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Less Is More: Inpatient Management of a Child with Complex Pharmacotherapy
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Kratochvil, Christopher J.; Varley, Christopher; Cummins, Thomas K.; Martin, Andres – Journal of the American Academy of Child and Adolescent Psychiatry, 2006
This paper presents a case of an 11-year-old boy who was admitted to an acute inpatient psychiatric setting because of a recent exacerbation of physical aggression, accompanied by long-standing problems with verbal aggression, irritability, dysphoria, and sleep disturbance. His family history was notable for domestic violence, substance abuse by…
Descriptors: Substance Abuse, Sleep, Family Influence, Depression (Psychology)
Pharmacological Management of Treatment-Induced Insomnia in ADHD
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Kratochvil, Christopher J.; Lake, Marybeth; Pliszka, Steven R.; Walkup, John T. – Journal of the American Academy of Child and Adolescent Psychiatry, 2005
A 7-year-old girl with attention-deficit/hyperactivity disorder (ADHD), combined subtype, and oppositional defiant disorder presents with a complaint of marked insomnia. Her parents describe 60 to 90 minutes of nightly initial insomnia that began with the initiation of 36 mg OROS methylphenidate (Concerta) 2 months ago. Behavioral interventions…
Descriptors: Drug Therapy, Stimulants, Sleep, Hyperactivity