Current Psychiatry Reports

, 15:395

Psychopharmacology for Medically Ill Adolescents

Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

DOI: 10.1007/s11920-013-0395-y

Cite this article as:
Bursch, B. & Forgey, M. Curr Psychiatry Rep (2013) 15: 395. doi:10.1007/s11920-013-0395-y
Part of the following topical collections:
  1. Topical Collection on Complex Medical-Psychiatric Issues

Abstract

Medically ill adolescents are at increased risk for psychological distress and/or functional impairment. However, there are few research studies examining the optimal psychiatric treatments for this population. Psychiatric medication recommendations are largely based on studies of youth with a primary psychiatric disorder, adult studies, hypothesized mechanisms of action, and/or clinical experience. This paper provides evidence-informed recommendations for the psychopharmacological treatment of acutely medically ill adolescents suffering from significant psychological distress and/or functional impairment. Representing the most common problems among medically ill adolescents that are treated with psychiatric medications, recommendations are provided for anxiety and depression; iatrogenic medical trauma, inadequate sleep and insomnia; and, delirium.

Keywords

Psychopharmacology Adolescents Pediatric Iatrogenic Medical Depression Anxiety Insomnia Sleep Trauma Post traumatic stress disorder PTSD Delirium Emergence delirium Treatment Hospital Benzodiazepines Opiates SSRIs Neuroleptics Antipsychotics Psychiatry 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Division of Child Psychiatry, Department of Psychiatry and Biobehavioral Sciences, Department of Pediatrics, UCLA Semel Institute for Neuroscience and Human BehaviorDavid Geffen School of Medicine at UCLALos AngelesUSA
  2. 2.Division of Child Psychiatry, Department of Psychiatry and Biobehavioral SciencesUCLA Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLALos AngelesUSA

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