Complementary and Integrative Medicine for Anxiety in Children, Adolescents, and Young Adults
This article will explore the efficacy of CIM interventions that work on these mechanisms through mind-body-medicine, acupuncture, nutrition, and supplements. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Deborah R. Simkin, Shayna Swick, Krishna S. Taneja, Noshene Ranjbar Source Type: research

Substance Use Disorders and Role of Complementary and Integrative Medicine/Functional Medicine
This article discusses available evidence for many complementary and integrative treatment approaches while briefly describing existing psychotherapeutic and psychotropic medications. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Shikha Verma Source Type: research

Complementary and Integrative Approaches to Sleep Disorders in Children
Sleep problems are very common in children and adolescents. Chronic insomnia is the leading cause of sleep disorders in children and adolescents. Adjunctive interventions that address low ferritin levels and vitamin D3 deficiency are helpful in children and adolescents. The addition of l-5-hydroxytryptophan, gabadone, l-theanine, Ashwagandha, omega 3 fatty acids, probiotics in bipolar disorder, and children with colic, meditation, and changing from a high-fat diet to a Mediterranean diet are also helpful adjunctive interventions. Actigraphy data should be collected in future sleep studies because subjective data may not in...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Swapna N. Deshpande, Deborah R. Simkin Source Type: research

Complementary/Integrative Medicine Treatment and Prevention of Youth Psychosis
The rationale for CIM treatments in youth psychoses is to optimize treatment by targeting symptoms not resolved by antipsychotics, such as negative symptoms (major drivers of disability). Adjunctive omega-3 fatty acids ( ω-3 FA) or N-acetyl cystine (NAC usage for> 24-week) can potentially reduce negative symptoms and improve function. ω-3 FA or exercise may prevent progression to psychosis in youth (in prodromal stage). Weekly 90-minute moderate to vigorous physical activity or aerobic exercise can reduce positive and negative symptoms. Awaiting better research, CIM agents are also recommended because they are devoid of ...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Vinod S. Bhatara, Jeremy Daniel, Carol Whitman, Tamara Vik, Bettina Bernstein, Deborah R. Simkin Source Type: research

Complementary and Integrative Treatments of Aggressiveness/Emotion Dysregulation: Associated with Disruptive Disorders and Disruptive Mood Dysregulation Disorder
Youth with emotional dysregulation (ED) and irritability/aggression, common in disruptive disorders (frequently comorbid with attention-deficit/hyperactivity disorder), are underserved by conventional treatments. Anger dysregulation is usually the core feature of ED. Complementary and integrative Medicine (CIM) treatments for youth with disruptive disorders and ED are reviewed. Broad-spectrum micronutrient supplementation has a medium effect and is supported by two double-blind randomized controlled trials using similar formulations. Other CIM treatments supported by controlled data but needing further research, include om...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Vinod S. Bhatara, Bettina Bernstein, Sheeba Fazili Source Type: research

Post-Traumatic Stress Disorder/Developmental Trauma Disorder/Complex Post-Traumatic Stress Disorder and Complementary and Integrative Medicine/Functional Medicine
Response to PTSD treatments differ based on the age the abuse occurred, the type of abuse, and the chronicity of the abuse. Even when modifications to treatment are made based on the developmental age when the abuse occurred, therapies may be insufficient. In addition, when diagnostic criteria are modified to identify more children, some children continue to escape detection. Developmental Trauma Disorder, (akin to the RDoC), may be more suitable to identify epigenetic and inflammatory effects of early abuse that may be responsible for the nonresponsive to treatment. Complementary and Integrative Medicine interventions (me...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Deborah R. Simkin Source Type: research

Mood Disorders in Youth
Omega-3 polyunsaturated fatty acids, probiotics, vitamin C, vitamin D, folic acid and L-methyl folate, broad-spectrum micronutrients, N-acetylcysteine, physical activity, herbs, bright light therapy, melatonin, saffron, meditation, school-based interventions, and transcranial photobiomodulation are reviewed, with a focus on their use for treating mood disorders in children and adolescents. For each treatment, all published randomized controlled trials are summarized. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Kirti Saxena, Sherin Kurian, Reena Kumar, L. Eugene Arnold, Deborah R. Simkin Source Type: research

Complementary and Integrative Approaches to Prevention and Treatment of Child and Adolescent Obesity
Childhood obesity is a significant global challenge with increasing prevalence. It is associated with long-term health risks. Interventions especially early on can be effective in the prevention and reducing the impact on health in children. In children, dysbiosis and inflammation are associated with obesity. Studies demonstrate that intensive lifestyle interventions in form of parent education, motivational interviewing to improve diet and exercise as well as mindfulness, and sleep improvement can help alleviate the risk. The article outlines the current research describing complementary and integrative approaches to the ...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Swapna N. Deshpande, Deborah R. Simkin Source Type: research

Complementary and Integrative Medicine and Eating Disorders in Youth: Traditional Yoga, Virtual Reality, Light Therapy, Neurofeedback, Acupuncture, Energy Psychology Techniques, Art Therapies, and Spirituality
Eating disorders (EDs) are a non-heterogeneous group of illnesses with significant physical and mental comorbidity and mortality associated with maladaptive coping. With the exception of lisdexamfetamine (Vyvanse) for binge eating disorder, no medications have been effective for the core symptoms of ED. ED requires a multimodal approach. Complementary and integrative medicine (CIM) can be helpful as an adjunct. The most promising CIM interventions are traditional yoga, virtual reality, eye movement desensitization and reprocessing, Music Therapy, and biofeedback/neurofeedback. (Source: Child and Adolescent Psychiatric Clin...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Aleema Zakers, Valentina Cimolai Source Type: research

Iron Deficiency in Attention-Deficit Hyperactivity Disorder, Autism Spectrum Disorder, Internalizing and Externalizing Disorders, and Movement Disorders
This article reviews the role of iron in brain development and function, with a focus on the association between iron deficiency (ID) and neuropsychiatric conditions. First, we describe how ID is defined and diagnosed. Second, the role of iron in brain development and function is summarized. Third, we review current findings implicating ID in a number of neuropsychiatric conditions  in children and adolescents, including attention deficit hyperactivity disorder and other disruptive behavior disorders, depressive and anxiety disorders, autism spectrum disorder, movement disorders, and other situations relevant to mental he...
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Dimitri Fiani, Solangia Engler, Sherecce Fields, Chadi Albert Calarge Source Type: research

Complementary and Integrative Medicine Part I: By Diagnosis
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Authors: Deborah R. Simkin, L. Eugene Arnold Source Type: research

Copyright
ELSEVIER (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Source Type: research

Contributors
JUSTINE LARSON, MD, MPH, DFAACAP (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Source Type: research

Contents
Deborah R. Simkin and L. Eugene Arnold (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Source Type: research

Forthcoming Issues
Updates in Anxiety Treatment (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 1, 2023 Category: Psychiatry Source Type: research