41.2 Developing Self and Other Without Language: Messages From the Crib
This Clinical Perspective will synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Andrew Meltzoff Source Type: research

41.3 Attachment and Social Learning in Infants: Application in Psychosocial Interventions
It is important to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Efrain Bleiberg Source Type: research

41.4 Reflective Parenting
It is important to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Regina Pally Source Type: research

Challenges in the Diagnosis and Treatment of Prodromal and Early-Onset Psychosis in the Community Care Settings
This Clinical Perspectives will present data from an extensive review of the available literature to highlight the most current understanding on the pathophysiology and the clinical presentations of prodromal psychosis-related illnesses in youth and young adults. Presenters will discuss clinical vignettes to illustrate the challenges faced and clinical questions related to the diagnosis and community-based interventions that arose over the course of treatment. We will provide ample time for a panel discussion surrounding the issues presented and then open a questions-and-answers discussion with the audience. (Source: Journ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Iliyan Ivanov, Gabrielle L. Shapiro, Cathryn A. Galanter Tags: Clinical Perspectives 42 Source Type: research

42.1 Pathophysiology and Clinical Assessment of Prodromal Syndrome
Adolescence is a developmental period characterized by vulnerabilities for the onset of neuropsychiatric disorders, including schizophrenia, bipolar disorder, or MDD. Recent research from a large dataset consortium has demonstrated that genetic factors, altered brain activity, and social skills can all contribute to the development of psychosis symptoms during adolescence. Symptoms of psychosis can also develop in the context of substance use. The main goal of this presentation is to provide a comprehensive review of the current literature on those topics and to illustrate the relevant clinical points with appropriate vign...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Iliyan Ivanov Source Type: research

42.2 Clinical Challenges in Diagnosis and Treatment of Early Psychosis and Comorbidities
Early psychosis-related disorders profoundly impact our young patients ’ functioning, developmental trajectories, and overall well-being, and clinical competence in the assessment and treatment of these disorders is essential for child and adolescent psychiatrists. The evaluation and treatment of psychosis symptoms pose a number of clinical challenges, which are heig htened when these symptoms present with other comorbid mental illnesses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Caitlin R. Costello Source Type: research

42.3 Diagnosis and Early Intervention of Prodromal Psychosis in a Community Care Setting: A Clinical Vignette With Interview
Youth experiencing the symptoms of prodromal psychosis in a community setting often go without diagnosis or support for an emerging illness that will impact their development and functioning both in the present and as adults. This clinical presentation will educate the attendee on ways to identify and successfully treat children with emerging psychosis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gabrielle L. Shapiro Source Type: research

42.4 Interventions to Engage and Support the Family System
This Clinical Perspectives will discuss the following: 1) a case that highlights the impact of early psychosis on the patient and their family system; and 2) several evidence-based and other impactful approaches to engage and support families with a member suffering from early psychosis symptoms in the community setting. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Tresha A. Gibbs Source Type: research

Foster Care Transitions: Filling Potholes on the Road to Adulthood
There are few social, vocational, educational, and mental health programs that are specifically designed for the challenges facing transitional-age youth (TAY). This Clinical Perspectives will illustrate multiple pitfalls facing TAY transitioning from foster care to adulthood. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy C. Van Deusen, Peter J. Pecora Tags: Clinical Perspectives 43 Source Type: research

43.1 Transitioning to Adulthood From Foster Care: Promising Practices and Policies
The transition from adolescence to adulthood is increasingly complicated in the United States. Most youth in foster care do not usually receive the types of family support that their nonfoster care peers enjoy when transitioning to adulthood, and youth in foster care are more likely to be challenged in the areas of social/emotional supports, living skills, finances, housing, education, employment, physical and mental health, and justice system involvement. This presentation will describe factors contributing to increased transition risk of youth in foster care and identify how promising practices would improve their transi...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Terry Git Lee Source Type: research

43.2 Promoting a Future Vision From Foster Care: Clinical Cases
Youth in state custody are a vulnerable population, and youth transitioning out of custody have specialized needs. Outpatient mental health care for transitional-age youth (TAY) in foster care can have multiple challenges for the child and adolescent psychiatrist caring for this population, including fragmentation of medical and mental health care, placement disruptions, and poor communication with the child welfare agency, to list a few. This talk highlights key areas of care and specific interventions that the practicing child psychiatrist can use to help support successful transitions. (Source: Journal of the American A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Wynne S. Morgan Source Type: research

