Astrid M. Koenig
From Fear to Fun - Efficient consultation - Empower patients
How to improve the relation between doctors and patients? A lot is going on during any consultation. Frequently we are not aware of the obstacles in the way of effective communication in the outpatient clinic. This is especially the case when the patient is a child. Learn how to empower your (paediatric) patients so that you can become their partner in their journey. Learn how to use the time you have as efficient and effective as possible, with a high degree of patient satisfaction and treatment adherence.
Where to listen?
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Episodes
From Fear to Fun: Misguided Expectations 01.05.2026 8:58
This episode explores why some parents arrive with expectations that medicine simply cannot meet — and how these unrealistic hopes can create pressure, conflict, and emotional turbulence in the consultation. We unpack the roots of these expectations and offer strategies to guide families back to reality with clarity and compassion. We cover: Why some parents believe their child should never suffer...
From Fear to Fun: The challenging parent 30.04.2026 8:22
This episode explores why some parents appear “difficult” or overprotective — and how their behaviour is rooted in fear, experiences, and a deep desire to keep their child safe. When we understand the emotional background noise they bring into the room, we can adjust our approach and transform the consultation. We cover: Why overprotective parents struggle to trust clinicians and how this affects...
From Fear to Fun: More than one child at the consultation 29.04.2026 5:16
This episode explores how to manage consultations when a sibling is present — a situation that can quickly become chaotic if not handled intentionally. At the heart of it lies one simple truth: everybody craves attention, including the child who is not the patient. We cover: Why siblings often become disruptive when they feel unseen A powerful dolphin‑training analogy that shows why non‑interferen...
From Fear to Fun: How to help the disruptive child 28.04.2026 6:28
This episode explores why children show disruptive behaviour in the consultation room — and how boredom or fear are almost always at the root. When we understand the emotional logic behind disruption, we can guide children toward cooperation with clarity and compassion. We cover: Why children repeat the behaviour that gets them the most attention How boredom after the examination triggers restless...
From Fear to Fun: How to support teenagers 27.04.2026 6:30
This episode explores how to connect with teenagers — a group who are neither children nor adults, and who require a completely different approach in the consultation room. Their brains are rewiring, their emotions feel overwhelming, and their deepest need is to appear independent and in control. We cover: Why teenagers experience internal instability and protect themselves by acting “cool” How th...
From Fear to Fun: How to restrain a child during examination 25.04.2026 7:56
This episode explains how to safely and respectfully support a small or frightened child during a medical examination. Physical support is sometimes necessary — but it must be done efficiently, calmly, and with the child’s dignity at the centre. We cover: When to decide whether an examination is truly necessary How to choose the right person to support the child — and why a nurse or student is oft...
From Fear to Fun: Why I consider the traditional way "wrong"! 24.04.2026 9:11
This episode explores why the traditional “routine approach” in paediatric consultations so often leads to confrontation — with the child, with the parent, and even within ourselves as clinicians. By breaking down each phase of the routine workflow, we reveal how well‑intentioned habits can unintentionally create fear, resistance, and conflict. We cover: How ignoring the child during history takin...
From Fear to Fun: Empower the patient /parent 19.04.2026 7:27
This episode explores why knowledge is the foundation of empowerment in paediatric care. When children and their parents understand what is happening, they become confident partners in the treatment process — not passive recipients. We cover: Why power comes from knowledge — and why children need explanations in their language and mental imagery How communication is judged by the recipient, not th...
From Fear to Fun: Acknowledge medical belief systems 18.04.2026 6:36
This episode explores why every family arrives with their own medical belief system—and why acknowledging these beliefs is essential for trust, cooperation, and effective care. We look at how unconscious filters shape communication, how cognitive dissonance arises when beliefs clash with facts, and how to correct misconceptions without damaging the relationship. We cover: Why all patients and pare...
From Fear to Fun: Allow the child to approach 17.04.2026 7:03
This episode explores why the first seconds of a paediatric consultation are so decisive. Children decide almost instantly whether they will engage or withdraw. By allowing them to approach the unknown at their own pace, we give them control, reduce fear, and open the door to cooperation. We cover: Why the first seconds determine whether a child will engage How calling the child by name and waving...
From Fear to Fun: How to engage in the relationship with the child 16.04.2026 5:12
This episode explores the foundation of true engagement with a child in the consultation room: connection and respect. Before any examination, explanation, or treatment plan, clinicians must create emotional safety and a shared language. Only then can cooperation grow. We cover: Why engagement begins long before the first question or examination How background noise, fear, and curiosity shape ever...
From Fear to Fun: How to be fair 15.04.2026 8:28
This episode explores fairness as the final element of the SCARF model. Fairness in pediatric care does not mean treating every child the same — it means providing each child and parent with the level of support they personally need. We look at how age, ability, language, cognition, and emotional safety shape what “fair” looks like in practice. We cover: Why fair support is not equal support How a...
From Fear to Fun: How to be available for relatedness 14.04.2026 10:21
This episode explores relatedness, the “R” in the SCARF model, and how it shapes the second half of a pediatric consultation. After the examination, many children believe the appointment is over and try to leave. This is the moment when the doctor must shift focus from child to parent—without losing the child’s sense of safety. Relatedness helps keep everyone connected, calm, and engaged. We cover...
From Fear tomFun: How to deal with autonomy 13.04.2026 10:09
This episode explores how autonomy functions in pediatric consultations — not as a threat to the process, but as a natural outcome of trust. Autonomy grows when children feel safe, respected, and seen, especially in the first seven seconds of contact. We look at how to read a child’s signals, how to offer meaningful choices, and how to decide when autonomy can be honoured or must be limited for sa...
From Fear to Fun: How to provide certainty 11.04.2026 6:00
This episode explores how certainty transforms a child’s experience in the examination room. Because uncertainty fuels fear, and fear blocks cooperation, providing clear, simple, step‑by‑step explanations becomes one of the most powerful tools in pediatric care. Certainty shifts the doctor from “judge” to “guide” and opens the door to curiosity. We cover: Why uncertainty makes the exam room feel l...
From Fear to Fun: How to grant status 10.04.2026 8:55
This episode explores how clinicians can grant status to children and parents — not through hierarchy, but through presence, preparation, and body language that communicates dignity and safety. Status is a basic human need, and when children feel it, cooperation becomes possible. We cover: What “status” means in pediatric encounters: being seen, understood, and valued How preparation (knowing the...
From Fear to Fun: How to establish respect 09.04.2026 5:30
This episode explores what respect truly means in paediatric care — not politeness, not permissiveness, but creating a mutually agreed base of language where the child feels seen, safe, and valued. We look at why extremes (“children should be seen, not heard” vs. “children rule everything”) both fail to meet children’s real needs, and how clinicians can build respectful communication from the very...
From Fear to Fun: How I structure the consultation 08.04.2026 7:32
This episode breaks down how a pediatric ENT consultation can be structured to reduce fear, build trust, and create a smooth, child‑centred experience. By acting as the conductor of the consultation, the doctor guides the flow in a way that supports both the child and the parents — from first contact to shared decision‑making. We cover: Why the doctor must “conduct” the consultation rather than le...
From Fear to Fun: How to enter the consultation room safely 07.04.2026 6:49
This episode explores why entering the examination room is one of the most vulnerable moments for a child — and how a rushed transition can turn the room into a “dungeon.” We look at how fear is triggered, how curiosity can be used as a bridge, and how to transform the move from waiting room to exam room into an adventure rather than a confrontation. We cover: Why the exam room feels threatening a...
From Fear to Fun: The first point of contact 06.04.2026 5:17
This episode explores why the hands are the safest, least intrusive, and most effective first point of physical contact in a pediatric consultation. When children can touch rather than just see, fear decreases and curiosity increases. We cover: Why seeing unfamiliar instruments triggers imagination and fear How touching gives children a sense of control and reduces anxiety The role of hands as the...
From Fear to Fun: Just let them see 04.04.2026 5:38
This episode explores how visibility and clear structure transform fear into curiosity during paediatric consultations. When children can see what’s happening — and know what will happen next — they shift from defensive withdrawal to active engagement. We cover: Why new situations trigger either fear or curiosity How connection and age‑appropriate language set the emotional tone Why explaining the...
From Fear to Fun: Connection and curiosity remove fear 03.04.2026 6:29
This episode explores how connection and curiosity work together to dissolve fear in pediatric consultations. By meeting children at eye level, offering agency, and sparking curiosity, clinicians create a safe emotional space where cooperation becomes natural. We cover: Why being seen is essential for every child How crouching down and matching eye level builds instant trust The non‑verbal signals...
From Fear to Fun: Where shall we connect 02.04.2026 6:17
This episode explores why the location of the first encounter with a child shapes the entire consultation. Meeting a child in the examination room — their “dungeon” — triggers fear, avoidance, and resistance. Meeting them in a safe, child‑friendly space creates openness, trust, and cooperation. We cover: Why the consultation room feels threatening to children How calling patients straight into the...
From Fear to Fun: When to connect 01.04.2026 6:38
This episode explores why the first seven seconds of a consultation determine whether a child sees the doctor as a friend or an enemy — and how that split‑second judgement shapes the entire encounter. We look at the signals that build trust, the environmental factors that trigger fear, and why early connection is the foundation for cooperation. We cover: Why children form a first impression within...
From Fear to Fun: The concept of Connect - Respect - Engage 31.03.2026 6:10
This episode introduces a simple, teachable framework for effective communication in paediatric care. Instead of treating “bedside manners” as a mysterious talent, we break them down into three clear, actionable steps: Connect, Respect, Engage. We cover: Why communication skills are often poorly taught in medical training How most guidance focuses only on breaking bad news Why 75+ communication te...
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