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Do you have patients with severe ADHD who are just not getting better?  Did you know that they *might* have undiagnosed bipolar?  

In this episode, Dr. Fallucco and Dr. John Walkup talk about how to distinguish bipolar disorder in children and teens from ADHD. They provide clinical pearls for clinicians and share examples from kids and teens with bipolar.  

Some Key differences between ADHD and BIPOLAR highlighted include :

- the nature of relationships in ADHD vs. BIPOLAR

• Kids w/ ADHD tend to be fun, likable while kids with BIPOLAR have more serious problems in relationships, including with their own parents

-  extreme impulsivity

• Kids and teens with Bipolar have more extreme, intense impulsive aggression and emotional reactions

** Early identification and consultation with psychiatry is key to helping support these kids and families best.**

Check out our website PsychEd4Peds.com for more resources.
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Have you ever wondered if one of your patients has bipolar? On this episode, we talk about the red flags for bipolar - and questions you can ask to determine whether they may have bipolar. We discuss key signs such as the inability to regulate upside mood, decreased need for sleep, hypersexuality, and grandiosity, providing concrete examples and questions to help guide your clinical assessment. Join Dr. Elise Fallucco and Dr. John Walkup as they offer valuable insights into distinguishing bipolar disorder from other conditions like ADHD and anxiety.

00:00 50 - RED FLAGS for Bipolar w/ Dr. John Walkup

01:30 ***Not all MOOD SWINGS are bipolar***

02:10 RED FLAGS for BIPOLAR - Inability to regulate UPSIDE mood

02:28 Appetites for FUN and Mood

04:22 Energy Drive - Wake up ready to go

04:52 What Questions to Ask about SLEEP to see if they could have bipolar

06:03 Hypersexuality in KIDS presents as interest in romance

07:06 Grandiosity

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Welcome to our new segment called Mystery Case Files where we walk through a clinical case that presents a bit of mystery. Using the latest research and evidence, we discuss practical approaches to help YOU care for your patients effectively.

This episode features the case of a nine-year-old boy with anxiety who develops new onset of behavior problems. 

00:00 Introduction to Mystery Case Files

00:27 Today's Mystery case

00:27 Presenting the Case: A 9-Year-Old with Anxiety

00:54 Initial Thoughts and Differential Diagnosis

01:32 Reviewing the Patient's History

02:04 Choosing the Right Medication for Anxiety

02:10 What is the best medication for anxiety?

03:34 Four Weeks Later: Follow-Up Visit

03:58 Analyzing New Symptoms and Possible Causes

05:01 Is the anxiety medication making him worse?

05:26 Exploring ADHD and Medication Side Effects

07:09 Understanding Activation Syndrome

08:45 Pharmacokinetics and Genetic Factors

10:25 Solving the Mystery and Next Steps

11:02 Conclusion and Call to Action

Visit us on our website or message us with YOUR MYSTERY CASE that we can discuss!

Check out our website PsychEd4Peds.com for more resources.
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In this episode of Psyched for Peds, Dr. Elise Fallucco and her teenage son, Chase Fallucco, discuss the seasonal surge of mental health symptoms, termed the 'emotional flu,' impacting teenagers during October and November.  They discuss:

** What are the symptoms and signs of the emotional flu?

** Why are October and November high-risk periods for the Emotional Flu?

** What can we do to "vaccinate" teens against the Emotional Flu?

Check out our website PsychEd4Peds.com for more resources.
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It's time to talk about the mental health impact of *parenting*... and what we can do about it. Join me and our special guest, Ashley, a working mom, as we explore practical tools and exercises to recognize and address signs of BURNOUT.  This episode is for parents AND for all of us who need to take care of ourselves so that we can care for others.  We talk about practical tools like:

** The stress continuum: Are you green, yellow, orange, or red?

** 'What's on your plate' or 'What's on your mind?': Exercises to assess and reprioritize responsibilities. 

*** Self-care that WORKS to recharge mentally and physically:  including social connections, creative expression, and exercise 

Check out our website PsychEd4Peds.com for more resources.
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If you think you may be experiencing burnout, what can you do? To answer this question, Dr. Fallucco discusses strategies to combat healthcare burnout with Dr. Jessi Gold, Chief Wellness Officer at the University of Tennessee Health System. 

