Assessing and Treating Bulimia in Teens and Young Adults

Topics: Assessment | Bulimia Nervosa

CCPR: When does bulimia typically present? Dr. Lock: Symptoms usually begin at about 15 or 16, but patients may not meet full diagnostic criteria for bulimia until 18, 19, or 20. Often they are off at college by then, so they’re being identified and treated more at that stage. CCPR: What is the difference between “bulimic symptoms” and DSM-5

Diagnosing and Treating Avoidant/Restrictive Food Intake Disorder

Topics: ARFID | Assessment | Avoidant Restrictive Food Intake Disorder | differential diagnosis

CCPR: Avoidant/restrictive food intake disorder (ARFID) is still a fairly new disorder, added to the DSM-5 in 2013. What exactly is it? Dr. Thomas: ARFID is a newly designated feeding or eating disorder where the person does not eat enough food for a reason unrelated to body image problems, environmental factors, cultural reasons, or medical conditio

Using Clinical Scales in Child Psychiatry

Topics: Assessment | Diagnosis | Outcome tracking | Outcomes

CCPR: Welcome, Dr. Krishna. Could you tell us what drives your work in measurement-based care? Dr. Krishna: Sure. I have a PhD in computer engineering as well as being a child psychiatrist. I’m a member of the American Academy of Child and Adolescent Psychiatry Healthcare Access and Economics Committee. I am an engineer at heart, and I’m interested

Assessing Feedback From Multiple Sources

Topics: Assessment | Collateral data | Discrepancies

CCPR: Welcome, Dr. De Los Reyes. You’ve spent much of your career researching collateral clashes—how reports of kids’ symptoms may vary depending on who is reporting those symptoms, eg, parents, kids, teachers, and others. Dr. De Los Reyes: Yes, for the past 20 years I’ve been thinking about how different people in kids’ lives have fundamenta

Assessing Bipolar Disorder in Children and Adolescents

Topics: Assessment | Bipolar Disorder | DMDD | Nomogram | Posterior Probability

CCPR: Can you talk about usual practice in assessing children and adolescents for bipolar disorder? Dr. Van Meter: Despite decades of good research demonstrating that young people are affected by bipolar disorder, it’s often a diagnosis of last resort. For example, somebody might be diagnosed initially with major depressive disorder and treated with

Tools to Help Kids and Teens to Sleep Better

Topics: Assessment | CBTi | circadian system | Cognitive Behavioral Therapy for Insomnia | Sleep | treatment

  Sasha is a 13-year-old whose grades are slipping. She reports trouble concentrating in school, and her parents are worried she might have ADHD. On taking a history, you learn that Sasha stays up late and gets up early, obtaining about six hours of sleep per night. Adolescents have been reporting less sleep over the past 20 years in what’s

Principles of Trauma Informed Care

Topics: Adverse Childhood Experiences (ACES) | Assessment | Minority | pandemic | Toxic Stress | Trauma | Trauma Informed Care

Trauma is common and takes on many forms: abuse, neglect, disaster, displacement, and illness. According to the CDC, at least 1 in 7 children have experienced child abuse or neglect in the past year and, depending on the source, about 1 in 3 to 4 girls and 1 in 5 to 13 boys will experience childhood sexual abuse (www.cdc.gov/violenceprevention/childabus

Growing Rate of Suicide in Teens: Assessment and Prevention

Topics: adolescents | Assessment | Risk | teens | Treatment planning

Clinicians treating children and adolescents regularly encounter patients with suicidal thoughts. And with rising rates of adolescent suicide and shrinking inpatient stays, we’re seeing more of these suicidal kids in our offices. This article examines some of the novel risk factors and offers management and prevention strategies for you to consider ut