Multimodal intervention with drugs, psychological treatments & supportive management strategy is used for the best outcome-Dr. Waqar Azeem

Print

ADHD in school age children & adolescents 

Multimodal intervention with drugs, psychological
treatments & supportive management strategy
is used for the best outcome-Dr. Waqar Azeem

Pressure on academic success appears to be a major
factor behind adolescent depression-Dr. Shehryaar

LAHORE: Department of Child & Family Psychiatry, King Edward Medical University/ Mayo Hospital Lahore recently organised a Child Psychiatry CME activity to increase awareness and update the participants about the recent advances in assessment and treatment of two common childhood disorders, Attention Deficit Hyperactivity Disorder (ADHD) and depression in young people.
Ninety five registered participants including doctors, clinical psychologists, speech therapists, paediatricians as well as school teachers and teachers from special education Institutes participated in this academic endeavour. Professor Aftab Asif, Chairman Academic Department of Psychiatry & Behavioural Sciences KEMU & Chairman of Paediatrics KEMU, Professor Akmal Laeeq were among the special Guests on the occasion. Dr. Waqar Azeem,( Medical Director & Chief of Psychiatry, Albert J. Solnit Children’s Center, & Associate Clinical Professor Yale Child Study Center,Yale University School of Medicine) & Dr. Shehryaar Jovindah(Consultant Child, Adolescent & Adult Psychiatrist at Shaukat Khanum Memorial Hospital and Research Centre were the guest speakers.

Department of Child & Family Psychiatry, KEMU/Mayo Hospital Lahore recently organized a seminar on
Attention Deficit Hyperactivity Disorder (ADHD) and Depression in young people. Picture shows Prof. Aftab
Asif, Dr. Nazish Imran, Dr. Waqar Azeem from USA and Dr Shehryaar Jovindah addressing
the participants on this occasion.

Talking about ADHD, Dr. Waqar Azeem said that ADHD is a common behavioural problem during the preschool and school age children and adolescents. These children are at higher risk of learning, conduct and social problems and are more likely to develop serious impairments in adolescence and adulthood. As a result this disorder places substantial demands on the healthcare, educational and legal resources of a community. Various subtypes of ADHD, based on phenomenology, pervasiveness of symptoms and patterns of comorbidity were mentioned. He discussed in detail the diagnostic criteria with emphasis on recent changes introduced in DSM-V, aetiology, comorbidities and assessment principles of children presenting with hyperactivity, inattention and impulsivity. Talking about the treatment, Dr. Waqar Azeem mentioned that multimodal intervention with various pharmacological and psychological treatments and combinations of treatment are used together with supportive management strategy for the best outcome. Family as well as school have a major role in intervention. Different pharmacological agents for ADHD, which are available in Pakistan were discussed in detail towards the end of his talk.

Dr. Waqar Azeem,( Medical Director & Chief of Psychiatry, Albert J.
Solnit Children’s Center, & Associate Clinical Professor Yale Child
Study Center,Yale University School of Medicine recently visited
the Dept. of child and Family Psychiatry at KEMU/Mayo Hospital to
participate in a CME programme. Picture taken on the occasion
shows from (L to R) Dr. Waqar Azeem, Dr. Nazish Imran,
Prof. Aftab Asif, Dr. Shehryaar Jovindah and
Dr. Sadaf from FJMC Lahore.

Dr. Shehryaar Jovindah discussed the depression in young people. He stated that juvenile depression is a continuum, which is associated with problems at most levels of severity. The diagnostic criteria ICD-10 and DSM IV-TR differ in many ways but the core of both is the concept of an episodic disorder of varying degree of severity that is characterized by depressed mood or loss of enjoyment that persists for several weeks in addition with depressive thinking and biological symptoms. He mentioned that somatic complaints and social withdrawal are particularly common in children. Subcategories, aetiological factors, differential diagnosis as well as developmental trends and gender differences were also discussed at length. Various societal factors like extreme emphasis and pressure on academic success appears to be a major factor behind adolescent depression in Pakistan. He pointed out that management of depressed young people depends greatly on the nature of problems identified during the assessment procedure. Evidence base for biological as well as psychological interventions were also highlighted. According to Dr. Shehryaar, Family intervention is primarily needed in treating these young people as there is observation that adolescent depression often occurs on the context of family dysfunction.
Presentations were followed by lively question-answer session. Certificates of appreciation were presented to both speakers by Professor Aftab Asif, Chairman and Head, Academic Department of Psychiatry & Behavioural Sciences, along with distribution of certificates to all registered participants.
Earlier welcoming the participants and speakers, Dr. Nazish Imran, Head of the child & Family Psychiatry Department and coordinator of the CME program, appreciated Dr. Waqar Azeem for his consistent support in the promotion of child mental health in the country via various collaborative works, APPNA Psychiatry merit program coordination as well as his input regarding recognition of child psychiatry sub-speciality training in Pakistan.