43.3 Mental Health Services Delivery to Foster Care Youth Transitioning to Adulthood
Many mental health disorders, such as schizophrenia, bipolar disorder, and substance use disorder (SUD), are initially diagnosed between the ages of 18 and 25 years, and 75% of all mental illnesses occur by the age of 24 years. Combined data from the 2010 –2012 National Survey on Drug Use and Health indicate that 1 in 5 young adults (18.7%; age 18–25 years) had some form of mental illness in the past year and that 3.9% suffered from serious mental illness. Moreover, there are 2.2 million young adults with co-occurring mental illness and SUD, as w ell as 555,000 young adults with co-occurring serious mental illn...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy C. Van Deusen Source Type: research

43.4 Youth Voice: Transitioning to Adulthood From Foster Care
Hearing lived experiences firsthand from youth previously in foster care will help child and adolescent psychiatrists improve their understanding of the emancipation process. In this presentation, a youth previously in foster care will share some of her experiences of transitioning to adulthood. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Julia Schaffer Source Type: research

Intersections of Race, Sex, and Politics: Meeting the Needs of Racial and Sexual Minority Youth
The objective of this session is to present data on the negative impact of racial and sexual minority stress on mental health. Data on the historical effects of public policy on minority mental health will be used to illustrate the current ongoing stressors and needs of racial and sexual minority populations. The session will also discuss clinical methods to address issues of power and race within the patient –doctor relationship and present an innovative curriculum addressing the importance of understanding historical racism and trauma within fellowship training. (Source: Journal of the American Academy of Child and...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Brandon Ito Tags: Clinical Perspectives 44 Source Type: research

44.1 Intersectionality: Why Race Matters in LGBTQ+ Youth
The objective of this talk is to present data on the impact of combined racial and sexual minority statuses on mental health. Racial minority lesbian, gay, bisexual, transgender and queer (or questioning) and others (LGBTQ+) youth face unique stressors both within and outside of the LGBTQ+ community that affect access to services, symptomatology, community supports, and treatment planning. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Brandon Ito Source Type: research

44.2 Hushed Tones: Braving Difficult Conversations on Race and Sexual Orientation
The presentation will allow participants to examine and discuss the intersection of gender, race, and sexual orientation as essential elements to discuss openly to strengthen the therapeutic alliance and acceptance of mental health treatment as a powerful inoculation for psychological and physical health. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Melvin D. Oatis Source Type: research

44.3 From Self-Reflection to Guided Action: Multicultural Identities, Power, and Privilege Within the Provider –Patient Relationship
Attendees will be able to do the following: 1) identify their own salient intersecting multicultural identities; 2) reflect upon automatic thoughts and impulses that arise when issues around race, sexuality, or power/privilege emerge within a clinical context; and 3) practice one internal or interpersonal skill that fosters an affirming environment for sexual minorities and people of color. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Rebecca Gitlin Source Type: research

44.4 Developing a Novel Race-Based Curriculum for Child and Adolescent Psychiatry Fellows
Developing appropriate didactic curricula centered around race is critical for training child and adolescent psychiatry fellows to understand and address mental health disparities; however, there are few examples of such formal didactic curricula in the literature on mental health. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Rupinder Legha Source Type: research

Life Members Wisdom Clinical Perspectives: Off the Beaten Path of Child Psychiatry: Interesting People, Interesting Careers, Interesting Lives
The objectives of this Wisdom Clinical Perspectives are as follows: 1) to provide a broader perspective, primarily for trainees and early career child psychiatrists, as well as for mid-career and late-career psychiatrists, on the broad range of career opportunities, outside of those most obvious career choices as graduation nears, for which child and adolescent psychiatrists are well suited; and 2) to explore the mentoring relationship as it exists for 21st century trainees in child and adolescent psychiatry. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Douglas A. Kramer, Thomas F. Anders Tags: Clinical Perspectives 45 Source Type: research

45.1 My Life as a Child Psychiatrist in the US Foreign Service, Department of State
I illustrate the complexity of professional career development for a child psychiatrist over the course of 40 years of practice. There are clearly both distal (eg, childhood experiences, birth order, youthful mentors, sociocultural zeitgeist, etc.) and proximal factors (eg, level of practice satisfaction, medical and mental health well-being, presence or absence of supportive relationships, etc.) that influence the vicissitudes of career development. Child psychiatrists often feel a need to review their career trajectory in their 40s and 50s. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: William J. Swift Source Type: research

45.2 "Miles to Go Before I Sleep:" A Journey With the Children of War-Ravaged Northern Uganda
The goals of this presentation are: 1) to demonstrate the professional and personal value of collaborative international work to child and adolescent psychiatrists; 2) to describe the Fulbright Scholar Program; and 3) to highlight the importance of flexibility to acquire knowledge and insight. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Carol M. Larroque Source Type: research

