Child and adolescent psychiatric clinics of North America
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Child Adolesc Psychiatr Clin N Am · Jul 2013
ReviewBuilding an evidence base in complementary and integrative healthcare for child and adolescent psychiatry.
Complementary and integrative strategies are widely used by families with children who have mental health diagnoses. The therapies used by these children include herbs, dietary supplements, massage, acupuncture, meditation, and naturopathy. ⋯ Interpretation of complementary and integrative health care studies for symptomatic management of mental health conditions is hampered by study design and methodological limitations. Well-designed, adequately powered, and suitably controlled clinical trials on promising complementary and integrative modalities are needed for children and adolescents with psychiatric conditions.
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Child Adolesc Psychiatr Clin N Am · Jul 2013
ReviewOverview of integrative medicine in child and adolescent psychiatry.
Complementary and alternative medicine (CAM) defies simple definition, because the distinction between CAM and conventional medicine is largely arbitrary and fluid. Despite inconclusive data on the efficacy and safety of many CAM treatments in child and adolescent psychiatry, there are enough data on certain treatments to provide guidance to clinicians and researchers. ⋯ The low stigma and cost-competitiveness of many CAM psychiatric treatments are highly attractive to children and parents. Physicians need to be knowledgeable about CAM treatments to provide clinically valid informed consent for some conventional treatments.
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Child Adolesc Psychiatr Clin N Am · Oct 2012
ReviewAppropriate and judicious use of psychotropic medications in youth.
The issue of prescribing psychotropic medications is one that stirs much emotion and debate among parents and providers alike. This article is presented as a primer on the appropriate and judicious use of psychotropic medications in youth. Rather than focusing on any specific class of medications or on any clinical condition, the article presents best practices as well as key clinical pearls regarding the art and science of psychopharmacology in youth.
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Child Adolesc Psychiatr Clin N Am · Apr 2012
ReviewPrimary care management of child & adolescent depressive disorders.
This article outlines the importance of primary health care in addressing the public health challenge presented by pediatric depressive disorders. The current realities of depression management in primary care are discussed. The models emerging from intervention research and the barriers to their implementation in practice are then reviewed. Drawing on this background, recent new standards for primary care management of pediatric depressive disorders are discussed, along with resources that have been developed to support their achievement.
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This article focuses on considerations for natal females who present in the adolescent years with concerns related to their gender. They maybe individuals previously evaluated in their childhood years who have persisted with gender variance or gender identity disorder (GID) in DSM-IV, or they may be presenting for the first time in their adolescent years. The article discusses how to assess adolescents who come for evaluation and what treatments and other resources are available for them and their families. Where there seem to be differences between boys and girls with gender identity issues, they will be noted.