Tourette syndrome (TS) is a neurodevelopmental disorder characterized by multiple chronic motor and vocal tics beginning in childhood. Several studies describe the association between TS and attention deficit hyperactivity disorder (ADHD). Fifty percent of children diagnosed with ADHD have comorbid tic disorder. ADHD related symptoms have been reported in 35% to 90% of children with TS. Since ADHD is the most prevalent comorbid condition with TS and those with concomitant TS and ADHD present with considerable psychosocial and behavioral impairments, it is essential for clinicians to be familiar with these diagnoses and their management. This paper highlights the association between treating ADHD with stimulants and the development of tic disorders. The two cases discussed underscore the fact that children with TS may present with ADHD symptomatology prior to the appearance of any TS related symptoms. Appropriate management of TS in a patient diagnosed with ADHD can lead to quality of life improvements and a reduction in psychosocial impairments.
In adults, metabolic syndrome (MetS) is defined as a constellation of at least 3 of 5 cardiometabolic risk factors: central obesity, hyperglycemia, elevated blood pressure, elevated triglycerides, and decreased high-density lipoprotein cholesterol. In pediatric populations, MetS remains a controversial topic due to lack of clear consensus regarding the definition, clinical utility, and lack of standardized guidelines. Despite these controversies, pediatric MetS is receiving increasing clinical and research attention due to the growing obesity epidemic and a substantial increase in the use of second-generation antipsychotics in recent years. Clinicians should be familiar with prevention, early identification, and management of obesity and metabolic derangements while working with youth with psychiatric disorders.
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Psychiatr Ann
. 2020;50(8):326–333.]
Risk assessment and management are central to much of contemporary psychiatric practice. Although many people with mental illness are not violent, mental health professionals are often called upon to perform violence risk assessments in a variety of situations and settings. Moreover, in general practice, assessing and mitigating patients' risk can be critical aspects of treatment. The task of applying the information gathered during risk assessments to manage risk clinically remains challenging. Knowing how to conduct skillful risk assessments can improve decision-making about violence and help treat patients well and safely. We review violence risk assessment research and the clinical application of risk assessments and risk management.
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Psychiatr Ann.
2018;48(2):109–114.]
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