School Psychopharmacology by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030155414
Publisher: Springer International Publishing

Psychopharmacological Treatment of Mood Disorders in Children

Given the severity of symptoms exhibited by children with mood instability, the use of medication is a primary consideration and part of the broader treatment plan, which includes psychosocial treatments (Goldstein et al., 2017). The use of more than one medication is often required to stabilize symptoms when monotherapy is unsuccessful. A growing number of Randomized Controlled Studies (RCTs) support the use of psychopharmacological treatment in children with BD. However, there is a paucity of well-designed psychopharmacological treatment studies for DMDD (Tourian et al., 2014; Towbin & Leibenluft, 2015). In practice, the approach taken by prescribers has been similar between the two disorders (Faheem et al., 2017).

The most commonly prescribed classes of medication for BD are mood stabilizers and antipsychotics (Lytle, Moratschek, & Findling, 2015). Antipsychotics are typically used first due to more rapid symptom relief and a reduction in manic symptoms (Cullins, Call, & Joshi, 2016). For DMDD, which is classified as a depressive disorder, an antidepressant is typically the first choice (Chen, Wang, & Fang, 2016). Some other studies for DMDD have investigated stimulant monotherapy or an atypical antipsychotic in conjunction with a stimulant and antidepressant (Benarous et al., 2017; Lytle et al., 2015). Given the lack of available studies, medication treatment for DMDD is typically driven by the individual symptoms often associated with coexisting disorders affecting the child (Stringaris, Vidal-Ribas, Brotman, & Leinbenluft, 2017; Tourian et al., 2014).

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