Adolescent Health Outcomes: Mental Health

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Adolescent Health Outcomes: Mental Health"

Transcription

1 Adolescent Health Outcomes: Mental Health Daniel S. Pine, MD Mood & Anxiety Disorders Program HUMAN SERVICES USA DEPARTMENT OF HEALTH &

2 We know Common problem behaviors are best viewed on a continuum Most problem behaviors start early Many early problems are transient Many problems are associated with distinct neural circuitry perturbations How to acutely reduce most early-appearing problems We don t know Where and how to separate normal from abnormal behavior variation Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function to characterize individuals The long-term consequences of early treatment

3 We know Common problem behaviors are best viewed on a continuum Most problem behaviors start early Many early problems are transient Many problems are associated with distinct neural circuitry perturbations How to acutely reduce most early-appearing problems We don t know Where and how to separate normal from abnormal behavior variation Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function to characterize individuals The long-term consequences of early treatment

4 We know problems are common, age-related, & dimensional Problems relate to risk-taking most problems remit; those that persist are significant problems have distinct neural circuitry perturbations how to acutely reduce most early-appearing problems

5 Adolescent Age & Rates of Depression Glied, S. et al. Arch Pediatr Adolesc Med 2002;156: Copyright restrictions may apply.

6 Age-Related Changes in Prevalence Current prevalence of clinical disorders: Percent Major Depression Overanxious Disorder Girls 10 to 13 years 14 to 16 years 17 to 20 years girls Percent Major Depression Overanxious Disorder Boys 10 to 13 years 14 to 16 years 17 to 20 years boys Cohen et al. (1993). J Child Psychol Psychiat, 34,

7 We know problems are common, age-related, & dimensional problems relate to risk-taking most problems remit; those that persist are significant problems have distinct neural circuitry perturbations how to acutely reduce most early-appearing problems

8 Mental Health & Risk-Taking Predictive relationships Conduct problems predicts Smoking & substance use Accidents and related impulsive behaviors Risky sexual behavior Major depression predicts Suicide and suicide attempts Substance abuse? Treatment effects on risk Conduct problems Early treatment is key Major depression Complex associations with suicide

9 United Stated Secular Trends Suicide, Age 10-to-19 Years, 1996 Through 2005 Bridge, J.A. et al. JAMA 2008; 300: Copyright restrictions may apply.

10 We know problems are common, age-related, & dimensional problems relate to risk-taking most problems remit; those that persist are significant problems have distinct neural circuitry perturbations how to acutely reduce most early-appearing problems

11 Children in the Community Study P. Cohen, J. Brook N=776 50% male Age=13.7 Range: 9-18 N=760 50% male Age=16.4 Range=11-20 N=716 50% male Age=22.1 Range=17-26 Randomly selected ( 80% participation) Assessed with parent/child DISC

12 Any Adolescent Anxiety Disorder & Any Adult Mood/Anxiety Disorder Disorder as Adults? Disorder as Adolescents? No Yes No Yes Pine et al. 1998, 2001, 2002

13 Any Adolescent Anxiety Disorder & Any Adult Mood/Anxiety Disorder Disorder as Adults? Disorder as Adolescents? No Yes No Yes Pine et al. 1998, 2001, 2002

14 Any Adolescent Anxiety Disorder & Any Adult Mood/Anxiety Disorder Disorder as Adults? Disorder as Adolescents? No Yes No Yes Pine et al. 1998, 2001, 2002

15 Any Adolescent Anxiety Disorder & Any Adult Mood/Anxiety Disorder Disorder as Adults? Disorder as Adolescents? No Yes No Yes Pine et al. 1998, 2001, 2002

16 Any Adolescent Anxiety Disorder & Any Adult Mood/Anxiety Disorder Disorder as Adults? Disorder as Adolescents? No Yes No Yes Pine et al. 1998, 2001, 2002

17 We know problems are common, age-related, & dimensional problems relate to risk-taking most problems remit; those that persist are significant problems have distinct neural circuitry perturbations how to acutely reduce most early-appearing problems

