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Archives for Teenagers

Adherence

How long is too long for antidepressants?

Young people spend too long on antidepressants without examining whether they still need them, a Duke psychiatrist argued in a recent New York Times post.

The psychiatrist, Doris Iarovici, is almost certainly right that more young adults are taking these meds for longer these days than in the past. The problem is that we don't have a very good idea of how many - or for how long. As a...
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Atypical Antipsychotics

Too Early To Link Sandy Hook Shooting With Psych Meds

Tragedies like the one at Sandy Hook Elementary aren't just agonizing and heart-wrenching for millions of people - they're frustrating.

We keep asking ourselves "how?" and "why?" And, with authorities still trying to piece together evidence, the public has to make do with limited - and often incorrect - information.

First came reports that the shooter, Adam Lanza, might have Asperger's. To my knowledge, no authoritative source...
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ADHD drugs

Think Kids Are “Overmedicated”? First Consider This.

I've argued before that declaring American kids and teens to be "overmedicated" is something of a cop-out.

How can people say what constitutes overmedication when they can't - or won't - specify what would constitute an acceptable number or percentage of kids taking psychiatric meds?

Still, I do care about the numbers, because they can give us clues as to which kids and how many are getting appropriate treatment for emotional and behavioral problems.

A...
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ADHD drugs

Study Finds Autistic Kids With Psychiatric Disorders More Likely To Be Medicated

Many children with autism spectrum disorders (ASD) take psychotropic medications to treat associated symptoms of their conditions, such as irritability and anxiety. Usage has increased in recent years, and some recent studies have questioned the evidence base supporting the drugs' effectiveness in young people with ASD.

A new study, published in a supplement to the November issue of Pediatrics, suggests that coexisting psychiatric conditions and problem behaviors might...
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Abuse and diversion

Mixing Meds and Alcohol: Just How Dangerous Is It?

Most psychiatric drugs bear some version of the warning: "Do not drink alcoholic beverages when taking this medication."

In reality, though, many people taking psych meds drink anyway. They have various reasons: not wanting to curtail their fun, not putting much stock in the warnings, or simply thinking it's easier to take a proffered drink than explain why they're turning it down.

Doctors oftentimes don't bother to talk to patients about potential...
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Children

Can You Be Too Attuned to Symptoms and Side Effects?

Doctors and mental health professionals have long encouraged patients to keep track of their moods and behaviors to gauge how they respond to psychiatric treatment.

With the explosion of mobile apps and websites such as PatientsLikeMe, which help people chart symptoms, medications and side effects, we've entered a new era of unprecedented medical self-monitoring.

Is this a good thing when it comes to psychiatric medications and mental health?
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Childhood

Can Meds Transform Mental Illness Into Mental Health?

Today is World Mental Health Day, and I've been thinking a lot about the terms "mental health" and "mental illness" ever since reading a recent post post on the topic by blogger Natasha Tracy.

Natasha contends that using the politically-correct, cheerier-sounding term "mental health" trivializes psychiatric disorders and ends up shortchanging those who suffer from mental illness. That got me thinking again about a question I've often pondered:...
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Antidepressants

Waiting Until You’re “Old Enough” for Antidepressants

What's it like to suffer from severe depression for as long as you can remember - and to be too scared to ask for help until age 18?

Today I’m featuring the story of Allie, a 21-year-old college senior in Wisconsin who was ultimately diagnosed with bipolar disorder. Allie kept her unhappiness a secret and didn't begin taking medication when she was old enough to ask for it without her parents finding out.

Allie's...
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ADHD drugs

Medicating Class Cut-Ups But Overlooking the Rest

This weekend a mother published a New York Times column about how her son came to be diagnosed with ADHD and became a member of the ballooning "Ritalin Generation."

"Just a little medication," the teacher told the boy's mother, "could really turn things around" for the boy, who was having trouble focusing on class worksheets and lining up quietly for transitions between classes.

When the mother firmly responded that she and her husband weren't...
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