45.3 Native American Experiences
The goal of this session is to describe the career path of Douglas Novins, MD, a child and adolescent psychiatrist, with a particular focus on his quarter century of work with American Indian and Alaska Native communities. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Douglas K. Novins Source Type: research

45.4 One Woman ’s Path
I discuss both obstacles and advantages of gender on my career as a child and adolescent psychiatrist, highlighting key career points and adaptive strategies. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Lynn E. Ponton Source Type: research

Partnering With Pediatricians to Promote Early Childhood Mental Health
This presentation will present an overview of the rationale for early childhood mental health (ECMH) collaborative care and introduce the Clinical Perspectives. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Mary-Margaret Gleason, David Willis Tags: Clinical Perspectives 46 Source Type: research

46.1 Advancing Early Childhood Mental Health Consultation in Primary Care Pediatrics: Engagement and Intervention Strategies Spanning Community and Clinic
Primary care pediatrics clinics are outstanding settings in which to engage families with young children to identify and address emergent mental health (MH) problems in both children and caregivers. Several models of team-based care are showing promise for effectively supporting enhanced screening and intervention for MH concerns in young children and their families. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Matthew G. Biel Source Type: research

46.2 Providing Infant and Early Childhood Education and Consultation Through Project Echo ™
Primary care physicians are in an important position to be able to contribute to positive change in the outcomes of at-risk infants and young children. This session will examine the expansion of an infant and early childhood mental health education and consultation program at a university setting using telecommunications. The goals of this project are to expand the reach of infant and early childhood consultation into a variety of primary care and community mental health settings, as well as to educate the primary care and mental health community on the behavioral and emotional health of infants and young children and thei...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Tessa L. Chesher Source Type: research

46.3 Building an Early Foundation for Well-Being: Using Quality Improvement and Qualitative Methods to Guide Program Evolution
The goal of this presentation is to describe the implementation and outcomes of early childhood mental health (ECMH) consultation to primary care providers (PCPs), with a focus on consultation patterns, provider knowledge and attitudes, and changes in practice patterns in response to iterative changes through a quality improvement approach. Pediatric PCPs are in an excellent position to lead ECMH prevention and first-line intervention efforts. Unfortunately, many PCPs do not receive substantial training in this area during residency. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Mary-Margaret Gleason Source Type: research

46.4 Kennedy Krieger Institute Network for Early Childhood Telehealth (KKI-NECT): A Multidisciplinary Model of Integrated Care for Behavioral, Emotional, and Developmental Disorders in Children From Birth to Five Years of Age
Primary care providers (PCPs) are in a unique position to screen, identify, and treat very young children in the medical home. Given the prevalence of behavioral, emotional, and developmental (B/E/D) disorders, the scarcity and inaccessibility of specialists, and the consequences of unmet needs for individuals with B/E/D disorders and their families, the evaluation and management of B/E/D disorders must fall not only on developmental/developmental behavioral pediatricians and child psychiatrists but also on general pediatric providers. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Joyce N. Harrison Source Type: research

Pediatric Medicine Update for the Child Psychiatrist: Palliative Care and Chronic Pain
The goal of this Clinical Perspectives is to present pediatric medicine updates on populations seen in child psychiatry settings. These presentations will review up-to-date clinical care standards or consensus on palliative care and chronic pain and highlight ways in which child psychiatrists can augment their own skill sets and collaborate with pediatric medicine specialists to enhance management issues specific to these populations. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kristi Kleinschmit, Mary Gabriel Tags: Clinical Perspectives 47 Source Type: research

47.1 Pediatric Medicine Update: The Art of Practicing Palliative Care Psychiatry
Children with life-threatening illnesses encounter challenges both physically and emotionally, and often these issues are initially managed by palliative care teams. Although palliative care providers are highly skilled at treating and supporting pediatric patients and their families with life-threatening illnesses, collaboration with a child and adolescent psychiatrist can provide additional support and management, especially in more complex cases and in those with more severe mental illnesses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Katrina Fletcher Source Type: research

47.2 Pediatric Medicine Update: An Overview of Pediatric Palliative Care, Common Symptom Management, and the Transition From Acute to Chronic Pain Management
Each year in the United States, there are just over 45,000 deaths of infants, children, and adolescents. Pediatric palliative care has emerged to improve the care of these patients, not only at the end of life but also to be integrated into care from the time of diagnosis with life-threatening and life-limiting illnesses. This talk will review the philosophies of palliative and hospice care for children followed by a more detailed discussion of common palliative care symptom management in children with advanced illness and at the end of life. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Natalie Jacobowski Source Type: research

47.3 Pediatric Medicine Update: Treating Chronic Pain in the Pediatric Population
Recurrent episodic pain is reported by two-thirds of school-age children, whereas roughly 6% report daily pain lasting 3 months or longer. Pediatric chronic pain is associated with significant functional impairment, poor quality of life, and increased risk for psychopathology, including somatic symptom disorders. Physical rehabilitation and CBT are evidence-based treatments. An informal survey of pediatric pain clinics in the United States suggests that they commonly involve psychologists but rarely involve psychiatrists. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Monique V. Ribeiro Source Type: research

Untangling OCD and Tics: A Focus on "Tic-Related OCD"
Tourette ’s disorder (TD) and pediatric OCD share overlapping genetics and clinical phenomenology. Among those with TD, 20–60% have co-occurring OCD, and among those with OCD, 20–40% have co-occurring tics. Recent literature suggests that “tic-related OCD” may be a unique clinical entity with great er similarity with TD than with OCD without tics. Delineating between tics and compulsions poses clinical challenges and has significant treatment implications. The aim of this presentation is to teach attendees the epidemiology, genetics, clinical phenomenology, endophenotype, and treatment approac...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Erica Greenberg, Barbara J. Coffey Tags: Clinical Perspectives 48 Source Type: research

48.1 Overview of Tic-Related OCD
Early-onset OCD and Tourette ’s disorder (TD) are 2 childhood-onset, mental health disorders with overlapping genetics and phenomenology. Up to two-thirds of patients with TD report co-occurring obsessive-compulsive spectrum disorders, and up to 40% of youth with OCD report co-occurring tics. Increasing evidence suggests that tic-related OCD is a unique clinical entity with distinct symptoms and treatment approaches that has more in common with TD than OCD without tics. The aims of this talk are to highlight the neurobiology, epidemiology, and salient clinical phenomenology of tic-related OCD in youth and to focus on...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Erica Greenberg Source Type: research

48.2 Update on Tourette's Disorder and OCD Genetics
Tourette ’s disorder (TD) and OCD are 2 highly familial mental health disorders with complex, overlapping genetic etiologies and risk factors. Approximately 20–60% of those with TD have co-occurring OCD, and up to 20% of those with OCD have co-occurring TD/chronic tics. This presentation will describe th e complex genetic relationships between TD and OCD using multimodal approaches. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Carol A. Mathews Source Type: research

48.3 Complex Cases: Diagnostic and Behavioral Treatment Strategies in Tic-Related OCD
Tourette ’s disorder (TD) is a childhood-onset, neuropsychiatric disorder found in 0.3 to 0.8% of youth. Mental illness comorbidity is found in 50 to 90% of individuals, and although tics tend to wane into early adulthood, comorbid conditions such as OCD and ADHD may continue to impact functioning. Differe ntiating between tics and OCD compulsions can often be challenging, especially in cases of complex tics. Overlapping symptoms such as symmetry, touching, and “just right” compulsions found in tic-related OCD complicate the clinical picture. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sony Khemlani-Patel Source Type: research

48.4 Complex Cases: Diagnostic and Pharmacologic Treatment Strategies in Tic-Related OCD
The majority of patients with Tourette ’s disorder (TD) will have psychiatric comorbidity, most commonly ADHD and/or OCD. Other repetitive behaviors, as well as affective disturbances, including depression and non–OCD anxiety, are also common in this population. OCD with tics appears to have a different “endophenotype” and medica tion response compared with OCD without tics. The aim of this presentation is to highlight the complexities of clinical diagnosis and treatment in youth with co-occurring tics and OCD symptoms and to provide an overview of evidence-based medication treatments for tic-relate...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Cathy L. Budman Source Type: research

Aggression, Translationally Considered
In this Clinical Perspectives, we aim to describe the clinical problem of irritability and aggression across multiple levels of analysis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gerrit Ian van Schalkwyk, Adelaide S. Robb Tags: Clinical Perspectives 49 Source Type: research

49.1 When Aggression Goes Too Far: The Integration of Evidence-Based Treatment and the Juvenile Justice System for Aggressive Adolescents
The goal of this session is to better understand a systems approach to the treatment of adolescents displaying chronic aggression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Claire Williams Source Type: research

