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;
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