Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 2019"

TL;DR: The benefits of optimizing physical activity, nutrition, and sleep; how to assess these lifestyle domains with patients and their parents; and appropriate interventions to optimize well-being in youth are reviewed.

TL;DR: An overview of the prevalence, impact, presentation, and risk factors associated with cooccurring depression in children and adolescents with ASD is provided.

TL;DR: The Vermont Family Based Approach was found feasible and was associated with a significant increase in engagement with health and wellness supports and services and to improve healthcare engagement and health outcomes for families.

TL;DR: Well-being is now a required component of child and adolescent psychiatry training and requires incorporation into clinical supervision and the overall culture and infrastructure of the training program.

TL;DR: This article provides a state-of-the-art review of the current understanding of the neurobiology of anorexia nervosa and bulimia nervosa, including brain structure and function studies to understand food restriction, binge-eating or purging behaviors, cognitive and emotional factors, as well as interoception.

TL;DR: Criteria and challenges in making the diagnosis in children and adolescents with binge eating disorder onset are reviewed, as well as prevalence rates, current treatment options, and complications.

TL;DR: The challenges inherent in navigating this life transition are described, and strategies to promote a successful "launch" into adulthood are offered.

TL;DR: The medical assessment and treatment of malnutrition due to disordered eating is outlined, which can have significant effects on every organ system in the body.

TL;DR: Future study will inform dosing approaches for TMS based on GABAergic and glutamatergic biomarkers, and existing work has methodological weaknesses, and larger, neurodevelopmentally informed studies are urgently needed.

TL;DR: Assessment, diagnosis, and treatments of catatonia in people with autism spectrum disorders are reviewed and illustrated with 2 new case vignettes and the importance of maintenance ECT is discussed.

TL;DR: This article provides background information, descriptions, and evidential support for the more recent treatments for adolescents with anorexia nervosa, including family-based treatment, adolescent focused therapy, cognitive behavioral therapy, systemic family therapy, and psychopharmacologic treatments.

TL;DR: The authors propose identifying catatonia as a syndrome with multiple potential causes (including anti-NMDAR encephalitis) and suggest a standardized treatment approach using evidence-based catatonic treatments such as ECT and benzodiazepines.

TL;DR: Theories modeling the mechanism of catatonia are reviewed, including a vagal theory, and the current status, assessment, and treatment of pediatric cat atonia are described.

TL;DR: Despite advances in the number of medication-based studies completed in young patients with eating disorders over the last 2 decades, significantly more work needs to be done in terms of identifying what role, if any, psychotropic medications can have on treatment outcomes.

TL;DR: Assessment of risk factors and implementation of targeted interventions are important when treating depression in LGBT youth.

TL;DR: Depression contributes to poor health outcomes for youths with human immunodeficiency virus disease and evidence-based psychotherapy and pharmacotherapy for depression are effective treatments.

TL;DR: Current knowledge and clinical practice relating to ARFID in youth, epidemiology, diagnosis, clinical assessment, treatment interventions, prognosis, and outcome are summarized.

TL;DR: Depressed maltreated youth are at high risk for treatment resistance, and combination treatment with selective serotonin reuptake inhibitors and cognitive behavior therapy with a trauma-informed approach should be considered.

TL;DR: Preliminary data suggest potential utility in symptom reduction and improving cognitive function in youth with neurodevelopmental disorders, and implications for the developing brain are necessary.

TL;DR: Early research indicates complex interactions between tDCS and concurrent cognitive and motor tasks and how tDCS impacts processes relevant to psychiatric conditions is warranted.

TL;DR: Effective telepsychiatrists use strategic room staging, enhanced nonverbal communication, and technical experience to ensure sessions provide an authentic treatment experience and strong provider-patient alliances are forged.

TL;DR: The purpose of this article was to review potential uses for TMS for children and adolescents in conditions other than MDD.

TL;DR: Review of randomized controlled trials in adolescents reveals motivational enhancement therapy/cognitive behavioral therapy is an evidence-based intervention and should be considered first-line treatment in adolescents with depression.

TL;DR: This article summarizes current knowledge and consensus about depression and suicide among the indigenous young people of the United States and discusses particular risk factors and correlates.

TL;DR: Several models of collaborative care are described, in addition to their emerging evidence-base, in an effort to disseminate evolving treatment strategies that can drive implementation of effective collaborative approaches.

TL;DR: Smartphone applications, Web conferencing, and other developments could widen the range of care available in a field where suitable support can be hard to find, if clinicians are willing to meet the requirements associated with digitally enhanced treatment.

TL;DR: There are few systematic studies of treatment of bulimia nervosa in adolescents and there is significant opportunity for improvement in mitigating binge-eating and purging symptoms among adolescents afflicted with BN.

TL;DR: The presentation, early identification, evaluation, and management of depression in medically ill youth is discussed and specific risk factors are identified and reviewed by reviewing selected medical illness-specific considerations.

TL;DR: A brief overview of the history of military family care, an understanding of ongoing efforts to provide excellent and timely care for these children, and a understanding of the unique stressors and challenges that the depressed military child faces are provided.

TL;DR: Under this microscope the value of eliciting the patient's well-being at the outset of the interview becomes clear and an evidenced-based rationale for the positive assessment is outlined and methodology and practice of the assessment reviewed.