18 VISUAL CORTEX VISUAL THALAMUS AMYGDALA HEART RATE BLOOD PRESSURE MUSCLE LeDoux. Sci Am ;270:50.

19 Amygdalar Activation Exposure to Fearful Face VS. Bilateral Amygdala Activation Breiter et al. 1996; Whalen et al. 1998

20 Amygdala Response to Fear Faces in Adolescent Anxiety and MDD During Passive Viewing Signal Change (%) Controls MDD (w and w /o Anx) Anx alone Fearful vs. Happy Signal Change (%) Controls MDD alone Anx alone Fearful vs. Happy Passive-View ing 0.10 Signal Change (%) Controls MDD (w and w /o Anx) Anx alone Neutral Fearful Angry Happy Controls: n=47 Anxiety: n=17 MDD: n=27 (15 with anxiety) Face-Emotion Types Beesdo et al. in press

21 We know problems are common, age-related, & dimensional problems relate to risk-taking most problems remit; those that persist are significant problems have distinct neural circuitry perturbations

22 We know Common problem behaviors are best viewed on a continuum Most problem behaviors start early Many early problems are transient Many problems are associated with distinct neural circuitry perturbations How to acutely reduce most early-appearing problems We don t know Where and how to separate normal from abnormal behavior variation Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function to characterize individuals The long-term consequences of early treatment

23 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

24 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

25 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

26 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

27 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

28 We don t know How to separate normal from abnormal Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function The long-term consequences of early treatment

29 We know Common problem behaviors are best viewed on a continuum Most problem behaviors start early Many early problems are transient Many problems are associated with distinct neural circuitry perturbations How to acutely reduce most early-appearing problems We don t know Where and how to separate normal from abnormal behavior variation Exactly how early problems really start How to distinguish problems likely to be transient How to use information on neural function to characterize individuals The long-term consequences of early treatment

Child & Adolescent Anxiety: Psychopathology and Neuroscience

Child & Adolescent Anxiety: Psychopathology and Neuroscience bbrfoundation.org Child & Adolescent Anxiety: Psychopathology and Neuroscience Daniel S. Pine, M.D. Chief, Child & Adolescent Research Mood & Anxiety Disorders Program National Institute of Mental Health

More information

Treating Mood and Anxiety Disorders in Children & Adolescents

Treating Mood and Anxiety Disorders in Children & Adolescents Treating Mood and Anxiety Disorders in Children & Adolescents Daniel S. Pine, MD Section on Development & Affective Neuroscience Disclosures: Conflicts Sources of Research Support National Institute of

More information

MADELYN GOULD, PhD, MPH

MADELYN GOULD, PhD, MPH MADELYN GOULD, PhD, MPH PROFESSOR IN PSYCHIATRY & EPIDEMIOLOGY DEPUTY DIRECTOR OF RESEARCH TRAINING IN CHILD PSYCHIATRY COLUMBIA UNIVERSITY Please do not use or distribute without obtaining permission

More information

Psychosocial treatment of late-life depression with comorbid anxiety

Psychosocial treatment of late-life depression with comorbid anxiety Psychosocial treatment of late-life depression with comorbid anxiety Viviana Wuthrich Centre for Emotional Health Macquarie University, Sydney, Australia Why Comorbidity? Comorbidity is Common Common disorders,

More information

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Michael D. Jibson, MD, PhD Professor of Psychiatry University of Michigan Disclosure In the past 12 months I have

More information

SCREENING FOR INTIMATE PARTNER VIOLENCE IN THE PRIMARY CARE SETTING

SCREENING FOR INTIMATE PARTNER VIOLENCE IN THE PRIMARY CARE SETTING SCREENING FOR INTIMATE PARTNER VIOLENCE IN THE PRIMARY CARE SETTING Partner violence can affect one third of the patients cared for in the primary care setting. The primary care setting offers an opportunity

More information

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor General uneasiness to panic attacks and phobias Excessive fears and worries, feelings of restlessness Continual

More information

Rogers Memorial Hospital (Wisconsin).

