Researchers found that childhood unpredictability provided additional information about mental health risk beyond conventional ACEs screening.
Feature|Articles|March 17, 2025
- March 2025
- Volume 41
- Issue 2
Incorporating mental health care into primary visits
Author(s)Joshua Fitch, Senior Editor
Pediatricians face rising demands in specialty care and mental health, with programs such as REACH helping them manage these challenges.
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General pediatric providers and pediatric specialists across multiple areas of medicine have told Contemporary Pediatrics that general providers are taking on more and more responsibilities. Longer wait times for pediatric specialty care, exacerbated by the COVID-19 pandemic, are still lingering and contributing to these added responsibilities.1
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Tallie Z. Baram, MD, talks about how adding a measure of childhood unpredictability to ACEs screening may help pediatricians identify children at risk for mental health problems.
Bradley Peterson, MD, discusses when pediatricians should consider adding a second treatment for pediatric anxiety and why improvement may continue well beyond the first 3 months of therapy.
Bradley Peterson, MD, discusses how treatment preferences, access, tolerability, and patient characteristics can guide pediatric anxiety care when CBT and medication provide similar overall benefits.
CBT and fluoxetine both reduced pediatric anxiety, while starting with CBT before adding medication showed advantages on several outcomes.
Pediatric psychiatric diagnoses and treatment rose above prepandemic levels, with notable increases in medication initiation and care among girls.
Pediatric mental health treatment exceeded prepandemic levels, with antidepressant initiation rising sharply among girls after COVID-19.
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