On and Off The Spectrum podcast artwork

PODCAST · health

On and Off The Spectrum

How do families react, respond and reorganize after receiving a potentially life altering physical or mental health diagnosis, either for themselves or for someone they love? Dr. Esther Hess and Dr. Ann Kirsch, two experienced and well-known psychotherapists offer strategies, guidance and realistic hope through some of the toughest times that families can face.

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  1. 19

    Dr. Laura Hernandez: A Pediatrician Who Meets Her Patients Where They're At

    Drs. Hess and Kirsch sit down with Dr. Laura Hernandez, a very knowledgeable and thoughtful pediatrician, addressing the complexities of raising today's child. She also addresses her experience as a clinician of color and how her patients acknowledge that this is often the first time that they have met a doctor who looks like they do, speaks the same language and can translate our current state of medical confusion.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  2. 18

    Think Again Foundation: A Foundation of Hope for Families with Children Recovering from Cancer

    Drs. Hess and Kirsch interview Dr. Patty Kerrigan, founder and CEO of Think Again Foundation. An organization that offers families the necessary support services during and following recovery from cancer treatment.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  3. 17

    The Relief of a Mid-life Diagnosis of ADHD

    In this episode of On and Off the Spectrum, David Richmond joins Drs. Hess and Kirsch from the UK to share his deeply personal journey toward a mid-life diagnosis of Attention Deficit Hyperactivity Disorder. For years, David lived with patterns of hyperactivity, inattention, and internal restlessness that never quite made sense...until they did. David reflects on what it means to reinterpret your past through a new lens, especially while navigating the demands of everyday life as a parent and partner.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  4. 16

    Overcoming oral defensiveness: Supporting the neuro-diverse dental patient

    Drs. Hess and Kirsch meet with pediatric dentists Bernard Gross and Michael Kleinman who offer tips and strategies to support the special needs child and their parents navigating oral phobias and sensory sensitivities.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  5. 15

    Binge Eating Disorder: Discovery and recovery

    Drs. Hess and Kirsch sit down with Ilana Zackon with a candid conversation about her own experiences with Binge Eating Disorder. She enlightens the audience to how common eating disorders are ignored or misdiagnosed and how she fought her way back to health.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  6. 14

    Adoption Competency: How to Distinguish Normal Developmental Challenges from Adoption-Trauma Behaviors

    Dr. Esther Hess and Dr. Ann Kirsch together discuss the complex issues of how adoption trauma often manifests itself as maladaptive survival strategies, with guidance for differentiating these maladaptive behaviors from age-appropriate developmental challenges. Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  7. 13

    Depression, Medication and Pregnancy: Separating Fear from Fact

    The pros and cons of anti-depressant medication during pregnancy are thoughtfully explored as Dr. Ann and Dr. Estie discuss the quandary that women often find themselves in; what to do if you want to get pregnant, think you might be pregnant and have a diagnosis of depression? Please note: This episode explores mental health treatment alongside fertility and pregnancy, topics that may be sensitive for some listeners.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  8. 12

    Healthy Parenting Tips in a Technologically Complex World

    Dr. Ann and Dr. Estie discuss a recent article written by Rahm Emmanuel, on the specific strategies that he and his wife used to raise their three children. Offered are tips that minimize technology at the dinner table, stress the importance of reading together as a family and never ever forgetting to remind a child how much he/she are loved. Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  9. 11

    The Hidden Risks of AI for Vulnerable Minds

    Dr. Ann and Dr. Estie together discuss the merits and the dangers of unregulated AI as it relates to excessive exposure and tech addiction within the special needs population. Please note: This episode includes discussion of suicide and suicidal ideation, which some individuals may find distressing.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  10. 10

    Fact not Fiction: Autism Spectrum Disorder, Vaccines and Medication

    Dr. Esther Hess and Dr. Ann Kirsch conduct an in-depth conversation with noted child psychiatrist Dr. Milena Kaufman, exploring the concerns raised by parents as they navigate current best practice recommendations for caring for their children impacted by autism spectrum disorder. Most pressing, Dr. Kaufman addresses the question: “Can vaccines cause autism?”Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  11. 9

    Beyond First Impressions

    Why Diagnoses Don't Define Potential: Dr. Ann and Dr. Estie sit down with inventor and entrepreneur Taylor Cole for an insightful and at times hilarious discussion that refines the saying 'Don't Judge a Book by its Cover'. A candid discussion that exposes the conundrum of the limits of mental health diagnoses without limiting potential of the human spirit. Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  12. 8

