Attention Deficit/Hyperactivity Disorders

  • Diagnostic evaluations for ADHD must include scoring of standardized parent AND teacher rating scales, extensive history of concerns from caregivers, interactive assessment, and sometimes may require further educational testing by a psychologist.
  • Treatment planning involves education regarding parenting techniques, behavioral strategies, referrals to therapists as needed, medication initiation (which may include pharmaco-genomic testing to determine which medications are recommended), and advocating for appropriate educational plans (504 plans, behavior intervention plans, IEPs).
  • Ongoing management includes managing medications, updating school supports as needed, and continued coaching on strategies to aid in executive functioning and behavior.

Behavioral Concerns

Initial consultations involve extensive history from caregivers, review of any outside documentation, interactive play with the child, and standardized rating scales when indicated

Examples of behavioral concerns in young children:

  • Ranges from “terrible 2’s”/toddler to preschool and early childhood defiance, disobedience, tantrums, destruction/aggression
  • Anxious, strong-willed, or intense temperaments
  • Potty training concerns
  • Sleep modification

Developmental Delays

Assessment of social, communication, and language delays and referrals to appropriate therapists, as well as education about ways to promote development.

Mental Health Concerns

Initial consultation involves extensive history from child/adolescent and parent(s), standardized screening tools, and review of therapist or outside provider reports

Examples of mental health concerns that Caitlin treats:

  • Autism comorbid mood features, such as anxiety, OCD, irritability (or aggression and self-injurious behavior)
  • Anxiety, OCD, or depression
  • Emotional outbursts, meltdowns, ineffective coping skills

If the following diagnoses are suspected, a psychiatrist would be better suited to address your child’s needs:

  • Childhood bipolar disorder
  • Eating disorders
  • Severe depression with suicidal ideation
  • Conduct disorders
  • Personality disorders
  • Treatment planning includes determining an effective method of therapy/counseling, providing coping techniques, medication initiation (which may include pharmaco-genomic testing to determine which medications are recommended), and developing school plans if applicable
  • Ongoing management involves monitoring progress, medication management, crisis interventions if needed

Sensory Processing Disorders

  • Initial consultations involve obtaining information from parent(s) and child to develop a sensory profile.
  • Treatment planning involves referrals to occupational therapists to provide sensory-based therapy, development of “sensory diet” recommendations for home, advocating for sensory  accommodations in school.
  • Ongoing management involves monitoring progress, reviewing progress notes by occupational therapists, and updating the treatment plan as appropriate.

Learning Disabilities

  • Initial consultations for learning concerns involve discussion with the parent(s) and child and review of psycho-educational (cognitive and academic achievement) testing results if available. Caitlin can identify whether concerns are indicative of a specific learning disability, non-verbal learning disability, auditory processing disorder, low working memory or processing speed, etc. However, note that confirmation of these particular learning diagnoses may involve further testing. Caitlin can guide you towards appropriate evaluations, OR you can first see a psychologist for testing and then review the results and develop a plan with Caitlin.
  • Treatment planning involves determining the child’s learning profile of strengths and weaknesses to pinpoint recommended school and home interventions, tutoring, or other learning methods and programs.
  • Ongoing management involves monitoring progress, reviewing school plans, and updating interventions as needed.

Autism Spectrum Disorders

  • Diagnostic evaluations for ASD include age-appropriate standardized screenings tools and interactive play-based assessments, extensive history from caregivers, review of any outside documentation, and determination using the DSM-V diagnostic criteria.
  • Treatment planning involves education regarding characteristics of ASD, referrals to appropriate therapists, discussion of learning supports and behavioral strategies, and information about community programs
  • Ongoing management includes monitoring developmental progress, prioritizing areas of difficulty and addressing these items accordingly, managing medications to treat specific symptoms if needed, advocating for necessary interventions in schools, and managing certain related conditions such as sleep, constipation, or feeding issues.

© Music City Peds: Developmental & Behavioral Medicine 2016