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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Child Adolesc Psychiatr Clin N Am · Oct 2011
Treatment of adolescents with gender dysphoria in the Netherlands.
In the Netherlands, gender dysphoric adolescents may be eligible for puberty suppression at age 12, subsequent cross-sex hormone treatment at age 16, and gender reassignment surgery at age 18. Initially, a thorough assessment is made of the gender dysphoria and vulnerabilities in functioning or circumstances. ⋯ Psychological interventions are offered if the adolescent needs to explore gender identity and treatment wishes, suffers from coexisting problems, or needs support and counseling during gender reassignment. Although more studies are necessary, this approach seems to contribute significantly to the well-being of gender dysphoric adolescents.