Peds Psychiatry

Normal age-specific behavioral development

Strategies and Discipline

Attention Deficit Hyperactivity Disorder (ADHD)

Adjustment Disorders

  • Major Life events:
    • Divorce
    • Death
    • Traumatic events

Adolescent adjustment reactions

Anorexia Nervosa

Autism Spectrum Disorder (ASD)

Binge Eating

  • Def:
    • Recurrent binge eating at least once per week for 3 months
    • Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
    • A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
  • Binge eating episodes associated with three (or more) of the following:
    • Eating rapidly, until uncomfortably full, large amounts when not hungry, alone out of embarrassment
    • Feeling disgusted/depressed/guilty afterward
  • Management:

Bulimia Nervosa

Child Abuse

Child abuse-neglect

Conduct Disorder


Generalized anxiety disorder (GAD)

Major depressive disorder

Oppositional Defiant Disorder (ODD)


ACUTE panic attack

Panic disorder

Persistent depressive disorder (dysthymia)



Premenstrual dysphoric disorder (PMDD)

  • Def:
  • Management:
    • SSRIs are first-line treatment (fluoxetine, sertraline, paroxetine, escitalopram) and can be used continuously or instituted the week prior to menses.
    • Birth control, low-dose estrogen, and diuretics may also be beneficial.
    • SNRIs such as venlafaxine may also be effective in women with predominantly psychological symptoms.
    • Gonadotropin-releasing hormone (GnRH) – SEs include accelerated bone loss and vasomotor symptoms

School Problems

Seasonal affective disorder

Shaken baby syndrome

Substance Abuse

Suicidal Ideations


SSRIFx: Blocks the reabsorption of the neurotransmitter at the cellular level in the brain
Avoid bupropion (Norepinephrine dopamine reuptake inhibitor) ineating disorders
Increased risk for seizures
In eating disorders, electrolyte imbalancescardiac arrhythmias

Serotonin syndrome

Death rate