Authors: Madison Joseph

(Pictured left to right) Kashi Arora, Dr. Alysha Thompson, Dr. Sina Shah, Gov. Jay Inslee, Erika Boyd, Greta Johnson and Representative Lisa Callan
Most people hope any trip to the emergency room will be a short stay, but many emergency rooms and hospitals in Washington, including Seattle Children’s, are where young people in crisis become stuck when they are unable to get connected to the kind of support they need.
Last summer and fall, Seattle Children’s convened with other hospital leaders and government agency officials to devise a legislative fix.
The group included representatives from the agencies that oversee, health, social services, child welfare, and education as well as the mental health policy lead in the governor’s office. They met for over six months before settling on many of the provisions outlined in what is now called House Bill (HB) 1580.
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Authors: Bob Sable and Madison Joseph
There is growing concern about social media’s effects on mental health, especially for kids.
In January, Seattle Public Schools filed a lawsuit against Facebook, Instagram, TikTok, Snapchat and YouTube for their roles in “creating a youth mental health crisis.” In February, the Senate Judiciary Committee held a hearing about the issue, with some senators demanding social media companies be held accountable.
How does social media affect mental health? Are the concerns valid? And if so, what can parents and other adults do to protect kids (and themselves)?
Dr. Yolanda Evans, co-chief of the Division of Adolescent Medicine and a principal investigator in the Center for Child Health, Behavior and Development at Seattle Children’s, sees the effects of social media firsthand.
In this Q & A with Dr. Evans, On the Pulse shares her expertise and provides helpful resources for families and caregivers.
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Authors: Madison Joseph

Anxiety and depression are two of the most common mental health conditions seen and treated at Seattle Children’s.
Although sometimes confused, they are different classes of disorders. Some of the confusion stems from an overlap in symptoms and in fact, people often experience both at the same time.
Dr. Kalina Babeva and Dr. Sonia Venkatraman, co-directors of the Mood and Anxiety Program at Seattle Children’s, dive into these conditions with On the Pulse to answer some frequently asked questions from patients and families.
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Authors: Guest Contributor

Emme, a Seattle Children’s Eating Disorders Recovery Program patient, shares her “lifelong journey” to recovery
Seattle Children’s Eating Disorders Recovery Program diagnoses and treats children and teens with anorexia nervosa, bulimia nervosa and other eating disorders.
In this edition of On the Pulse, 19-year-old Emme shares her personal experience at Seattle Children’s – from diagnosis to ongoing recovery, and the lessons learned along the way.
Content warning: The following article describes a patient’s journey with an eating disorder and may be difficult for some to read.
We encourage readers to prioritize their own mental and emotional needs in reading this story. Resources have been provided following the article.
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Authors: Madison Joseph, Kate Citoli and Ashley Speller

For parents with children or teens who are having problems at home or at school for more than six months due to trouble with attention, learning or behavior, understanding if it’s attention deficit hyperactivity disorder (ADHD) or a related disorder, is important.
ADHD is a neurodevelopmental disorder and is the most common mental health disorder during childhood. It can be effectively treated in most cases, and improvement happens most quickly with the combination of medicines and behavior therapy.
With ADHD affecting up to 10% of the population, parents and caregivers of adolescents diagnosed with ADHD often have many questions. To help answer some of those most commonly asked, On the Pulse spoke with Dr. Erin Gonzalez, Co-Director of the Behavior and Attention Management Program in Seattle Children’s Psychiatry and Behavioral Medicine department.
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Authors: Katie Scaff

Seattle Children’s Care Network (SCCN) Integrated Behavioral Health Program helps kids receive behavioral health services from specialists embedded in their primary care clinic.
Seattle Children’s has teamed up with primary care pediatricians in the Puget Sound region to implement a new approach to address the growing youth mental health crisis.
Seattle Children’s Care Network (SCCN) and Seattle Children’s Psychiatry and Behavioral Medicine launched a Pediatric Integrated Behavioral Health Program in 2020 to provide children and their families with the mental and behavioral health support they need earlier and closer to home.
The innovative program aims to empower primary care teams to identify, manage and coordinate mental and behavioral health services within their community settings with the long-term goal of alleviating pressure on hospitals and specialty care practices.
“Mental health care is one of the greatest unmet needs in pediatric health, said Dr. Sheryl Morelli, chief medical officer for SCCN. “The support we received from the Seattle Children’s Guild Association’s Funding Hope Award has been instrumental in establishing the foundational components of an integrated behavioral health program across our network, including universal behavioral health screenings and brief evidence-based interventions within primary care.”
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Authors: Ashley Speller and Heather Cooper
Winter can be a blue time of year for people of all ages, particularly as the days get shorter, darker and colder. These ‘winter blues’ can include feeling seasonally sad, irritable or fatigued, and can sometimes cause a decline in mood and motivation.
While it’s normal for all children to experience emotional ups and downs, including the winter blues, at least one in five kids will have a diagnosable mental health problem that needs treatment.
“People have high expectations around the holidays,” said Dr. Elizabeth McCauley, associate director of Seattle Children’s Child and Adolescent Psychiatry and Behavioral Medicine. “And sometimes those expectations are too high for what the holidays will bring. You get a mental image that things are supposed to be perfect, like in a story book. But the reality can be more down to earth.”
Here are some supportive ways that parents and caregivers can help their child or teen cope this winter, while staying alert to the signs and symptoms of mental health concerns that require expert care.
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Authors: Seattle Children's Press Team

Kendra L. Read, PhD, Attending Psychologist, Seattle Children’s
The pandemic has been difficult for many of us, especially for children and teens. Not only are children grappling with the challenges that naturally occur during formative years, but the weight of recent events has exacerbated mental health issues. At alarming rates, youth are reporting feelings of depression and anxiety. Read full post »
Authors: Madison Joseph
Just in time for Autism Acceptance Month, the Seattle Children’s Alyssa Burnett Adult Life Center (ABC), which offers lifelong learning for people 18+ with autism spectrum disorder (ASD) and other developmental disabilities, reopened its expanded doors in late March, rolling out in-person classes for the first time since the COVID pandemic began.
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Authors: Madison Joseph
The 2022 Washington State Legislative session concluded in mid-March, after a whirlwind 60-day session. This was a historic session for many reasons, especially for child and youth behavioral health. There has been a growing focus on the national youth mental health crisis over the past year, and we are thrilled at the investment and commitment demonstrated in the legislature. Read full post »