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Pediatricians as Primary Mental Health Professionals 5 Essential Drugs

Learn about the essential drugs and treatment modalities recommended by WHO for various mental health disorders in children and adolescents. This includes organic brain syndromes, psychoses, pervasive developmental disorders, mood disorders/ADHD, anxiety disorders, tic disorders/enuresis, and conduct disorders. Medication options and their recommended dosage are discussed for each condition. Gain insights into the role of pediatricians in diagnosing and treating mental health issues in young patients.

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Pediatricians as Primary Mental Health Professionals 5 Essential Drugs

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  1. Pediatricians as Primary Mental Health Professionals5 Essential Drugs Dr. M.K.C.Nair Director, Child Development Centre Medical College, Tvpm Dr. Paul Russell Professor &Head Child & Adol. Psychiatry Division Christian Medical College, Vellore

  2. Treatment modality as recommended by WHO or based on evidence

  3. Hierarchy of Diagnosis & Treatment Organic brain syndromes Psychoses/ Pervasive Dev.lDisroders Mood disorders / ADHD Anxiety disorders Tic / Enuresis / Conduct Disorder

  4. Organic Brain Syndromes • H/O: Temporal correlation with a demonstrable general medical condition, CNS pathology, drugs and medication • MSE: attention, orientation, memory impaired. Medication: Antipsychotic

  5. Psychosis • Hallucinations • Delusions • Catatonic symptoms • First Rank Symptoms Medication: Antipsychotic

  6. 1. Deviant/ delayed social interaction 2. Deviant/ delayed communication 3. Restricted-repetitive behaviour Autism Symptoms Hyperactivity, impulsiveness, inattention – Atypical antipsychotic Rigidity, rituals – Atypical antipsychotic Aggression, self injury – Atypical antipsychotic Anxiety, Affective symptoms – Atypical antipsychotic Review of 19 articles(Barnard et al, J Psychopharmacol2002) Medication: Atypical antipsychotic - Risperidone: Dose: 0.25 – 2mg/day

  7. Mood disorders - Medication of choice

  8. Attention Deficit Hyperactivity Disorder • 6 symptoms of attention deficit • 6 symptoms of hyperactivity/impulsivity • 2 settings • 6 months • <7 years Medication: CNS stimulants / SNARI

  9. Symptom to Disorder Transition 1. Symptoms out of proportion to cause 2. Definite body symptom (eg. Depression: Eating, sleeping, libido affected) 3. Impairment of functions

  10. Anxiety Disorders 1.Phobic anxiety disorder 2.Overanxiety disorder of childhood 3.Seperation anxiety disorder 4.Obssesive compulsive disorder 5.Post-traumatic stress disorder 1.Irrational fear 2.Avoidance Medication: Antianxiety

  11. 1. Obsessive compulsive disorder 1.Obsessions 2. Compulsions 2. Post-traumatic stress disorder (PTSD) 1.Catastrophic trauma 2.Intrusive recollection 3.Autonomic arousal 4.Avoidance Medication: Antianxiety drugs

  12. Conduct Disorder • Dissocial • Defiant • Aggressive Medication: Mood stabiliser

  13. Tic Disorder • Motor • Vocal • Combined Medication: Atypical antipsychotic

  14. Enuresis • Involuntary voiding • > 4 yrs CA Medication: TCA

  15. Conclusion

  16. Thank You

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