AST 7 Pediatric Psychiatry & Autism Disorder

CBT duration recommendation

8-16 weekly sessions

SSRI Options

Fluoxetine

Escitalopram

First Line for Childhood depression >8 years

Fluoxetine

Escitalopram is approved for which age range for Childhood depression

>12 years

Symptoms of Bipolar Disorder less likely in peds

Grandiosity

Reckless behaviors

Bipolar disorder Meds approved

Antipsychotics - Quetiapine and Olanzepine

Olanzepine approved for what ages

>4 years

T or F: Mood stabilizers like Lithium can be used in children for Bipolar Disorder

FALSE - not effective in this population

First Line for Anxiety disorders in Peds

CBT

If anxiety symptoms are moderate-severe, which meds are considered

SSRIs: Fluoxetine, Escitalopram

SNRIs: Duloxetine

BB for social anxiety

Which med is helpful in pediatric social anxiety

BB (ex. propanolol)

Schizophrenia Sx more common in peds

Hyperactivity

Cognitive problems

Hallucinations

Schizophrenia First Line Tx Options

Olanzepine (>13)

Risperidone

Quetiapine

Aripiprazole

Lurasidone

Clozapine role in therapy for Pediatric Schizophrenia

Reserved for treatment resistant schizophrenia

For ages >6

Environmental factors that inc risk of Autism

Advanced paternal age

Maternal DM during pregnancy

Low birth weight

Prematurity

Level 1 defined as

requiring support

Level 2 defined as

requiring substantial support

Level 3 defined as

requiring very substantial support

Screening Red Flag Sx at 12, 14, 18 months

12 mon - does not respond to name

14 mon - does not point at objects to show interest

18 mon - does not play pretend

First line for Hyperactivity/Inattention symptoms of ASD

Psychostimulants

Alternatives for treating Hyperactivity/Inattention symptoms when First line not effective

NRIs (Atomoxetine)

Alpha 2 agonists (Clonidine, Guanfacine)

Atypical Antipsychotics have less data but can be used primarily to address which symptom

Aggression

Medication classes to treat Irritability and severe disruptive behavior

Atypical Antipsychotics - Aripiprazole, Risperidone, (FDA Approved) Consider Olanzepine, Quetiapine

Anticonvulsants

SNRI (Venlafaxine)

Atypical antipsychotic ADEs

Weight gain

Dyslipidemia

EPS Sx

Hyperprolactinemia

Medication classes to treat Repetitive behavior and Compulsions

Atypical Antipsychotics

Anticonvulsants

SSRI (Fluoxetine, Fluvoxamine)

Medication classes to treat Anxiety and Depression

SSRI

Alpha-2 Agonists

Atypical Antipsychotics

First line treatment for Anxiety and Depression symptoms

CBT

Adverse effect of SSRIs in children

Hyperactivation