Join us as we wrap up our first year of PsychEd4Peds and prepare for a summer break!Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Do you ever wish you had a child psychiatrist on speed dial? Well, now you can!  This week, we talk about how to get connected to a Pediatric Mental Health Care Access Program (PMHCAP) near you that offers:* phone consultation with child psychiatrists to help you care for kids in your office* care navigation services to help you find resourcesI will walk you through what to expect when you call your local PMHCAP and how they can be helpful for you and for your patients.For a list of statewide PMHCAPs near you, check out:https://mchb.hrsa.gov/programs-impact/programs/pmhca-awardee-teleconsultation-phone-linesLink also available on our website, PsychEd4Peds.comCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

In this episode, meet Dr. Lia Gaggino, pediatrician and host of the child mental health and clinician well-being podcast, Pediatric Meltdown.  She shares resources and tips to help practicing pediatricians including her now podcast, Pediatric Mental Health: Building Better Workflows.  This new podcast is about how to implement change in pediatric practices from how to get buy-in for change, set goals, and engage your team in implementing  change, plus tips on billing and coding and more.Dr. Lia Gaggino's Podcast: Pediatric MeltdownWebsite: Pediatricmeltdown.comCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

In honor of the release of Taylor Swift’s 11th album, The Tortured Poet's Department, this is a special episode where I am joined by my tween daughter Julia, to share highlights from Swift's albums as well as from PsychEd4Peds episodes.  I bet you never thought about how the album, Red, is related to ADHD meds. #childmentalhealth #swiftie #tsttpd #adhd #anxiety #parentmentalhealthCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Between 80-90% of US teens report that they use social media, but we are only beginning to understand how social media use affects mental health.  I had the opportunity to talk about this with WAVYTV10 News Anchor, Sarah Goode. In this episode, I share clips from our conversation about how to help kids navigate social media, share tips for talking with teens about their social media use, and share resources to help families develop a plan for healthy use of social media.For more information and to listen to an extended version of this interview, check out the NBC Affiliate, WAVYTV10 at the link below:https://www.wavy.com/10-on-your-side/kids-on-social-media-what-to-know-about-their-mental-health/Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Did you know that PARENTS of preschoolers are at HIGH risk for depression? *In the first 4 years of a child's life, 1 in 10 dads and 1 in 4 moms experience depression.*And depression in parents increased the risk of behavioral and emotional problems in children.  In this episode, we talk about why and how to support parents of preschoolers... so that we can help preschoolers with their own social and emotional development.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Around one and 10 preschool age, children, struggle with significant emotional and behavior problems, but it can be incredibly difficult to tell. How can you tell When a preschool age child might need further evaluation?In this episode, we talk about how to use a brief tool to determine whether a preschools behavior is normal, or may benefit from further evaluation. This tool is called the brief early childhood screening assessment, or the brief ECSA  for short.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

What is the most important thing the parents can do to help older teen athletes? How can we harness sports another activities to help kids develop true confidence? For answers to these questions join us as we continue our convo with grit.org’s  Brian and Jen Harbin.Guests: Brian and Jen Harbin are the leaders of grit.org whose mission is to improve, physical, mental, and emotional resilience in kids.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Do you want to learn strategies to help kids develop grit and character through sports and LIFE? We talk with Brian and Jen Harbin of Grit.org about how they use sports to help kids become more physically, emotionally, and mentally resilient. They share strategies about :** Using mantras to help kids push through challenges** How to shift your focus from WINNING to personal growth**  Training kids to focus on the POSITIVEOur Guests: Brian Harbin is the founder of Grit.org whose mission is to help kids and adults become mentally, physically, and emotionally resilient.  Jen Harbin is a former 5-year collegiate rower and helps to lead Grit Camp as well as Grit.org's non-profit foundation called Faith, hope, and Lunges. They are the proud parents of 3 boys .Website: Grit.orgCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

If you play sports or know a child who plays sports, you MUST listen to this podcast!  Our guest is Coach Peter Verhoef, who has decades of experience preparing kids and teens for national and world competitions.  We discuss ways that parents can keep kids involved in sports and prevent burnout.  Key Points include:** Sports can be Transformational  ** Tips for How WE can Keep kids ENGAGED in Sports·      Help children to experience achievement (apart from wins/losses)·      Recognize and manage emotional/physical exhaustion ** Crying in Waffles: The Hardest time for a Student Athlete** Benefits and Risks of taking time off from sports** When/If to Specialize in One sports vs. playing multiple sportsCoach  Peter Verhoef is the head coach and aquatics director at the Bolles School Swimming Program. He coaches athletes to regional, national,  and world competitions, including the Olympics over his career, which has spanned decades.Coach Peter himself is a former youth athlete, having been a finalist at the Olympic swimming trials in 2004 and 2008. He has competed at the world level and was USA team captain representing the United States at the world championships of swimming.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Did you know almost 70% of kids drop out of sports by age 13?  We talk with Dr. Joel Brenner,  pediatric sports medicine physician and national expert in youth sports, about how to keep kids involved in sports.  Dr. Brenner is the co-author of the  American Academy of Pediatrics' recent Clinical Report on on overuse injuries over-training and burnout in young athletes. He shares practical strategies to  reduce burnout and over use injuries in our young athletes. Most importantly, we're going to find out how early is too early for kids to specialize in one sport. Our Guest:  Dr. Brenner is a pediatric sports medicine physician and Director of the Sports medicine, Sports concussion, and Dance medicine programs at Children's Hospital of the King's daughters in Norfolk, Virginia. Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

