Anxiety treatment algorithm for children and adolescents

Anxiety is perhaps the most frequent symptom for which child psychiatrists are consulted.

Like the first norepinephrine reuptake inhibitor for ADHD, atomoxetine, viloxazine has no misuse potential and is less likely than stimulants to cause insomnia, anxiety, or tics.

Adderall is effective but is probably the most misused and diverted of all stimulants, and it tends to have more side effects, all of which is why we recommend starting most patients on methylphenidate instead.

Daytrana is helpful for kids who, for whatever reason, cannot use any of the wide variety of oral stimulant preparations.

There are many longer-acting methylphenidate preparations. Two good options are Concerta and Ritalin LA, available as generics.

Vyvanse may have a gentler, “smoother” side effect profile than other amphetamines, and probably has a lower risk of diversion or misuse.

Vyvanse may have a gentler, “smoother” side effect profile than other amphetamines, and probably has a lower risk of diversion or misuse.

Vyvanse may have a gentler, “smoother” side effect profile than other amphetamines, and probably has a lower risk of diversion or misuse.

Guanfacine’s advantages over stimulants include no worsening of tic disorders, lack of misuse potential, and no insomnia.