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 pragmatic "when and the way to medicate" guide for basic care physicians after which follows with concise, finished studies of medicines used to regard the foremost issues noticeable in a baby and kinfolk perform together with substance  Read more...

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Extra resources for Adolescent medicine : state of the art reviews : current psychopharmacology for psychiatric disorders in adolescents

Sample text

This has occurred in response to federal legislation, including the Best Pharmaceuticals for Children Act (BPCA) and the Pediatric Research Equity Act (PREA). Also, the NIMH began funding large, multisite treatment studies in the mid-1990s. Currently, a number of medications are available with indications for psychiatric disorders in children, including ADHD, depression, obsessive-compulsive disorder (OCD), bipolar disorder, schizophrenia, and for irritability in children with autism. Thus, prescribing off-label, especially for a medication that has no indication for any psychiatric disorder in children and adolescents, should be carefully justified and documented in the medical record.

Thus, several well-designed studies sponsored by the National Institutes of Health (NIH) have examined use of an SSRI, such as fluoxetine,12 fluvoxamine,13 or sertraline,9 to treat children with 1, 2, or 3 of these common childhood anxiety disorders (SoAD, SAD, or GAD). Most commonly, the participants in these studies met criteria for 2 or 3 disorders, not just 1. Therefore, the FDA did not use data from these studies to support an indication. 9 As all physicians who prescribe to children and adolescents well know, many medications must be prescribed off-label.

ADHD Rating Scale—IV: checklists, norms, and clinical interpretation. New York, NY: Guilford Press; 1998 5. Birmaher B, Khetarpal S, Brent D, et al. The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry. 1997;36:545–553 6. Ginsburg GS, Riddle MA, Davies M. Somatic symptoms in children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry. 2006;45:1179–1187 7. Ginsburg GS. Evidence-based treatments for children and adolescents.

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