Managing Psychotropic Treatment with Foster Children

In response to the rising use of psychotropic medications in Medicaid and foster care populations, some states, including California, have implemented specific guidelines. This article covers those guidelines with case examples.

Foster Care and Child Psychiatry: A Primer

Nearly one in three foster children have significant psychiatric problems during their time in foster care—especially those related to trauma and neglect that brought them into the system. This article is a brief primer on how foster care works, and how psychiatrists get involved.

Medications for Childhood PTSD: It’s All Off-Label

Medications for Childhood PTSD: It’s All Off-Label

In 2011, we wrote a review of medications for PTSD in children and found, unfortunately, that data to inform true evidence-based practice was scant. There are still no psychotropic medications that have been proven effective in randomized controlled trials for children with PTSD and there are no FDA approved medications for this population.

Research Update

The Power of a Child’s Subjective Response to Trauma

By now most of us know how PTSD looks in DSM-5. Among a number of changes is the removal of criterion A2, which required a response to an event to include “intense fear, helplessness, or horror.” Criterion A1—exposure to actual or threatened death, serious injury, or sexual violence—was slightly edited, but remains a diagnostic requirement for the disorder.

Does Guanfacine Work for Pediatric PTSD?

Treatment options for pediatric PTSD and trauma symptoms are limited, and the symptoms are clearly detrimental to youths’ functioning, particularly in the presence of comorbid disorders. 

Expert QA

Trauma-Focused Cognitive Behavioral Therapy

TF-CBT has strong evidence of improving a wide variety of problems, including PTSD, depression, anxiety and fear, behavior
problems, and trauma-related shame, as well as improving parental functioning.