Rogers Memorial Hospital (Wisconsin). Bradley C. Riemann, Ph.D. Clinical Director, OCD Center and CBT Services Rogers Memorial Hospital The Use of Exposure and Ritual Prevention with OCD: Key Concepts and New Directions OCD Center Rogers Memorial

More information

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center Medication Management of Depressive Disorders in Children and Adolescents Satya Tata, M.D. Kansas University Medical Center First Line Medications SSRIs Prozac (Fluoxetine): 5-605 mg Zoloft (Sertraline):

More information

Assessing families and treating trauma in substance abusing families

Assessing families and treating trauma in substance abusing families Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (amys@day-one.org) Don Burke LCPC CCS (donb@day-one.org) Assessing families and treating trauma in

More information

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice

More information

Specific issues for child and youth primary mental health care

Specific issues for child and youth primary mental health care Guides to specific issues 1 Specific issues for child and youth primary mental health care This issues guide is linked to the vignette Children should be seen and heard Consideration of Child and Youth

More information

CDHA Healthy Workplace

CDHA Healthy Workplace CDHA Healthy Workplace Care for Caregivers Series: Caregiver Stress: A Portrait Presented by: Heather Rea, MSW Social Worker, SMH Team CDHA Keri-Leigh Cassidy, MD Clinical Leader, SMH Team CDHA Overview

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD

Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Definition and Criteria PTSD is unlike any other anxiety disorder. It requires that

More information

MPI Literature Review - Marijuana s effects on the adolescent brain

MPI Literature Review - Marijuana s effects on the adolescent brain General Summary: - Marijuana use appears to have a significant effect on adolescents brain structure and development. In particular, heavy marijuana use is associated with attention, memory, and planning

More information

Depression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City

Depression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City Depression and its Treatment in Older Adults Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City What is Depression? Everyday use of the word Clinically significant depressive symptoms : more severe,

More information

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Ellen Leibenluft, M.D. Chief, Section on Bipolar Spectrum Disorders National Institute

More information

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team Conduct Disorder: Treatment Recommendations For Vermont Youth From the State Interagency Team By Bill McMains, Medical Director, Vermont DDMHS Alice Maynard, Mental Health Quality Management Chief, Vermont

More information

Adversity, Toxic Stress & Resiliency. Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator

Adversity, Toxic Stress & Resiliency. Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator Adversity, Toxic Stress & Resiliency Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator Adverse Childhood Experiences ACE Study (www.acestudy.org) 18,000

More information

TEEN MARIJUANA USE WORSENS DEPRESSION

TEEN MARIJUANA USE WORSENS DEPRESSION TEEN MARIJUANA USE WORSENS DEPRESSION An Analysis of Recent Data Shows Self-Medicating Could Actually Make Things Worse Millions of American teens* report experiencing weeks of hopelessness and loss of

More information

Anti-Social Personality Disorder

Anti-Social Personality Disorder Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are

More information

Adult ADHD Service - 5 BP. Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust

Adult ADHD Service - 5 BP. Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust Adult ADHD Service - 5 BP Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust My Background Consultant Psychiatrist in 5BP since 2005 Working both in Community and Prison MH (Risley)

More information

Borderline Personality Disorder

Borderline Personality Disorder Borderline Personality Disorder Borderline Personality Disorder Formerly called latent schizophrenia Added to DSM III (1980) as BPD most commonly diagnosed in females (75%) 70-75% have a history of at

More information

Adolescent Depression

Adolescent Depression Adolescent Depression Jamie Steinert, RN, FPMHNP With thanks to Barbara Johnson, PhD, RN, PMHNP Kim Schenk, LMSW Meera Beharry, MD, FAAP Objectives Recognize three risk factors for depression in the adolescent

More information

CLASS OBJECTIVE: What is Obsessive-Compulsive Disorder? What is OCD?

