Extra-Pyramidal Symptoms (EPS) 5/13/2021

Antipsychotic medications have a variety of indications, and at times are used off-label for treatment of a variety of behavioral problems. The primary mechanism of action of antipsychotic is antagonism (or partial agonism) of centrally located D2 receptors, though most agents have additional targets (including serotonin and histamine pathways). Adults will commonly take these medications […]

Stimulants, Psychosis, and Stressors 5/7/2021

ADHD is a common neurobiological condition among school-age children (Wolraich et al., 2019). The American Academy of Pediatrics recommends primary care providers treat ADHD in school age youth 1) with referrals to evidence supported psychosocial treatment (such as Parent Training In Behavior Management) or other outpatient individual, family and group educational and treatment interventions, and […]

Cannabis Use:  Risks and Resources 4/30/2021

A recent report from researchers in Colorado presents concerning data about the impact of cannabis legalization with findings of a significant increase of marijuana use in teens and young adults who have committed suicide.   Analyzing data from 2014 when cannabis was legalized in the state through 2017 showed the number of individuals committing suicide who […]

Autism and Repetitive and Restricted Behaviors 4/22/2021

In this discussion of Autism Spectrum Disorder (ASD), we will review the latest evidence in treatment for repetitive behaviors.  Individuals and families impacted by ASD can present with a range of challenges and needs, it is important for providers to be familiar with a range of interventions and supports.  Most particularly, youth with ASD can […]

Beyond the ACE Score: “As the twig is bent…” 4/16/2021

Spoiler Alert:  Traumatic exposures, coupled with impaired parent-child relationships, experienced during early infancy and early childhood years are associated with great risk to children’s cognitive, emotional and social development. The seminal Adverse Childhood Experiences study demonstrated the strong correlation between the number of adverse events experienced in childhood and the risks for negative health and […]

Alternative Treatments for Depression 4/11/2021

Depression is a common, often undertreated mental health for children and adolescents across the country. Front line treatments are well known, and include: various forms and types of psychotherapies (individual and/or family, DBT, IPT, etc.), medications such as the selective serotonin re-uptake inhibitors (SSRIs), selective norepinephrine uptake inhibitors (SNRIs), and others, and various supportive interventions, […]

Evaluating for & Treating ADHD in Preschool Children 3/18/2021

The diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) is becoming increasingly prevalent, in part because of better assessments, but also in part because of misdiagnosis and jumping too early to diagnose. The effect is that the diagnosis of ADHD is being given at younger and younger ages. This leads to the question of the best […]

Occupational Therapy for Children and Youth with Mental Health Conditions 3/12/2021

With an eye toward issues of prevention and resiliency, but also with a view toward the challenges with recovery and inclusion, today’s E-Weekly explores the roles that occupational therapy and related activities may play in enhancing rehabilitation and adaptation for individuals with developmental and behavioral health disorders.   The old adage that “if the only tool […]