Candida Damian MD, Anne R. McGunagle LICSW, Richard M. Smith MD, C. Paula Lewis-de los Angeles MD, PhD
When children are admitted to intensive mental health treatment, whether it be inpatient or partial hospitalization programs, the entire family can be impacted, especially parents or caregivers. In our multidisciplinary experience on a med-psych inpatient unit, we often see that parents desperately want to help their distressed and ill children, but sometimes need to help themselves first. We, as a treatment team, have the opportunity to help them.
{"title":"How to support parents of children admitted to intensive mental health treatment","authors":"Candida Damian MD, Anne R. McGunagle LICSW, Richard M. Smith MD, C. Paula Lewis-de los Angeles MD, PhD","doi":"10.1002/cbl.30899","DOIUrl":"https://doi.org/10.1002/cbl.30899","url":null,"abstract":"<p>When children are admitted to intensive mental health treatment, whether it be inpatient or partial hospitalization programs, the entire family can be impacted, especially parents or caregivers. In our multidisciplinary experience on a med-psych inpatient unit, we often see that parents desperately want to help their distressed and ill children, but sometimes need to help themselves first. We, as a treatment team, have the opportunity to help them.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 10","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145248678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychopathology is associated with the development of gaming disorder among adolescents, according to a cohort study of young adolescents. In particular, depression, anxiety, social problems, and attention deficit/hyperactivity disorder (ADHD). Addressing these underlying issues may reduce the severity incidence of gaming disorder, the researchers concluded, noting that psychopathology seemed to come first.
{"title":"Which came first — depression or excessive videogaming?","authors":"Alison Knopf","doi":"10.1002/cbl.30902","DOIUrl":"https://doi.org/10.1002/cbl.30902","url":null,"abstract":"<p>Psychopathology is associated with the development of gaming disorder among adolescents, according to a cohort study of young adolescents. In particular, depression, anxiety, social problems, and attention deficit/hyperactivity disorder (ADHD). Addressing these underlying issues may reduce the severity incidence of gaming disorder, the researchers concluded, noting that psychopathology seemed to come first.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145248674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Almost one third of adolescents who use social media, video games, and mobile phones become addicted to their screens. Furthermore, addictive screen use is associated with mental health problems, including suicidal behaviors and suicidal ideation. The higher the addictive trajectory, the more likely suicidal behaviors are.
{"title":"Addictive screen use common in teens, linked to suicidal behaviors","authors":"Alison Knopf","doi":"10.1002/cbl.30903","DOIUrl":"https://doi.org/10.1002/cbl.30903","url":null,"abstract":"<p>Almost one third of adolescents who use social media, video games, and mobile phones become addicted to their screens. Furthermore, addictive screen use is associated with mental health problems, including suicidal behaviors and suicidal ideation. The higher the addictive trajectory, the more likely suicidal behaviors are.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145248680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It all happened just before the 4th of July, as Congress passed by the narrowest of margins the tax bill which slashed Medicaid, among other things.
这一切都发生在7月4日之前,因为国会以最微弱的优势通过了削减医疗补助和其他项目的税收法案。
{"title":"Early response to H.R. 1: Treatment field united in ways to continue services","authors":"Alison Knopf","doi":"10.1002/cbl.30896","DOIUrl":"https://doi.org/10.1002/cbl.30896","url":null,"abstract":"<p>It all happened just before the 4th of July, as Congress passed by the narrowest of margins the tax bill which slashed Medicaid, among other things.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah is a patient we encountered while working in a medical and psychiatric partial hospital program (PHP) for children and adolescents (name and details have been altered for confidentiality). She identified as an 11-year-old, white, cisgender female. She was referred to the program by her gastroenterologist for treatment of somatic symptom disorder (SSD) and rumination disorder. (In rumination disorder, despite a functioning stomach and esophagus, the brain sends signals that cause undigested food to come back up, even though the person is not trying to vomit). For Sarah, rumination was triggered by anxiety, feeling unsupported, and emotional distress. At the time of admission, Sarah was vomiting several times a day and reported multiple somatic complaints, including blurred vision, dizziness, and musculoskeletal pain. These symptoms had a profound impact on her functioning — she was unable to attend school and could not participate in social or extracurricular activities.
