Suicidal Patients & COVID 19: Tips for Managing SI in a Telehealth World 6/4/2020

Baseline data for the US indicates that nearly 45,000 people die by suicide each year and there is both uncertainty and concern about how these numbers will be impacted by the Covid-19 pandemic.  Today’s weekly explores potential interventions to address this problem in primary care settings. People who have been suicidal before could have a […]

Coping with Loss in the Time of COVID-19 5/28/2020

This week’s SmartCare e-Weekly is pleased to share the sensitive and thoughtful insights of a special guest contributor, Miriah de Matos, MPH, MA, a parent to two young boys who works as Senior Project Specialist for AAP-CA3’s First 5 First Steps & Healthy Development Services program. As a program focused on integrating behavioral healthcare into […]

Helping Patients Quit Tobacco Use: Motivating Ourselves to Persist in Harm Reduction Efforts 5/21/2020

Many of us have committed ourselves to do our part with smoking cessation during our careers, but staying on course with this difficult task can be difficult. The barriers to sustaining our efforts are multiple: tobacco advertisers’ huge marketing budgets, inadequate time and reimbursement for providing treatment, patients’ psychological and physiological barriers and resistance, our […]

QTc Prolongation and Psychotropic (and Other) Medications 5/14/2020

The prolongation of the QT interval on electrocardiogram is a rare but known risk of some psychotropic (and other) medications. A prolonged QT interval can increase the risk of Torsades de Pointes, a ventricular arrhythmia that can be fatal. Although not a concern in the pharmacologic treatment of most patients, caution is recommended when prescribing […]

Comorbidity of ADHD and PTSD: Diagnostic and Treatment Implications 5/8/2020

A variety of studies have shown that the risk for Post-Traumatic Stress Disorder (PTSD) is higher in individuals with Attention Deficit Hyperactivity Disorder (ADHD) compared to those without ADHD and the risk for ADHD is higher in individuals with PTSD than those without PTSD. The association has been noted to be bidirectional but the strongest […]

Cannabidiol (CBD) and Mental Health: The Latest 4/30/2020

Parents and adolescents often ask primary care and mental health providers about Cannabidiol (CBD) for anxiety, sleep or other symptoms or behaviors. Here, we discuss the latest in community standards, the state of the evidence, and encourage primary care providers to be prepared to educate families on the limited role CBD should play for children […]

New Resources from SmartCare BHCS 4/23/2020

In the face of the ongoing stay in place directives and with so many clinical services being limited, SmartCare will be initiating two new on line resources. WEEKLY PROVIDER FORUM Wednesdays Noon-1pm This forum will offer an opportunity for open dialogue about issues and concerns related to the behavioral health needs of families. SmartCare psychiatrist, […]

Kids (& Others) Coping with COVID-19 4/10/2020

Who in their right mind would have thought that an extra month off from school could ever be a burden? But now, after nearly a month away from friends and classmates, and with a loss of routine and social interaction, many youth are totally done with being free from the rigors of school and being […]

Self-Care Principles and Practices for Health Providers 4/2/2020

Managing one’s personal and professional life during a pandemic of the proportion that is evolving on the planet is and will be a challenge for all healthcare providers. Last week, we reviewed resources available to help us help our patients care better for themselves, physically and emotionally. Today, we look at supporting and taking care […]

SAN DIEGO RESOURCES: COVID -19 3/27/2020

SAN DIEGO RESOURCES: COVID-19 Behavioral Health Support for Children                                                             EXPLAINING THE CORONAVIRUS: BrainPOP – Free cartoon video (about 4 min long) for upper elementary and middle schoolers – https://www.brainpop.com/health/diseasesinjuriesandconditions/coronavirus/ Explaining the Coronavirus to Children with Anxiety or OCD – by a child therapist – https://youtu.be/C3BZnldL66E Article, Talking to Kids About the Coronavirus – https://childmind.org/article/talking-to-kids-about-the-coronavirus/ Mental […]