Advanced sleep course: evaluation and treatment of sleep disorders
Sleep disturbances are highly prevalent, especially among patients with mental illness. This year we propose 2 clinical sessions on sleep to provide the practicing mental health professional with pragmatic, advanced knowledge of pharmacological and behavioral treatments of sleep disorders in children, adolescents, and young adults. This session is being proposed as a second advanced program on diagnosing and treating major sleep disturbances. Pharmacological and behavioral treatments will be our primary focus with the emphasis on children and adolescents with mental health morbidities. (Source: Journal of the American Acad...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Anna Ivanenko, Jess P. Shatkin Tags: Clinical Perspectives 49 Source Type: research

49.1 evaluation and management of excessive daytime sleepiness in children and adolescents
The objectives of this presentation are as follows: 1) to outline a systematic approach to the assessment and differential diagnosis of excessive daytime sleepiness (EDS) in mental health settings; 2) to list the clinical features of central disorders of hypersomnolence, including narcolepsy, idiopathic hypersomnia, and Kleine-Levin syndrome; and 3)  to present an evidence-based approach to pharmacologic and nonpharmacologic treatment modalities for central disorders of hypersomnolence. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Judith Owens Tags: Clinical Perspectives 49 Source Type: research

49.2 evaluation and treatment of circadian rhythm sleep –wake disorders
The objectives of this presentation are as follows: 1) the attendee will understand the DSM-5 diagnostic criteria for the circadian rhythm sleep-wake disorders; 2) the attendee will understand the basic physiology of the circadian timing system and how it changes across puberty; and 3) the attendee will understand the basics of treating these sleep disorders, as well as when to refer to a sleep specialist. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Kyle P. Johnson Tags: Clinical Perspectives 49 Source Type: research

49.3 evaluation and treatment of parasomnias and restless legs syndrome in children and adolescents
Parasomnias encompass a wide range of sleep-related abnormal movements, behaviors, experiences, and perceptions. They range from common minor events to clinical disorders that are disruptive, potentially injurious, and associated with psychosocial stress to the child or family. Restless legs syndrome (RLS) is a sensorimotor disorder characterized by a nearly irresistible urge to move the limbs with sleep-onset and sleep-maintenance complaints and significant impact on the quality of sleep and 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, 2019 Category: Psychiatry Authors: Merrill S. Wise Tags: Clinical Perspectives 49 Source Type: research

Bad boys (and girls): addressing school violence
The goals of this session are: 1) to gain knowledge on youth violence and understand the scope of school violence; 2) to examine the literature on mass school shooters and review an overview on threat assessment; 3) to learn about how trauma off campus affects students on campus; and 4) to review principles involved in the assessment of students ’ risk of violence and the use of incorporating formal risk assessment tools when appropriate. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Anne McBride Tags: Clinical Perspectives 44 Source Type: research

44.1 understanding school violence
This presentation: 1) provides an overview of youth violence, including maladaptive aggression and the neurobiology of youth aggression; and 2) reviews the scope of school violence, including an overview on bullying, sexual violence, gangs, and other physical violence on campus, as well as firearms and youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Anne McBride Tags: Clinical Perspectives 44 Source Type: research

44.2 constant fear: school shootings and the principles of threat assessment
School shootings are a rare phenomenon, and attempts to profile students who are most likely to engage in this sort of violence thus far have proven unsuccessful. This session will provide participants with information on the prevalence of school shootings. Participants also will learn about what schools are doing to respond to the threat of school shootings and the evidence base for such practices. The session will conclude by teaching participants the principles of threat assessment and how to conduct threat assessment in the school 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, 2019 Category: Psychiatry Authors: Timothy Brennan Tags: Clinical Perspectives 44 Source Type: research

44.3 addressing outside trauma on campus
This presentation: 1) provides an overview on trauma; 2) reviews the statistics related to the types of trauma; 3) reviews the Adverse Childhood Experiences Study (ACES) and how ACES affects youth in and out of school; 4) discusses the impact of trauma in school; and 5) addresses the recommended school-based interventions for youth with trauma exposure. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Marcia Unger Tags: Clinical Perspectives 44 Source Type: research

44.4 threat becoming reality: the principles of youth violence risk assessment
The presentation will focus on the fundamental aspects of conducting a youth violence risk assessment. Participants will learn about the principles of youth violence risk assessment, the standardized instruments available to evaluate youth violence risk, and how to go about performing a youth violence risk assessment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Michael Kelly Tags: Clinical Perspectives 44 Source Type: research