CLASS OBJECTIVE: What is Obsessive-Compulsive Disorder? What is OCD? CLASS OBJECTIVE: What is Obsessive-Compulsive Disorder? Chapter 4-Anxiety Disorders What is OCD? Obsessive-compulsive disorder is an anxiety disorder that involves unwanted, What Did you see? The obsessions

More information

Tri-Town Youth Substance Abuse Prevention Coalition. 2013 Adult Perception Survey Report

Tri-Town Youth Substance Abuse Prevention Coalition. 2013 Adult Perception Survey Report Tri-Town Youth Substance Abuse Prevention Coalition 2013 Adult Perception Survey Report Executive Summary INTRODUCTION The Tri-Town Youth Substance Abuse Prevention Coalition conducted its second Adult

More information

Medicinal Marijuana and the Developing Adolescent Brain

Medicinal Marijuana and the Developing Adolescent Brain Medicinal Marijuana and the Developing Adolescent Brain John R. Knight, MD Associate Professor of Pediatrics Harvard Medical School Associate in Medicine & Psychiatry Children s Hospital Chair in Developmental

More information

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development Drugs and Teens: Current Facts and Recent Trends Cheryl Houtekamer Youth Addiction Services Calgary Agenda Adolescent Development Brain Development Adolescent Substance Use - Prevalence How does addiction

More information

Post Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership

Post Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership Post Traumatic Stress Disorder and Substance Abuse Impacts ALL LEVELS of Leadership What IS Post Traumatic Stress Disorder (PTSD) PTSD is an illness which sometimes occurs after a traumatic event such

More information

1of 5. Parental Resilience. Protective & Promotive Factors

1of 5. Parental Resilience. Protective & Promotive Factors Parental Resilience 1of 5 Being a parent can be a very rewarding and joyful experience. But being a parent can also have its share of stress. Parenting stress is caused by the pressures (stressors) that

More information

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D.

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. GOALS Learn DSM 5 criteria for DMDD Understand the theoretical background of DMDD Discuss background, pathophysiology and treatment

More information

Substance Abuse Screening

Substance Abuse Screening The Goal of Substance Abuse Screening The goal of substance abuse screening is to identify individuals who have or are at risk for developing alcohol or drug-related problems, and within that group, identify

More information

Diagnosis and Treatment of Bipolar Disorder. Marissa Mariano-Mejia, M.D. Adult Psychiatrist July 2, 2016

Diagnosis and Treatment of Bipolar Disorder. Marissa Mariano-Mejia, M.D. Adult Psychiatrist July 2, 2016 Diagnosis and Treatment of Bipolar Disorder Marissa Mariano-Mejia, M.D. Adult Psychiatrist July 2, 2016 Points to Cover What is the defining characteristic of Bipolar Disorder? Bipolar I vs. Bipolar II

More information

Underage Drinking. Underage Drinking Statistics

Underage Drinking. Underage Drinking Statistics Underage Drinking Underage drinking is a serious public health problem in the United States. Alcohol is the most widely used substance of abuse among America s youth, and drinking by young people poses

More information

Alcohol and Brain Damage

Alcohol and Brain Damage Alcohol and Brain Damage By: James L. Holly, MD O God, that men should put an enemy in their mouths to steal away their brains! That we should, with joy, pleasance, revel, and applause, transform ourselves

More information

Recognizing and Treating Depression in Children and Adolescents.

Recognizing and Treating Depression in Children and Adolescents. Recognizing and Treating Depression in Children and Adolescents. KAREN KANDO, MD Division of Child and Adolescent Psychiatry Center for Neuroscience and Behavioral Medicine Phoenix Children s Hospital

More information

Medications for Anxiety and Depression

Medications for Anxiety and Depression Medications for Anxiety and Depression Stephen Thielke Puget Sound VA Medical Center (206) 764 2815 sthielke@u.washington.edu Disclosures I am an employee of the VA. I have no conflicts of interest to

More information

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999 Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder

More information

Behavioral Health Consulting Services, LLC

Behavioral Health Consulting Services, LLC www.bhcsct.org infohealth@bhcsct.org 46 West Avon Road 322 Main St. 530 Middlebury Road Suite 202 Suite 1-G Suite 103 B Avon, CT 06001 Willimantic, CT 06226 Middlebury, CT 06762 Office phone- 1-860-673-0145

