Weekly Newsletters

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    Update on Disruptive Mood Dysregulation Disorder: DMDD 2/11/2021

    Disruptive Mood Dysregulation Disorder (DMDD) is one of the new diagnoses included in the current DSM V manual and it is generally seen as a helpful diagnosis to fill a gap for many children presenting with complex psychiatric symptom profiles involving severe emotional and behavioral dysregulation and disruption.   It can be particularly helpful for youth […]

    What Now?   Management Strategies when a Suicide Screen is Positive 2/5/2021

    Last week’s newsletter encouraged readers dealing with teenagers to conduct a screening inquiry for suicidality, noting the rationale for inquiry and the resistance most of us feel about opening a potential Pandora’s box.    This week’s article pulls from prior newsletters and from feedback from readers to speak to the “What Now?” of suicide screening— discussing […]

    Screening for Suicide Risk in Teens During the COVID Pandemic 1/28/2021

    With the ongoing stressors of the pandemic and media reports of apparent increases in suicidal behaviors, concerns about suicide and about suicidal and self–harm behaviors is an ongoing concern for which the medical and mental health community needs to retain front-of-mind. Even prior to the pandemic suicide was the second leading cause of death in […]

    Antidepressants and Movement Disorder Side Effects 1/21/2021

    Although quite rare, this week’s newsletter discusses some of what is known about the various types of movement disorder that have been reported in association with the use of antidepressant medications that are regularly prescribed to treat depressive disorders and anxiety disorders along with some lower frequency psychiatric and non-psychiatric diagnostic indications. The data reported […]

    Tobacco and Nicotine Dependence 1/7/2021

    The good news is that the past 50 years have seen a tremendous decrease in the incidence of Americans who are smoking, with rates of prevalence dropping from over 40% in 1965 to roughly 15% in 2017.   This said, 16 million Americans have a smoking-related health condition and smoking remains the #1 preventable cause of […]

    Suicide Prevention Information & Resources for High Priority Groups 12/17/2020

    This week’s newsletter provides a plethora of suicide prevention information and resources relevant to groups of youth for whom suicide prevention and intervention is of particular importance. We hope that our readers will retain this information in their files for potential future reference—both with respect to the resources for special populations but also for those […]

    Tools for Parents: Some A, B, & Cs of Behavior Management 12/10/2020

    Evidence-based behavioral intervention trainings for parents are one of the many techniques that, when effectively implemented, can be associated with sustained behavioral improvements among children with oppositional and disruptive behaviors. (Kazdin, 2017) Use of these interventions can strengthen positive bonds between children and their parents and may also reduce the need for referrals for higher […]

    Medication Management for Adolescent Anxiety 11/20/2020

    For a more than a decade there has been evidence in the literature that Selective Serotonin Reuptake inhibiters (SSRI) can help teenagers with anxiety disorder feel and function better (Ipser et al., 2009). While these medications are not FDA approved for anxiety in adolescents, it appears clear that medications, in particular in combination with therapy […]

    Challenges Adapting to Acute and Ongoing Stressors: Revisiting the Adjustment Disorder Diagnoses 11/13/2020

    Social distancing and other pandemic related changes to our lives appear to be correlated with an increase in adult substance abuse, and to an overall increase in mental health symptomatology with onset or exacerbation of mood symptoms, sleep difficulties, irritability, increased worry and cognitive strain. Stress does that; isolation magnifies the hurt; and uncertainty keeps […]

    Psychotropic Polypharmacy with Children and Adolescents 11/6/2020

    The challenges of addressing behavioral health problems in children and adolescents remain an ongoing dilemma because of the high incidence of youth with significant problems, coupled with the ongoing difficulties for families and providers in accessing and optimizing care in a coordinated and comprehensive manner.   Particularly in the arena of prescribing psychotropic medications, there are […]