On Demand Grand Rounds: The Assessment And Management Of Irritability In Children With Disruptive Behavioral Disorders
This presentation was originally reviewed on December 4, 2023, broadcast live online on December 1, 2021, from 12:00 pm - 1:00 pm ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
This presentation will focus on the assessment and treatment of irritability in children with ADHD and Disruptive Behavioral Disorders. Irritability conceptualized as the propensity for anger and it often manifests as intense emotional outbursts. It is one of the most common reasons that children present for behavioral health care with up to 50 % of children with ADHD manifesting impairing levels of irritability. This lecture will review key aspects to a structured assessment of irritability and synthesize the current evidence base for the psychosocial and pharmacological treatment of it in children with ADHD in order to aide attendees in developing systematic methods for the assessment and management of irritability in youth with ADHD.
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
At the conclusion of this activity, attendees will be able to:
- Outline the key aspects of assessing irritability in youth.
- Describe key components of efficacious psychosocial treatments for irritability in youth with ADHD.
- Discuss the evidence base for the pharmacological treatment of irritability in youth with ADHD
Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community. Your tax-deductible donations will help maintain the outstanding quality of this service.
Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults. Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level. We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report. Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.
Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.
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About the speaker
Dr. Waxmonsky is the Division Chief of Child Adolescent Psychiatry at the Hershey Medical Center, the University Chair in Child Psychiatry at Penn State and a Professor of Psychiatry at the Penn State College of Medicine. His research focuses on the integration of medication and behavioral treatments targeting both children and their parents to improve the long-term efficacy and tolerability of ADHD treatments. He has a particular focus on the assessment and treatment of irritability in youth with ADHD and other behavioral disorders. He runs a clinical practice that provides assessment and treatment services for ADHD across the lifespan. He oversees the development and expansion of Pediatric Behavioral Health Integrated Care Programs at the Penn State Health and is the medical director of the Telephonic Psychiatry Services Program at Penn State Health that covers central and northeastern Pennsylvania.
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
James G. Waxmonsky, MD, reports he is a researcher for Supernus and performs consulting work with Adlon Pharmaceuticals and Intracellular Therapies, Inc. He will discuss off-label pharmaceutical use in the treatment of irritability and aggression in generic terms. The content of his presentation was reviewed to find and mitigate any conflicts of interest to ensure that the information presented is balanced and evidence-based and contains no logos, brand-names, or advertisements.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, PMH-BC, NPD-BC, NE-BC , Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hours for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.
- 1.00 ACEP NBCC clock hours
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 MNA Contact Hours for Nurses
- 1.00 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: The Assessment and Management of Irritability in Children with Disruptive Behavioral Disorders
James Waxmonsky, MD
Division Chief of Child Adolescent Psychiatry
Penn State Health
Milton S. Hershey Medical Center, the University Chair in Child Psychiatry at Penn State and a Professor of Psychiatry
Penn State College of Medicine
Originally reviewed December 4, 2023.
Originally broadcast live December 1, 2021, from 12:00 pm - 1:00 pm ET
Enduring Activity Credit Expiration Date: January 5, 2026.
Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15
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