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Attention Deficit Disorders

Co-Occurring Mania and ADHD in Youths

Evidence suggests that co-occurrence with ADHD is a marker of preadolescent-onset mania. Insights here.

Attention Deficit Disorders

Parents of children with ADHD frequently ask whether there are nonmedication treatments that are effective for managing their children’s symptoms of ADHD. A recent meta-analysis provides an answer to this clinically important question.

Concerns are raised about DSM-5 revisions in the definition of depression. Many worry that eliminating the bereavement exception in the guidelines for the diagnosis of major depressive disorder represents a dangerous move.

Despite the high prevalence of depression among youths, there are empirically supported treatments that have been shown to reduce depressogenic symptoms, including the 3 therapies outlined in this article.

Traumatic brain injury (TBI) in children and adolescents is a major public health problem. Psychiatrists have a crucial role in the management of young persons who have a TBI.

Sleep changes associated with psychotropic drugs are common enough to justify routinely obtaining a baseline sleep diary before beginning treatment, even when the initial screening for sleep disorders indicates that no further investigation is needed.

The paradigm for modern psychiatry is evidence-based medicine (EBM)—it represents proven treatments for defined diagnoses. But there are major problems with this position, starting with the fact that while they are superior to placebo, evidence-based treatments too often are ineffective.

Any physician can predict death as the outcome of a fatal illness, but the physician who can predict death from among seeming randomness has certainly acquired a superior level of insight.

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