Are you navigating the complex world of psychiatric medication management in primary care? Look no further! In this episode of Pediatric Meltdown Dr. Lia talks frankly about the hesitancy of pediatric clinicians to prescribe psychotropic medications as one of the biggest barriers to providing mental health care in pediatric settings. While she acknowledges that pediatricians are not child psychiatrists, Dr. Lia believes that pediatricians have the skills to address common mental health disorders including ADHD, anxiety and depression, and to do it well. She emphasizes the need to be mindful of suicide risk and to screen regularly for suicidal ideation, especially in patients with mental health disorders. And, always consider trauma when assessing for mental health and behavior concerns. When it comes to prescribing medications, get comfortable with a few SSRI’s and both stimulant and non-stimulant ADHD treatments, and before switching from one psychotropic to another, she advises maximizing dosing titration while simultaneously monitoring for side effects. Remember that in your role as a primary care provider, you have an incredible opportunity to impact the stability and quality of life for children facing mental health struggles. For more tips, expert advice and in-depth knowledge, don't hesitate to explore all of the resources available at pediatricmeltdown.com. Know better, do better!
[01:26 -03:50] Understanding the Role of Medication
[03:51 - 06:18] Navigating ADHD Medication Challenges
[06:19 - 10:44] Managing Complex Cases and Atypicals
Links to resources mentioned on the show
Episode #44 with Dr. Jeffrey Strawn. Anxiety Disorders in Children: Treatment Options https://pediatricmeltdown.com/44-anxiety-disorders-in-children-treatment-pearls/
Episode #37 with Dr. Lisa Horowitz. Screening For Suicide Risk Using the Ask Suicide Screening Questions Tool
Episode #132 with Dr. Brooks Keeshin. Psychopharmacology: Considerations Before Prescribing
Podchaser is the ultimate destination for podcast data, search, and discovery. Learn More