6 Ep7: Mind the Kids: Lessons from the ABCD data revolution25 Feb 202600:39:08

This episode of 'Mind the Kids: Lessons from the ABCD data revolution' unpacks why “how we measure puberty” really matters for understanding adolescent mental health and development. Professor Adriene Beltz talks to Mark Tebbs about the huge US Adolescent Brain Cognitive Development (ABCD) study, which is following nearly 12,000 young people over 10 years with regular brain scans and surveys, giving an unprecedented window into how early experiences shape later outcomes.​

While investigating multisite pain and sex differences, her team stumbled on a problem: researchers using ABCD data were often relying on a convenient categorical puberty score (pre‑, early, mid‑, late, post‑puberty) that drops information and heavily weights the onset of menstruation, rather than using a richer continuous score based on all five pubertal development items. Their analyses show the continuous score is generally more reliable, better aligned with existing puberty research, and less distorted by big “jumps” around menarche, especially for girls.​

The conversation becomes a wider call to action: if puberty timing and tempo can shape lifelong trajectories in mental health, pain, and social experiences, then getting the measurement wrong risks misleading conclusions and missed opportunities for prevention. Adriene urges researchers to be thoughtful and transparent about how they score puberty in large datasets, to report clearly what they used, and to remember that puberty is a normative but highly sensitive transition where context, culture, and support all matter just as much as hormones.

 Read the paper 'Research Review: On the (mis)use of puberty data in the ABCD Study® – a systematic review, problem illustration, and path forward' at https://doi.org/10.1111/jcpp.70035

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S6 Ep6: Mind the Kids: Prenatal substance exposure - hope not judgement18 Feb 202600:50:33

hThis powerful episode dives into how a mother’s own childhood trauma can quietly shape the emotional lives of her children – and how that cycle can be broken. Drawing on a rare 12‑year study of around 300 mostly Black, highly disadvantaged families in the US Midwest, Dr Meeyoung Min unpacks how her team followed mothers and babies from birth through early adolescence to understand what really drives later mental health.​

Far from blaming mothers, the episode situates these risks in a wider context of poverty, limited opportunity, and unresolved trauma, and leans into hope rather than inevitability. Dr Min makes a compelling case for pregnancy and the early postnatal period as a “golden window” for support – from practical help and non‑judgemental social networks to community and faith groups that wrap around both parent and child – showing that with the right support, intergenerational patterns of harm can be disrupted and futures can be changed.

The conversation reveals two major pathways: first, mothers who experienced more childhood maltreatment tend to struggle more with their own mental health, making it harder to stay emotionally available, regulate feelings, and use calm, consistent parenting – all of which is linked to greater anxiety, low mood, and acting‑out behaviours in their 12‑year‑olds. Second, prenatal exposure to substances such as cocaine, alcohol, tobacco, and marijuana appears to alter developing brain systems involved in stress, independently increasing the risk of externalising behaviour.​

You can read the main JCPP paper discussed in this episode, “Intergenerational transmission of maternal childhood maltreatment, prenatal substance exposure, and internalizing and externalizing symptoms in early adolescence at age 12” via https://doi.org/10.1111/jcpp.70030

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S6 Ep5: Mind the Kids - How motor & social skills shape language learning, as captured by genes12 Feb 202600:46:14

 What if a baby’s wobbly reach for a spoon or a make-believe tea party could quietly change the way language unfolds? In this episode of Mind The Kids, “Building Blocks: How motor and social skills shape language learning, as captured by genes” host Mark Tebbs talks with Dr Beate St Pourcain and Dr Ellen Verhoeff from the Max Planck Institute for Psycholinguistics about what it really means to develop language in a developing body.

Drawing on their JCPP study of over 6,000 children in the ALSPAC cohort, they follow a developmental cascade that starts with early gross motor milestones like sitting and crawling, moves through culturally shaped self-care and pretend-play skills like using a spoon or hosting a tea party, and then flows into vocabulary and grammar between 15 and 38 months. Along the way, they unpack how genetics and environment intertwine, why social interactions and playful routines act as gateways into language rather than just nice “add-ons,” and what this might mean for parents, carers, clinicians and educators who want to support communication in both autistic and non-autistic children.
You can read the main JCPP paper discussed in this episode, “Developing language in a developing body: genetic associations of infant gross motor behaviour and self-care/symbolic actions with emerging language abilities” via https://doi.org/10.1111/jcpp.70021

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S6 Ep5: Mind the Kids - Genetic clues to classroom struggles04 Feb 202600:26:40

 Why do some children find learning a little harder, and could their genes hold part of the answer? In this episode of Mind the Kids, entitled ‘Genetic clues to classroom struggles’, host Mark Tebbs talks with Dr. Marie-Pier Larose from the University of Turku about her recent JCPP paper.

They delve into how children’s genetic predispositions—especially those linked to attention and behaviour—can influence how they learn and thrive in school. Marie-Pier shares insights from a major international study exploring the connection between early attention difficulties, mental health, and academic achievement. The discussion highlights the power of early support, the role of teachers and parents, and why understanding these genetic clues can help children reach their full potential—both in the classroom and beyond.

