Psychopharmacological Treatment for Very Young Children: Contexts and Guidelines

Gleason, Mary Margaret; Egger, Helen L.; Greenhill, Laurence L.; Kowatch, Robert A.; Lieberman, Alicia F.; Luby, Joan L.; Owens, Judith; Scahill, Lawrence; Scheeringa, Michael S.; Stafford, Brian; Wise, Brian K.; Zeanah, Charles H.

doi:10.1097/chi.0b013e3181570d9e

Cited by 214 publications

(180 citation statements)

References 223 publications

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“…Moreover, a diagnosis of Pediatric Bipolar is particularly suspect for children in foster care because the symptoms of Bipolar overlap with PTSD and by virtue of having been removed from their families, all children in foster care have experienced trauma (Littrell & Lyons, 2010b). The American Academy of Child and Adolescent Psychiatry indicates that medicating children with PTSD is not appropriate (Gleason et al, 2007).…”

Section: Alarm Over the Medication Of Childrenmentioning

confidence: 99%

Is There Evidence for the Bipolar Spectrum and the Safety of Pharmaceutical Interventions?

Littrell

2012

Social Work in Mental Health

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Section: Alarm Over the Medication Of Childrenmentioning

confidence: 99%

Is There Evidence for the Bipolar Spectrum and the Safety of Pharmaceutical Interventions?

Littrell

2012

Social Work in Mental Health

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“…Parental training with CBT protocols and the treatment of mood and anxiety disorders in clinically-ill parents are suggested by some authors. 188 Although scarce, there is promising evidence that treatments based on existing therapies (CBT, parental training, and pharmacotherapy), adapted to atrisk populations, i.e., highly symptomatic children, but still not meeting criteria for the diagnosis of anxiety disorders, or children with first-degree relatives diagnosed with anxiety disorders, result in preventing and reducing the severity of these disorders. 189 This is a general overview about pediatric anxiety disorders.…”

Section: Preschool Children Treatment and Preventionmentioning

confidence: 99%

Pediatric anxiety disorders: from neuroscience to evidence-based clinical practice

Salum

DeSousa

Rosário

et al. 2013

Rev. Bras. Psiquiatr.

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The objective of this narrative review of the literature is to describe the epidemiology, etiology, pathophysiology, diagnosis, and treatment of pediatric anxiety disorders. We aim to guide clinicians in understanding the biology of anxiety disorders and to provide general guidelines for the proper diagnoses and treatment of these conditions early in life. Anxiety disorders are prevalent, associated with a number of negative life outcomes, and currently under-recognized and under-treated. The etiology involves both genes and environmental influences modifying the neural substrate in a complex interplay. Research on pathophysiology is still in its infancy, but some brain regions, such as the amygdala and the prefrontal cortex, have been implicated in fear and anxiety. Current practice is to establish diagnosis based purely on clinical features, derived from clinical interviews with the child, parents, and teachers. Treatment is effective using medication, cognitive behavioral therapy, or a combination of both. An introduction to the neuroscience behind anxiety disorders combined with an evidence-based approach may help clinicians to understand these disorders and treat them properly in childhood.

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“…Despite the extensive use in the treatment of preschool PTSD 49 , psychopharmacological interventions are not recommended until randomized controlled trials are conducted. The practice guidelines 50 of the American Academy of Child and Adolescent Psychiatry emphasize the need to address the safety and efficacy of these medications with preschoolers, especially considering the developing brain of young children.…”

Section: Journal Of Mental Health and Clinical Psychologymentioning

confidence: 99%

Preschool children facing mass trauma: Disasters, war and terrorism

Wolmer¹

2018

J Mental Health & Clin Psychology

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Preschool children are exposed to an increasingly wide variety of disasters and terrorist incidents that may have severe effects on their mental health and development. The goal of this paper is to review the research literature regarding the needs of preschoolers in the context of disasters and terrorism with the aim of understanding: a) the consequences of such events for young children and the main moderating variables influencing the eventconsequence association. b) the existing methods for assessment, prevention and intervention to provide recommendations and point out required research and development. We differentiate between screening tools that provide initial evaluation and assessment tools for diagnosing preschooler children's' pathology and review possible interventions that address the preschool child's needs before, during and after the incident itself. We discuss the challenges in performing research following disaster and terrorism and the lack of dissemination and research of prevention programs and mass interventions for preschoolers. Finally, we emphasize the need for research and intervention programs aimed at dealing with the impact of terrorism and armed conflict on children's worldview.

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Psychopharmacological Treatment for Very Young Children: Contexts and Guidelines

Cited by 214 publications

References 223 publications

Is There Evidence for the Bipolar Spectrum and the Safety of Pharmaceutical Interventions?

Is There Evidence for the Bipolar Spectrum and the Safety of Pharmaceutical Interventions?

Pediatric anxiety disorders: from neuroscience to evidence-based clinical practice

Preschool children facing mass trauma: Disasters, war and terrorism

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