Child & Adolescent Psychiatry

Questions discussed in this category

What strategies do you use for patients on medications for ADHD who experience afternoon rebound/withdrawal?

3 Answers available

How do you address non-adherence to medical treatment in adolescent/young adult oncology patients due to mental health concerns?

1 Answer available

At what point would you recommend initiating psychotherapy or psychotropic medications to manage mood and anxiety symptoms following a new oncology diagnosis in pediatric patients?

What are your first-line medications in this population?

2 Answers available

What is your approach regarding ADHD drug holidays during school breaks?

2 Answers available

What medications have you found to be effective for childhood-onset speech fluency disorder?

3 Answers available

How do you approach the management of mild to moderate tics induced by stimulants in children?

2 Answers available

How do you discuss sexual and gender identity-related anxiety with teens when family dynamics are rigid or culturally conservative?

1 Answer available

How do you manage anxious children who are somatically focused and do not tolerate SSRIs?

5 Answers available

How do you treat ADHD with short periods of benefit from stimulant medications?

I have some pediatric patients who only see 4-5 hours of benefit with XR formulations. Is there a reason for this or another diagnosis I should be con...

0 Answers available

For children under the age of 7 with ADHD who continue to have significant impairment with behavioral interventions, how do you decide between starting with a stimulant vs. starting with an alpha agonist?

3 Answers available

How do you approach the treatment of anxiety disorders in children with a significantly family history of bipolar disorder?

1 Answer available

When do you decide to switch stimulants vs. continuing to maximize dosage in ADHD treatment?

2 Answers available

How do you most effectively dose melatonin for children with insomnia?

2 Answers available

Do you find that hydroxyzine worsens cognitive symptoms in patients who are already susceptible to cognitive impairment?

e.g., schizophrenia, ADHD, dementia

3 Answers available

When do you consider adding an antipsychotic for SSRI-refractory OCD, and which agent do you typically choose first?

2 Answers available

What alternative ADHD medications would you consider in a child with a complex cardiac history unresponsive to guanfacine?

2 Answers available

When do you use SNRIs or norepinephrine reuptake inhibitors (e.g., atomoxetine) for the treatment of ADHD?

5 Answers available

What behavioral interventions have you found most effective for managing self-injurious behavior in autism?

1 Answer available

How do you work psychodynamically with a child whose somatic complaints increase in response to parental marital conflict?

2 Answers available

What’s your approach when a parent declines mental health services for their child due to cultural stigma or fear of CPS involvement?

1 Answer available

What is your approach to assessing traumatic exposure in children?

2 Answers available

How do you address mental health and online presence with teenage patients?

3 Answers available

When would you consider transdermal treatments for ADHD?

3 Answers available

How do you differentiate cognitive inflexibility due to autism from similar patterns in anxiety or OCD?

1 Answer available

How do you manage nicotine withdrawal and smoking cessation in teens?

4 Answers available

What pharmacological management do you consider for self-injurious behavior in patients with autism spectrum disorder?

11 Answers available

What pharmacological management do you consider in patients with Autism Spectrum Disorder whose primary behavior is aggression?

What medications do you use in patients who already have existing obesity and metabolic syndrome?

3 Answers available

What is your approach to helping parents manage sleep disturbances in patients with autism spectrum disorder?

1 Answer available

How frequently do you recommend EKGs in pediatric patients on antipsychotics, especially in patients taking antipsychotics with more QTc risk?

1 Answer available

Do you still consider changing atypical antipsychotics that are working well in children undergoing puberty if the prolactin levels are high but there are no symptoms of drug-induced hyperprolactinemia?

Is there a prolactin level in asymptomatic children when you should consider switching to alternative atypical antipsychotics?

4 Answers available

What medications have you had success with for patients with high functioning ASD and co-morbid ADHD and anxiety?

3 Answers available

Which interventions have you found effective for managing sensory sensitivities in children with autism spectrum disorder?

2 Answers available

How do you treat disruptive mood dysregulation disorder?

3 Answers available

What would be your approach to managing social anxiety in teenage patients with ADHD, doing well in regards to academic functioning with their stimulant medications?

Please share options of treatment without discontinuing the stimulant as that include discontinuing the stimulant and using alternatives.

8 Answers available

How do you approach stimulant-related insomnia for pediatric patients who are otherwise good responses to low-dose stimulant treatment for ADHD?

10 Answers available

How do you counsel patients and caregivers on dietary interventions for autism?

Marí-Bauset et al., JCN 2014

1 Answer available

What is your approach to using stimulants in treating children with both ADHD and autism?

1 Answer available

How do you advise families about the risks and benefits of long-term SSRI use for children who being treated at a very early age (e.g., early elementary school)?

Have any long-term studies been conducted to collect data on adults who were prescribed SSRIs throughout their childhood?

1 Answer available

Papers discussed in this category

Health technology assessment (Winchester, England), 2022 Jun

Sensory integration therapy for children with autism and sensory processing difficulties: the SenITA RCT.

The mental health clinician, 2016 Jun 29

Management of antipsychotic-induced hyperprolactinemia.

Frontiers in neuroscience, 2020 Mar 27

The Pharmacologic Treatment of Stuttering and Its Neuropharmacologic Basis.

Journal of the American Academy of Child and Adolescent Psychiatry, 2015-09

Meta-Assurance: No Tic Exacerbation Caused by Stimulants.

Cureus, 2023 Jun 07

Play Therapy As Effective Options for School-Age Children With Emotional and Behavioral Problems: A Case Series.

The New England journal of medicine, 2019-03-21

Psychosis with Methylphenidate or Amphetamine in Patients with ADHD.

The American journal of psychiatry, 2016 Oct 03

The Risk of Treatment-Emergent Mania With Methylphenidate in Bipolar Disorder.

Journal of the American Academy of Child and Adolescent Psychiatry, 2006-11

Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD.

Archives of general psychiatry, 1999 Dec

A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD.

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