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Child Mental Health for Pediatric Clinicians

Child Mental Health for Pediatric Clinicians

Elise Fallucco M.D.

Child Mental Health for Pediatric Clinicians podcast - formerly PsychEd4Peds -is the child mental health podcast designed for pediatric clinicians - helping you help kids. The host, Dr. Elise Fallucco, M.D., is a board-certified child and adolescent psychiatrist and mom of three who teaches pediatric clinicians to identify, manage, and support kids and teens with mental health problems. Dr. Fallucco interviews experts in the fields of child psychiatry, psychology, and pediatrics to share practical tools, tips, and strategies to help pediatric clinicians take care of kids and teens.

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Top 10 Child Mental Health for Pediatric Clinicians Episodes

Goodpods has curated a list of the 10 best Child Mental Health for Pediatric Clinicians episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Child Mental Health for Pediatric Clinicians for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Child Mental Health for Pediatric Clinicians episode by adding your comments to the episode page.

Child Mental Health for Pediatric Clinicians - 13. Teen Suicide: Simple things we can do to reduce risk

13. Teen Suicide: Simple things we can do to reduce risk

Child Mental Health for Pediatric Clinicians

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09/15/23 • 14 min

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Youth suicide is the second leading cause of death in children, teens, and young adults in the US. Yet, there are so many things we can do to try to prevent morbidity and mortality. Dr. Brian Kurtz, child and adolescent psychiatrist and medical educator extraordinaire at Cincinnati Children’s hospital, joins me to discuss how pediatricians can help prevent suicide.

**What increases risk for youth suicide?

  • Previous suicide attempt
  • Non-suicidal self-injury
  • Mental health problems (*including ones you would not necessarily associate with suicide, like ADHD)
  • Family history of death by suicide, suicide attempts
  • History of TRAUMA

** How pediatricians can reduce risk for suicide

** The importance of helping kids and teens feel a sense of belonging and connection
Dr. Brian Kurtz is a child and adolescent psychiatrist and Director of the Child and Adolescent Psychiatry Residency Training Program at Cincinnati Children’s hospital. He serves on the Pediatric Behavioral Health Clinical Advisory Panel for Ohio MInds Matter. He helped to develop educational materials for the Ohio Minds Matter website on multiple topics, including youth suicide risk assessment.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 1. Welcome to PsychEd4Peds - Trailer

1. Welcome to PsychEd4Peds - Trailer

Child Mental Health for Pediatric Clinicians

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07/09/23 • 3 min

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What is PsychEd4Peds all about?

  • Dr. Elise Fallucco is a child psychiatrist and mom of 3 who trains and supports pediatric clinicians in child mental health care
  • She interviews other experts to share practical tools, tips, resources, and strategies to help pediatric clinicians take care of kids and teens with mental health problems

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 48. The Emotional Flu: A New Epidemic Impacting Teens

48. The Emotional Flu: A New Epidemic Impacting Teens

Child Mental Health for Pediatric Clinicians

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11/26/24 • 17 min

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In this episode of Psyched for Peds, Dr. Elise Fallucco and her teenage son, Chase Fallucco, discuss the seasonal surge of mental health symptoms, termed the 'emotional flu,' impacting teenagers during October and November. They discuss:
** What are the symptoms and signs of the emotional flu?
** Why are October and November high-risk periods for the Emotional Flu?
** What can we do to "vaccinate" teens against the Emotional Flu?

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 19. Personalized medicine, pharmacogenetic testing: Is it ready for prime time?
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10/30/23 • 13 min

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Can we use information from our DNA to predict which medication will work for each of us? In this episode, Dr. Elise Fallucco talks about the latest information about pharmacogenetic testing and personalized medicine, and how they can (or cannot) be useful for treating ADHD, anxiety, and depressive disorders. She shares when and how pharmacogenetic testing can be useful. In addition, she introduces Sequence2script, an online tool to help translate pharmacogenetic test results into clinical prescription recommendations.
Dr. Elise Fallucco is a child psychiatrist, mom, and host of PsychEd4Peds. She is a Professor of Pediatrics and Child and Adolescent Psychiatry with over 14 years experience in training pediatric clinicians to identify and treat mental health problems.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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How do primary care pediatricians take care of the growing volume of mental health problems in the setting of a busy private practice? Drs. Wendy Sapolsky, Kim DalPorto and Chanley Dudley, pediatric mental health champions in their large pediatric primary care private practice, Carithers Pediatric Group, share Time-saving Tips for managing the challenges of limited time, and increased volume and complexity of child mental health problems in this episode. Tips include:
** 1 - Use screening tools at well-visits and for symptomatic patients
** 2 -Invest in time-saving dictation software for notes
** 3 - When charting, include measurable behavioral outcomes
** 4 - See complex pts before lunch, at end of the day or schedule a separate appt
** 5 - Monitor your burnout
** 6 – Take advantage of telehealth
** 7 – Check in w/ families in between appts via phone calls/patient portal
** 8 – Develop a relationship w/ a child psychiatrist
** 9 – Medical Education!
** 10 - Know your community MH resources
Dr. Wendy Sapolsky, MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at Wake Forest University/Bowman Gray School of Medicine. Her professional interests include ADHD, adolescents, and weight management.

Kim DalPorto MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at the University of Alabama at Birmingham. In addition to her work in the US, she is involved with global missions and helped to launch a permanent primary care medical clinic in Uganda, associated with Okoa Refuge.

Chanley Dudley, MD has been in practice for 10 years at Carithers Pediatric Group. She received her medical degree from the University of Florida College of Medicine. She completed her pediatric residency at Harvard /Massachusetts General Hospital in Boston. She has a special interest in children and adolescents with complex medical or social situations and in those who struggle with speech/language disorders and other learning differences.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 42. Implementing Change in Pedatric Practices with Dr. Lia Gaggino

42. Implementing Change in Pedatric Practices with Dr. Lia Gaggino

Child Mental Health for Pediatric Clinicians

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04/30/24 • 14 min

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In this episode, meet Dr. Lia Gaggino, pediatrician and host of the child mental health and clinician well-being podcast, Pediatric Meltdown. She shares resources and tips to help practicing pediatricians including her now podcast, Pediatric Mental Health: Building Better Workflows. This new podcast is about how to implement change in pediatric practices from how to get buy-in for change, set goals, and engage your team in implementing change, plus tips on billing and coding and more.
Dr. Lia Gaggino's Podcast: Pediatric Meltdown
Website: Pediatricmeltdown.com

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 31. ADHD, Anxiety, or both? Making the right diagnosis with Dr. Jeffrey Strawn
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02/06/24 • 14 min

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ADHD and Anxiety and highly intertwined, so how can you tease them apart?
Join us as Dr. Jeffrey Strawn shares clinical pearls about how to detect whether a child has ADHD, anxiety, or both! We discuss:
* the consequences of untreated ADHD (especially social and educational impacts)
* how ADHD and anxiety are related and that 30% of kids w/ ADHD have anxiety, too!
Some take home messages are:

1 – When screening kids for ADHD, also consider using the SCARED-5 to screen them for anxiety!

2 – Good clinical question to ask kids about anxiety

o “How good are you at worrying?”

o “What would happen IF (the thing they fear occurred)?”

3 – To distinguish between clinical anxiety disorder and an anxiety trait..

Ask, is [ the thing they are worried about] reasonable/expected?

Is the anxiety proportional to the stressor?
Dr. Jeffrey Strawn is a Professor of Psychiatry and Behavioral Neuroscience at the University of Cincinnati College of Medicine. Dr. Strawn directs the Anxiety Disorders Research Program and conducts clinical trials and neuroimaging studies in patients with anxiety and related disorders. He is an internationally recognized expert int he field of child and adolescent anxiety disorders.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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How do you choose which SSRI to start for child/teen depression? Dr. Elise Fallucco and Dr. Michaela Denison discuss the 3 SSRIs w/ best evidence for depression treatment in kids and teens :

o Fluoxetine (Prozac)= FDA-approved for depression 8 yo+, activating, long half-life; Good for kids with fatigue, low motivation

o Sertraline (Zoloft)= Works quickly, dose at night to help with sleep; Good for kids w/ initial insomnia

o Escitalopram (Lexapro)= FDA-approved for depression 12 yo+,weight gain; Response/side effects moderated by cytochrome p450 2C19 phenotype

** Potential challenges in treating depression

***3 questions to ask kids at follow-up on antidepressant meds

1 – Compliance: (and what time of day are yout taking it?)

2 – Benefit: have you noticed improvement in mood, sleep, energy, motivation?

3 – Side effects: activation, sleep problems, HA, GI side effects ?

***We also talk about our Magic SSRI dosing card to help pediatric clinicians treat DEPRESSION AND/or ANXIETY- available our website Psyched4Peds.com
Dr. Elise Fallucco, child psychiatrist, mom, and host of PsychEd4Peds, specializes in adolescent depression and suicidality. She brings over 14 years experience in training pediatric clinicians to identify and treat mental health problems.
Dr. Michaela Denison, child psychiatrist, mom, and co-host of this episode of PsychEd4Peds, is the founding Director of the Lockbag program to prevent youth overdoses at the University of Florida College of Medicine - Jacksonville. (UF-Jax) She also serves as the Associate Program Director for the child and adolescent psychiatry fellowship at UF-Jax.
Follow us on Instagram @psyched4peds or visit our website at Psyched4Peds.com

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 29. Distinguishing depression from normal teen moodiness and demoralization with Dr. John Walkup
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01/22/24 • 14 min

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How can you tell if a teenager is depression or if it is just normal moodiness, stress, grief, or even demoralization? Dr. John Walkup joins us to talk about the cardinal features of depression... and how it LOOKS different than other forms of low mood.
We talk about:
1 - the distinct change in mood seen in teens with depression and how it is different from sadness
2 - how you can use a simple question, "Can you tell me about something fun you have done recently?", to help you figure out whether a teen has clinical depression
3 - why kids with depression can *think* they have ADHD
Guest: Dr. John Walkup is an internationally-recognized child and adolescent psychiatry and the President Elect of the American Academy of Child and Adolescent Psychiatry. He is Chair of the Pritzker Department of Psychiatry and Behavioral Health at Lurie Children's Hospital in Chicago. He is also the Margaret C. Osterman Board Designated Professor in Child and Adolescent Psychiatry.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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Child Mental Health for Pediatric Clinicians - 20. What causes temper tantrums in preschool-aged kids with Dr. Joyce Harrison
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11/06/23 • 17 min

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Temper tantrums can be so frustrating - for the child, the parent, the teacher, and everyone involved! On episode 20 of PsychEd4Peds, Dr. Joyce Harrison, child and adolescent psychiatrist at Kennedy Krieger Institute/Johns Hopkins, shares with us an "8 S" framework for evaluating kids with temper tantrums.

Q: What is on the differential diagnosis for a 4 year old with temper tantrums?

A: Thinking alphabetically,

** A = ADHD, anxiety, and/or autism,

** C= communication difficulties,

** D = developmental delay/intellectual disability,

** T=trauma or adverse childhood experiences

Q: What questions could the pediatrician ask the parent to sort through some of these possible issues?

A: It can be helpful to use the "Eight S framework"

§ 1 - Safety first

· Is this child safe?

· Are the people around this child safe?

· Is this child safe to be treated in the setting that they're in?

§ 2 - Specific behaviors

· What is the child doing that makes the parent think something is wrong

· What is the most problematic thing?

· What are you most concerned about?

§ 3 – Setting

· Where are the behaviors happening? (childcare/preschool, home, out w/ other people)

§ 4 - Scary/trauma

· Has anything scary happened to this child/family?

§ 5 - Services!!!!!

· what kinds of services is the child getting now? (OT, PT, behavioral tx, meds)

§ 6 - Sleep

· How well are they sleeping? Any nightmares?

§ 7 - Social interactions

· Does your child have friends?

· Does your child get invited to other things?

§ 8 - Speech problems
Dr. Joyce Harrison is an Associate Professor in the Division of Child and Adolescent Psychiatry at Johns Hopkins University School of Medicine. She is also on the Faculty at Kennedy Krieger Institute, a hospital serving children with developmental disabilities. She is a nationally-recognized educator in early childhood mental health and its integration in primary care. She is the Project director for Kennedy Krieger Institute’s Early Childhood ECHO programs, and Co-chair of AACAPs national Infant and Preschool Committee. She served as the founding Medical director of Maryland Behavioral Health Integration in Pediatric Primary Care program. She is President of the Association for Infant Mental Health, Maryland-DC chapter.

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

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FAQ

How many episodes does Child Mental Health for Pediatric Clinicians have?

Child Mental Health for Pediatric Clinicians currently has 51 episodes available.

What topics does Child Mental Health for Pediatric Clinicians cover?

The podcast is about Health & Fitness, Psychology, Anxiety, Mental Health, Pediatrics, Depression, Medicine, Podcasts, Adhd, Autism, Psychiatry and Child.

What is the most popular episode on Child Mental Health for Pediatric Clinicians?

The episode title '20. What causes temper tantrums in preschool-aged kids with Dr. Joyce Harrison' is the most popular.

What is the average episode length on Child Mental Health for Pediatric Clinicians?

The average episode length on Child Mental Health for Pediatric Clinicians is 15 minutes.

How often are episodes of Child Mental Health for Pediatric Clinicians released?

Episodes of Child Mental Health for Pediatric Clinicians are typically released every 7 days.

When was the first episode of Child Mental Health for Pediatric Clinicians?

The first episode of Child Mental Health for Pediatric Clinicians was released on Jul 9, 2023.

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