Dr. Yeseswini Kamaraju, M.D. Psychiatry [USA] Fellowship - Child & Adolescent Psychiatry [USA]

1. Child and Adolescent psychiatry
Realm of a Child and Adolescent Psychiatrist
Dr. Yeseswini Kamaraju, M.D. Psychiatry
[USA]
Fellowship - Child & Adolescent Psychiatry
[USA]

2.  Infancy  Toddler – elementary
 Developmental Disorders School
 Feeding problems  Temper tantrums
 Attachment disorders  Aggression
 hyperactivity
 Middle School  Adolescence / High
 Academic concerns School
 Behavior problems  Peer related issues
 Mood / anxiety  Mood /anxiety
 Academic concerns
 Deviant behaviors

3. Hospital Referrals
 Hospital Referrals
 Overdose / suicide attempts
 Chronic medical illness impairing
functioning
 Somatic complaints / psychological
component in presentation
 Mood / anxiety or other psychological
issues comorbid to medical illness
 Family /child in crisis

4. Hospital Referrals
 Pregnant women with mood /anxiety or
other psychiatric issues
 Postpartum problems
 Parenting issues
 Rehabilitation units

5. School Referrals
 Behavior problems
 Hyperactivity / Inattention [ADHD]
 Academic difficulties
 Aggression
 School phobia , Anxiety
 Decline in functioning

6. School referrals
 Guidance to teachers
 Behavior Management in the class room
 Assess child’s needs / appropriateness of
school
 Parent guidance

7. Child psychiatrist referral?
When?
 Decline in  Modification of
functioning treatment plan
 Child/family in crisis  Possible use of
 Increase in Medications to
severity/intensity of target specific
existing problems symptoms
 Failed current
modalities of
 Ongoing follow up &
treatment medication
management

8. Child psychiatrist referral?
How?
 Parental consent
 Screening cases
urgent
acute
chronic
 Referral specialist
 Consultation question
 Schedule appointment

9. Child psychiatrist Referral
what can be done?
 Diagnostic assessments
 Intervention planning
 Consultation Liaison
 Medication
management
 Psychotherapy

10. Psychiatric diagnoses in
children and adolescents
 Autism Spectrum  Post Traumatic
Disorders Stress Disorder
 ADHD  Eating disorders
 Mood disorders
 Obsessive
 Anxiety disorders
Compulsive
 Conduct disorder
Disorder
 Oppositional defiant
disorder  Addictive disorders
 Psychotic disorders

11. Integrating Treatment
 Psychotherapeutic  Pharmacological
interventions interventions
Behavioral
CBT
Psychodynamic
Interpersonal
Group
 Sociotherapies

12. Conclusions
 Comprehensive evaluation
 Address psychological impact in
medical illness
 Parent Education / awareness
 Address school issues
 Liaison with other departments