More information

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,

More information

34 th Judicial District Substance Abuse Study Guide

34 th Judicial District Substance Abuse Study Guide 34 th Judicial District Substance Abuse Study Guide What is Drug Addiction? 2 It is characterized by intense and, at times, uncontrollable drug craving, along with compulsive drug seeking and use that

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

BIPOLAR DISORDER IN PRIMARY CARE

BIPOLAR DISORDER IN PRIMARY CARE E-Resource January, 2014 BIPOLAR DISORDER IN PRIMARY CARE Mood Disorder Questionnaire Common Comorbidities Evaluation of Patients with BPD Management of BPD in Primary Care Patient resource Patients with

More information

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT?

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Open Learning Agency 2004 WHAT IS IT? Anxiety is a normal human feeling characterized by worry, nervousness and fear. Not only does anxiety

More information

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor General uneasiness to panic attacks and phobias Excessive fears and worries, feelings of restlessness Continual

More information

ADHD. & Coexisting Disorders in Children

ADHD. & Coexisting Disorders in Children ADHD & Coexisting Disorders in Children ADHD AND CHILDREN Attention-deficit/hyperactivity disorder (ADHD) is a recognized medical condition that often requires medical intervention. Establishing a diagnosis

More information

Did raising the drinking age reduce veterans later alcohol treatment episodes?

Did raising the drinking age reduce veterans later alcohol treatment episodes? Did raising the drinking age reduce veterans later alcohol treatment episodes? The U.S. military as a natural experiment Amy Wallace, MD, MPH Atticus Wallace Edward Sheehan, MD Yinong Young-Xu, ScD William

More information

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification)

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification) Community Mental Health Centers (Managing Risks and Challenges) Inpatient Hospitalization (New Hampshire Hospital) (Assessment, Treatment Planning/Discharge) Community, Schools, Cyberspace and Peers (Initial

More information

Teen Misuse and Abuse of Alcohol and Prescription Drugs. Information for Parents

Teen Misuse and Abuse of Alcohol and Prescription Drugs. Information for Parents Teen Misuse and Abuse of Alcohol and Prescription Drugs Information for Parents Terminology Misuse: Using a drug in a way in which it was not intended Example: Using a higher dose of medication than was

More information

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS Exposure to a traumatic event is normally accompanied by distress. For most individuals such distress resolves spontaneously

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships 5 Actions to Overcome Addiction John Fitzgerald, PhD, LPC, CAS relationships 1 What is addiction? 2 Socially-constructed 3 Risk Factors 80% 15 years-old Addiction Protective Factors Risk Factors Domain

More information

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include: Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic

More information

Why do teens drink? What options do parents have? Chris Jackson will talk about factors that contribute to teen risk behaviors and about options for

Why do teens drink? What options do parents have? Chris Jackson will talk about factors that contribute to teen risk behaviors and about options for Why do teens drink? What options do parents have? Chris Jackson will talk about factors that contribute to teen risk behaviors and about options for prevention. A recent party: Parents perspective. Parents

More information

For more than 100 years, extremely hyperactive

For more than 100 years, extremely hyperactive 8 WHAT WE KNOW ADHD Predominantly Inattentive Type For more than 100 years, extremely hyperactive children have been recognized as having behavioral problems. In the 1970s, doctors recognized that those

More information

School-Based Interventions for Childhood and Adolescent Depression

School-Based Interventions for Childhood and Adolescent Depression School-Based Interventions for Childhood and Adolescent Depression Cari McCarty, Ph.D. Research Associate Professor, Pediatrics Director of Research, Adolescent Medicine Prevalence of Depression Lifetime

More information

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements Provider Training Behavioral Health Screening, Referral, and Coding Requirements Training Outline I. Behavioral Health Screening Requirements and Referrals II. Healthy Behaviors Substance and Alcohol Abuse

