International wars and conflict enhance our sense of danger and may cause worry about what will happen in the days and weeks ahead. A range of emotions (e.g., outrage, fear, anxiety and sorrow) are common and can change as the situation evolves. They can create safety concerns for the region that reach into our own […]
HEARING VOICES 9.28.23
When a child or adolescent reports “I hear voices”, it naturally causes concern for parents and healthcare clinicians alike. The immediate question is “what is the cause”? This, followed by “what to do about it?” An optimal approach to assessing “voices” in youth includes a culturally sensitive, trauma-informed, and family-centered philosophy. The metaphysical experience of […]
Medi-Cal Enhanced Care Management Program 9/8/23
Addressing MEDI-CAL ENHANCED CARE MANAGEMENT (ECM) Today’s newsletter describes California’s new Medi-Cal Enhanced Care Management program, a resource for obtaining Community Supports that can assist individuals in overcoming a variety of life challenges that contribute to worsening of healthcare problems. THE ISSUE: Medi-Cal members with unmet social needs are at higher risk of poor health outcomes […]
Bullying 8/22/23
For many children, the anxiety of a new school year is not just one of nervous excitement about a new year beginning. For many it may be a youth’s severe concern of about the risk of victimization as a result of peer bullying. Awareness of the potential that a youth may be experiencing bullying should be part […]
Autism Meltdowns & Aggression 8/10/23
With autism currently affecting nearly 1 in 36 children, most healthcare providers will be treating individuals with Autism Spectrum Disorder (ASD) at some point in time. Particularly for those more significantly affected, the issue of agitated and aggressive outbursts is often a major concern, though even in those with less significant symptom profiles, affectively charged […]
Co-Morbidity Between Intellectual Disability and Psychiatric Symptoms 7/25/23
The presence of Intellectual Disability (ID) increases the risk for co-occurring psychiatric disorders in child, adolescent, adult and geriatric patients. Behavioral and emotional problems are three times more likely to occur in these groups and they are frequently not recognized or appropriately treated. This said, problematic behaviors and emotions in this population may also be […]
Disruptive Behavior-Is It Anxiety or Something Else? 7/11/23
It is common for children and families to present to their primary care providers with concerns about behavioral problems and/or wanting to rule out ADHD. The typical presenting problem is severe temper tantrums or disruptive behavior in school. In some of these cases, the appropriate diagnosis is ADHD or another disruptive behavior disorder and treatment […]
Distinguishing Grief from Depression 6/8/23
Grief as a response to significant loss is normal. However, the mourning that occurs during periods of grief has features that overlap with depression and anxiety. This makes it occasionally confusing to distinguish one from the other and to know how to help patients heal appropriately. In previous DSM versions, mental health professionals were to exclude […]
Partnering with American Indian and Alaska Native Youth and Families in Healthcare Settings
In our ever-evolving multicultural society, it is critical for providers to engage with patients and their families with sensitivity and empathic awareness of their social and historical backgrounds. While the specifics of each group’s experiences and needs will vary, providing effective quality care should reflect congruence with the practices described herein. Partnering with American Indian […]
Stressors Experienced by Immigrant Youth and Their Families: Overview of Mental Health & Practical Recommendations 2/2/23
According to the American Immigration Council, there are approximately 44.9 million immigrants in the United States, representing 14% of the US population1. This large body of immigrant population has nearly tripled since 1970 and more than 1 million immigrants are still arriving yearly2. Although the United States is often regarded as the “land of opportunity”, […]