{"title":"Somatic symptoms and the need for connection: Insights from attachment theory and clinical care","authors":"Emily Beckmann Ph.D., Deborah Rasile Ph.D.","doi":"10.1002/cbl.30891","DOIUrl":"https://doi.org/10.1002/cbl.30891","url":null,"abstract":"<p>Sarah is a patient we encountered while working in a medical and psychiatric partial hospital program (PHP) for children and adolescents (name and details have been altered for confidentiality). She identified as an 11-year-old, white, cisgender female. She was referred to the program by her gastroenterologist for treatment of somatic symptom disorder (SSD) and rumination disorder. (In rumination disorder, despite a functioning stomach and esophagus, the brain sends signals that cause undigested food to come back up, even though the person is not trying to vomit). For Sarah, rumination was triggered by anxiety, feeling unsupported, and emotional distress. At the time of admission, Sarah was vomiting several times a day and reported multiple somatic complaints, including blurred vision, dizziness, and musculoskeletal pain. These symptoms had a profound impact on her functioning — she was unable to attend school and could not participate in social or extracurricular activities.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 9","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The World Health Organization (WHO) released new guidelines in July recommending the use of injectable lenacapavir (LEN) twice a year as an additional pre-exposure prophylaxis (PrEP) option for HIV prevention. The landmark policy could help reshape the global HIV response, according to WHO. The guidelines were issued at the 13th International AIDS Society Conference (IAS 2025) on HIV Science, in Kigali, Rwanda.
{"title":"Preventing HIV with injectable lenacapavir: WHO recommendation","authors":"Alison Knopf","doi":"10.1002/cbl.30898","DOIUrl":"https://doi.org/10.1002/cbl.30898","url":null,"abstract":"<p>The World Health Organization (WHO) released new guidelines in July recommending the use of injectable lenacapavir (LEN) twice a year as an additional pre-exposure prophylaxis (PrEP) option for HIV prevention. The landmark policy could help reshape the global HIV response, according to WHO. The guidelines were issued at the 13th International AIDS Society Conference (IAS 2025) on HIV Science, in Kigali, Rwanda.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 9","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Limb paralysis/weakness/numbness, syncope, seizures, blindness, developmental regression, memory loss, difficulty speaking; these are all symptoms of Functional Neurological Disorder (FND), which is when a person experiences real sensory/cognitive/motor symptoms that have no underlying structural or anatomical abnormality.
{"title":"Functional Neurological Disorder (FND) in children and adolescents: What to know","authors":"Rebecca Laptook Ph.D., Kelsey Borner Ph.D., Heather Chapman M.D., Jessica Gore PT, DPT, MSPT, Jamie Gainor DiPietro M.D.","doi":"10.1002/cbl.30892","DOIUrl":"https://doi.org/10.1002/cbl.30892","url":null,"abstract":"<p>Limb paralysis/weakness/numbness, syncope, seizures, blindness, developmental regression, memory loss, difficulty speaking; these are all symptoms of Functional Neurological Disorder (FND), which is when a person experiences real sensory/cognitive/motor symptoms that have no underlying structural or anatomical abnormality.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 9","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It's back to school for the nation's youth, but for some, it is only partially so. Spikes in student absence reflect one thorny legacy of the COVID-19 pandemic. Chronic absenteeism (commonly defined as missing 10% or more of school days) has peaked in the past few years. Nearly twice as many students (28%) hit the chronically absent mark in 2022 (Return to Learn, 2025) as in pre-pandemic years (roughly 15% of students in 2018 and 2019). In 2023, rates began to fall, but remain high — approximately 26% of students nationwide. The pattern persists here in Rhode Island, including a shocking 43% of high schoolers being chronically absent (Rhode Island Kids Count Factbook, 2025). Sadly, it is predictable that although absentee rates are elevated for all, they were significantly higher in schools with a high percentage of nonwhite students, students in poverty, and in rural and urban (compared to suburban) schools. Although slightly higher in schools with the most masking or least in-person instruction in 2021–22, the growth in chronic absenteeism appears to be a global phenomenon, cutting across nations with very different approaches to the pandemic and schooling (Wallace-Wells, 2024).
{"title":"Attending to absence","authors":"David P. Lichtenstein Ph.D.","doi":"10.1002/cbl.30897","DOIUrl":"https://doi.org/10.1002/cbl.30897","url":null,"abstract":"<p>It's back to school for the nation's youth, but for some, it is only partially so. Spikes in student absence reflect one thorny legacy of the COVID-19 pandemic. Chronic absenteeism (commonly defined as missing 10% or more of school days) has peaked in the past few years. Nearly twice as many students (28%) hit the chronically absent mark in 2022 (Return to Learn, 2025) as in pre-pandemic years (roughly 15% of students in 2018 and 2019). In 2023, rates began to fall, but remain high — approximately 26% of students nationwide. The pattern persists here in Rhode Island, including a shocking 43% of high schoolers being chronically absent (Rhode Island Kids Count Factbook, 2025). Sadly, it is predictable that although absentee rates are elevated for all, they were significantly higher in schools with a high percentage of nonwhite students, students in poverty, and in rural and urban (compared to suburban) schools. Although slightly higher in schools with the most masking or least in-person instruction in 2021–22, the growth in chronic absenteeism appears to be a global phenomenon, cutting across nations with very different approaches to the pandemic and schooling (Wallace-Wells, 2024).</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}