Podcast Episode
76. 5 Things That Will CHANGE Your Practice

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Dr. Elise Fallucco reviews five practice-changing lessons from the previous season of Child Mental Health for Pediatric Clinicians:
1 - Ask better questions
For example, use Dr. Waxmonsky’s ADHD assessment prompt, “When is the hardest time of day, and what is going on there?” to guide ADHD medication choice
2 - Look for the problem behind the problem
Ask teens about energy drinks/caffeine and sleep timing, recognizing energy drink use may signal sleep deprivation;
3 - Update how we talk to families about stimulants
Emphasize that stimulants support wakefulness, alertness, and motivation rather than directly improving attention (based on Dr. Nico Dosenbach’s Cell study)
4 - Remember the brain prefers gradual change
Review Dr. Jeff Strawn’s SSRI cross-titration approach while monitoring serotonergic side effects;
5 - Prioritize clinician wellbeing!
00:00 Season Lessons Overview
00:19 Ask Better ADHD Questions
01:07 Energy Drinks and Sleep Clues
02:37 What Stimulants Really Do
03:54 Brain Prefers Gradual Med Changes
04:29 Cross Titration SSRI Switching
06:41 Clinician Wellbeing Matters
07:26 Thanks and Stay Connected
Links to Episodes Referenced:
69. How to Switch SSRIS with Dr. Jeffrey Strawn
71. ADHD stimulants do NOT impact the brain’s attention networks with Dr. Nico Dosenbach
74. Burnout in Healthcare: “The Pitt”, Stats, and Solutions!
75. Beyond the Buzz: Energy Drinks, Teen Health, and Safer Ways to Stay Energized with Roshni Patel
Check out our website PsychEd4Peds.com for more resources!
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