Management of Anxiety and Depression in Children and Adolescents in a Pediatric Setting

Speaker:
Muhammad Zeshan, MD
Clinical Assistant Professor of Psychiatry
Rutgers New Jersey Medical School

Objectives:
1. How to interview children and adolescent who doesn’t want to participate in evaluation
2. How to ask questions about Anxiety and depression by using developmentally appropriate language
3. How to differentiate various childhood anxiety and depressive disorder
How to identify and manage co-morbid psychiatric disorders

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* 1. Did the presentation meet your expectations of the following (select all that apply):

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* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

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* 3. How will attending this webinar affect your future practice? Please select from following (Multiple choice)

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* 4. Was the webinar free from commercial bias?

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* 5. Please state what topics you would like to see discussed.

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* 6. Please share any comments about the webinar. 

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* 7. The following 5 questions are scored for your CME credit:
13-year-old boy who was brought to urgent care for palpitation, shortness of breath, sweating in his hands, and chest tightness. He is afraid that he might faint or lose control of his body. On further questioning, his mother reported that he has a math test coming up in 2 days, and he has not been stressful about not doing well in exam for the past few days. In general, he worries about every little thing in his life for the past few years. He worries about what people think about him, worries about what would happen if I speak in the public around unfamiliar people, worries about something serious going to happen to him. He also struggles with problem falling asleep, and reported feeling tired and fatigued and unable to pay attention in class and seems to be fidgety in class.  Which of the following is the most likely diagnosis for this child.

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* 8. Which of the screening tools you can give child and family to fill out?

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* 9. You diagnose this patient with Generalized Anxiety Disorder, which medication you will chose to treat this child?

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* 10. You wanted to start this child on Lexparo, but the mother googled side effects of medications and asked you about black box warning of increase suicidal ideation with SSRI. Mother reported that her son made a statement that he doesn’t want to live anymore couple of weeks ago when he was angry. Would you still consider starting Lexapro, despite mother concerns?

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* 11. One week after starting Lexapro 5mg, mother called urgent care and mentioned that her child seems to be more angry. Mother reported that her dad has a bipolar disorder. Her son also sometime has “mood swings” and irritable mood. He sometime stays up the whole night playing videogame, and chatting with his friends on social media. Mother hesitantly inquired if her son might have bipolar disorder, and she is worried that Lexapro might have triggered his bipolar disorder. What would you do next?

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* 12. Name

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* 13. Email Address

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* 14. For CME recording please enter your NPI number below:

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* 15. For ABP MOC 2 credit, please enter your ABP ID here:

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