Child psychiatry international medical graduates (imgs) in the united states and beyond: barriers and opportunities
Our goal is to increase awareness of the challenges that international medical graduates (IMGs) face throughout their clinical career. The presenters will address ways to meet those challenges. In addition, they will discuss opportunities available for IMGs to reach their goals. Program directors will be able to appreciate the experience and struggles of IMGs and learn about how IMGs can enrich the treatment process by providing culturally sensitive care to patients and their families. The presentation also will serve to break down some possible barriers in communication between the American graduates and IMGs. (Source: Jo...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Balkozar Adam, Ayesha I. Mian Tags: Clinical Perspectives 45 Source Type: research

45.1 international medical graduates wellness: i was already a psychiatrist in my country, but now i'm a resident
The objectives of this presentation for international medical graduates (IMGs) are as follows: 1) to explore diversity and challenges of being away from your home culture and/or country; and 2) to identify the unique and diverse perspectives that IMG trainees bring, which can be a valuable asset to both the field and the program. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Alaa Elnajjar Tags: Clinical Perspectives 45 Source Type: research

45.2 early career international medical graduate psychiatrists
In this presentation, we will share challenges that international medical graduates (IMGs) face during and after training, including (but not limited to) the following: starting all over again; repeating residency; and “your previous training does not count.” IMG couples that match face even greater challenges, such as: learning about the culture in the American health system and patient care; difficulties being accepted as a “foreign doctor”; raising children without the support of the extended family; an d being completely independent. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rasha Elkady Tags: Clinical Perspectives 45 Source Type: research

45.3 the challenges of mid-career international medical graduates
At the end of this session, participants will be able to: 1) learn about the challenges in midcareers of international medical graduate (IMG) child and adolescent psychiatrists; and 2) learn how to overcome these challenges. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Magdoline Daas Tags: Clinical Perspectives 45 Source Type: research

45.4 pushing the envelope: leading change in the united states and beyond
International medical graduates (IMGs) attending this presentation will gain an appreciation for the opportunities to effect change in child and adolescent mental health through alternative career pathways that may include returning to their home country. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Ayesha I. Mian Tags: Clinical Perspectives 45 Source Type: research

45.5 international medical graduates in psychiatry: lessons learned through the journey
In this session, 1) the presenter will emphasize the importance of early support and mutual understanding of both the international medical graduate ’s (IMG) culture and American culture during the early stages of training; and 2) the participants will learn how to reach their full potential through examples of challenges the presenter faced as an IMG and tools to persevere through these obstacles. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Balkozar Adam Tags: Clinical Perspectives 45 Source Type: research

Complex presentations of asd: beyond the core features
Many youth with ASD have complex presentations characterized by co-occurring signs of mental illness and symptoms beyond the disorder ’s core features of impaired social communication and restricted/repetitive behavior. However, diagnostic overshadowing and the often-limited specificity of behavioral symptoms can make these co-occurring phenomena difficult for clinicians to accurately identify and appropriately address. The chal lenge may be particularly significant with psychosis, catatonia, sleep disruption, and food selectivity, all of which are relatively common yet underresearched in the ASD population. (Source:...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Amandeep Jutla, Bryan H. King, James T. McCracken Tags: Clinical Perspectives 46 Source Type: research

46.1 psychosis in asd
This presentation discusses the prevalence, correlates, and implications of psychotic symptoms in youth with ASD, as well as strategies to identify the m. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Amandeep Jutla Tags: Clinical Perspectives 46 Source Type: research

46.2 catatonia in asd
The goal of this presentation is to review the present status of catatonia in ASD, including its clinical presentation, diagnosis, and treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lee E. Wachtel Tags: Clinical Perspectives 46 Source Type: research

46.3 sleep disruption in asd
This presentation will review the prevalence, clinical presentation, potential causes, and treatment options for sleep disruption in ASD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Hannah Reed Tags: Clinical Perspectives 46 Source Type: research

46.4 food selectivity in asd
The objective of this presentation is to discuss the heterogeneity of presentation and treatment of food selectivity across development in people who have ASD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Emily S. Kuschner Tags: Clinical Perspectives 46 Source Type: research

Gender-diverse young adults: narratives and clinical considerations
The goal of this session is to describe key aspects of the gender experience of transitional-age youth and how clinical services may support gender-diverse youth during this developmental period. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Gerrit Ian Van Schalkwyk, Timothy C. Van Deusen Tags: Clinical Perspectives 47 Source Type: research

