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Psychopharmacology and Psychiatry Updates
Tic Disorders and Psychiatric Comorbidities in Youth: Treatment Cheat Sheet
Jan 17, 2024
This podcast explores tic disorders and psychiatric comorbidities in youth, including ADHD, OCD, anxiety, depression, and disruptive behaviors. It discusses treatment options, including stimulant use, CBT, and SSRIs. Dr. David Rosenberg provides insights on the subject. The high prevalence of comorbid psychiatric disorders in patients with tic disorders is highlighted, along with potential medication options. The relationship between tic disorders and OCD, anxiety, depression, and disruptive behaviors is explored. Treatment approaches, such as behavioral therapy and pharmacological treatments, are discussed, along with interventions for tic disorders and anxiety or depression. Topair is mentioned as a possibility for pharmacological interventions.
12:11
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Quick takeaways
- Behavioral therapy is recommended for youth with both ADHD and tic disorders, while alpha-2 agonists and stimulant medications are effective pharmacological treatment options.
- Tick-related OCD has a decreased response rate to SSRIs compared to OCD alone, and cognitive-behavioral therapy (CBT) is considered first-line treatment for tick-related OCD.
Deep dives
Tick disorders and comorbid ADHD and their impact on functional impairment
Tick disorders are frequently accompanied by comorbid psychiatric conditions, with ADHD being one of the most common ones. The presence of ADHD in patients with tick disorders can significantly affect functional impairment, as severe ticks can interfere with attention and concentration. Behavioral therapy remains beneficial for youth with both ADHD and ticks. In terms of pharmacological treatment, alpha-2 agonists like Clonidine and Guanfacine are recommended as first-line options, with stimulant medications showing effectiveness in managing both ADHD and ticks, suggesting a combination approach may be appropriate.
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Discover
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