Pediatrics

Adolescent medicine : state of the art reviews : current by Hendren, Robert L.; Reeve, Alya

By Hendren, Robert L.; Reeve, Alya

This quantity of articles makes a speciality of the more and more very important but debatable subject of psychopharmacologic remedy for adolescent emotional and behavioral issues. It starts with a realistic "when and the way to medicate" guide for fundamental care physicians after which follows with concise, accomplished reports of medicines used to regard the main issues obvious in a toddler and kin perform together with substance  Read more...

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Parent reports and self-reports can provide useful information about a child’s symptoms and their severity. pdf) for symptoms of depression. Assessing Common Disorders It is important to recognize that there is a hierarchy of difficulty in making accurate diagnoses of specific psychiatric disorders. Among the disorders addressed in this chapter, ADHD is generally the easiest and most straightforTable 2.  Does the child have sufficient symptoms to support a syndrome or disorder?  Have the symptoms been present for a sufficient period?

Winters KC, Lee S, Botzet A, et al. A prospective examination of the association of stimulant medication history and drug use outcomes among community samples of ADHD youths. J Child Adolesc Subst Abuse. 2011;20:314–329 43. Biederman J, Monuteaux MC, Spencer T, et al. Stimulant therapy and risk for subsequent substance use disorders in male adults with ADHD: a naturalistic controlled 10-year follow-up study. Am J Psychiatry. 2008;165:597–603 44. Wilens TE, Adler LA, Adams J, et al. Misuse and diversion of stimulants prescribed for ADHD: a systematic review of the literature.

Medication for ADHD, however, does not substantially differ across developmental epochs. In supplementation of data, specifically on adolescence, much of our understanding of treating adolescents comes from upward or downward extension of the child and adult data. Symptomatic treatment (treatment for inattention, hyperactivity, or impulsive behavior) has always been a parallel approach to diagnostic and developmentally specific selection of treatment based on an incomplete literature. In recognition, this article assumes that inference from children or adults to adolescents, in the absence of adolescent-specific data, is commonplace and often confirmed with clinical experience.

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