Treatment Circle Passion Sleep Exercise Alternatives Medications - - PDF document

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Medications and Beyond

By Deborah Padgett Coehlo, PhD, CPNP, CPMHS, CFLE Juniper Pediatrics Bend Oregon debbie@juniperpediatrics.com

Mental Health: Labels and Challenges

 Causes:

 Genetic  Environmental

 Social confusion and stigma  Educational vs. Medical Models of treatment  Long term outcomes

Treatment Circle

Nutrition Passion Sleep Exercise Medications Family Peers Learning Alternatives

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Autism Spectrum Disorders

 Autism: Mild to Severe

 Social  Communication  Behavior

 Obsessive‐compulsive  Inattention  Anxiety  Explosive outbursts

 Functioning

 Degenerative developmental disorders

 Rhett’s disorder

Medications Used with ASD

 Mood stabilizers

 Risperdal (Risperidone): Effects, side effects, and

warnings

 Options beyond Risperdal

 Treating ADHD associated with ASD

 Stimulants

 Other options

 Vitamin supplements  Dietary considerations  Amino Acids

Attention Deficit Disorder With or Without Hyperactivity/Impulsivity

 Inattention  Poor concentration  Distractibility  Forgetfulness  Disorganization  Impulsivity  Hyperactivity  Aggression  Family Conflict

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Medications used with ADD/HD

 Stimulants

 Methylphenidate (Ritalin and Concerta)  Dexmethylphenidate (Focalin and Focalin XR)  Amphetamine (Adderall and Vyvanse)

 Non‐stimulants

 Guanfacine (Intuniv)  Bupropion (Wellbutrin)  Atomoxetine (Strattera)

 Amino Acids

Oppositional Defiant and Conduct Disorders

 Secondary response to primary disorder

 Inattention  Learning disabilities  PTSD  Attachment disorders

 Do you think conduct disorder is an inherited condition?

Mood Disorders in Childhood

 Childhood Mood Dysregulation  Childhood Trauma and PTSD  Bipolar: Prodromal symptoms in childhood  ADD/HD: Predominantly hyperactive  Depression  Anxiety How to Decide???

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Assessment Tools to Help

 Conner’s Comprehensive Behavioral Rating Scale  Conner’s ADD/HD screening and assessment  Childhood Depression Scale  Multidimensional Anxiety Scale for Children (MASC)

Learning Disabilities

 Specific processing disorders  Communication disorders  Motor disorders: Motor planning

Treatment options

 Educational interventions  Parenting  Counseling  Team approach

Summary

 Multiple levels of complexity are present  Childhood disorders impact:

 Development  Relationships  Academic achievement  Future potential

 Treatment cannot be done in isolation: Every child lives within a family system and every disorder deserves a team approach.