Adolescents - Articles - Page 4

EXPERT Q&A

Duty to Warn? Debating Antidepressant Suicidality

October 30, 2020

Martha J. Ignaszewski, MD and Glen Spielmans, PhD

Martha J. Ignaszewski, MD
Fellow, University of California, San Francisco

Glen Spielmans, PhD
Professor of Psychology, Metropolitan State University, St. Paul, MN

Dr. Ignaszewski and Dr. Spielmans have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.

For 16 years, since the FDA black box warning about suicidality with antidepressants, our community has been quoting data that downplays this concern. We were wrong. We were deceived. Antidepressants can be lifesaving, but there really is a duty to warn. Drs. Martha Ignazewski and Glen Speilmans talk with us about what went on and how to talk about it with our families.

Oral Contraceptive Users and Depressive Symptoms

October 30, 2020

Kristen Gardner, PharmD.

Kristen Gardner, PharmD. Dr. Gardner has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

We worry that oral contraceptives impact mood, particularly in adolescents who are prone to depression and other mood disorders. This research review on the Dutch TRAILS (Tracking Adolescents’ Individual Lives Survey) helps balance our decision making so that we avoid either extreme of universally counseling against their use nor dismissing the possible impact of OCs on mood.

Pros and Cons of Using TMS for Kids

August 13, 2020

There’s been some promising research for Transcranial Magnetic Stimulation (TMS), but can it be used for treatment-resistant depression in children and adolescents? Here’s a summary of the pros and cons presented in this 2019 article in The Carlat Child Psychiatry Report. Pros:It seems to work. An open-label trial of TMS for...

Adolescents and Sleep: Parents Can Make a Difference

May 7, 2020

Pavan Madan, MD

Pavan Madan, MD Dr. Madan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Can parents impact teen sleep in a helpful manner? Teens are notorious for staying up late and having trouble getting up in the morning. We are often asked to opine on this problem. This research review looks at the effect of such intervention, including the consideration of the difference between a ‘significant finding’ and one that is clinically meaningful.

Highlights From This Issue

February 11, 2020

Quick summary of what you’ll learn.

Are Target Symptoms More Important Than Diagnosis?

February 11, 2020

Research often does not describe the patients who come to our clinics. One of the chief reasons for this is that research studies typically have exclusion criteria that creates more pure populations of subjects with one diagnosis while comorbid diagnosis is more the rule than the exception in child and adolescent mental health care. This article will help clinicians to grapple with this thorny problem.

Growing Rate of Suicide in Teens: Assessment and Prevention

October 3, 2019

Teen suicidality is rising and child psychiatrists need support in knowing how to address suicidality in everyday practice. In this lead article we discuss office assessment, treatment, planning, and prevention for at risk children and teens. For reference we also include the Ask Suicide-Screening Questions Toolkit Questionnaire as well as a table presenting some of the evidence-based approaches for suicide screening.

Transcranial Magnetic Stimulation (TMS) for Depression in Children and Adolescents

June 11, 2019

With concerns about both safety and efficacy surrounding antidepressant use in children and adolescents, we are always looking for safe, effective treatments for our patients. Transcranial Stimulation (TMS) has been around for many years, and its use in youth is expanding. We examine the evidence of efficacy and potential side effects in youth and adolescent populations.

Medications for Depression

June 11, 2019

Martha J. Ignaszewski, MD

Martha J. Ignaszewski, MD

Chief Fellow, Clinical Fellow in Psychiatry at Boston Children’s Hospital

Dr. Ignaszewski has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In this QA, we review the findings of placebo- controlled trials done over the past 10 years on depression in kids and the discuss the current recommendations for medication treatment of depression in children and adolescents.

Practical Approaches to Vetting Clinical Research

June 11, 2019

Darren B. Courtney, MD, FRCPC

Darren B. Courtney, MD, FRCPC

Staff Psychiatrist for the Youth Addictions and Concurrent Disorders Service at the Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada

Dr. Courtney has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In this QA, we discuss how to use the PICOT method to efficiently frame the clinical questions that arise in everyday practice. We also examine the hierarchy in terms of the types of studies that are most useful for the busy clinician to look at and provide a corresponding table covering the categories of evidence for clinical practice.