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Dr. Elise Fallucco reviews five practice-changing lessons from the previous season of Child Mental Health for Pediatric Clinicians: 

  • 1 - Ask better questions 
    • For example, use Dr. Waxmonsky’s ADHD assessment prompt, “When is the hardest time of day, and what is going on there?” to guide ADHD medication choice
  • 2 - Look for the problem behind the problem 
    • Ask teens about energy drinks/caffeine and sleep timing, recognizing energy drink use may signal sleep deprivation; 
  • 3 - Update how we talk to families about stimulants 
    • Emphasize that stimulants support wakefulness, alertness, and motivation rather than directly improving attention (based on Dr. Nico Dosenbach’s Cell study)
  • 4 - Remember the brain prefers gradual change
    • Review Dr. Jeff Strawn’s SSRI cross-titration approach while monitoring serotonergic side effects; 
  • 5 -  Prioritize clinician wellbeing!

00:00 Season Lessons Overview

00:19 Ask Better ADHD Questions

01:07 Energy Drinks and Sleep Clues

02:37 What Stimulants Really Do

03:54 Brain Prefers Gradual Med Changes

04:29 Cross Titration SSRI Switching

06:41 Clinician Wellbeing Matters

07:26 Thanks and Stay Connected

Links to Episodes Referenced:

69. How to Switch SSRIS with Dr. Jeffrey Strawn

71. ADHD stimulants do NOT impact the brain’s attention networks with Dr. Nico Dosenbach

74. Burnout in Healthcare: “The Pitt”, Stats, and Solutions!

75. Beyond the Buzz: Energy Drinks, Teen Health, and Safer Ways to Stay Energized with Roshni Patel

Check out our website PsychEd4Peds.com for more resources!
Follow us on Instagram @psyched4peds

Check out our NEW CME Audio-based, on-demand CME Course online at:

Pediatric Mental Health CME Toolkit - Cracking the ADHD Code: Essentials for Pediatric Clinicians

https://ce.nemours.org/content/podcast-series-cracking-adhd-code-essential-skills-pediatric-clinicians#group-tabs-node-course-default1

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