IRAQ WAR CLINICIAN GUIDE
Iraq War Clinician's Guide - Network Of Care
Iraq War Clinician's Guide - Network Of Care
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Iraq War Clinician Guide 173 Appendix H<br />
PP<br />
I<br />
11.11<br />
rapid responses should k given consideration<br />
for shorter dsrations of medication<br />
treatnie~~t.<br />
typically dosed <br />
Are There Special Considerations lower for chilkn<br />
1<br />
forTreating Children and<br />
than for adults at <br />
Adolescents?<br />
the outset of m-<br />
In terms ofpham?cologictrent~~ient, ment (eg. f<br />
children are not simply stnall adults. tnline 25<br />
Medications nny have different efiica- titration, although higher doses, equirsaq,s~decfkct<br />
profiles, and ,my be lent to those llsed in adults, !my ultinierabolized<br />
differently in childrenver- nurely be needed for o~timum smmpiom . . +=,:.'....<br />
s~sadnlrs.~Also, then: tsfirlessempir- control. The sti~nulants (methyiical<br />
If. Iho\r,ever, the iuitial lreatnient is<br />
evidence to guide clintcnl practice phenidate, dextraampheramine, tnixed partially successful follo\ving an ade-<br />
in childhood versus adult PTSD. dextroamphetamine salts) and a-2 ago- qeate therape~~tic trial, the optimal<br />
Although 15 opn-labeltrials ha\,c ken nisrr (clotiidine and guasfacine) Illat tar- approach 11uy be to maintain the initial<br />
carried out, them havebeen no random- set specificexternalizing behavior disor- treatment (eg. niedication) and add a<br />
ized controlled trials of medication use ders common in children with PTSD. second (eg, cogniri\,e behauio~tl thenin<br />
children~vith PTSD.<br />
such as attention-deficivhyperactivity py). If combined tnamtent produces<br />
It shot~ld be emphasized hat the ini- disorder and oppositional defiatlt disar- comlllele remission of PTSD-related<br />
tmattt~ot oi cl!o~ce far (xliiltrl: dcr, nny !nwJ tok trwi 21311~n:tI1 odlei ~prablcn~s. 11 .s i%onl!ttlt(k 13,Icterni~nc<br />
PTSD .iprahl,t,. c~gnit.%ekhar~o!.~a:r.nt,tllst . . lrcx!~urc PTSD syntpiu~~n . . ahelher b~lll trc.jlmcn~> :KC ~nc,e.!cx td<br />
therapy rr,itlt play-b.wd componenrs<br />
maintain this clinical irllprovenlent<br />
for young children. To date, it appears How and When Do You Integrate<br />
less risky than ~nedication treatment MedIcationTreatment With Where Do We Go From Here?<br />
and lhas more supportitre eevidence Psychotherapy?<br />
We are on the threshold of a \cly<br />
favoring ia use?'.%<br />
Although all published PTSD trcx- exciting ~ riod in the
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