Dr. Johanna Fricke

Pediatrics - Developmental and Behavioral
Las Vegas, NV
52 years experience female

About

Bio

I have practiced Pediatrics in Reno and Las Vegas, Nevada since 1976, ABP certified since 1978. I have specialized in Developmental/Behavioral Pediatrics since 1986, ABP certified in 2002 when the subspecialty board exams were first offered, with maintenance of certification in Nov. 2012. I have practiced in both public & private sectors and have been a medical expert witness in Child Maltreatment Syndrome, Perinatal Addiction, Fetal Alcohol Spectrum Disorders, and the needs of children with neurodevelopmental disorders. I believe in a team approach to the care of children with special health care needs and behavioral challenges. My three daughters live " back East," so I cherish my time with my three grandsons. I enjoy reading, quilting, and living in a city that doesn't take itself too seriously.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pediatrics - Developmental and Behavioral

- Select Specialities -

ADHD & Autism

Developmental and Behavioral Pediatrics

Doctor Q&A

3.2K Answers
4.2K Agrees
The number of answers this doctor has agreed with.
A 44-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
As a rule, no.: The truth is, one spank is for the child, the rest are for the parent, I agree that one spank, not a spanking, may be acceptable when a child exhibits... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Or pack'em up &: & ditch'em. Explain briefly, " time to send all your pacifiers to the pacifier fairy, who needs them for babies. She'll leave you a present" & follow ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Encopresis is the : diagnosis for having bowel movements anywhere other than in the toilet in a child of 5 or older. Withheld stool hardens & liquid stool can leak ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Some genes have been: Identified in families with a history of language-based learning disabilities, dyslexia (reading disorder) & disorder of written expression. Non-verba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Provide support: When she can " hear" that prenatal exposure to tobacco has potentially set him up for deficits in speech & language skills, visual/spatial abilities, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
The most common: preventable cause of Intellectual Disability is Fetal Alcohol Syndrome. 50% of pregnancies in the US are unplanned. 70% of women of child-bearing age ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
A Public Law, IDEA,: Mandates his referral to early intervention by the nicu at discharge, transition to early childhood special education at 3, re-evaluation by his schoo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
If he does not have: Neurogenic bowel or bladder: read " steps to independence" for behavioral methids. Pediatrician or pediatric GI will want to evaluate for & manage con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Often : Here's my reason for advocating for early internvention, which should be free to infants with pvl: while ei physical and occupational therapists may n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
No, but there are: genetic medical & neurodevelopmental disorders that have ADHD as part of their neurobehavioral profile & infertility, like Turner Syndrome in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
The first signs are : persistence of primitive reflexes past the normal ages & lack of development of protective reflexes, which delay volitional movements. Arching, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Most have ADHD & OCD: Comorbid conditions: adhd & odd may be severe "teaching the tiger") is a good book. Language- based learning disabilities, habit disorders ( hair-pull... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Has your fetus had a: "stroke", hemorrhage or atypical brain development? The brain starts to form 3 weeks after conception, at which time alcohol, drugs or tobacco can alt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
See AAP statement: ​ american academy of pediatrics: swimming lessons for infants and toddlers do not protect children from drowning. Children are not ready for formal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
The two answers you: Received reflect current standard of practice, i.e., that developmental surveillance using standardized screening tests are part of every well-baby & ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Good question: Developmental screens/ assessments are based on biological development, the age ranges during which typically developing children reach certain milest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Read, play, talk: And listen. We're all recommending activities that involve your engaging with your child in an interactive way, sharing joint attention. Pairing readi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Gross motor skills, : using large muscles of the trunk & legs, progress head-to-toe the 1st year. A baby who gets her head & chest up when on her tummy ( in prone ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
All types of ADHD : are neurodevelopmental disorders with 6/9 or > significant symptoms of Inattention &/or 6/9 or > significant symptoms of Hyperactivity/Imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
A genetic accident: Human cells are supposed to have 23 chromosomes from father's sperm that pair up with 23 chromosomes from mother's egg. If either donation has an ext... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
According to the : Widely-publicized charge study: http://www.Medicalnewstoday.Com/articles/243911.Php., there is a " strong association" of maternal metabolic condition... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
It depends: In some inheritable disorders, the risk for each child to inherit them is 50%; in others, 25%. In some, daughters carry the mutant gene & sons are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Sleep consolidation : Through self-regulation occurs between 1-4 mos. If there has been a consistent bedtime & bedtime routine ( rocking, reading, feeding, wiping out baby'... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Yes: Babies and children who passively smoke cigarettes or marijuana are not only set up for lifelong lung disease, the absorbed toxins also cause developm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Tell your OB: Since brain and heart start forming at 3 weeks, tell your OB exactly when you quit. (s)he may order high-resolution fetal ultrasounds or fetal heart-s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Children with Fetal: Alcohol Spectrum Disorders have deficits in executive functions because alcohol targets & kills neurons in the fetal frontal cortex. Inability to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
No! Especially not : With chickenpox & the " flu, " but also never in kids < 12, & probably not in teens. Bismuth subsalicylate, like aspirin, can cause reyes syndrome. In... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Implicit memory at : 5 mos. leads to habits, learned behaviors, so sleep training is best done at 1-4 mos. If you remain his "sleep association", he'll become a "develop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Sleep consolidation : Through self-regulation occurs between 1-4 mos., with consistent bedtime & routine (rocking, reading, feeding, wiping out baby's mouth with a soft cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Learn as much as you: Can about the cause & treatment of your baby's hydrocephalus prior to delivery. Your OB may consult the fetal-maternal medicine team at lucille b. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Frequently: Cleft lip and/or cleft palate is the most common birth defect, about 1/600 live births. Some are isolated and some are associated with syndromes, so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
A toddler who walks: from room to room, pulls his/her pants &amp; pull-up or underpants up &amp; down &amp; says " pee-pee", "poo-poo" or "potty" to indicate he senses the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Because of delays ?: Occupational therapists evaluate & treat problems with self-help, academic & social/adaptive problems related to use of arms & hands (fine motor skill... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Possibly, and more: Cocaine causes constriction (narrowing) of blood vessels, including those that carry oxygen and nutrients to the placenta and fetus. Damage to the fet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Gotta go with No: Occasionally video games are used as a reward in aba. Tv or video time is not recommended for any child <2 yrs. Old, because they've been proven to d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Signs of readiness: are being able to walk from room to room, pull diaper, pull-ups &amp; pants up &amp; down, be dry for 2 hours, say "potty" or other word to indicate h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Here's a website: http://www.bmicalculator.org/ has explanations and calculators for men an women. Calculations require height, weight, gender and, in kids, age. The re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Learned behavior: Starts at 6 mos., when babies are smarter than puppy dogs. Use a low, firm, "no" & redirect baby consistently. Neurotypical babies & toddlers understa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Breaking it down: Genetics, biology, & environment, called genotype, phenotype & environtype, interact to cause difficulties in development/academics, behavior & peer i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Kids point to named : Colors before they name colors. The average is 3 colors, 3 shapes, & 3 #'s at 3; 4 of each at 4. Multimodal teaching, e.g., seeing & signing the color... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Yes & here's how:: Your fetus will be a passive smoker, which can cause a decrease in gray matter& atypical development of white matter in the fetal brain. Consequences... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Off-label: Years ago, mcneil pharmaceutical company did several trials in children that showed effectiveness of "provigil" about 65% of the time, about the same ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Teacher reports &: Questionnaires lincluded in the vanderbilt scales, connor's & other standardized diagnostic tools are used by pediatricians in diagnosing adhd because... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Not for every cause: First and second trimester maternal blood screens, fetal ultrasounds and some specific tests for women > 35 are offered. Your OB needs to know any a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Average to above avg: Learning disabilities are defined as unexpected difficulties learning in a child with an average to above average iq. A significant discrepancy betwee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
PVL is caused by : decreased flow of blood &amp; oxygen to the white matter of the fetal brain that surrounds the ventricles, an area susceptible to damage late in 2nd ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Risk factors: The sarnat neurological score, physical findings and eeg results in a newborn helps predict risk of developmental delays/ intellectual disability/cere... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
90% of the time : Dyslexia is a language-based reading disorder, from dysfunction in the part of the brain that processes phonemes, the smallest units of sound in a lan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
No, &amp; the FDA asks : that you report false claims of it's efficacy in any disorder for which its potential benefit has not been proven to outweigh its potential painful &... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 52 years experience
Early deficits: You may not recognize how hard you're working to get eye contact. It is easier to notice lack of social smile by 2 mos., reciprocal gooing & cooing by... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

