Nimble Youth

Nimble Youth

Welcome to the Nimble Youth podcast, where we provide expert insights and valuable resources for parents navigating the complexities of their children's mental health. We empower parents to nurture healthy minds in children, teens, and young adults through real conversations. Our team of seasoned professionals, including physicians, therapists and educators, delve into pressing topics, share research-based strategies, and offer practical advice for fostering mental and emotional well-being within your family.

Episodes

August 4, 2025 36 mins

🎙 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 perfec...

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🎙️ 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 pediatric...

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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.

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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 dy...

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🎙️ 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 ...

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🎧 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 wit...

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🎧
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 criti...

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May 27, 2025 37 mins

🎧 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 s...

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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, beha...

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🩹 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 tur...

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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.

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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 un...

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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 ch...

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April 25, 2025 38 mins


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 Cov...

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April 23, 2025 47 mins


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

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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 dis...

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🔍 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...

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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.

...

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