Clinical Complexity With Children and Adolescents (Jan/Feb/Mar)

Date of Issue: 03/01/2021 | Volume: 12 | Number: 1&2

Issue Links:Learning Objectives | Editorial Information

In our winter 2021 issue, we dig deeper into current and chronic areas of clinical complexity: COVID 19 trauma, genetic testing & pharmacogenetics, managing cultural differences, and clinical care in separated and divorced families. We also cover best practices with melatonin, treatment of eating disorders, OCD, ECT and a classic ADHD study.

In This Issue

Editor's Note

Note From the Editor-in-Chief

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Clinical Update

Cultural Competence: Impact on Clinical Care

Topics: Cultural Competence | Culture | Race | Respectful Care

Don’t be pressured into medicating your way out of cultural problems. What are the nuts and bolts of offering culturally competent care to children and adolescents? This article is a how-to with a case example that demonstrates a respectful approach to helping families caught between dominant and different cultural understandings.

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Expert Q&A

Pharmacogenetics: Not Quite Ready for Prime Time?

Topics: Chromosomal Microarray | CYP2C19 | CYP2D6 | Fragile X | Genetic Testing | MTHFR | Pharmacogenomics | Whole Genome Sequencing

Genetic testing can tell whether a patient has an identifiable disorder, offering relief to families searching for answers and perhaps leading them to support and even future treatment. Despite the hype, pharmacogenetics is rather limited in utility and clinicians need to know what it can and cannot tell us.

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Clinical Update

Prescribing to Children of Divorce

Topics: Collaborative care | custody agreement | Divorce | Medication | Separation

What is the best approach to effective clinical care with families that are separated or divorced? This article covers the complexities, the legalities, and an expectation of collaboration that can help us to help children to receive good mental health care despite the inevitable differences between parents in these situations.

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Expert Q&A

Treating Pandemic-Associated Trauma in Children and Adolescents

Topics: COVID-19 | PTSD | ScreeninGeg | Suicidality | TFCBT | Trauma

In the age of COVID-19, clinicians need to assess for specific pandemic-related impacts on children and adolescents. UCLA has a new COVID-19 PTSD screen and they have also developed an effective intervention that targets and manages trauma triggers to address suicidality in children and adolescents for use in urgent settings.

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Research Update

Long-Term Treatment Response in Pediatric OCD

Topics: Cognitive Behavioral Therapy | Obsessive Compulsive Disorder | Serotonin Specific Reuptake Inhibitors

Which is better for OCD in children and adolescents: Cognitive Behavioral Therapy (CBT), Serotonin Specific Reuptake Inhibitors or a combination of both in children and adolescents? Are there reasonable options between these choices? This research review gives some helpful answers that you can put into practice with your patients today.

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Research Update

New Canadian Eating Disorders Guidelines

Topics: Anorexia Nervosa | Bulimia Nervosa | Eating Disorders | Least Restrictive Environment

What is the best approach to treatment of adolescents with eating disorders? What level of care should be we advocating for to have the best chance of a good outcome? This review of the recent Canadian Eating Disorders Guidelines offers a clear direction for our efforts to provide better care.

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Research Update

Melatonin for Sleep-Onset Insomnia

Topics: Dosage Timing | Melatonin | Sleep | Sleep Onset Insomnia

So many of use melatonin to try to help children get to sleep, but does it really work? And if so, what is the optimal dosage? And what is the optimal timing of administration to optimize the use of this supplement? This research review will give you excellent practical guidance.

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Research Update

The MTA Turns 21: Implications for ADHD Treatment

Topics: ADHD | Behavioral treatment | medications | MTA

The MTA was a classic research effort aimed at reaching more definitive conclusions about the relative effectiveness of stimulant medications and behavioral treatments for children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD). The results have proven enduring and inspiring, leading to the development of new and innovative treatment approaches.

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CME Post-Test

CME Post-Test - Clinical Complexity With Children and Adolescents, CCPR, Jan/Feb/Mar 2021

Topics: CME Post-Test

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 2 CME credits.

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