Children

After the Trauma: How to Manage Anxiety and Stress

9/9/2011

Ten years after the 9/11 terrorist attacks many people continue to struggle with symptoms of anxiety, stress and even posttraumatic stress disorder, or PTSD.

OCD in Children

Most children with OCD are diagnosed around age 10, although the disorder can strike children as young as 2 or 3. Boys are more likely to develop OCD before puberty, while girls tend to develop it during adolescence. Unlike adults, children do not always realize that their obsessions and compulsions are excessive.

Funding for this video provided by a grant from the American College of Neuropsychopharmacology (ACNP)

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Help Your Child Manage Traumatic Events

Since the terrorist attacks of 9/11, most adults have accepted that we live in a new era of trying times. Tornadoes, hurricanes, and other natural disasters, as well as explosions, and other traumatic events threaten our sense of safety and security, and they occur around the world on any given day. Adults often struggle with the effects of trauma, even though they understand them. But children react differently based on their personality, age, and circumstances.

Hurricane Season Is Here: How to Reduce Your Anxiety

Anticipating the arrival of a hurricane, tornado, or severe storm strikes fear and anxiety in the people in its path for good reason. Natural disasters disrupt lives in significant ways, including creating physical and mental health problems and major economic challenges. And the never-ending news about a storm’s arrival may increase your anxiety, stress, and fear.

Here are some tips to help you take care of your own mental health, as well as your family’s before and after a storm.

Treating Children With PTSD

Judith Cohen, MD

Medical Director, Center for Traumatic Stress in Children & Adolescents
Allegheny General Hospital
Pittsburgh, Pennsylvania

Professor of Psychiatry
Drexel University College of Medicine

Dr. Cohen discusses how children experience PTSD and effective treatments.

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New Personal Story of Overcoming OCD

7/15/2011

OCD burdened a bright young woman for more than 10 years. Read all about her recovery and her advice to others who are suffering in Working Toward Compassion and Moderation.

“I advise anyone dealing with OCD to find a competent therapist who specializes in this illness.”

The Throes of Severe OCD: a Mother’s Perspective

My son Dan was in college, and by the time I arrived at his dorm, he had not eaten in more than a week. He was spending hours at a time sitting in one particular chair, hunched over with his head in his hands, doing absolutely nothing. He could not enter most of the buildings on campus and could only do minimal amounts of work at specific times. To top it all off, he was self-injuring. My son was in the throes of severe OCD.

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Anxiety Disorders (Pediatric) Research Study

This study uses functional magnetic resonance imaging (fMRI) to learn how the brain functions in adolescents receiving fluoxetine (Prozac) or cognitive behavioral therapy (CBT) for anxiety or depression in children/adolescents. All participants will receive interviews to assess how they are doing in general, including his or her general mood, degree of nervousness and behavior. Each participant and one of his or her parents will be interviewed separately and together.

Organization: 
NIMH
Principal Investigator: 
Daniel S. Pine, MD; 301-594-9960, Daniel.Pine@nih.hhs.gov
Eligibility Criteria: 

JUVENILE SUBJECTS

Age: 8 to 17

Consent: Can give consent/assent. (Parents will provide consent; minors will provide assent.)

IQ: All subjects will have IQ greater than 70 (Assessment relies on WASI)

SUBJECTS WITH AN ANXIETY DISORDER

Diagnosis: Current Diagnosis of Social Phobia, Separation Anxiety, or Generalized Anxiety Disorder (Based on K-SADS)

Symptom Severity: Score greater than 9 on PARS (This score was used to enroll subjects in previous trial demonstrating efficacy of an SSRI in pediatric anxiety.)

Clinical Impairment: CGAS less than 60

SUBJECTS WITH A MOOD DISORDER

Diagnosis: Current Diagnosis of Major Depression (Based on K-SADS (juveniles) or SCID (adults))

Clinical Impairment: CGAS less than 60 (juveniles) GAS less than 70 (adults)

Symptom Severity: CDRS Score greater than 39 (juveniles) (This score was used to enroll subjects in previous trials demonstrating efficacy of an SSRI in pediatric depression.)

ADULT SUBJECTS

Age: 20-40

Consent: Can give consent/assent.

IQ: All subjects will have IQ greater than 70. Assessment relies on WASI.

Exclusion Criteria: 

ALL SUBJECTS:

Any serious medical condition or condition that interferes with fMRI scanning, and for patients electing medication, any condition that increases risk of SSRI treatment. All patients will have complete physical examination. Healthy volunteer participants will be medication-free and have no current serious medical conditions, based on a review of their medical history.

Pregnancy

Current use of any psychoactive substance; current suicidal ideation; current diagnosis of attention deficit hyperactivity disorder (ADHD) of sufficient severity to require pharmacotherapy. These factors could complicate treatment with an SSRI. No subject on medication will be accepted into the trial. Subjects will not be taken off of medications to enter the trial.

Current diagnoses: Tourette's, OCD, posttraumatic distress disorder, conduct disorder. These factors may be effected by SSRI treatment, influencing ability to detect effects on anxiety/depression

Past or current history of mania, psychosis, or pervasive developmental disorder. These factors may be effected by SSRI treatment, influencing ability to detect effects on anxiety/depression

Recent use of an SSRI: All subjects must have been free of any SSRI use for at least one month (fluoxetine six months) and must not have been treated with an SSRI for their current depressive episode. This is designed to exclude subjects who have failed a trial of an SSRI for their current episode of major depression.

HEALTHY ADULT SUBJECTS

Any current psychiatric diagnosis. Assessment relies on SCID.

SUBJECTS WITH AN ANXIETY DISORDER

Current Major Depressive Disorder

Contact: 
Allison M. Detloff, 301-451-6817, detloffa@mail.nih.gov
Location: 
Bethesda
State: 
Maryland
Study End Date: 
Tue, 2013-12-31

The Art of Persuasion: Changing the Mind on OCD

Reid Wilson, PhD

Director, Anxiety Disorders Treatment Center
Chapel Hill, North Carolina

Associate Clinical Professor of Psychiatry
University of North Carolina School of Medicine

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