Seasonal Affective Disorder 11/6/24

Seasonal Affective Disorder, also known as Major Depressive Disorder with Seasonal Pattern, is a form of depression that consistently occurs during certain months of the year. It can present during either winter or summer, but it more commonly occurs in the colder months when there are fewer daylight hours. While distance from the equator is […]

The Importance of Parent Participation in Autism Intervention 10/23/24

As the prevalence of autism continues to increase, 1 in 22 children in California, it is vital that we as providers better understand how to tailor interventions to best meet the needs of our autistic youth and their families. There are many different types of interventions for autism with different areas of focus and different […]

Extrapyramidal Symptoms (EPS) 10/9/2024

Antipsychotic medications are used to treat a wide array of mental health conditions including mood disorders and psychotic disorders. Extrapyramidal symptoms (EPS), or drug-induced movement disorders, are common adverse side effects of antipsychotic medications. EPS are important to recognize and address as they can cause patients significant distress and impairment and lead to self-discontinuation of […]

Managing School Refusal 8/28/24

Families often present to their primary care providers when their children are refusing to go to school. School refusal can happen for a variety of reasons. The phenomenon has increased significantly since the pandemic. Many children who are refusing to go to school have an underlying mental health concern. The most common mental health concerns […]

The Link Between Traumatic Experience and Substance Use Disorders 7/30/24

The relationship between traumatic experiences and the development of substance use disorders (SUDs) has been a subject of extensive research in the fields of psychology, psychiatry, and public health. Traumatic experiences, defined as events that involve actual or threatened death, serious injury, or sexual violence, significantly impact mental health. Other traumatic experiences, such as adverse […]

Strategies for Summer Break 6/10/24

Most people look forward to summer break – vacations, warmer weather, not having to wake up early for school. However, for many kids and families, summer breaks can be challenging because of the change from the usual routine. This is especially true for children and youth with mental health and developmental concerns, for whom structure […]

Understanding Selective Serotonin Reuptake Inhibitors: Mechanisms, Applications & Considerations 5/31/24

Selective Serotonin Reuptake Inhibitors (SSRIs) represent a class of antidepressant medications widely prescribed for various mood and anxiety disorders. Here, we provide an overview of SSRIs, including their mechanisms of action, pharmacokinetics, therapeutic applications, adverse effects, and considerations for clinical practice. By synthesizing current research and clinical insights, we hope to enhance understanding of SSRIs […]

Sensory Processing Concerns: What is it and how can a Sensory Diet help? Part 2

In our last newsletter, we discussed Sensory Processing Disorder’s symptoms, possible causes and where to refer our patients suspected of this. This week we will discuss possible treatment and activities that are beneficial. Treatment Most OTs will work in session to develop sensory activities that can help with sensory processing concerns. This is referred to […]

Medication Treatment Algorithm for Adolescent Depression in Primary Care 4/16/24

Adolescent depression is a significant mental health concern, with potential long-term implications if left untreated. While psychotherapy remains a cornerstone of treatment, medication can be an essential component for moderate to severe cases or when psychotherapy alone is insufficient. This medication treatment algorithm outlines evidence-based pharmacological interventions for adolescent depression, incorporating safety considerations, efficacy, and […]

Tapering Antipsychotic Medications in Children and Adolescents:  Part II 4/2/24

Continuing the discussion on the Off Label use of antipsychotic medications for minors, this edition of our newsletter addresses considerations in tapering and, when feasible, discontinuing treatment with these agents. Case Vignette: Steven is a 13-year old boy with autism, mild intellectual disability and expressive speech delay who presented 2 years ago with concerns related […]