    The Misdiagnosis of ADHD: Alternative Causes and Strategies for Families

    A lot of times ADHD masquerades as something else. Drs. Hess and Kirsch discuss among themselves various conditions mimicking ADHD and offer tips and strategies from their own case files to clarify what is really going on in the brains of our children.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  13. 7

    When Children are Exposed to Trauma

    What Parents Can Do: Dr. Ann and Dr. Estie have a timely discussion between themselves as they review 4 tragic and traumatic world events that occurred within 12 hours of each other towards the end of 2025. Guidance is offered to parents on how to help children of various ages and stages of development tolerate and digest news, how to shield from excessive exposure and support their own self-care.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  14. 6

    Music to Soothe the Soul: Autism and Addiction

    Drs. Hess and Kirsch sit down with Jessica Kligman, a Music therapist who uses her craft to help regulate and organize children with developmental delays as well as men struggling to overcome their addiction to alcohol. This podcast provides extraordinary insight into the inner world of both the challenged child and the challenges associated with overcoming addiction.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  15. 5

    The journey from artist to art therapist to DIR: Floortime Interventionist

    Join our conversation with Marissa Cytryn as she describes her progression from being an artist to using art as a core therapeutic tool to form relationships with special needs children.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  16. 4

    Invisible on the Spectrum

    Dr. Ann and Dr. Estie have a heart-to-heart discussion with Mary Kate and her mother Patricia regarding Mary Kate's long road to getting accurately diagnosed as a woman impacted by Autism Spectrum. Both mother and daughter recall the severe challenges that Mary Kate faced as a child and the strength and courage that she has displayed in both overcoming her childhood trauma and embracing who she is today.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  17. 3

    A Family's Experience with Sunflower Syndrome

    Dr. Ann and Dr. Estie expand on their initial interview with Uma Nambiar when they sit down to speak with Sanjay and Priya Nambiar, the parents of twin girls who contracted a rare genetic disorder at age 3 years and their 8-year, relentless journey to find a medical solution for their children.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  18. 2

    The Sun and Me: My Journey with Sunflower Syndrome

    Dr. Ann and Dr. Estie interview college freshman Uma Nambiar. She has just written a children's book about her and her twin's experience with a rare genetic disorder, from diagnosis to successful treatment. A rare 'child's eye view' of what it's like to feel 'different' in the world, getting support from your community while normalizing medical trauma. Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

  19. 1

    Not Dead Yet: A Story of Resilience and Recovery

    A Story of Resilience and Recovery; Dr. Ann and Dr. Estie interview Rabbi Robbi Tombosky as he describes his near-death experience post Covid, and the road back to recovery. Discussion centers on the strategies he used, the people he relied on and his acceptance of his own vulnerability as a central part of his healing.Stay in touch!This podcast is a conversation, and we’d love to hear from you. If you have questions, topics you’d like us to explore, or are interested in being a guest on a future episode, email us at [email protected] / Writer / Author: ROSSANO GENTILI - SIAE IPI: 161539866

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ABOUT THIS SHOW

How do families react, respond and reorganize after receiving a potentially life altering physical or mental health diagnosis, either for themselves or for someone they love? Dr. Esther Hess and Dr. Ann Kirsch, two experienced and well-known psychotherapists offer strategies, guidance and realistic hope through some of the toughest times that families can face.

HOSTED BY

Dr. Esther Hess and Dr. Ann Kirsch

CATEGORIES

Frequently Asked Questions

How many episodes does On and Off The Spectrum have?

On and Off The Spectrum currently has 19 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is On and Off The Spectrum about?

How do families react, respond and reorganize after receiving a potentially life altering physical or mental health diagnosis, either for themselves or for someone they love? Dr. Esther Hess and Dr. Ann Kirsch, two experienced and well-known psychotherapists offer strategies, guidance and realistic...

How often does On and Off The Spectrum release new episodes?

On and Off The Spectrum has 19 episodes. Check the episode list to see recent publication dates and frequency.

Where can I listen to On and Off The Spectrum?

You can listen to On and Off The Spectrum on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts On and Off The Spectrum?

On and Off The Spectrum is created and hosted by Dr. Esther Hess and Dr. Ann Kirsch.
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