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Category: Medication

Managing SSRI Discontinuation in Children and Adolescents
Managing SSRI Discontinuation in Children and Adolescents

April 30, 2026

The decision to wean a child or adolescent off selective serotonin reuptake inhibitors (SSRIs) often comes with feelings of both hope and trepidation—not just from the parent and child, but also from the primary care clinician. A recent meta-analysis published in The Lancet Psychiatry found that 15% of patients experience withdrawal symptoms when stopping SSRI

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When Adolescent Patients Transition to College: The Provider’s Role
When Adolescent Patients Transition to College: The Provider’s Role

September 26, 2024

“Any transition is a time that our patients can trip and fall,” explains Tina Nicholson, MD, a family doctor specializing in children and youth mental health. The transition to college, especially if it involves moving away from home, is no exception.  To understand how providers can help adolescents navigate this transition, we spoke with REACH

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Navigating Parent Concerns About Children’s Medications
Navigating Parent Concerns About Children’s Medications

July 22, 2024

“Many parents’ biggest concern about starting their children on medication is committing to an intervention they won’t be able to stop in the future,” explains child and adolescent psychiatrist Laurence Greenhill, MD.  Research shows that parental beliefs and concerns are a top contributing factor to whether children and adolescents receive proper treatment for mental health

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One teen, 10 psychiatric drugs. This must stop!
One teen, 10 psychiatric drugs. This must stop!

September 8, 2022

On August 27, The New York Times ran an article by Matt Richtel titled “This Teen Was Prescribed 10 Psychiatric Drugs. She Is Not Alone.” It documents the practice of “polypharmacy”: prescribing multiple medications—most of which have not been tested either in children or in combination with one another—to manage young patients’ depression or anxiety. That young patients are being prescribed potent cocktails of untested drugs is obviously wrong. The question is, how did we get to this point, and what can we do about it?

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ADHD medication “holidays”?
ADHD medication “holidays”?

June 13, 2022

As summer rolls around, families may ask whether their children can have a “holiday” from their psychoactive medication, especially for attention-deficit hyperactivity disorder (ADHD). We asked Lawrence Amsel, MD, MPH, a REACH faculty member and associate professor of psychiatry at Columbia University, to lay out the pros and cons.

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New treatments for ADHD
New treatments for ADHD

January 21, 2022

Newer treatments approved by the Food and Drug Administration (FDA) for pediatric patients with attention-deficit/hyperactivity disorder (ADHD) include two medications that address some of the common issues families have with standard stimulant treatments. Another development is use of devices to manage ADHD symptoms.

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Cross-titrating psychiatric medications
Cross-titrating psychiatric medications

July 26, 2021

If you struggle with titrating psychiatric medications for your pediatric patients, you are not alone. Even for some alumni of the REACH program Patient-Centered Mental Health in Pediatric Primary Care, lack of comfort with psychiatric medications can hamper effective treatment. What does it take to dose and cross-titrate effectively? We asked two REACH faculty members: Peter S. Jensen, MD, REACH founder, and Amy Kryder, MD, education lead of the statewide REACH program in Virginia.

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Helping patients manage the transition to college
Helping patients manage the transition to college

July 24, 2019

“Going to college is exciting, but students need to know that this experience, though positive, may also be stressful,” said REACH faculty member Elena Man, MD. Dr. Man recommends resources and strategies that pediatric primary care clinicians can use to prepare patients for this significant transition to a new environment for learning, living, and friendships.

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GLAD-PC Toolkit Is Here to Help You Treat Depression
GLAD-PC Toolkit Is Here to Help You Treat Depression

November 15, 2018

The new edition of Guidelines for Adolescent Depression in Primary Care (GLAD-PC) is now available on The REACH Institute website. This practical toolkit offers dozens of resources to help pediatric primary care providers diagnose and treat depression.

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August 12, 2026

🎉 Please join us in congratulating REACH’s 2026 Patient-Centered Mental Health in Pediatric Primary Care (PPP) scholarship recipients! This year, REACH awarded full PPP scholarships to 45 clinicians serving high-need communities across the country, equipping them…

August 7, 2026

Helping children with mental health concerns can be complex, but you don't have to navigate it alone. REACHing Solutions is The REACH Institute's podcast for pediatric clinicians, featuring practical conversations, expert insights, and real-world strategies to…

August 3, 2026

A look inside recent REACH trainings, where clinicians and health care systems are learning together, building practical skills, and strengthening their ability to support children and families.

July 29, 2026

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