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Home » Keywords » irritability

Items Tagged with 'irritability'

ARTICLES

Clinical Update

Dysregulation in Autism: Irritability, Aggression, and “Pathological Demand Avoidance”

October 1, 2024
Alyssa Aikman, MSN, APRN, PMHNP-BC
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Alyssa Aikman, MSN, APRN, PMHNP-BC. Psychiatric nurse practitioner in outpatient group practice, Vancouver, WA. 

Ms. Aikman has no financial relationships with companies related to this material.

Pathological demand avoidance (PDA) is a popular concern among autistic kids and families. It’s not in the DSM, yet we need to understand and address it. This clinical update helps you approach irritability and PDA rationally to help autistic patients connect and regulate before merely prescribing D2-blocking antipsychotics. 

 


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Clinical Update

Lithium for Children and Adolescents

November 2, 2023
Max S. Rosen, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Max S. Rosen, MD. Assistant Professor of Psychiatry (Child); Director, Child & Adolescent Psychiatry Outpatient Services; Washington University School of Medicine, St. Louis, MO.

Dr. Rosen has no financial relationships with companies related to this material.

Lithium is FDA-approved for bipolar disorder in children and adolescents 12 years and up; however, its potential off-label utility is broad, from affective aggression to anorexia nervosa. This clinical update covers how to prescribe lithium for children and adolescents and how to talk with patients and parents about lithium. 


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Clinical Update

Tapering Antipsychotics

November 1, 2023
Charmi Patel Rao, MD, DFAACAP
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Charmi Patel Rao, MD, DFAACAP. Director of Psychiatric Services, Positive Development; Health Sciences Assistant Clinical Professor, Department of Psychiatry, Child and Adolescent Psychiatry; UCSD, San Diego, CA.

Dr. Patel Rao has no financial relationships with companies related to this material.

Antipsychotics offer remarkable, even lifesaving treatment for children and adolescents, however, their side effects include metabolic and neurologic problems, including neurotoxicity. This clinical update guides you through a rational process for employing these powerful medications when necessary but also reducing and discontinuing them when possible.


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Treating Irritability in Autistic Children: Functional and Medication Approaches

April 24, 2023
Joshua Feder, MD and Mara Goverman

Antipsychotics can be very effective for irritability in autism, but they are often unnecessary, and the side effects are truly problematic. Don’t be the prescriber who hears irritability in autism and immediately prescribes antipsychotics. There are usually multiple steps to try before using the FDA-approved antipsychotic medications.


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Research Update

Stimulant Treatment Effect on Anxiety in ADHD

April 1, 2023
Gaurav Mishra, MD
From The Carlat Child Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Gaurav Mishra, MD. Dr. Mishra has no financial relationships with companies related to this material.

Are stimulant medication likely to exacerbate anxiety in ADHD kids? It’s reasonable concern, especially since mood symptoms can be worse with withdrawal and heart rate goes up in some kids on stimulants. This study gives nuanced insight into the degree to which stimulants impact anxiety in ADHD kids, for better and worse.


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Citalopram Plus Stimulants for Chronic Irritability?

July 14, 2021
Eric Robbins, MD.
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Eric Robbins, MD. Dr. Robbins has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Disruptive Mood Dysregulation Disorder (DMDD) is a challenging syndrome. Some have conceptualized it as a combination of ADHD and ODD. Are there good ways to treat the irritability that do not involve antipsychotics or anti-epileptic drugs? This study explores adding citalopram to stimulants.
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Managing Irritability in Autism

November 21, 2019
Lauren Brookman-Frazee, PhD
From The Carlat Child Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Lauren Brookman-Frazee, PhDLauren Brookman-Frazee, PhD

Professor of Psychiatry, University of California, San Diego, Research Director at the Autism Discovery Institute at Rady Children’s Hospital, and Associate Director of the Child and Adolescent Services Research Center

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

What can child psychiatrists do to sort out irritability in children and teens with Autism? This article helps you to go beyond singular derivative symptoms such as ‘irritability’ to help clinicians arrive at a more nuanced understanding that can lead to more specific and effective management.
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