It's time for some Advanced Q+A with Dr. Jeffrey Strawn about medication treatment for ADHD +/- Anxiety!?Q:? When do you use alpha agonists (like Clonidine, Guanfacine)??A:  as adjunctive treatment for kids who are having trouble tolerating stimulants,  and/or who have residual impulsivity when they're being treated with stimulants.  Q: How can you prescribe alpha-agonists to kids who cannot swallow pills?A: We've talked about the possibility of using compounding pharmacies to help create liquid formulations of certain short acting alpha agonists for kids who have trouble swallowing pills. Q: When/ would you *start* treatment for ADHD with an alpha-agonist?A: Almost Never.  Start with stimulant medication when you're considering medication treatment for ADHD, regardless of how old the child is.   So for preschool aged children with ADHD for whom you're considering medication treatment, start with stimulant medication as opposed to non-stimulant medication.  Side note: Atomoxetine or Straterra is not as effective as first-line treatments for ADHD, nor is it as effective as our first-line treatments for anxiety. And finally we covered the amazing resource of Case Studies: Stahl's Essential Psychopharmacology: Volume 4: Children and Adolescents by Jeffrey R. Strawn and Stephen M. Stahl | Nov 9, 2023 available on Amazon and through Cambridge University PressCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Is there a go-to medication to treat a child with both ADHD and anxiety?  Join us as we continue the conversation with Dr. Jeffrey Strawn from Cincinnati Children's Medical Center to discuss how to approach medication treatment for a child with ADHD and anxiety.  We talk about which stimulants are better tolerated, when to use alpha 2 agonists (like clonidine and guanfacine), and finally what to know about the norepinephrine reuptake inhibitors, Viloxazine (Qelbree) and atomoxetine (Strattera). Key Points:1 – treat ADHD first, then address residual anxiety (unless anxiety is Severe)2 – When treating ADHD, start with stimulants;  Methylphenidate (MPH) stimulants are less likely to cause mood/anxiety sxs than mixed-amphetamine salts; MPH stimulants also have  ½ incidence of appetite suppression relative to the mixed-amphetamine salts3 – When to use alpha 2-agonistso   Clonidine is “a little messier” – hits multiple receptors (alpha 2a, 2b, 2c; hits imidazoline receptor), more likely to affect BP, sedation; best for problems initiating sleep o   Guanfacine – “much more selective for alpha 2 A receptor”,o   Guanfacine XR can be dosed once daily (vs. clonidine xr which is still BID) o   Dosing and titration of Guanfacine XR stay below 6mg, 0.1 mg/kg/dayo   Guanfacine XR considered as adjunctive med in addition to SSRI for anxietyo   Good to help w/ impulsivity4 – Viloxazine/Qelbree (NRI) “what’s hype vs. what’s clinically relevant pharmacology?”o   Works more rapidly than atomoxetine: Even within first couple of weeks, noticing improvement in symptomso   Little 2D6 metabolism, but not affected by 2D6 metabolizer status like atomoxetine (did you know fda recommends different dosing/titration based on metabolizer status in atomoxetine)o   Potent CYP 1A2 inhibitor (which metabolizes caffeine/energy drinks)  increase caffeine exposure (blood level over time) six fold ** ADR2A genetic polymorphism means 2/3 people do NOT experience anxiety when they consume caffeineDr. Jeff Strawn is a Professor of Psychiatry and Behavioral Neuroscience at the University of Cincinnati College of Medicine.  Dr. Strawn directs the Anxiety Disorders Research Program and conducts clinical trials and neuroimaging studies in patients with anxiety and related disorders.  He is an internationally recognized expert int he field of child and adolescent anxiety disorders.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

