# Ep 149: Why 'Not Acting Right' Signals Hidden Health and Life Issues in IDD Page: https://stenobird.com/podcast/idd-health-matters-6518688/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd Text version: https://stenobird.com/podcast/idd-health-matters-6518688/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd.md Podcast: [IDD Health Matters](https://stenobird.com/podcast/idd-health-matters-6518688) Published: 2026-05-25T06:23:00+00:00 Episode link: https://df26746a-591f-4182-811e-8f021173710c.libsyn.com/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd Audio file: https://traffic.libsyn.com/secure/df26746a-591f-4182-811e-8f021173710c/IDD-P_Act_Right.mp3?dest-id=4089486 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/idd-health-matters-6518688/episodes/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd Duration seconds: 3415 ## Resource In this IDD Perspectives webinar the focus is on understanding why individuals with intellectual and developmental disabilities (IDD) may appear to be "not acting right," emphasizing that such behaviors are often signals of underlying issues rather than merely behavioral or psychiatric problems. Guest Dr. Matt Holder and host Craig Escudé highlight the importance of first ruling out medical causes such as pain, illness, infections, dental problems, medication side effects, or undiagnosed conditions, as these can be easily overlooked but have serious consequences. They also discuss environmental and social factors—such as life changes, lack of support, stress, or unmet needs—along with sensory sensitivities and psychological experiences like grief or trauma. A key message is that psychiatric diagnoses are frequently overused, leading to unnecessary medications and harmful side effects, when the real causes may lie elsewhere. The discussion stresses careful observation of patterns, person-centered care, better training for healthcare providers, and strong advocacy from caregivers to ensure individuals with IDD receive accurate diagnoses, appropriate care, and respectful treatment. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/idd-health-matters-6518688/episodes/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/idd-health-matters-6518688/ep-149-why-not-acting-right-signals-hidden-health-and-life-issues-in-idd.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.