🎙 Episode 18: Always More — Anxiety in High-Achieving Teens Guest: Nicole Beale, M.Ed., High School Counselor Host: Matt Butterman Duration: ~45 minutes Overview: Today’s high school students are taking more AP courses, joining more extracurriculars, and aiming higher than ever — but it’s taking a toll. In this episode, we explore the hidden cost of high achievement and the anxiety that often lurks behind perfect GPAs and packed résumés. Matt Butterman speaks with veteran public high school cou...
Aug 04, 2025•37 min•Ep. 18
🎙️ Episode 17: “When Tantrums Go Too Far: Understanding Disruptive Mood Dysregulation Disorder (DMDD)” Host: Matt Butterman Guest: Dr. Gretchen Hoyle, MD, Pediatrician Duration: ~35 minutes Episode Summary: Chronic irritability, frequent temper outbursts, and emotional volatility—these behaviors may go far beyond typical childhood tantrums. In this episode, host Matt Butterman is joined by pediatrician Dr. Gretchen Hoyle to unpack Disruptive Mood Dysregulation Disorder (DMDD) , a relatively new...
Jul 31, 2025•26 min•Ep. 17
This episode explores how to help kids with anxiety and OCD by changing not their behavior—but the parent’s. Our conversation centers around Dr. Eli Lebowitz's book, Breaking Free of Child Anxiety and OCD.
Jul 28, 2025•24 min•Ep. 16
In this episode of Nimble Youth , host Matt Butterman is joined by pediatrician Dr. Gretchen Hoyle for an in-depth look at Pediatric Obsessive-Compulsive Disorder (OCD) —a condition that’s often misunderstood and underdiagnosed in children and adolescents. Together, they explore the early signs of OCD, common misconceptions, and the deeply disruptive impact OCD can have on school performance, social life, sleep, and family dynamics. Dr. Hoyle also walks through the screening tools clinicians use...
Jul 23, 2025•26 min•Ep. 15
🎙️ Episode 14 – Screens, Scores & Students: How Technology Is Transforming the Classroom Guest: Wyatt Hoyle, High School Math Teacher Host: Matt Butterman Duration: ~40 minutes Listen at: www.nimbleyouthpodcast.com 📘 Episode Summary In this insightful conversation, host Matt Butterman sits down with Wyatt Hoyle , a high school math teacher in rural Colorado, to explore the promises and pitfalls of technology in the modern classroom. From learning platforms like Google Classroom and Canvas ...
Jun 28, 2025•23 min•Ep. 14
🎧 Episode 13 – The Youth Mental Health Crisis: A Therapist’s Perspective Host: Matt Butterman Guest: Michael Hayes, LCMHC – Licensed Clinical Mental Health Counselor, Pathways Counseling, Winston-Salem, NC Duration: ~40 minutes In this powerful and timely episode of The Nimble Youth Podcast , host Matt Butterman sits down with Michael Hayes, a licensed clinical mental health counselor who works directly with teens and young adults navigating the growing mental health challenges of our time. Fro...
Jun 24, 2025•33 min•Ep. 13
🎧 Episode 12: Spotting the Signs – A Pediatrician’s Frontline Role in Eating Disorders Guest: Dr. Gretchen Hoyle, MD, Pediatrician Host: Matt Butterman Duration: 30–40 minutes Eating disorders often begin quietly—but their impact is serious and, in some cases, life-threatening. In this episode, host Matt Butterman speaks with returning guest Dr. Gretchen Hoyle about how pediatricians play a critical role in identifying eating disorders early and helping families take action before things become...
Jun 03, 2025•32 min•Ep. 12
🎧 Nimble Youth – Episode 11 “The Absenteeism Spiral: Understanding and Addressing Chronic Absenteeism” Guest: Dr. Gretchen Hoyle, Pediatrician Chronic school absenteeism is surging—and it’s not just about skipping class. In this episode, pediatrician Dr. Gretchen Hoyle joins us to unpack the many factors driving today’s absenteeism crisis. From the long shadow of the pandemic to rising anxiety, screen-time habits, and shifting cultural norms, Dr. Hoyle shares practical insights for families nav...
May 27, 2025•37 min•Ep. 11
Episode 10: A Gut Feeling—Constipation, Anxiety, and ADHD in Children Guest: Dr. Gretchen Hoyle In this enlightening episode of Nimble Youth , pediatrician Dr. Gretchen Hoyle returns to tackle a topic that’s both common and frequently misunderstood: chronic constipation and stool withholding in children. What may seem like a simple digestive issue is often a complex interplay between physical discomfort, behavioral habits, and underlying mental health challenges such as anxiety and ADHD. Dr. Hoy...
