By not operating politically. Elizabeth's commitment is to clinical honesty — which means following the data where it goes, naming complexity where it exists, refusing to let advocacy in either direction substitute for careful evaluation, and being transparent with families about what is known, what is uncertain, and what belongs to their own discernment rather than hers. In a space where many clinicians are perceived — rightly or wrongly — as having an agenda, integrity looks like this: asking good questions, measuring carefully, reporting honestly, and letting families and their children be the authors of their own next chapter.

Validated measures — not clinical opinion alone

Transparent reporting of what is above and below clinical threshold

Honest conversation about what a diagnosis does and does not mean

No steering toward or away from any particular outcome

Referral to other professionals when outside scope