Psychopharmacology Challenge

摘要

Editor’s note: Welcome to the first ever “Psychopharmacology Challenge” an exciting new column format for the Journal of the Canadian Academy of Child and Adolescent Psychiatry. Three clinicians with expertise in pediatric psychopharmacology were asked to review the following patient vignette, and in 1000 words or less, describe the top three pharmacotherapy-related changes they would recommend for this patient, along with their clinical reasoning. Clinicians were asked to focus on psychopharmacology, but could also indicate any suggested psychosocial intervention plans. For medication changes, clinicians were asked to include a recommended dosing titration plan [if applicable], and any additional testing they would order, including a recommended frequency of such testing. Clinicians were also asked to provide supporting literature citations for recommendations (where available, to a maximum 10 citations).