May 24, 2025•30 min•Ep. 10
🩹 Episode 9: Understanding Cutting and Non-Suicidal Self-Injury (NSSI) in Youth Guest: Dr. Gretchen Hoyle | Host: Nimble Youth Podcast Cutting and other forms of non-suicidal self-injury (NSSI) are difficult topics for any parent or caregiver to confront—but they’re more common than many realize. In this episode, Dr. Gretchen Hoyle returns to guide us through understanding this complex behavior. We explore why some kids turn to self-injury as a coping mechanism, how to spot signs of it, and mos...
May 05, 2025•30 min•Ep. 9
If you’ve ever felt like you’re the one doing all the care coordination for your child—between doctors, therapists, teachers, and insurance companies—you’re not alone. The mental health system hasn’t always made it easy. But there’s a new model that’s starting to change that: it’s called the Psychiatric Collaborative Care Model , or Collaborative Care for short.
Apr 30, 2025•35 min•Ep. 8
In this powerful episode of Nimble Youth , Dr. Gretchen Hoyle returns to explore how digital media, social disconnection, and untreated mental health challenges are affecting adolescent boys. The discussion zeroes in on how behavioral changes—especially in boys who seem withdrawn, anxious, or addicted to screen time—can be early indicators of deeper mental health issues such as anxiety, depression, or even previously undiagnosed ADHD. Dr. Hoyle breaks down how clinicians differentiate between co...
Apr 29, 2025•52 min•Ep. 7
In this episode, we’re talking about a mental health crisis that is quietly, and sometimes invisibly, reshaping the lives of millions of young people—particularly adolescent girls. Anxiety and depression have been on the rise among teens for over a decade, but the numbers for girls are especially stark—and deeply concerning. Our guest today is Dr. Gretchen Hoyle, a pediatrician with 25 years of experience and a focus on child and adolescent mental health.
Apr 25, 2025•37 min•Ep. 6
In this episode of Nimble Youth , host Matt Butterman and pediatrician Dr. Gretchen Hoyle explore how anxiety presents in young children — often in ways that can be mistaken for defiance, avoidance, or behavioral issues. Dr. Hoyle discusses how anxiety can show up as tummy aches, refusal to go to school, or resistance to routine activities, and why understanding the root of these behaviors is so important. Topics Covered: How anxiety in young children differs from what we typically see in older ...
Apr 25, 2025•39 min•Ep. 5
In the final installment of our three-part ADHD series, we explore the real-world challenges and decision-making processes behind ADHD medication management in children. Dr. Gretchen Hoyle returns to guide us through: 🧠 Topics Covered Medication combinations and why stimulants are often paired with alpha-2 agonists How insurance formularies influence medication choices more than many parents realize Age-specific prescribing , including alternatives for children who can't swallow pills Navigatin...
Apr 24, 2025•47 min•Ep. 4
Episode Summary: In this third episode of our special series on ADHD, we’re back with Dr. Gretchen Hoyle to explore the collaborative care model —a modern, team-based approach to managing ADHD in children. Dr. Hoyle walks us through how pediatricians, behavioral health care managers, and mental health specialists work together to provide holistic, accessible, and proactive care for families navigating ADHD. We discuss the real-world challenges parents face—like communicating with schools, access...
Apr 24, 2025•50 min•Ep. 3
🔍 Episode Summary In this episode, we dive into what ADHD looks like in real life, how it shows up in kids at different ages, and the importance of early identification. Dr. Hoyle shares practical insights from the clinic, discusses the challenges of diagnosis, and addresses common fears—like whether treatment might change a child's personality. We explore how to strike a balance between classroom functionality and preserving a child’s unique essence. 🧠 Key Themes & Takeaways Misconception...
Apr 24, 2025•44 min•Ep. 2
Episode Summary Welcome to the very first episode of Nimble Youth —a podcast for parents navigating the complex mental health landscape of modern childhood. Host Matt Butterman introduces the mission and meaning behind the show’s title, drawn from Shakespeare’s reflection on the vitality of youth. But in today’s world, “nimbleness” is more than physical—it's about adaptability, resilience, and mental agility. Matt explores why pediatric mental health is at a breaking point, discussing how social...
Apr 24, 2025•10 min•Ep. 1