48
Recommendations
1.9K
Thank you notes
Dr. Fricke takes the time to provide answers rich in substance and educational information. The more I read of her contributions, the more I am humbled by the extraordinarily high quality of her resp...Read More
Dr. Ira Katz
Nov 11, 2015
In reading and reviewing Dr. Johanna Fricke's answers I am impressed how she is able to convey information about the precious things in our lives - our children - in a concise and detailed manner and ...Read More
May 5, 2014
If your child has a developmental, learning, or behavioral problem, a developmental-behavioral pediatrician, Dr. Johanna Fricke , has the training and expertise to evaluate and care for your child. Do...Read More
HealthTap member
That is what it was, I was finally doing the right thing and then..... But I'm healing now emotionally thanks to asking for help from people like you as lack of a support system is a major reason for...Read More
HealthTap member
Thank you. His pediatrician says the "physical features" or facial mapping does not fit him. He is 6 yrs old and has been hitting his "milestones" just 3 yrs behind socially. I dont want to change ...Read More
HealthTap member
This was very helpful. Thanks! Thank you for your response. I threw away the q-tips. Never again! I feel horrible that it slipped in while cleaning the outside.I will have him seen 1st thing in the mo...Read More

Education & Training

Medical/Graduate school

University of Alabama School of Medicine, AL
Graduated 1971MD

Residency

UABSOM

Residency

UTHSCSA

Awards

America's Top Doctors
Southern Nevada Top Doctors
Associate Professor of Pediatrics UNSOM 2000-2012

Affiliations

American Academy of Pediatrics
Society for Developmental/Behavioral Pediatrics
American Medical Association
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