47.1 challenges in access to care: a patient-centered lens
This session will use a patient-centered lens to highlight some of the challenges faced by transition-age youth in continuing to access affirming care, including stigma, resource limitations, and systems barriers. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Michelle Forcier Tags: Clinical Perspectives 47 Source Type: research

47.2 gender narratives of young adults in acute mental health settings
The objective is to highlight the ongoing presence of mental health and identity challenges despite affirming care but to show how this is a distinct experience from narratives of regret at having received affirming care. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Gerrit Ian Van Schalkwyk Tags: Clinical Perspectives 47 Source Type: research

47.3 development of a clinical program for gender-diverse young adults
To develop a clinical program for gender-diverse young adults, an organization needs to be aware of certain key components to ensure that the program is supportive, safe, and successful. This session will provide an overview of such considerations and necessities while also highlighting some of the challenges we have experienced with the launch of Butler ’s True Self Intensive Outpatient Program. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin Ursillo Tags: Clinical Perspectives 47 Source Type: research

47.4 discontinuation of gender-affirming hormonal interventions: a theoretical framework
The goal of this session is to provide clinicians with a framework for understanding the internal and external factors that may lead transgender and gender-diverse patients to discontinue gender-affirming hormonal interventions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jack L. Turban Tags: Clinical Perspectives 47 Source Type: research

Mobilizing clinical informatics to improve child mental health care
This session will stimulate interest in electronic health record (EHR) data science in child and adolescent psychiatry, explore integration of web-based and mobile applications into the EHR, identify barriers, and probe policy and financial implications of this new translational field. Over the last decade, child and adolescent psychiatry has shifted from documentation in paper charts to widespread adoption of EHRs. Clinical informatics has empowered clinicians to extract large-scale EHR data and to adapt and modify EHRs to meet subspecialty needs, especially to advance measurement-based care. (Source: Journal of the Ameri...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Juliet Edgcomb, Barry Sarvet Tags: Clinical Perspectives 48 Source Type: research

48.1 leveraging large-scale electronic health record (ehr) data to improve quality measurement in child mental health care
The goal of this session is to establish a framework for the use of large-scale electronic health record (EHR) data for patient-oriented outcomes research and quality improvement 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, 2019 Category: Psychiatry Authors: Ujjwal Ramtekkar Tags: Clinical Perspectives 48 Source Type: research

48.2 the child psychiatrist as a clinical informatician: adapting electronic health records (ehrs) to advance clinical decision-making for children ’s mental health
The objectives of this presentation are: 1) to introduce the interface of child and adolescent psychiatry and clinical informatics as a growing translational field; and 2) to identify the need for child and adolescent psychiatrists trained to develop electronic health record (EHR)-based tools to meet the needs of the subspecialty. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nicole Benson Tags: Clinical Perspectives 48 Source Type: research

48.3 connecting web-based tools and electronic health records (ehrs): an application to community-partnered pediatric integrated care
The goals of this presentation are: 1) to discuss the development of a web-based tool for clinical monitoring and program evaluation of embedded pediatric mental health care using a community-partnered intervention; and 2) to describe the implications for integration of web-based tools and electronic health records (EHRs). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Bonnie Zima Tags: Clinical Perspectives 48 Source Type: research

48.4 engaging and empowering patients and families via patient-generated data sources: frontiers in consumer health informatics
The goals of this session are as follows: 1) to describe the integration of direct-to-consumer technologies with electronic health records (EHRs) for advancing quality measurement in child and adolescent mental health care; and 2) to identify knowledge and infrastructure barriers to consolidating these technologies. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Mirjana Domakonda Tags: Clinical Perspectives 48 Source Type: research

Practical approaches to addressing mental health stigma in ethnically diverse youth and families suffering from depression
Depression can affect people of all ages, including children and adolescents from different socioeconomic, cultural, and ethnic/racial backgrounds. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Gabrielle Shapiro, Patrice Malone, Lisa M. Cullins Tags: Clinical Perspectives 43 Source Type: research

43.1 no soy loca! understanding the barriers and stigma associated with mental health in latinx populations
The goal of this session is to educate the attendee about Latinx/Hispanic cultures ’ stigma about mental health disorders and their treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Gabrielle Shapiro Tags: Clinical Perspectives 43 Source Type: research

43.2 approaches to working through stigma with hispanic families
The goal of this session is to educate the attendee about Latino/Hispanic cultures × stigma about mental health disorders and their treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lisa R. Fortuna Tags: Clinical Perspectives 43 Source Type: research

