At least 138,000 children in the United States are estimated to have Tourette’s syndrome, a condition which causes urges that lead to repeated involuntary movements (motor tics) and sounds (phonic tics). For decades, research suggested pharmaceutical therapies were the only effective treatments for tics, but clinical psychologist Dr. Geoffrey Wiegand is having success using a new, innovative behavior intervention to treat tics. Wiegand is also offering highly effective behavior therapy to children with Obsessive Compulsive Disorder (OCD) to help them manage their worries and compulsions.
Jules Brown’s OCD made her afraid to leave her house. Now that she has has effective treatment, she tries new things like inner tubing.
Jules Brown appeared to be a happy, healthy child until she was 5 years old, when her parents began noticing odd behaviors. She was constantly changing her clothes out of fear of being dirty and would wash her hands until they bled. It took the family hours to leave the house because Jules was terrified she would have an “accident” and would insist on visiting the bathroom repeatedly. At school, she spent many days in the nurse’s office, afraid of various illnesses or injuries that she did not have.
“As her mom, I wanted to protect her, so we were constantly doing anything we could to reassure her,” Christie Brown said. “But the impulsive behaviors just got worse.” Read full post »
Dr. Laura Richardson, adolescent medicine specialist at Seattle Children’s Hospital and principal investigator in the Center for Child Health, Behavior and Development at Seattle Children’s Research Institute.
A new study from Seattle Children’s Research Institute suggests integrating mental health treatment into primary care may reduce depression symptoms in teens.
Challenges accessing treatment
While 14% of teens experience serious depression, few receive evidence-based treatments for mental illness. This puts them at greater risk of suicide, substance abuse, early pregnancy, low educational attainment, recurrent depression and poor long-term health.
Accessing mental health treatment can be challenging for patients and their families. In the typical clinic, teens diagnosed with depression by a primary care doctor are referred to mental health specialists for treatment, requiring their families to identify an available specialist, set up an appointment and travel to a new care setting. Dr. Laura Richardson, an adolescent medicine specialist at Seattle Children’s Hospital and principal investigator in the Center for Child Health, Behavior and Development at Seattle Children’s Research Institute, said she often sees patients who have not been able to connect with a mental health provider return to her with worse depression symptoms. Read full post »
Finding mental health treatments without unwanted side effects can be challenging, but scientists at Seattle Children’s Research Institute (SCRI) have discovered an area of the brain that could one day be targeted to treat depression more effectively.
Dr. Eric Turner, a principal investigator in Seattle Children’s Research Institute’s Center for Integrative Brain Research, together with lead author Dr. Yun-Wei (Toni) Hsu, also from Seattle Children’s Research Institute, learned that a tiny region of the brain – the dorsal medial habenula –controls the motivation to exercise and participate in other rewarding activities in mice, and potentially in humans. Exercise is one of the most effective non-pharmacological therapies for depression, so determining which part of the brain may be responsible for exercise motivation could help researchers develop more targeted treatments.
“Changes in physical activity and the inability to enjoy rewarding or pleasurable experiences are two hallmarks of major depression,” Turner said. “But the brain pathways responsible for exercise motivation have not been well understood. Now, we can seek ways to manipulate activity within this specific area of the brain without impacting the rest of the brain’s activity.” Read full post »
The teen years can be difficult– you’re fighting for your independence but still trying to develop an identity. And your 20s come with their own obstacles, like going to college, starting a career and living on your own. Can you imagine facing those developmental milestones while injecting yourself with insulin or enduring chemotherapy?
Dr. Abby Rosenberg, medical leader for Seattle Children’s Hospital’s Adolescent and Young Adult Cancer program and researcher in Seattle Children’s Research Institute’s Center for Clinical and Translational Research, and Dr. Joyce Yi-Frazier, research health psychologist at Seattle Children’s Research Institute, have seen teens with cancer and type 1 diabetes struggle physically and psychosocially. Adolescents and young adults with cancer are less likely to achieve social milestones like college, marriage, and employment and more likely to suffer from anxiety and post-traumatic stress. Likewise, teens with type 1 diabetes struggle to control their blood sugar levels and are more likely to be depressed.
“The teen and young adult years are a critical time of transition for anyone,” Rosenberg said. “When you add a serious illness to the mix, you are asking patients to do extraordinarily hard things. We want to help them integrate the experience into their identity so they are not only surviving, but thriving.”
An intervention model
To help patients, Rosenberg and Yi-Frazier worked together on the Promoting Resilience in Stress Management (PRISM) study. PRISM is an intervention model designed to teach patients resilience – the ability to maintain psychological and physical well-being in the face of stress – to buffer the impact of serious illness. Read full post »
Dr. Raphael Bernier
A researcher at Seattle Children’s Hospital and Research Institute, in collaboration with researchers from 13 institutions worldwide, has found a genetic identifier for autism that includes physical features and a pattern of symptoms that may eventually allow clinicians to develop targeted treatments or ultimately potentially identify babies who are at risk for autism before they are born.
Dr. Raphael Bernier, clinical director of Seattle Children’s Autism Center and Associate Professor at the University of Washington, discovered that a mutation of the CHD8 gene, in addition to significantly increasing a child’s risk of developing a specific subtype of autism, also causes several unique physical traits.
