Weekly Newsletters


Sign up for our weekly newsletter! Receive articles of interest with a wide variety of subjects associated with psychiatry and the practice of primary care medicine. Just add your email address below or email pc2@vistahill.org.


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 […]

Treatment Options for Generalized Anxiety Disorder (GAD):  Advantages and Disadvantages 3/5/2021

The following chart provides a helpful review guide of the advantages and disadvantages of various agents and therapies for treatment of Generalized Anxiety Disorders.. Type of Treatment Advantages Disadvantages Psychological Therapies & Counseling All patients should be referred for evaluation and/or on-going psychotherapeutic treatment. Can be provided in concurrence with appropriate medications. Recommend first-line treatment […]

Drug Interactions Between Psychotropic Medications and Contraceptives 2/25/2021

Contraceptives are commonly used in women of childbearing age, many of who are also taking psychotropic medications for mental health concerns. It is important to be aware of the interactions between contraceptives and certain psychotropic medications as well as the psychiatric side effects of contraceptives themselves. Contraceptives have synthetic estrogen, progesterone or a combination of […]

Assessment & Treatment of ADHD in Adults 2/19/2021

Attention-deficit/hyperactivity disorder (ADHD) affects about 1/3 of adults who had ADHD in childhood. It can be difficult to diagnose because of the overlap in symptoms of adult ADHD with depression, anxiety and substance abuse, and because of challenges in obtaining observational data beyond the patient’s self-report of symptoms. It is of note that studies of […]

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 […]