More information

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 A Report by The National Center on Addiction and Substance Abuse at Columbia University 9 in 10 People Who Are Addicted* Begin

More information

Psychotropic Medications: Their Role in Trauma Treatment

Psychotropic Medications: Their Role in Trauma Treatment Psychotropic Medications: Their Role in Trauma Treatment Robert Foltz, Psy.D. Associate Professor Child & Adolescent Track Chicago School of Professional Psychology Overview Scope of the Problem Trauma

More information

Personality Disorders

Personality Disorders LP 13BF personality disorders 1 Personality Disorders Personality disorders: Disorders characterized by deeply ingrained, Inflexible patterns of thinking, feeling, or relating to others or controlling

More information

Background: Previous Research

Background: Previous Research OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation

More information

Bipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more.

Bipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more. Bipolar Disorder Do you go through intense moods? Do you feel very happy and energized some days, and very sad and depressed on other days? Do these moods last for a week or more? Do your mood changes

More information

ONLINE IMPACT TRAINING LEARNING OBJECTIVES

ONLINE IMPACT TRAINING LEARNING OBJECTIVES ONLINE IMPACT TRAINING LEARNING OBJECTIVES & LEARNER S CHECKLIST IMPORTANT INSTRUCTIONS It is the learner s responsibility to track your progression through the training modules. The AIMS Center does not

More information

Suicide Screening Tool for School Counselors

Suicide Screening Tool for School Counselors Suicide Screening Tool for School Counselors I. Risk Factors Check all that apply History of prior suicide attempts Self-injurious behaviors (past or present) Feelings of hopelessness Impulsivity Anxiety

More information

A Review of Conduct Disorder. William U Borst. Troy State University at Phenix City

A Review of Conduct Disorder. William U Borst. Troy State University at Phenix City A Review of 1 Running head: A REVIEW OF CONDUCT DISORDER A Review of Conduct Disorder William U Borst Troy State University at Phenix City A Review of 2 Abstract Conduct disorders are a complicated set

More information

Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011

Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011 Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011 John M. Oldham, M.D. Senior Vice President and Chief of Staff The Menninger Clinic; Professor and Executive Vice Chair

More information

DC BOOKS. Antidepressants And Their Side Effects

DC BOOKS. Antidepressants And Their Side Effects Research has shown that up to ten percent of depressed people also abuse alcohol. Many people abuse alcohol when depressed because it makes the sad feelings go away. However this is only a temporary fix.

More information

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge If I see a patient who cuts themself, I just assume they have borderline personality

More information

Melanie Atmadja, Valerie Gribben, Noga Ravid Developmental and Behavioral Pediatrics April 23, 2013

Melanie Atmadja, Valerie Gribben, Noga Ravid Developmental and Behavioral Pediatrics April 23, 2013 Mortality, ADHD, and Psychosocial Adversity in Adults with Childhood ADHD: A Prospective Study WJ Barbaresi, RC Colligan, AL Weaver, RG Voigt, JM Killian and SK Katusic. Pediatrics 2013;131;637; originally

More information

Depression Assessment & Treatment

Depression Assessment & Treatment Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting

More information

Relationship Between Child Abuse, Substance Abuse and Violence

Relationship Between Child Abuse, Substance Abuse and Violence Relationship Between Child Abuse, Substance Abuse and Violence Native American Population (All Ages) Leads nation in death caused by: alcohol-related motor vehicle fatalities chronic liver disease and

More information

Traumatic Stress and Substance Abuse Problems

Traumatic Stress and Substance Abuse Problems Traumatic Stress and Substance Abuse Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Mental Health and Older Adults

Mental Health and Older Adults Mental Health and Older Adults Working effectively with clients who have a mental illness. Kathleen Renfree, LCPC What is Mental Health? Mental Health is the successful performance of mental function,

More information

Chapter 12: Physical and Cognitive Development in Adolescence

Chapter 12: Physical and Cognitive Development in Adolescence Chapter 12: Physical and Cognitive Development in Adolescence McGraw-Hill 2006 by The McGraw-Hill Companies, Inc. All rights reserved. The Nature of Adolescence What physical changes occur in adolescence?

