Dr. Henry Paul, MD

Psychiatrist, Author and Educator

Latest Book

May 12th, 2012

When Kids Need Meds; Everything a Parent Needs to Know About Psychiatric Medication and Youngsters

when-kids-need-meds

CONTENTS

INTRODUCTION

Click here to read an excerpt!

CHAPTER 1: YOUR QUESTIONS ANSWERED

  • What is a mental disorder? How do I know if my child has one?
  • Why does my child have a mental disorder? Was it my fault?
  • Will psychiatric medication treat the symptoms only? Or the mental disorder in whole? Or both?
  • I’ve heard there has been an increase in prescribing these medications to children. Is that true?
  • Can my pediatrician prescribe psychiatric medication?
  • Off label prescribing. Are psychiatric medications approved for use in children?
  • Can these medications harm my child?
  • Are there long term effects that are harmful?
  • How do these medications work?
  • Polypharmacy. Do children have to take more than one medication at a time?
  • Will my child need medication for the rest of his life?
  • What happens to children who don’t take recommended medication?
  • How much research should I do when the doctor prescribes medication for my child?
  • Should medication be prescribed immediately?
  • What’s involved in a psychiatric evaluation?
  • How do I tell my child about an upcoming evaluation?

CHAPTER 2 WHAT YOU WILL NEED TO KNOW BEFORE STARTING YOUR CHILD ON PSYCHIATRIC MEDICATION


CHAPTER 3 STIMULANT MEDICATION: WHEN YOUR CHILD HAS BEEN DIAGNOSED WITH ATTENTION DEFICIT DISORDER

  • What is ADD?
  • Types of ADD
  • ADD can lead to other problems
  • What causes ADD?
  • Making the diagnosis
  • Treatment of ADD
    • Non medication treatment
    • Treatment with stimulant medication.
      • How do the drugs work?
      • Side effects
      • Methlyphenidate Compounds
      • Amphetamine derivatives
    • When the stimulants fail


CHAPTER 4 ANTIPSYCHOTIC MEDICATION

  • What disorders are treated with these medications?
    • Schizophrenia
    • Other psychoses
    • Conduct Disorder
    • Oppositional Defiant Disorder
    • Stimulant resistant AD(H)D
    • Tics
    • Childhood Bipolar Disorder
    • TDD-Temper Dysregulation with Dysphoria
    • Autism
    • Agitation
    • Self Injurious Behaviors
    • Post Traumatic Stress Disorder Behaviors
    • Severe Eating Disorders
  • Trends in the use of Antipsychotic Medications
  • How often are they prescribed?
  • How do these medications work?
  • Typical Antipsychotics
  • Atypical Antipsychotics
  • Side Effects
  • Withdrawal
  • Required medical examinations
  • How many children take these medications?
  • How effective are they?
  • How are these drugs used?
  • When Antipsychotics fail


CHAPTER 5 ANTIDEPRESSANTS

  • Young people get depressed
  • Statistics of suicide
  • Suicide triggers
  • Warning signs of suicide
  • What to about suicide concerns
  • Treating depression with medication
    • Black Box Warning
    • Medication alone is never wise
    • How antidepressants work
    • MAOI inhibitors
    • Tricyclic antidepressants
    • Selective serotonin reuptake inhibitors (SSRI’s)
    • Norepinepherine-serotonin reuptake inhibitors (NSRI’s)
    • Other antidepressants
    • How effective are antidepressants?
    • How are antidepressants prescribed?
    • The commonest antidepressants


CHAPTER 6 MOOD STABILIZERS FOR BIPOLAR DISORDER AND OTHER CONDITIONS

  • What does Bipolar Disorder look like in Adults?
  • What does Bipolar Disorder look like in Children and Teenagers?
  • TDD-Temper Dysregulation Disorder with Dysphoria
  • Medication for Bipolar Disorder, TDD and accompanying conditions
  • How do we treat Bipolar Disorder and TDD?
    • Acute phase treatment
    • Maintenance phase treatment
  • The Mood Stabilizers
    • Lithium
      • Side effects
      • Lithium toxicity
      • How lithium is used
    • Tegretol
      • Side effects
    • Valproic acid-Depakote
      • Side effects
  • Other uses of Mood stabilizers in children and adolescents


CHAPTER 7 TREATMENT FOR ANXIETY DISORDERS

  • Fear vs Anxiety
  • Causes of Anxiety
  • What Anxiety Disorders appear in young people
    • Separation Anxiety Disorder
    • Generalized Anxiety Disorder
    • Panic Attacks and Panic Disorder (with or without agoraphobia)
    • Obsessive Compulsive Disorder
    • Social Phobia
    • Selective Mutism
    • Post-Traumatic Stress Disorder
    • Specific Phobias
  • Treatment of Anxiety Disorders with Psychotropic Medication
    • Psychotherapy first
    • Antidepressants
    • Tranquilizers (Benzodiazepines)
    • Antihistamines
    • Buspar
    • Antipsychotic medication
    • Beta Blockers


CHAPTER 8 SLEEP DISORDERS AND MEDICATION

  • What should we expect about sleep?
  • Sleep problems
  • Sleep Hygiene
  • What about sleep in kids with psychiatric problems?
    • ADHD
    • Anxiety
    • Depression
    • Pervasive developmental disorder and retardation
    • Post-traumatic Stress Disorder
    • Substance abuse
  • Certain medications and illnesses
  • Other sleep disorders and their treatment
    • Parasomnias
      • Nightmares
      • Night terrors
      • Sleepwalking
      • Enuresis (bed wetting)
  • What about sleep medication for children and teenagers?
    • Antihypertensive medication
    • Antihistamines
    • Trazadone
    • Benzodiazepines
    • Sedative hypnotics-sleeping pills


CHAPTER 9 OTHER TYPES OF THERAPY

  • Types of therapy
    • Insight oriented individual therapy
    • Group therapy
    • Family therapy
    • Work with parents
    • Detoxification and rehabilitation
    • Cognitive behavioral therapy
    • Dialectic behavioral therapy
    • EMDR-eye movement desensitization reprocessing
    • Hypnosis and biofeedback
    • Remediation
    • Hospitalization
    • Day and Residential treatment
  • Choosing a therapist
    • Different mental health professionals
    • What to look for
      • Credentials
      • References
      • Gut feeling


CHAPTER 10 CONCLUSION


FURTHER REFERENCES AND RESOURCES