Podcast 621: Pediatric Psychosis

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Schizophrenia typically doesn’t present until age 13 and has a prodrome</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Prodrome includes months of gradual changes in behavior, starting with negative symptoms and progressing to positive symptoms</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Negative symptoms include losing concentration, poor memory, poor school performance, and personality changes</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Positive symptoms include hallucinations, which tend to be more visual in children</span></li> </ul> </li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Sudden changes mimicking psychiatric illness should raise concern for alternative causes </span></li> </ul> <p><strong>References</strong></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Kendhari J, Shankar R, Young-Walker L.</span> <a href="https://pubmed.ncbi.nlm.nih.gov/31975813/"><span style= "font-weight: 400;">A Review of Childhood-Onset Schizophrenia.</span></a> <span style="font-weight: 400;">Focus (Am Psychiatr Publ). 2016 Jul;14(3):328-332. doi: 10.1176/appi.focus.20160007. Epub 2016 Jul 8. PMID: 31975813; PMCID: PMC6526799.</span></span></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Staal M, Panis B, Schieveld JNM.</span> <a href="https://pubmed.ncbi.nlm.nih.gov/30054738/"><span style= "font-weight: 400;">Early warning signs in misrecognized secondary pediatric psychotic disorders: a systematic review.</span></a> <span style="font-weight: 400;">Eur Child Adolesc Psychiatry. 2019 Sep;28(9):1159-1167. doi: 10.1007/s00787-018-1208-y. Epub 2018 Jul 27. PMID: 30054738.</span></span></p> <p><span style="font-size: 10pt;"><em><span style= "font-weight: 400;">