49.2 A Pharmacological and Systems Neuroscience Approach to Identify Potential Regulators of Aggressive Behavior in Neuropsychiatric Disorders
Aggressive behavior can complicate many severe illnesses in neuropsychiatry, especially neurodevelopmental conditions such as ASD. For a subset of individuals, current behavioral and pharmacological treatments are not effective, and many commonly used pharmacotherapies confer the risk of significant side effects. Based on clinical observations of the interaction between nicotine withdrawal and aggressive behavior, we sought to determine whether targeting nicotinic acetylcholine receptors (nAChRs) might be a novel treatment strategy for pathological aggressive behavior. (Source: Journal of the American Academy of Child and ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Alan S. Lewis Source Type: research

49.3 CBT for Aggression in Children and Adolescents
Aggression and irritability are common child behavioral problems that are among the most frequent reasons for referring children to mental health services. This presentation will discuss the principles of CBT for childhood aggression and review current research in support of effectiveness of CBT for aggression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Denis G. Sukhodolsky Source Type: research

49.4 Pharmacologic Treatment of Aggression: A Biopsychosocial Context
The goal of this session is to describe a rational approach to the use of medication for the management of chronic aggression and irritability that situates the role of medication with a broader context of a biopsychosocial treatment approach. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gerrit Ian van Schalkwyk Source Type: research

Can a Behavior Be Addictive? How Can the Field of Substance Use Inform Treatment of Problematic Video Gaming and Internet Use?
The objective of this Clinical Perspectives is to present the concept of compulsively performed reward-driven behaviors and nonsubstance “behavioral addictions” (BAs) in children and adolescents to aid treatment and risk mitigation in the young. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: David L. Atkinson, Paul E.A. Glaser, Paul E. Weigle Tags: Clinical Perspectives 50 Source Type: research

50.1 An Introduction to Behavioral Addictions: Concepts and the Example of Gambling Disorder
Reward-driven behaviors, such as gambling, video gaming, and internet usage, share a common thread with addictive drugs in that they initially engender a subjective reward experience. They may be performed for tension reduction, and in some individuals they can progress to compulsive behaviors with significant impairment. One of the major nosological and theoretical viewpoints frames these compulsive behaviors as nonsubstance/behavioral addictions. Although this viewpoint is not without controversy, the concept of nonsubstance/behavioral addictions or syndromes analogous to substance addiction, but with a behavioral focus ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Christopher Joseph Hammond Source Type: research

50.2 Neurobiologic Overlaps of Heavy Social Media Use and Substance Use Disorder
Discrete brain circuits underlie addictive behaviors. A cascade of neuroadaptations in corticolimbic brain networks are suggested to maintain problematic use patterns over time. Notably, many of these brain regions are continuing to develop during adolescence, enhancing vulnerability to risk taking and substance misuse. The goal is to identify overlapping neurobiological patterns of substance use and compulsive social media use in adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kara Simone Bagot Source Type: research

50.3 Problematic Internet Use: The New Normal? Relevance, Diagnosis, and Treatment
Problematic internet use among youth has exploded as new generations of kids are exposed to the internet from a young age with varying levels of supervision. Clinicians hear complaints that adolescents are “addicted to their phone,” but the tools for evaluation and treatment of this sort of chief complaint are still evolving. This presentation will provide a brief overview of the emerging literature regarding problematic internet use in children and adolescents, with a focus on differential diagno sis and treatment strategies. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Diana Deister Source Type: research

50.4 Internet Gaming Disorder and Pathological Video Game Use
This presentation will address internet gaming disorder (IGD), which is included in section 3 of the DSM-5, and the broader construct of “pathological video game use” (PVGU). A paucity of evidence-based therapeutic approaches creates an urgent need for the development of new treatment directions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: David L. Atkinson Source Type: research

Gender Diversity Meets the 21st Century: Social Media and Peer Influences on Adolescent Gender Identity Formation
In the context of growing referral rates and increasing diversification of presentations of patients with gender nonconformity in behavior and/or identity [including “rapid onset of transgender identity declarations” (ROTID)], this panel aims to provide an overview of research on variants of social support and social stigma with an emphasis on the offline and online peer group to help clinicians disentangle their complexity and fine-tune patient evaluations and treatment planning accordingly. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Heino F.L. Meyer-Bahlburg, Scott Leibowitz, Scott Leibowitz Tags: Clinical Perspectives 51 Source Type: research

51.1 "L": Internet Influence in the Childhood of a 20-Year-Old Transwoman's Gender Identity Development
The goal of this session is to illustrate the possible role of the internet in transgender development and the associated challenges for clinical management. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy C. Van Deusen Source Type: research

51.2 Peer Group and Social Media Influences in Adolescent and Young-Adult Rapid-Onset Gender Dysphoria
This study’s purpose was to explore the role of peer group and social media influences in the development of rapid-onset gender dysphoria (ROGD). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Lisa Littman Source Type: research