For more details read the JCPP paper ‘Associations between genetic predisposition to mental health problems and academic achievement: a developmental perspective using two population-based cohorts’ Marie-Pier Larose, Isabel Schuurmans, Edward D. Barker, Liliana Garcia Mondragon, Henning Tiemeier, Irwin Waldman, Charlotte Cecil. https://doi.org/10.1111/jcpp.70043

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S6 Ep4: Mind the Kids - Energized or at risk? Distinguishing subclinical hypomania in adolescents28 Jan 202600:42:08

Energized, driven, “on a high” – or at the edge of something more serious? This Mind the Kids episode, “Energized or at risk? Distinguishing subclinical hypomania in adolescents”, explores how to tell the difference between healthy teenage intensity and something more problematic. 

Host Mark Tebbs talks to Dr. Georgina Hosang about the topic of hypomania, as she draws on her expertise and research. The conversation unpacks what hypomania can look like at home and at school, how it overlaps with typical mood swings and ADHD, and other conditions, and which red flags suggest it’s time to seek specialist help.​

Listeners will hear practical guidance on what parents, carers, teachers, and young people themselves can watch for, how to talk about concerns without stigma, and why early recognition matters for safety, learning, and long‑term wellbeing. 

This episode is for anyone supporting adolescents who seem unusually “switched on”, wired, or risk‑taking – and who wants clear, compassionate advice on when to simply ride the wave, and when to seek assistance.

For more details read the JCPP paper ‘Subclinical hypomania, psychiatric and neurodevelopmental diagnoses: phenotypic and aetiological overlap’ by Georgina M. Hosang et al. https://doi.org/10.1111/jcpp.70045

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S6 Ep2: Mind the Kids -When language surprises: unexpected bilingualism in autism21 Jan 202600:46:29
How can a child suddenly start speaking a language no one around them uses? This Mind the Kids episode, “When language surprises – unexpected bilingualism in autism” dives into the striking phenomenon of autistic children spontaneously acquiring and using a language that is absent from their home, school, and social world.

Drawing on new research, host Mark Tebbs speaks to David Gagnon, and Dr. Alexia Ostrolenk, on this topic, and their JCPP paper. With minimally speaking autistic children, the discussion explains what unexpected bilingualism is, why it challenges traditional ideas about the role of social interaction in language learning, and how it can reveal an alternative pathway into language. Listeners will hear how parents first notice these surprising language skills, why they may be both confusing and hopeful, and what this means for supporting communication and designing interventions.

The episode offers clear take home messages for families, educators, and clinicians on recognising hidden abilities, following a child’s interests (from letters and numbers to YouTube subtitles), and rethinking “plateau” periods as times of invisible but important development.

For more details read the JCPP paper ‘Early manifestations of unexpected bilingualism in minimally verbal autism’ David Gagnon, Alexia Ostrolenk, Laurent Mottron https://doi.org/10.1111/jcpp.70032

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S6 Ep1: Mind the Kids - Irritability in teens, more than a phase14 Jan 202600:27:55
 How can you tell when teen irritability is ‘just a phase’ and when it is a sign that something more serious is going on?

In this episode of Mind the Kids, titled ‘Irritability in Teens More Than a Phase’ host Mark Tebbs talks with Dr Jamilah Silver, Assistant Professor at the University of North Carolina at Chapel Hill, whose work focuses on irritability, emotion regulation, and early emerging risk for psychopathology.

Together they explore why adolescence is a ‘perfect storm’ for irritability, how it shows up in daily life at home and at school, and when persistent anger, conflict, and moodiness start to impair sleep, friendships, and learning. Jamilah shares findings from a large multinational study of adolescents across nine countries, revealing how common chronic irritability is worldwide and how it links to bullying, depression, anxiety, and lower life satisfaction.

The conversation also unpacks gender differences, classroom red flags for teachers, and why clinicians are beginning to treat irritability as a transdiagnostic “front door” signal that deserves earlier screening and support. Whether you are a parent, educator, or clinician, this episode offers practical ways to spot when irritability has tipped from typical teen behaviour into something that may need specialist help.

For more details read the CAMH paper “A large multinational study of irritability in adolescents” Jamilah Silver, Ellen Leibenluft, Wan-Ling Tseng, Daniel N. Klein, Pablo Vidal-Ribas, Reut Naim, Praveetha Patalay, Eoin McElroy, Argyris Stringaris https://doi.org/10.1111/camh.70008 

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S4 Ep10: Mind the Kids: Cannabis - Context is everything07 Jan 202600:42:36
This episode of “Mind the Kids” offers a deeply nuanced discussion on cannabis use and abuse within family contexts and among adolescents. Hosted by Dr. Jane Gilmour and Professor Umar Toseeb, it features expert guests Professor Shelby Steuart and Victoria Bethel, who unpack the complexities of medical versus recreational cannabis, the evolving legal landscape in the US, and associated risks—especially for young people.

The conversation explores how legalization affects availability and accidental exposures, the potency of cannabis products, and the challenges of regulation and safety. Listeners hear about the social and environmental factors influencing adolescent behavior, the balance of risks and potential benefits, and practical insights into harm reduction. Importantly, the episode emphasizes the need for data-led, non-judgmental approaches to understanding and responding to cannabis use among youth in a changing policy environment. It provides valuable takeaways for academics, clinicians, parents, and policymakers interested in child and adolescent mental health within the context of evolving cannabis laws.

More information
Cannabis and pediatric cannabis exposure – evidence from America's Poison Centers
Shelby R. Steuart, Victoria Bethel, W. David Bradford
https://doi.org/10.1111/jcpp.70058 
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