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Diagnostic issues

Clinical guidance 566 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Depression in children and adolescents Diagnostic issues Approximately 15% of young people experience depression by age 18 years and these young people often have significant fu...

Prescribing for depression in children and adolescents Prescribing in children and adolescents CHAPTER 5 meta-­analysis comparing several treatments for depression in children and adolescents also found that combined fluoxetine and CBT was no more effective th...

After prescribing Prescribing in children and adolescents CHAPTER 5 are approved for use in adults with treatment-­resistant depression, but there is no substantial evidence in children and adolescents.31 With regard to ketamine, or its enantiomer esketamine, ...

Specific issues 570 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 ■ ■If none of these factors explains the continued depressive symptoms and the young person does not have adverse effects, consider increasing the dose. Reassess every 4 weeks.3,3...

References Prescribing in children and adolescents CHAPTER 5 likely to outweigh these risks in moderate to severe depression. Nonetheless, it bears repeating that the risk of suicide should be very carefully monitored.3,4,6,31 ■ ■Activation and manic switch Ac...

Bipolar disorder in children and adolescents

Clinical guidance Prescribing in children and adolescents CHAPTER 5 Bipolar disorder in children and adolescents Clinical guidance Before prescribing ■ ■Establish clinical diagnosis informed by structured instrument assessment if possible. Symptom checklists s...

Other treatments 574 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 After prescribing ■ ■Assess and measure symptoms on a regular basis to establish effectiveness. ■ ■Monitor weight, height and waist to hip circumference at each visit and repeat ...

References 578 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 References Colom F, et al. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose ­disease is in remission. Arch Gen P...

Psychosis in children and adolescents 580 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Psychosis in children and adolescents Schizophrenia is rare in children, but the incidence increases rapidly in adolescence. A detailed developmental and phy...

References Prescribing in children and adolescents CHAPTER 5 References Pina-­Camacho L, et al. Autism spectrum disorder and schizophrenia: boundaries and uncertainties. BJPsych Advances 2016; 22:­316–­324. Hayes D, et al. Dilemmas in the treatment of early-­...

Anxiety disorders in children and adolescents

Diagnostic issues

Clinical guidance

Prescribing for anxiety disorders in children and adolescents 582 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Anxiety disorders in children and adolescents Diagnostic issues Fear and worry are common in children and they are part of normal dev...

References 586 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 5 Pre-school children Treatment of anxiety disorders in pre-­school children must routinely focus on ­psychotherapy. In rare cases when a very young child has extreme ongoing symptoms an...

Obsessive compulsive disorder (OCD) and body dysmorphic disorder (BDD) in children and adolescents