Citation

De Bellis MD, Nooner KB, Scheid JM, Cohen JA. Child Adolesc. Psychiatr. Clin. N. Am. 2019; 28(3): 289-302.

Affiliation

Drexel University College of Medicine, Allegheny Health Network, 4 Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.chc.2019.02.002

PMID

31076108

Abstract

Maltreatment affects 9.1 to 17.1 of every 1000 US children and adolescents. Maltreated youth are at high risk for depression. Clinicians should screen young patients for maltreatment history. Depressed maltreated youth are at high risk for treatment resistance. Combination treatment with selective serotonin reuptake inhibitors and cognitive behavior therapy (CBT) with a trauma-informed approach should be considered for depressed maltreated youth. Behavioral management can be integrated with trauma-focused CBT to treat the externalizing disorders that commonly occur in maltreated depressed youth. If one approach is unsuccessful, a change to another medication or type of evidence-based psychotherapy or intervention is indicated.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Adolescents; Children; Depressive disorders; Maltreatment; Selective serotonin reuptake inhibitors (SSRIs); Self-injury; Suicide; Trauma-focused cognitive behavior therapy