43.3 barriers to mental health care for ethnically diverse youth and their families
Mental health awareness in ethnic minorities is pivotal in reversing the stigma associated with mental illness in these communities. Thus, identifying strategies to address this public health challenge is essential. For this presentation, we seek to use real examples demonstrating barriers to care for ethnic minority youth to help providers encourage and facilitate treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Patrice Malone Tags: Clinical Perspectives 43 Source Type: research

Teen vaping boom: electronic cigarette use, associated outcomes, and efforts in prevention
The clinically relevant details of electronic cigarette devices (e-cigarettes) will be reviewed, including their history, function, associated health risks, and popular appeal to adolescents, in particular. Examples of prevention strategies at the individual and community levels will be discussed. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Scott R. Hunter, Catherine A. Martin Tags: Clinical Perspectives 50 Source Type: research

50.1 e-cigarettes: an overview
This presentation will cover the history of electronic cigarettes (e-cigarettes), their rise to popularity, and the impact of nicotine and other substances in e-cigarettes on adolescent health, and we will determine whether we can replicate treatment used for smoking cessation of traditional cigarettes with e-cigarettes. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Sivabalaji Kaliamurthy Tags: Clinical Perspectives 50 Source Type: research

50.2 e-cigarettes and associated outcomes: secondary data analysis from the youth risk behavior survey
The goal of this session is to describe the associations between e-cigarette use and adverse mental health and school outcomes in a large, nationally representative sample group of high school students. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nicholas Chadi Tags: Clinical Perspectives 50 Source Type: research

50.3 e-cigarette awareness, use, and perception, and effects of a school-based intervention
Electronic cigarettes (e-cigarettes) have become popular and currently are the most commonly used form of tobacco. Their easy access, flavors, advertisements with untested claims, and widespread belief about their role in tobacco cessation have fueled their use. An increasing number of adolescents have reported using other substances via e-cigarettes. The studies examining these tobacco products among adolescents have indicated that these products act as a gateway to combustible tobacco. Recently, the US FDA regulations have presumably restricted access to electronic cigarettes to protect the American youth. (Source: Journ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Vivek Anand Tags: Clinical Perspectives 50 Source Type: research

50.4 e-cigarette use, presentation, and treatment course though clinical cases
E-cigarette use in adolescents occurs for different reasons (eg, for cigarette cessation efforts, to get high, for social participation, etc.), and clinical presentations vary. The range of common presentations of e-cigarette use is explored through clinical cases from an adolescent outpatient substance use clinic. These cases are compared with emerging literature reports, and treatment strategies are reviewed. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Diana Deister Tags: Clinical Perspectives 50 Source Type: research

Ticcy, sticky, and picky: how to understand, disentangle, and manage childhood onset repetitive behaviors
Obsessive-compulsive spectrum disorders (OCSD), including OCD, body dysmorphic disorder (BDD), body-focused repetitive behaviors (BFRBs, such as trichotillomania and skin-picking disorder), and chronic tic disorders/Tourette ’s disorder (TD) share overlapping clinical phenomenology and associated dysregulated subcortical neurocircuitry. The cortico-striatal-thalamo-cortical (CSTC) neural pathway is involved in the regulation of behaviors (cognitive and emotional), and as such, disruption can result in a variety of und esired, repetitive manifestations (ie, tics, obsessions/compulsions, picking/pulling). (Source: Jour...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erica Greenberg, Barbara J. Coffey Tags: Clinical Perspectives 51 Source Type: research

51.1 pulling and picking: body-focused repetitive behavior disorders
Trichotillomania (hair-pulling disorder) and skin-picking disorder (excoriation disorder) are body-focused repetitive behavior disorders (BFRBs) characterized by the recurrent, compulsive removal of hair and skin, respectively, and associated impairment/distress. They are obsessive-compulsive spectrum disorders and are found in the obsessive-compulsive and related disorders category of DSM-5. These disorders tend to have an onset in early adolescence and affect females more than males. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erica Greenberg Tags: Clinical Perspectives 51 Source Type: research

51.2 thoughts, feelings, action! understanding psychosocial functioning in ocd and tic disorders through neuropsychological evaluations
OCD and tic disorders have both been linked to atypical development or dysregulation within parallel pathways comprising the cortico-striatal-thalamo-cortical (CSTC) network. These pathways regulate cognitive, motor, and affective processing, probably accounting for the high rates of comorbidity between OCD, Tourette ’s disorder, and ADHD. The emotional and behavioral challenges shared by children with these diagnoses can impair functioning at home, at school, and with peers, potentially increasing risk for secondary mental health disorders (eg, depression). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Molly Colvin Tags: Clinical Perspectives 51 Source Type: research

