The importance of recognizing a child with bipolar disorder
February 1st 2005Too often, confusion clouds the diagnosis of bipolar disorder in pediatric patients. To help ensure that these children get the treatment they desperately need, pediatricians must understand the unique way that this illness manifests in the young.
To the beat of a different drummer: The gender-variant child
February 1st 2005Children who are uncomfortable with their gender are often in distress and represent a source of tremendous anxiety to their parents. Consider your role in such cases to be one of helping the family adjust to and support their child's development with the goal of optimizing the outcome for parents and child.
Behavior: TIMED TESTS POSE A CHALLENGE
February 1st 2005A very smart 7-year-old girl in my practice has difficulty taking timed tests in school. Also, she is able to spell complicated words but sometimes has problems spelling simple words, such as "the," and may spell the word backward. What could explain these difficulties?
Behavior: Ask the Experts: TOO OLD TO SHOWER TOGETHER?
February 1st 2005The father of two siblings in my practice—a 7-year-old girl and a 5-year-old boy—is upset by the fact that their mother (from whom he is divorced) showers with the two children together. At what age is it no longer appropriate for a parent to shower with a child of the opposite sex, and for two opposite-sex siblings to shower or bathe together?
Gambling and children: Betting against the future of young lives
January 1st 2005Gambling among youth is an underrecognized problem. To prevent serious consequences of this activity over the short term and during adulthood, the authors recommend that you screen patients for a gambling habit and refer those in whom you uncover cause for concern.
Severe brain injury: Helping patient and family on the long road back
January 1st 2005Traumatic brain injury affects virtually every aspect of the patient's-and family's-life. Here's what to expect in the aftermath and how to help the family deal with the often overwhelming demands of rehabilitation and return to home and community.
Behavior: Ask the Experts: A teenager finds pornography at her father's home
January 1st 2005Q A 15-year-old girl in my practice routinely comes across pornographic materials at her father's house when she goes for a visitation (her parents divorced recently). She has asked her mother not to speak to her father about this because she doesn't want him to know she is snooping. What advice should I give the mother to deal with this uncomfortable situation?