You Can’t Collaborate With an Anxious Brain
Acid blockers and food allergy, SPACE with Robyn Isman, and a wild three-year-old
New format this week: one study, one conversation, one listener question. Tell me in the comments if it works.
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Is my baby’s reflux medicine a problem? (01:20)
* What acid suppression changes about the gut, and why the gut is where the immune system gets built
* The numbers from a 2025 database study: PPIs in the first year linked to roughly five to six times the rate of food allergy diagnosis, with antibiotics showing a dose-dependent pattern
* The stepwise approach I run before I write a prescription: feeding position, milk supply, dairy or soy removal, two weeks at a time
* When antibiotics are non-negotiable, and when a one-sided ear infection can safely wait
Why isn’t my kid’s anxiety getting better? (09:35)Therapist Robyn Isman built her practice around SPACE, the Yale protocol that treats child anxiety by working only with parents.
* What accommodation actually is
* Unilateral parental action: you decide, then you tell your child... you don’t ask how they feel about it first
* The announcement, and exactly what it sounds like when you change bedtime
* Delaying, disengaging, distancing: three ways to hold the line when your kid escalates
* Validation plus confidence, and the wording that keeps it from sliding into reassurance: not “I know you can do it,” but “I know you can do it you’re scared”
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