More information

Amphetamines Addiction

Amphetamines Addiction Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

More information

Sex Trafficking Trends and Treatment. Dr. Dan Lustig Psy.D CAADC MISA II Vice-President of Clinical Services Haymarket Center www.hcenter.

Sex Trafficking Trends and Treatment. Dr. Dan Lustig Psy.D CAADC MISA II Vice-President of Clinical Services Haymarket Center www.hcenter. Sex Trafficking Trends and Treatment Dr. Dan Lustig Psy.D CAADC MISA II Vice-President of Clinical Services Haymarket Center www.hcenter.org The Trafficking Victims Protection Act of 2000 Characterizes

More information

Treating social anxiety disorder

Treating social anxiety disorder Treating social anxiety disorder A Copyright Harvard Health Publications Cognitive behavioral therapy is effective for most patients, while medication strategies depend on whether the disorder is generalized

More information

ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR

ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR Alcoholism By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/alcoholism/ds00340 Definition Alcoholism is a chronic and often progressive

More information

How to Read the DSM-IV A Tutorial for Beginners

How to Read the DSM-IV A Tutorial for Beginners How to Read the DSM-IV A Tutorial for Beginners By Dr. Robert Tippie, Ph.D. MARET Systems International Previously we explained the validity of pastors using the DSM-IV. In this article we will discuss

More information

Depression & Anxiety: Evaluation & Behavioral Treatment in Chronic Pain

Depression & Anxiety: Evaluation & Behavioral Treatment in Chronic Pain 1 Depression & Anxiety: Evaluation & Behavioral Treatment in Chronic Pain Kenneth J Devlin, MA Licensed Psychologist Center for Pain Relief St. Mary s s Medical Center 2 Changing West Virginia Reduce:

More information

Definition of Terms. nn Mental Illness Facts and Statistics

Definition of Terms. nn Mental Illness Facts and Statistics nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.

More information

GOING BEYOND FOSTER CARE

GOING BEYOND FOSTER CARE GOING BEYOND FOSTER CARE Sharon W. Cooper, MD Developmental & Forensic Pediatrics, P.A. University of North Carolina Chapel Hill School of Medicine Sharon_Cooper@med.unc.edu OBJECTIVES Adverse childhood

More information

9/11Treatment Referral Program How to Get Care

9/11Treatment Referral Program How to Get Care 9/11Treatment Referral Program How to Get Care Health 9/11 Treatment Referral Program The 9/11 Treatment Referral Program was created to help enrollees and others find care for WTC-related health problems.

More information

Tool Kit for Childhood & Adolescent Anxiety Management

Tool Kit for Childhood & Adolescent Anxiety Management Tool Kit for Childhood & Adolescent Anxiety Management Tool Kit for Management of Childhood & Adolescent Anxiety The clinical tool kit is intended to assist the PCP in assessing the needs of the child/adolescent,

More information

CHILD PSYCHIATRIC QUESTIONNAIRE

CHILD PSYCHIATRIC QUESTIONNAIRE CHILD PSYCHIATRIC QUESTIONNAIRE Developed by Thomas W. McCormack, M.D. Dear Patients/ Parents/ Caretakers: Please carefully fill in this form prior to your first appointment in order to help us reduce

More information

MORE THAN SAD: SUICIDE PREVENTION EDUCATION FOR TEACHERS AND OTHER SCHOOL PERSONNEL

MORE THAN SAD: SUICIDE PREVENTION EDUCATION FOR TEACHERS AND OTHER SCHOOL PERSONNEL MORE THAN SAD: SUICIDE PREVENTION EDUCATION FOR TEACHERS AND OTHER SCHOOL PERSONNEL AMERICAN FOUNDATION FOR SUICIDE PREVENTION 120 WALL STREET, 29TH FLOOR NEW YORK, NY 10005 212.363.3500 WWW.AFSP.ORG Program

More information

Substance abuse in Iranian high school students

Substance abuse in Iranian high school students Addictive Behaviors 32 (2007) 622 627 Short Communication Substance abuse in Iranian high school students Asghar Mohammad Poorasl, Rezagholi Vahidi, Ali Fakhari, Fatemeh Rostami, Saeed Dastghiri Tabriz

More information

Anxiety Disorders. What are anxiety disorders?