51.3 body dysmorphic disorder: an underrecognized ocd spectrum disorder
Body dysmorphic disorder (BDD) is a serious condition that manifests in adolescence, with an average age of onset at 13 years and subclinical symptoms evident in childhood. Early onset is linked to increased likelihood of suicide attempts, as well as comorbidity, including eating disorders and substance use. BDD is associated with high rates of functional and psychosocial impairment. Lifetime suicidal ideation is evident in almost all individuals with BDD (approximately 80%), and attempts are alarmingly high, with rates consistently 24 –28 percent in the research. (Source: Journal of the American Academy of Child and...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Sony Khemlani-Patel Tags: Clinical Perspectives 51 Source Type: research

51.4 at the interface of ocd and tic disorders: tic-related ocd
The majority of patients with Tourette ’s disorder will have mental illness comorbidity, most commonly OCD and/or ADHD. Relatedly, between 25 percent and 33 percent of youth with OCD have co-occurring tics. OCD with tics appears to have a unique “endophenotype” and a distinct medication response compared with those with non-tic OCD . 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-related OCD. (Source: Journal of the American Academy ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Cathy Budman Tags: Clinical Perspectives 51 Source Type: research

Working with complex families and gender dysphoria: preventing depression and navigating gender transition
Gender-diverse youth and their families are increasingly presenting to mental health settings, in addition to specialized gender clinics, yet clinical competence is lacking among providers. Child and adolescent psychiatrists should understand the impact of family acceptance and rejection for these individuals and incorporate family therapy in the clinical setting when appropriate. Knowledge of the possible modifications from traditional family-therapy interventions should be understood and applied. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin L. Belfort Tags: Clinical Perspectives 52 Source Type: research

52.1 working toward family acceptance with families of gender-diverse youth
Working with families of gender-diverse youth is a crucial part of their overall treatment plan, particularly when working in the context of a multidisciplinary gender clinic team. Attendees will leave with a better understanding of how to incorporate family therapy techniques into daily clinical practice when working with gender-diverse youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin L. Belfort Tags: Clinical Perspectives 52 Source Type: research

52.2 parents, pronouns, and puberty: when complex family dynamics impact affirmative care for the gender transitioning adolescent
Youth presenting with gender identity concerns across development require a level of assessment that goes beyond what is typically taught in child and adolescent psychiatry residency programs. These youth increasingly are presenting in clinical practice. The desire for the youth to transition genders is an element that often is raised by the referring source: the youth themselves or the parents/guardians. Complicated family situations (divorced parents, disagreeing parents, parents conforming to societal pressures to transition or not transition their children) often introduce a more difficult element to an already challen...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Scott Leibowitz Tags: Clinical Perspectives 52 Source Type: research

52.3 transcending cultural barriers in working with gender-expansive youth and their families
Similar to all families, the families of gender-diverse youth present with beliefs, values, and patterns of interacting with others stemming from their lived experiences of community, culture, and ethnicity. Appreciation of a family ’s background and values can play an important role in helping family members to find common ground and enable them to provide affirmation and support, which are very important in improving mental health outcomes for gender-diverse youth. This can represent a significant challenge for child and ad olescent psychiatrists, who often receive little training in incorporating cultural and ethn...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nathalie Szilagyi Tags: Clinical Perspectives 52 Source Type: research

52.4 families with transgender and gender-curious children: building hope and promoting connections
Frequently a child ’s concerns about gender or thoughts about gender identity create or exacerbate problems in families. Attendees will better understand how to intervene to help ameliorate complex family dynamics and communication patterns when working with gender-diverse youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: John Sargent Tags: Clinical Perspectives 52 Source Type: research

Development of a neurobehavioral psychiatry continuum of care for children with asd, intellectual disability, severe behaviors, and mental illness
In this Clinical Perspectives, we will discuss the development of a multidisciplinary neurobehavioral mental health care continuum for patients within the Cincinnati Children ’s Hospital Medical Center (CCHMC) system for any youth (ages 2–22 years) with a diagnosis of ASD or any youth with an intellectual disability (ID). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Craig Erickson, Matt Siegel Tags: Clinical Perspectives 53 Source Type: research