The Importance of Teacher Input for an ADHD Assessment and How to Obtain it
Teacher input is essential for an accurate ADHD assessment because teachers are in a unique position to observe a child's behavior in an...
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Dr. Barbara Howard
- Dec 3, 2021
- 6 min
Screening Tools to Assess and Address Social Determinants of Health of Individuals and Systems.
The traditional healthcare model, or the “sick-care” system, was not designed to help prevent the onset of disease but instead to...
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Dr. Barbara Howard
- Sep 1, 2021
- 5 min
Manners Matter
Have you been surprised and impressed by a child who says after a visit, “Thank you, Doctor [Howard]”? While it may seem antiquated to...
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Dr. Barbara Howard
- Jul 19, 2021
- 5 min
I sent my suicidal teen patient to the ED: Whew?
You read “thoughts of being better off dead” on your next patient’s PHQ-9 screen results and break into a sweat. After eliciting the...
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Dr. Barbara Howard
- Jun 24, 2021
- 5 min
Speaking the unspeakable: Talking to children about parental mental illness
You probably think you know how to talk with a child about death. But somehow talking about a parent’s mental illness may seem more...
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Dr. Barbara Howard
- May 20, 2021
- 6 min
To vape or not to vape: Is that really a question?
All pediatricians are relieved that the rates of children smoking cigarettes have dropped steadily since 2011. This decline seems to be...
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Dr. Barbara Howard
- May 3, 2021
- 5 min
Child ‘Mis’behavior – What’s ‘mis’ing?
“What kind of parent are you? Why don’t you straighten him out!” rants the woman being jostled in the grocery store by your patient....
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Dr. Barbara Howard
- Mar 31, 2021
- 5 min
Scoring below the cut but still depressed: What to do?
Depression is one of the most common mental health conditions in childhood, especially during socially turbulent adolescence when the...
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Dr. Barbara Howard
- Mar 1, 2021
- 3 min
When to Refer Oppositional Defiant Disorder
Opposition and aggression are part of normal childhood development, but if they are developmentally inappropriate and last long periods...
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Dr. Barbara Howard
- Feb 1, 2021
- 5 min
Sleepless in Adolescence
One thing that constantly surprises me about adolescent sleep is that neither the teen nor the parent is as concerned about it as I am....
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Dr. Barbara Howard
- Dec 17, 2020
- 6 min
Reacting to Stress: Making Something Ordinary Out of the Extraordinary
These are tough times for families, children, and practices. In this case, the entire world is going through it at the same time, leaving...
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Dr. Barbara Howard
- Aug 19, 2020
- 5 min
Racism: Developmental Perspective Can Inform Tough Conversations
Can we help our pediatric patients with the complicated problems of racism, especially if we are privileged (and even white)...
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Dr. Barbara Howard
- Jul 17, 2020
- 5 min
Poor sleep due to ADHD or ADHD due to poor sleep?
By Barbara Howard, MD The day wouldn’t be so bad if he would just go to sleep at night! How many times have you heard this plea from...
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Dr. Barbara Howard
- May 28, 2019
- 5 min
Soothing Parents of Infants Who Cry
By Barbara Howard, MD All babies cry, of course, but some babies cry a lot. In the old days, these babies were labeled “colicky.” These...
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Dr. Barbara Howard
- Apr 9, 2019
- 3 min
Why screen if there are no services?
By Barbara Howard, MD Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during...
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Dr. Barbara Howard
- Dec 18, 2018
- 4 min
Childhood Sleep Problems – Part 1
By Barbara Howard, MD Why be concerned about sleep problems? Between 20% - 30% of healthy children under age 5 struggle with sleep...
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Dr. Barbara Howard
- Nov 14, 2018
- 4 min
ADHD and Aggression
By Barbara Howard, MD - The prevalence of aggressive behavior in young children is relatively high but how we define aggression is...
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Dr. Barbara Howard
- Oct 25, 2018
- 3 min
Screening for Maternal Depression
By Raymond Sturner, MD - While studies vary, postpartum depression affects up to 22% of women who have recently given birth. Since less...
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