SSRIs
What are the two most common side effects of SSRIs?
Headache and stomach pain
What are a few things that should be ruled out before giving the diagnosis of ODD? (Name 2)
Mood Disorder, ADHD, PTSD
What are labs that should be monitored when on an antipsychotic
A1C and Lipid Panel (along with CBC and CMP)
What is the gold standard of treatment for Bipolar Disorder in this medication class?
Lithium
What are the names of accommodations and plans that can be made in school to help those who struggle with behaviors, learning or mental health?
504 or IEP
What are the two FDA approved SSRIs in children and teenagers?
What medication class might you consider starting with if the symptoms are mild to moderate?
SSRIs
how often should labs be monitored while on antipsychotics
~6 months
How long should Depakote be given before you check a level in the blood?
3 days
What is the most worrisome side effect of Risperdal?
Increased Prolactin (gynecomastia and galactorrhea)
What is the most worrisome potential side effect that you want to counsel parents about?
Black Box Warning
What medication class should you consider starting with if behaviors are severe?
Antipsychotics
Name potential movement side effects that can be seen not too long after initiation of an antipsychotic
Acute Dystonia (within hours)
Parksonism (within weeks)
Akathisia (within months)
If you have a teenage pregnant patient with Bipolar Disorder, would you rather have them on Lithium or Depakote and why?
Lithium always!
What is the most worrisome side effect seen in kids on Abilify?
Akathisia
What SSRI should potentially not be first, second or even third line in children? And why?
Paxil
Side effects galore
What is the gold standard treatment for ODD?
Parent-Child Interactive Therapy/Behavioral Therapy
What antipsychotic should be considered if two failed trials of antipsychotic?
Whats annoying about it?
Clozaril
Lab Monitoring
Other Side Effects
Lithium has lots of side effects, what is the side effect that teenagers will complain about much more than parents?
Acne
13
What SSRI is ONLY FDA approved for OCD in pediatric population?
Fluvoxamine
Name the two medications FDA approved for Autism with behavioral disturbances
Abilify and Risperdal
What atypical antipscyhotics are most notarious for increasing QTc? What should you consider switching to if the patient needs an antipscyhotic?
Seroquel and Geodon
Switch to AbilifyI am a mood stabilizer that you will find to work for a few weeks and then parents may come in complaining of worsening behaviors, but the patient is surely taking me. What mood stabilizer am I?
Carbamazepine (Tegretol)
What is one of the fasting growing diagnosis within child psych and should be considered when you are confused about a potential diagnosis of a patient?
(complex) PTSD