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Deciding whether to give your child medication for an emotional or behavioral problem is one of the toughest choices a parent can face. Will medication really help? How long will it be needed? The doctor may say it's perfectly safe--but what about the news stories about overuse and risks? From experienced child psychiatrist Dr. Timothy Wilens, this bestselling guide has already empowered many tens of thousands of parents to become active, informed managers of their children's care. Dr. Wilens explains how medications work; their impact on kids' emotions, personality, school performance, and health; the risks and benefits of widely used antidepressants; and much more.
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New in the Third Edition: The fully updated third edition details the latest advances in treating specific disorders--with significant new information on bipolar disorder and ADHD--and offers up-to-date answers to parents' frequently asked questions.
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STRAIGHT TALK ABOUT PSYCHIATRIC MEDICATIONS FOR KIDS
Straight Talk about Psychiatric Medications for Kids Third Edition
TIMOTHY E. WILENS, MD
THE GUILFORD PRESS New York London
© 2009 Timothy E. Wilens Published by The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved The information in this volume is not intended as a substitute for consultation with healthcare professionals. Each individual’s health concerns should be evaluated by a qualified professional. Except as indicated, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9
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FULL DISCLOSURE Dr. Timothy E. Wilens receives grant support from Abbott Laboratories, Eli Lilly and Company, Merck & Co., Inc., the National Institute on Drug Abuse, Ortho-McNeil, and Shire plc. He is a presenter for the speakers’ bureau of Novartis, Ortho-McNeil, and Shire, and is a consultant for Abbott, Lilly, Merck, the National Institute on Drug Abuse, Novartis, Ortho-McNeil, and Shire.
LIMITED PHOTOCOPY LICENSE The copyright holder grants to individual purchasers of this book nonassignable permission to reproduce the Medication Log. This license is limited to you, the individual purchaser, for personal use or use with individual clients. Purchase by an institution does not constitute a site license. This license does not grant the right to reproduce these materials for resale, redistribution, or any other purposes (including but not limited to books, pamphlets, articles, video- or audiotapes, and handouts or slides for lectures or workshops, or therapy groups, whether or not a fee is charged). Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions Department of Guilford Publications. Library of Congress Cataloging-in-Publication Data Wilens, Timothy E. Straight talk about psychiatric medications for kids / Timothy E. Wilens. — 3rd ed. p. cm. Includes bibliographical references and index. ISBN-13: 978-1-59385-842-1 (pbk. : alk. paper) ISBN-13: 978-1-59385-882-7 (hardcover : alk. paper) 1. Pediatric psychopharmacology—Popular works. I. Title. RJ504.7.W54 2009 615′.780835—dc22 2008007818
ACKNOWLEDGMENTS
My ability to write this book is a reflection of the environment in which I wa