Carlat - Managing Conflict Over Medication Consent

The following tips for overcoming conflict in the medication consent process were excerpted from an article I wrote for the May/June issue of the Carlat Child Psychiatry Report:

  1. If it’s not an emergency, take your time. When life and limb are at stake, we should act immediately—but that doesn’t usually mean medicating so much as employing emergency services. Even if a child is experiencing stress from an upcoming test or an acutely sad or anxious state, most times the situation is not an emergency. Give yourself time to think, gather more information, and understand as best as you can the many factors at play. Once these are more clear, possible treatment paths are likely to emerge.
  2. Lean in. When there are opposing forces, embrace the adversarial process, the kind that drives a good judicial system. I tell families that I am grateful for differences of opinion because they lead to a more meaningful discussion of the pros and cons of medication. When everyone knows that you are really listening to their perspectives, they usually settle and think more clearly. For example, this often leads to a very careful trial of medication.
  3. Honor everyone’s rights. Learn what the rights of teens are in your state to request and receive psychotropic medication. Lay out the rights of all parties and allow the process to lead to solutions rather than imposing them from on high. Do this while making sure that no one dominates to the point of silencing others. Remember to think developmentally with children, assessing their ability to participate and welcoming this possibility as it results in better care.

To read an in-depth article on informed consent in the Carlat Child Psychiatry Reportclick here. Not a subscriber? Join here.

Author
Joshua Feder, M.D. Dr. Feder's Blog

You Might Also Enjoy...

ADHD and Life Expectancy with Russell Barkley, PhD

We interviewed ADHD icon Dr. Russ Barkley. I thought we'd hear about his groundbreaking work on behavioral interventions for ADHD. Instead, Dr. Barkley blew open our entire understanding of the impact of ADHD. Listen and let me know what you think!

Cannabis and Kids

Child psychiatrists are grappling with the problem of pervasive use of marijuana in an age where legalization of use for adults has led to even greater use in teens. In this episode, we go over two recent interviews in The Carlat Child Psychiatry Report.

Informed Consent - What Everyone Should Know

Informed consent is so much more than a quick signature on a form - it is an ongoing process that organizes medical care for doctors, patients, and families. This podcast covers the parts of informed consent process and a free download of a concise form.

Legislative Action: Chutes & Ladders

Getting a bill passed is a huge process. We cover a philosophy for 'fixing the world', the ups and downs of the legislative process, and managing meetings with important people. This is followed by a play by play on the bill we ran this cycle in 2019.

TMS for Kids?

Transcranial Magnetic Stimulation (TMS ) is getting a lot of attention and a lot of marketing. But is it safe and effective for children and adolescents? And if so, what's the cost and what should it be used for? Listen to my Carlat Podcast and find out.