ADHD and Anxiety and highly intertwined, so how can you tease them apart?Join us as Dr. Jeffrey Strawn shares clinical pearls about how to detect whether a child has ADHD, anxiety, or both! We discuss:* the consequences of untreated ADHD (especially social and educational impacts)* how ADHD and anxiety are related  and that 30% of kids w/ ADHD have anxiety, too!Some take home messages are:1 – When screening kids for ADHD, also consider using the SCARED-5 to screen them for anxiety!2 – Good clinical question to ask kids about anxietyo   “How good are you at worrying?”o   “What would happen IF (the thing they fear occurred)?”3 – To distinguish between clinical anxiety disorder and an anxiety trait..            Ask, is [ the thing they are worried about] reasonable/expected?            Is the anxiety proportional to the stressor?Dr. Jeffrey Strawn is a Professor of Psychiatry and Behavioral Neuroscience at the University of Cincinnati College of Medicine.  Dr. Strawn directs the Anxiety Disorders Research Program and conducts clinical trials and neuroimaging studies in patients with anxiety and related disorders.  He is an internationally recognized expert int he field of child and adolescent anxiety disorders.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

What do you do when your patient doesn’t tolerate or doesn’t respond to an SSRI for depression? Join us as we discuss this issue and talk about non-SSRI medication‘s for depression.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

How can you tell if a teenager is depression or if it is just normal moodiness, stress, grief, or even demoralization?  Dr. John Walkup joins us to talk about the cardinal features of depression... and how it LOOKS different than other forms of low mood.We talk about:1 - the distinct change in mood seen in teens with depression and how it is different from sadness2 - how you can use a simple question, "Can you tell me about something fun you have done recently?",  to help you figure out whether a teen has clinical depression3 - why kids with depression can *think* they have ADHDGuest: Dr. John Walkup is an internationally-recognized child and adolescent psychiatry and the President Elect of the American Academy of Child and Adolescent Psychiatry.  He is Chair of the Pritzker Department of Psychiatry and Behavioral Health at Lurie Children's Hospital in Chicago. He is also the Margaret C. Osterman Board Designated Professor in Child and Adolescent Psychiatry. Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

As pediatric practices incorporate  more telehealth, what tips and tricks can help us navigate the challenges of virtual healthcare? Pediatrician Dr. Rachel Schare joins us to share the Good, the Bad, and the Funny in the world of Pediatric Telehealth.We discuss:Practical strategies for how to incorporate telehealth into busy pediatric practice:Focus mainly on follow-up visits for established patientsADHD follow-ups are great, sometimes also depression/anxiety Offer same-day telehealth during last minute schedule openings to accomodate patients who call with urgent issues Tips to address common telehealth challenges:To manage connection issues, allow extra time for visitsMake sure you have working phone numbers before the visitSend multiple reminders (text, email) with the connection linkEngage kids with virtual stickers, reaction buttons, backgrounds, etc.How to limit distractions and ensure pt/family safety:Clearly communicate your rules for telehealth before the visitSet boundaries, remind families of rules during the visit (i.e. no driving during the visit)Dr. Rachel Schare is a board-certified pediatrician with extensive experience incorporating behavioral health in primary care pediatrics. For the past 4-5 years, she has been practicing telehealth in both urgent care and primary care settings.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Welcome to Season 2 of PsychEd4Peds!  To start this season, the Academy of PsychEd4Peds shares the winners of the 5 major PsychEd4Peds podcast awards from 2023.Featured Awards include:Best Ensemble - * the most popular episode featuring a group of hosts *Best Short Episode  - * most helpful content in  an episode ~10 minutes *Super Science Episode - * best episode about highly complex scientific topics made simple and practical*Host's Choice - * episode that taught the host the most *People's Choice - * most popular episode with most downloads *Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Any conversations that involve *weight* can be really challenging and require a really thoughtful approach. This week, we chat with Dr. Peggy Greco, pediatric psychologist who specializes in eating disorders,  about how to talk with parents when you're concerned about their child's health and weight OR the parent is *overly* concerned about their child's weight. We discuss how to- use the "Yes AND" approach to :- address parental fears and feelings about their child's weight- AND shift the conversation from weight to healthWe also talk about the importance of- reflecting on your own experiences with weight, food, eating, etc.- connecting with a larger team to care for kids with eating disorders, obesityCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Dr. Peggy Greco shares practical tips for navigating challenging conversation with teens who have eating disorders and/or obesity including:*  How to shift the conversation from WEIGHT to focus instead on HEALTH * How to focus on non-weight metrics of health such as:·       mood·       energy levels·       activity levels·       healthy eating habits·       clarity of thinking* How to understand why teens with eating disorders may be resistant to treatmentDr. Peggy Greco, PhD is a pediatric psychologist with over 30 years of clinical experience. She serves as the Assistant Vice President, and Chief Patient Experience Officer for a large children’s healthcare system. One of her clinical areas of interest is in working with kids and families with eating disorders.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds