Psychopharmacology Challenge

摘要

Editor’s note: Welcome to the first ever “PsychopharmacologyChallenge” an exciting new column format forthe Journal of the Canadian Academy of Child and AdolescentPsychiatry. Three clinicians with expertise in pediatricpsychopharmacology were asked to review the followingpatient vignette, and in 1000 words or less, describe the topthree pharmacotherapy-related changes they would recommendfor this patient, along with their clinical reasoning.Clinicians were asked to focus on psychopharmacology,but could also briefly indicate any suggested psychosocialintervention plans. For medication changes, clinicians wereasked to include a recommended dosing titration plan [ifapplicable], and any additional testing they would order,including a recommended frequency of such testing. Clinicianswere also asked to provide supporting literature citationsfor recommendations (where available, to a maximum10 citations).