Download Psychopharmacology and Developmental Disorders Woodfords

Psychopharmacology
and
Developmental
Disorders
Woodfords Family Service
Psychiatry Services
PO Box 1768
Portland, ME 041041768
Phone: (207) 8789663
Fax: (207) 8782259
Katherine Ray, MD
Douglas Patrick, LCSW
Approach To Medication Management
*Take a Good History!
-Review History from Multiple Sources
*Rule Out Medical Etiology!
*Include Bio/ Psycho/ Social Model
-Treat Target Symptoms While Treating the Syndrome
IDENTIFYING & TREATING
THE UNDERLYING SYNDROME
BIO- Medications/Preventive/Regular Medical Care
PSYCHO- Testing/Learning Disabilities/Skills Building/
Therapy
SOCIAL – School/Work/Peers/Family
Symptom “Clusters” in Autism and
Developmental Disorders

“ADHD”

“ Anxiety Disorders”

“ Mood Disorders”

“ Sleep Disorders”
BIO / Med Management : Considerations
 Indication/
 Side
Approval
effect profile
 Risk/Benefit
profile
 Compliance
 Abuse
potential
ADHD CLUSTER
Hyperactivity, Impulsivity,
Low frustration tolerance, Inattention, Distractibility
STIMULANTS
Short/Medium Acting
Methylphenidate( Ritalin)
Dexmethylphenidate ( Focalin)
Amphetamine ( Adderall)
Dextroamphetamine ( Dexedrine)
Long Acting
Concerta
Metadate CD
Focalin XR
Ritalin LA
Methylin ER
Daytrana
Quillavent
Adderall XR
Vyvanse
Dexedrine spansule
Non - Stimulants
Antihypertensive medication:
Tenex/ Intuniv
Clonidine/ Kapvay
Antidepressants:
Wellbutrin/Wellbutrin SR/ XL
Strattera
Other:
Provigil
ANXIETY DISORDER CLUSTER
Generalized Anxiety,
Social Anxiety,
Obsessive Compulsive
Symptoms and Behaviors
SSRI

Prozac , Zoloft, Paxil, Lexapro, Celexa, Luvox
SNRI

Effexor XR, Cymbalta, Pristiq

BUSPAR

BENZO'S
MOOD DISORDERS
Mood Irritability, Anger, Aggression
with or without Self Injurious / Impulsive Behaviors
Atypical Antipsychotic
Risperdal **
Abilify **
Zyprexa
Geodon
Seroquel
Latuda
“Typical” Mood stabilizers
Depakote
Lithium
Tegretol
Trileptal
Other
Lamictal
Neurontin
Topamax
SLEEP DISORDERS
Medications
Over the Counter
Benadryl/Melatonin
Vistaril
Trazadone/ Remeron
Clonidine/Tenex
Controlled Rx
**Behavioral Approaches
Sleep Hygiene
Bedtime Ritual
Parent Training
Relaxation Exercises
Anxiety Management
PSYCHOLOGICAL TREATMENTS
Psych/Neuropsychological Testing- Clarify
Diagnosis/Rule Out Learning Disability
Individual Therapy/
Cognitive Behavioral Therapy/Dialectical Behavioral
Therapy/Skills/Coping
Social Thinking/Speech Treatment
Community Based Treatment/Section 28
SOCIAL TREATMENTS
School/ IEP/ Behavioral Modification/Applied Behavior
Analysis
Peers/ Social Skills/Day program
Family/Behavioral Modification/Parent Training/Home
and Community Treatment
Work/Vocational Rehabilitation/ Skills Building
RESOURCES
CASE MANAGEMENT
NAMI
AACAP
DHHS
ONLINE RESOURCES
RESPITE
Medications….Just one part of the Big Picture!
Thank you!!