Black Box Warning For SSRIs

PSYCHIATRY

“In the FDA review, no completed suicides occurred among nearly 2,200 children treated with SSRI medications. However, about 4 percent of those taking SSRI medications experienced suicidal thinking or behavior, including actual suicide attempts—twice the rate of...

Diagnostic Criteria for Serotonin Syndrome

PSYCHIATRY

Several diagnostic criteria for serotonin syndrome have been proposed. The Hunter Serotonin Toxicity Criteria are the most accurate (sensitivity of 84%, specificity of 97%) The diagnosis of serotonin syndrome is based on a history of taking a serotonergic agent and...

Conduct disorder

Clinic A/P, Peds, PSYCHIATRY

Behavioral problems associated with conduct disorder are more severe than those of oppositional defiant disorder. They involve “a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules...

Oppositional defiant disorder (ODD)

Clinic A/P, Peds, PSYCHIATRY

To meet the DSM-5 criteria for ODD, the symptoms must be ongoing for at least 6 months and include at least 4 out of 8 symptoms from any of the following 3 categories: Angry/irritable mood 1. Often loses temper, 2. Is often touchy or easily annoyed, 3. Is often angry...

Tests for Acute vs. Chronic Cognitive Changes

NEUROLOGY, PSYCHIATRY

Tests for Acute Changes in Cognition The Confusion Assessment Method (CAM) is designed for diagnosing delirium which is an acute change in cognition. Tests for Chronic Cognitive Changes The following tests are designed to chronic baseline cognitive function and are...