Treatment Circle Passion Sleep Exercise Alternatives Medications - PDF document

10/6/2015 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 Passion Sleep Exercise Alternatives Medications Nutrition Learning Family Peers 1

10/6/2015 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 2

10/6/2015 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??? 3

10/6/2015 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. 4