 WE discuss:
*  That systemic changes in Healthcare are urgently needed to reduce burnout.
*  Individual strategies to address burnout in the current healthcare system including:
----- practicing self-reflection -  and asking, "How Do *I* feel?" and "How is my job affecting my health?"  
-----practicing self-compassion and gratitude, which can help counterbalance the natural tendency for our brain to focus on negative things and threats, 
---  We discuss the “Three Good Things” exercise which  can help reduce burnout and increase well-being. Three Good Things and other free tools are available at the Duke Center for Healthcare Safety and Quality online at: https://hsq.dukehealth.org/tools/ 

Dr. Jessi Gold is an Associate Professor of Psychiatry at UT Health Science Center. Dr. Gold is not only a psychiatrist, but she is a mental health advocate and fantastic writer whose work has appeared in the New York Times, The Atlantic, InStyle, Slate, and Self. 

https://www.drjessigold.com/
@drjessigold

Dr. Gold's new memoir is called
 How Do You Feel? One Doctor's Search for Humanity in Medicine available on Amazon at
https://www.amazon.com/exec/obidos/ASIN/1982199776?tag=simonsayscom

Check out our website PsychEd4Peds.com for more resources.
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HALF of all healthcare workers are Burned Out.  But most of us typically power through without recognizing the classic signs.  How can you tell when you're going through burnout? And more importantly, what is it about the culture of medicine and healthcare that increases our risk of experiencing burnout? 
To help us sort through these issues and RECOGNIZE signs of burnout, we talk with Dr. Jessi Gold, Psychiatrist and Chief Wellness Officer of the University of Tennessee Health System.  She is the author of a memoir called How Do You Feel? One Doctor's Search for Humanity in Medicine.  This book highlights her experience taking care of healthcare workers during the pandemic, and  emphasizes the *emotional toll that it is involved when we're taking care of others*. 

** What are the signs of burnout?

** Why is it so hard to recognize burnout?

** How can we start to notice when we are going down the path of burnout?

Dr. Jessi Gold is an Associate Professor of Psychiatry at UT Health Science Center. Dr. Gold is not only a psychiatrist, but she is a mental health advocate and fantastic writer whose work has appeared in the New York Times, The Atlantic, InStyle, Slate, and Self. 

https://www.drjessigold.com/

Her new memoir is called
 How Do You Feel? One Doctor's Search for Humanity in Medicine available on Amazon at
https://www.amazon.com/exec/obidos/ASIN/1982199776?tag=simonsayscom

Check out our website PsychEd4Peds.com for more resources.
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Join us as we wrap up our first year of PsychEd4Peds and prepare for a summer break!

Check out our website PsychEd4Peds.com for more resources.
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Do you ever wish you had a child psychiatrist on speed dial? Well, now you can!  This week, we talk about how to get connected to a Pediatric Mental Health Care Access Program (PMHCAP) near you that offers:
* phone consultation with child psychiatrists to help you care for kids in your office
* care navigation services to help you find resources
I will walk you through what to expect when you call your local PMHCAP and how they can be helpful for you and for your patients.

For a list of statewide PMHCAPs near you, check out:
https://mchb.hrsa.gov/programs-impact/programs/pmhca-awardee-teleconsultation-phone-lines

Link also available on our website, PsychEd4Peds.com

Check out our website PsychEd4Peds.com for more resources.
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In this episode, meet Dr. Lia Gaggino, pediatrician and host of the child mental health and clinician well-being podcast, Pediatric Meltdown.  She shares resources and tips to help practicing pediatricians including her now podcast, Pediatric Mental Health: Building Better Workflows.  This new podcast is about how to implement change in pediatric practices from how to get buy-in for change, set goals, and engage your team in implementing  change, plus tips on billing and coding and more.

Dr. Lia Gaggino's Podcast: Pediatric Meltdown
Website: Pediatricmeltdown.com

Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds