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NEI Podcast

E240 - 2024 NEI Congress Extended Q&A with Dr. Katherine Dahlsgaard, Dr. Roger McIntyre, Dr. Thomas Schwartz, and Lisa Tremayne

Nov 13, 2024
Join Dr. Katherine Dahlsgaard, an expert in child social anxiety, as she shares innovative strategies like cognitive behavioral therapy for pediatric patients. Dr. Roger McIntyre discusses the fascinating link between inflammation, diet, and mental health, emphasizing the importance of nutrition in treating depression. Dr. Thomas Schwartz provides insights on sleep disorders, highlighting effective use of caffeine and melatonin for better rest. Together, they tackle vital topics that intertwine mental health, childhood anxiety, and lifestyle choices.
01:02:08

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Quick takeaways

  • Effective management of selective mutism in children combines exposure-based cognitive-behavioral therapy with the potential adjunct of SSRIs to facilitate speech initiation.
  • Therapists should prioritize the treatment of anxiety disorders in youth, as alleviating anxiety can significantly alleviate co-occurring depressive symptoms.

Deep dives

Understanding Selective Mutism in Children

Selective mutism is a severe form of social anxiety disorder that manifests in children who speak normally at home but fail to communicate in social settings like school. This disorder is often linked to a behaviorally inhibited temperament characterized by heightened reactivity to unfamiliar situations, as identified by Jerome Kagan. Managing selective mutism typically involves exposure-based cognitive-behavioral therapy (CBT), where children gradually learn to speak in anxiety-inducing situations through a structured hierarchy of speech tasks. These tasks progress from making voiceless sounds to answering questions, with a focus on initiating speech in social contexts like school, often incorporating rewards for success.

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