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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 - 44. Summer Send-Off!

44. Summer Send-Off!

Child Mental Health for Pediatric Clinicians

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05/20/24 • 3 min

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Join us as we wrap up our first year of PsychEd4Peds and prepare for a summer break!

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

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Child Mental Health for Pediatric Clinicians - 28. Telehealth: The Good, The Bad, The Funny with Dr. Rachel Schare
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01/13/24 • 13 min

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As pediatric practices incorporate more telehealth, what tips and tricks can help us navigate the challenges of virtual healthcare? Pediatrician Dr. Rachel Schare joins us to share the Good, the Bad, and the Funny in the world of Pediatric Telehealth.
We discuss:
Practical strategies for how to incorporate telehealth into busy pediatric practice:

  • Focus mainly on follow-up visits for established patients
  • ADHD follow-ups are great, sometimes also depression/anxiety
  • Offer same-day telehealth during last minute schedule openings to accomodate patients who call with urgent issues

Tips to address common telehealth challenges:

  • To manage connection issues, allow extra time for visits
  • Make sure you have working phone numbers before the visit
  • Send multiple reminders (text, email) with the connection link
  • Engage kids with virtual stickers, reaction buttons, backgrounds, etc.

How to limit distractions and ensure pt/family safety:

  • Clearly communicate your rules for telehealth before the visit
  • Set boundaries, remind families of rules during the visit (i.e. no driving during the visit)

Dr. Rachel Schare is a board-certified pediatrician with extensive experience incorporating behavioral health in primary care pediatrics. For the past 4-5 years, she has been practicing telehealth in both urgent care and primary care settings.

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

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Do you ever wish you had a child psychiatrist on speed dial? Well, now you can! This week, we talk about how to get connected to a Pediatric Mental Health Care Access Program (PMHCAP) near you that offers:
* phone consultation with child psychiatrists to help you care for kids in your office
* care navigation services to help you find resources
I will walk you through what to expect when you call your local PMHCAP and how they can be helpful for you and for your patients.
For a list of statewide PMHCAPs near you, check out:
https://mchb.hrsa.gov/programs-impact/programs/pmhca-awardee-teleconsultation-phone-lines
Link also available on our website, 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 - 47. How to Prevent Burnout in Parents: Tools and Tips that Work

47. How to Prevent Burnout in Parents: Tools and Tips that Work

Child Mental Health for Pediatric Clinicians

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10/15/24 • 28 min

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It's time to talk about the mental health impact of *parenting*... and what we can do about it. Join me and our special guest, Ashley, a working mom, as we explore practical tools and exercises to recognize and address signs of BURNOUT. This episode is for parents AND for all of us who need to take care of ourselves so that we can care for others. We talk about practical tools like:
** The stress continuum: Are you green, yellow, orange, or red?
** 'What's on your plate' or 'What's on your mind?': Exercises to assess and reprioritize responsibilities.
*** Self-care that WORKS to recharge mentally and physically: including social connections, creative expression, and exercise

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 - 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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Child Mental Health for Pediatric Clinicians - 32. Meds for ADHD and/or anxiety

32. Meds for ADHD and/or anxiety

Child Mental Health for Pediatric Clinicians

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02/09/24 • 17 min

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Is there a go-to medication to treat a child with both ADHD and anxiety? Join us as we continue the conversation with Dr. Jeffrey Strawn from Cincinnati Children's Medical Center to discuss how to approach medication treatment for a child with ADHD and anxiety.
We talk about which stimulants are better tolerated, when to use alpha 2 agonists (like clonidine and guanfacine), and finally what to know about the norepinephrine reuptake inhibitors, Viloxazine (Qelbree) and atomoxetine (Strattera).
Key Points:

1 – treat ADHD first, then address residual anxiety (unless anxiety is Severe)

2 – When treating ADHD, start with stimulants; Methylphenidate (MPH) stimulants are less likely to cause mood/anxiety sxs than mixed-amphetamine salts; MPH stimulants also have 1⁄2 incidence of appetite suppression relative to the mixed-amphetamine salts

3 – When to use alpha 2-agonists

o Clonidine is “a little messier” – hits multiple receptors (alpha 2a, 2b, 2c; hits imidazoline receptor), more likely to affect BP, sedation; best for problems initiating sleep

o Guanfacine – “much more selective for alpha 2 A receptor”,

o Guanfacine XR can be dosed once daily (vs. clonidine xr which is still BID)

o Dosing and titration of Guanfacine XR stay below 6mg, 0.1 mg/kg/day

o Guanfacine XR considered as adjunctive med in addition to SSRI for anxiety

o Good to help w/ impulsivity

4 – Viloxazine/Qelbree (NRI) “what’s hype vs. what’s clinically relevant pharmacology?”

o Works more rapidly than atomoxetine: Even within first couple of weeks, noticing improvement in symptoms

o Little 2D6 metabolism, but not affected by 2D6 metabolizer status like atomoxetine (did you know fda recommends different dosing/titration based on metabolizer status in atomoxetine)

o Potent CYP 1A2 inhibitor (which metabolizes caffeine/energy drinks)  increase caffeine exposure (blood level over time) six fold

** ADR2A genetic polymorphism means 2/3 people do NOT experience anxiety when they consume caffeine

Dr. Jeff 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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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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