Recent Articles
Heading Back to School in the COVID-19 Pandemic 9/1/2021
Students nationwide are returning to school after over a year of virtual or hybrid learning. Most youth across San Diego were prompted to smile with their eyes for their memorable first day of school photos. Masks, hand-sanitizers, and distanced drop-offs are new additions to the school routine. Regular first day of school jitters about new […]
Late Onset ADHD — when might it be for real?? 8/23/2021
Today’s article is a follow up to last week’s newsletter that address the patterns of persistence of ADHD symptomatology through late adolescence and into early adulthood. The results of that study are strongly suggestive that ongoing monitoring is warranted for many of these individuals throughout their teen years and into their early adult years as […]
Residual ADHD Symptomatology Persisting into Adulthood 8/16/2021
A recent study published in the American Journal of Psychiatry presents data that suggests that up to 90% of children diagnosed as having attention-deficit/hyperactivity disorder (ADHD) may continue to experience intermittent residual symptoms of the disorder into young adulthood. This finding runs counter to general clinical consensus that only one-third to one-half of youth persist […]
Discussing Their Futures with Kids in Primary Care 8/3/2021
Erik Erikson, Ph.D., a lay psychoanalyst, was a great thinker, skilled clinician, and compelling writer who viewed human psychology in a developmental context. His schema describes nine major psychosocial developmental stages and the associated psychological challenges, from infancy to the end of life. Today’s newsletter discusses how a primary care provider, working within the time […]
Rules for a Healthier & Happier Family 7/19/2021
SmartCare is a San Diego County-funded program that works with families of all sorts: single-parent, divorced, married, unmarried, remarried, casually coupled, multigenerational, you name it. Parents call us for various reasons centered on their children’s needs, but they often share their concerns about their own and their family’s situation. SmartCare sees value in discussing family […]
Prescribing for Foster Children: PCPs & the JV-220 process 7/2/2021
Today’s e-Weekly provides an overview of the JV-220 process as it applies to a general pediatric primary care practice and provides references to relevant forms and protocols to assist in compliance with informed consent regulations for youth in foster care in San Diego County. Prescribing psychotropic medications to children and adolescents who are in foster […]
Elevated or Irritable Mood States: Mania & Hypomania 6/24/2021
A unique element in behavioral health care — that of assessing a patient’s abnormal mood states — may on occasion be a special concern in the primary care setting. Comfort with assessing mood states and making appropriate psycho-social and medical interventions can be important skills. This eWeekly discusses the issues of mania and hypomania, as […]
Mental Health Psychotherapies – A World of Options 6/10/2021
While “therapy” of one sort or another is a mainstay treatment for many, if not most, mental health conditions, there is such a plethora of models and methods of psychotherapy that it can be a significant challenge for referring primary care providers to determine where to direct their patients to seek care most suited to […]
The Latest on Prazosin for Trauma Associated Nightmares 5/27/2021
Adverse Child Experiences (ACEs), or traumatic experiences, have significant medical and psychological sequelae. ACES may or may not lead to post traumatic stress disorder, and regardless of the presence of a formal diagnosis, exposure to ACEs increase the risk for poor sleep and traumatic nightmares. There are many psychotherapeutic and resiliency enhancing ways to support […]
The Family APGAR: Dimensions of Family Functionality 5/21/21
We are all familiar with the APGAR score as a critical tool in neonatal assessment. Not so, the Family APGAR, which is a tool that measures important elements of a family system that can be helpful in assessing a family’s resources and functionality in responding to the vicissitudes and challenges in their lives. As with […]