How Do You Think Through a Tongue Tie Case? Introducing: A Clinical Framework: Episode 125
From The Tongue Tie Experts Podcast by Lisa Paladino CNM IBCLC
March 20, 2026 · 22 min
About this episode
Lisa Paladino introduces the CAREFUL™ framework for thinking through tongue tie cases in a clinical setting.
In this episode of the Tongue Tie Experts Podcast , Lisa Paladino, CNM, IBCLC shares a clinical thinking framework she has primarily taught inside her professional trainings - until now. One of the most common questions Lisa hears from professionals is not simply “How do I identify a tongue tie?” but something deeper: How do I think through these cases? How do I avoid missing something important? How do I support families without creating fear or confusion? The challenge is often not a lack of knowledge - it’s the absence of a clear framework for clinical reasoning . In this episode, Lisa introduces the CAREFUL™ framework, a model developed from more than three decades of working with babies and families. This approach is designed to help professionals slow down, consider the full feeding picture, and provide thoughtful, family-centered care. Lisa also discusses: • Why feeding challenges cannot be understood through anatomy alone • The importance of caring for the parent–baby dyad • How structured clinical thinking improves confidence and decision-making • Why interdisciplinary collaboration is essential in tongue tie care • How a careful, measured approach builds trust with both…
People in this episode
Host: Lisa Paladino
Topics covered
- tongue tie
- clinical framework
- feeding challenges
- family-centered care
- interdisciplinary collaboration
Keywords
- tongue tie
- clinical reasoning
- feeding challenges
- CAREFUL framework
- family-centered care
More episodes of The Tongue Tie Experts Podcast
- Food Reactivity and Tongue Tie: Adding Symptom Tracking to Your Clinical Toolkit: Episode 131 · June 12, 2026 · 44 min
- Reattachment, Aftercare, and Function After Tongue Tie Release: Episode 130 · May 29, 2026 · 42 min
- What Role Does Osteopathic Medicine Play in Tongue Tie Care? Episode 129 · May 15, 2026 · 51 min
- How We Grow in a Field That’s Still Evolving: Episode 128 · May 1, 2026 · 18 min
- What Release Alone Can’t Fix: A Whole-Body Conversation with Dr. Neel Bulchandani: Episode 127 · April 17, 2026 · 60 min
- What Happens When It’s Your Own Family? The Shift from Professional to Advocate: Episode 126 · April 3, 2026 · 47 min
Explore listener stats, chart rankings, contacts and more on the The Tongue Tie Experts Podcast podcast page.