![]() 2,3 The impact of comorbid depression on ADHD response has not been assessed, but studies of patients with bipolar disorders suggest that ADHD treatment may exacerbate untreated mood disorders. In adults, episodes of MDD cause significant morbidity and mortality, but when they occur with ADHD, such episodes are more prolonged, more likely to result in suicidal behaviors and hospitalizations, and more likely to convert from unipolar to bipolar mood disorders. In DSM-5, the more lenient criteria for age of onset and lower required number of symptoms for adult ADHD will likely increase the rates of ADHD diagnoses. 1 ADHD is a chronic disorder that often persists into adulthood it is also among the most common psychiatric disorders. And having years and years of that kind of experience has allowed us to develop a very different level of expertise.In both clinical and community settings, the clinical significance of ADHD and depressive disorders is substantial when they co-occur. ![]() “We know how to do aggressive psychopharmacological management, if that’s what’s called for. “A real differentiator is our experience treating very ill kids who are starting and stopping multiple medication combinations,” he says. Yale’s child psychiatrists are widely known for handling highly complicated cases, Dr. Martin says.Įvery aspect of a young child or adolescent’s health is important but especially the brain. “These are well-established, highly research-driven clinics, known for providing excellent care, including medication management, to children and their families,” Dr. These include one for anxiety and another providing care for ADHD, OCD, and Tourette’s syndrome. Working in close partnership with Yale New Haven Hospital, the Child Study Center operates several specialized clinics for children and adolescents with mental-health challenges. Yale Medicine is also known for expertise in many childhood mental health disorders. Martin emphasizes that “it’s only part of the picture.” The Child Study Center offers extensive resources and expertise that can be helpful in providing the supports a child needs in other parts of life, such as for learning disabilities, anger, or relationship difficulties. And while medication can be helpful for children and adolescents with mental health challenges, Dr. Our treatment focuses on the whole child in every context, including family, social relationships and school. “But at the same time, a child’s ability to be present at school and to develop relationships in a healthy manner is important, too.” “Side effects are one thing to consider,” Dr. (For example, psychostimulants used to treat ADHD may cause sleeplessness and loss of appetite.) The answers are not always black and white. While any drug prescribed to a child must be proven safe and effective, side effects are common and even to be expected. Next is an evaluation of the risks and benefits of a particular medication. “So the question is whether another therapeutic approach might be used before medication.” “We always aim to use the fewest medications at the lowest possible dose,” she says. ![]() ![]() Taylor, a key question to be answered is whether the child can be helped without medications. Mental health is a vital component of overall health and wellbeing-but medications are only one of several effective treatment approaches. According to Laine E. Taylor, DO, a psychiatrist in the Child Study Center, child psychiatrists weigh several questions before deciding to prescribe a psychotropic medication to a young person whose brain and body are still developing.
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