We had the opportunity to chat with Bernier and ask him how this discovery will impact children and families.
Read full post »
At 12 years old, Pepper Snider knew something wasn’t quite right. After a bout of Mononucleosis (mono), Snider began feeling a sense of enjoyment from hunger and started to purposely restrict herself. Years later, a comment from an eighth grade classmate would put everything into focus.
“Look at that roll.”
It was the beginning of a very dangerous journey for Snider, one that would take years to diagnose as anorexia nervosa. Now, at 25 years old, Snider is fully recovered and wants others to know they are not alone in their struggle. Her mission is to help build a community of support and let other people know it is okay to ask for help. Read full post »
Many of us remember summer camp fondly – the games you play; the songs you sing; and the friends you make. But children with attention deficit hyperactivity disorder (ADHD) and autism spectrum disorders don’t always have the chance to participate. Besides missing the fun, they also miss out on opportunities to learn new skills and experience success outside of school.
To address these concerns, Seattle Children’s Hospital has partnered with University of Washington’s Apex Summer Camp, which was created 6 years ago for children with autism. New this year, Seattle Children’s will offer the adjoining Camp Sea STAR for children with ADHD. These joint, evidence-based programs are designed to improve social skills and self-esteem of children with ADHD or autism and their peers or siblings with structured, day camp activities.
“Children with ADHD and autism can’t always go to camp because their behavioral challenges get in the way,” said Dr. Mark Stein, a Seattle Children’s ADHD expert who has been leading camps like this in Chicago for six years. “We use sports and creative exercises to teach them skills like paying attention and following directions.”
“The UW Autism Center created APEX summer camp to provide a fun, summer time experience for children with Autism to build their recreational and social skills,”said Dr. Annette Estes, Director, UW Autism Center. “We are delighted to extend the program to children with ADHD. Partnering with Dr. Stein is a great opportunity to bring together these two groups of children”
Read full post »
Last year at my son’s high school graduation, I was overcome by a flood of emotion. Not surprising you might say; all moms get choked up when they see their young adult in cap and gown, on the verge of an important life transition. I started thinking back to when Justin was just a preschooler, and then something caught my eye.
A handful of students were sitting closer to the stage, supervised by teachers. While I didn’t know them by name, I knew them. These were some of the students in the special education classroom that I had just visited a few weeks prior, the classroom where Justin’s younger sister, Carrie, would soon be enrolled..
As Justin was starting preschool 14 years ago, Carrie was diagnosed with severe autism. Her preschool years were filled with numerous therapies and interventions all aimed at helping her to be more able. During those early years, I sought out moms whose kids were a bit older, figuring they’d be a few steps ahead of us in navigating this new world of special needs. Read full post »
Parents can be understandably nervous when learning the potential side effects of a medication prescribed to their child, but those risks are often outweighed by the medication’s perceived benefit. Researchers at Seattle Children’s Hospital are studying psychiatric medications to make sure the medicines they prescribe do less harm than good.
Robert Hilt, MD, is a child psychiatrist at Seattle Children’s Hospital who has successfully treated many children with psychiatric medications. Hilt began his medical career as a pediatrician and was initially reluctant towards prescribing psychiatric medications until he observed children benefiting from their use. His concern about the frequency of side effects from such treatments inspired him to lead a new study to measure the frequency and severity of side effects in children and adolescents taking psychiatric medicines.
“Typically, data reported by the U.S. Food and Drug Administration on medication side effects is based on six to eight week studies using a single drug for a single problem,” Hilt said. “But kids often have multiple conditions and may use several medications for years. We wanted to know how many of those kids were having side effects.”
More medications can mean more side effects
Parents across the country, whose children were prescribed psychiatric medications, completed an online survey for Hilt’s study reporting potential drug effects including increased appetite, sedation, insomnia, stomachache or headache. Most participants – 84 percent – reported their children had some side effects. The number of effects, and overall severity of them, increased with the number of psychiatric medications the children were taking. Read full post »
It is fascinating to watch an infant, who cannot yet talk or walk, play games on a tablet computer. But many parents wonder, should children so young be playing with these devices? Despite previous recommendations that children under age 2 should not use any media, a Seattle Children’s Research Institute expert now says children may benefit from playing with age-appropriate apps for 30 to 60 minutes each day.
In 2011, Dimitri Christakis, MD, MPH, was part of a panel of experts who supported a statement by the American Academy of Pediatrics (AAP) discouraging the use of media by children under 2 years old. But in a new opinion essay, Christakis says that statement should be updated to address new technologies – specifically, the iPad and other tablet computers.
“The AAP statement was in press before iPads existed,” Christakis says. “It treats all screens the same, but there are a lot of theoretical reasons to believe tablet computers are quite different and prior research on traditional media doesn’t apply.”
While he still believes young children should not watch television, Christakis says tablets may be harmless, or even beneficial to infants. Given most parents are ignoring the AAP’s recommendation and 90 percent of children under age 2 watch video screens regularly, Christakis says tablets with interactive apps could be a better alternative. Read full post »