Anxiety Disorders. What are anxiety disorders? Anxiety Disorders What are anxiety disorders? Everyone knows what it's like to feel anxious-the "butterflies" in your stomach before that first date, the "jitters" before giving a speech, the sweaty palms

More information

Psychiatric Residential Treatment Facility Referral

Psychiatric Residential Treatment Facility Referral Psychiatric Residential Treatment Facility Referral Date of referral: Psychiatric Residential Treatment Facility (PRTF) Referral Information Referral contact: Phone number: Referring facility/agency: Fax

More information

Chapter 13. Coping and Stress

Chapter 13. Coping and Stress Chapter 13 Coping and Stress Objectives Explain the concepts of stress and coping. Compare the physical, emotional, and behavioral signs of stress. 2 Physical Signs of Stress Cardiovascular signs The heart

More information

Strategies for Improving Patient Outcomes in Pediatric Asthma Through Education. Pediatric Asthma. Epidemiology. Epidemiology

Strategies for Improving Patient Outcomes in Pediatric Asthma Through Education. Pediatric Asthma. Epidemiology. Epidemiology Strategies for Improving Patient Outcomes in Pediatric Asthma Through Education Chris Orelup, MS3 Max Project 3/1/01 Pediatric Asthma The leading cause of illness in childhood 10, 000, 000 school absences

More information

Child and Adolescent Mental Health Service (CAMHs) in Luton

Child and Adolescent Mental Health Service (CAMHs) in Luton Child and Adolescent Mental Health Service (CAMHs) in Luton CAMHS in Luton delivers services for young people experiencing moderate to severe mental health problems and the new CAMHS MALT (Multi Agency

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

An Unwanted Legacy: Long-term effects of chronic childhood trauma. Matthew Kerr, Ph.D. C.Psych. June 13, 2013

An Unwanted Legacy: Long-term effects of chronic childhood trauma. Matthew Kerr, Ph.D. C.Psych. June 13, 2013 An Unwanted Legacy: Long-term effects of chronic childhood trauma Matthew Kerr, Ph.D. C.Psych. June 13, 2013 Where we are headed What is trauma? How common is childhood trauma? Why is chronic childhood

More information

The Teen Brain: Still Under ConStrUCtion NATIONAL INSTITUTE OF MENTAL HEALTH

The Teen Brain: Still Under ConStrUCtion NATIONAL INSTITUTE OF MENTAL HEALTH The Teen Brain: Still Under ConStrUCtion NATIONAL INSTITUTE OF MENTAL HEALTH One of the ways that scientists have searched for the causes of mental illness is by studying the development of the brain from

More information

Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions 2013 1

Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions 2013 1 Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment 1 Presentation Objectives Attendees will have a thorough understanding of Psychiatric Residential

More information

Dual diagnosis: working together

Dual diagnosis: working together Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction

More information

Collaborative Care for Pregnant Women with Substance Use Disorders

Collaborative Care for Pregnant Women with Substance Use Disorders Collaborative Care for Pregnant Women with Substance Use Disorders Alane O Connor DNP Maine Dartmouth Family Medicine Residency MaineGeneral Medical Center Dartmouth Medical School Vanderbilt University

More information

MOLINA HEALTHCARE OF CALIFORNIA

MOLINA HEALTHCARE OF CALIFORNIA MOLINA HEALTHCARE OF CALIFORNIA MAJOR DEPRESSION IN ADULTS IN PRIMARY CARE HEALTH CARE GUIDELINE (ICSI) Health Care Guideline Twelfth Edition May 2009. The guideline was reviewed and adopted by the Molina

More information