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  • Team
    Disorders Team Cancer Blood Disorders Team Conditions Treated Services Blood and Bone Marrow Transplantation Program Hemophilia and Thrombosis Treatment Center Long Term Follow Up Thriving After Cancer Clinic Neuroblastoma Program Neuro Oncology Program Neuropsychological Testing Nutrition Services Comprehensive Sickle Cell Center Psychosocial Programs Integrative Medicine Program Research and Clinical Trials Support Groups Fellowship Resources Locations Patient Stories Team The Neuro Oncology team is made up of doctors from various discipline and nurses with specialized training The team approach helps to ensure that patients receive the most comprehensive and highest quality care We also work with other clinical service teams and teams that provide psychosocial support so that patients and their families are cared for in every way John Crawford M D M S Director Neuro Oncology Program Assistant Professor of Neurosciences and Pediatrics UC San Diego Peckham Center for Cancer and Blood Disorders Physicians Michael Levy M D Ph D Professor and Chief Division of Pediatric Neurosurgery Rady Children s Hospital San Diego UC San Diego Kevin Murphy M D M S Director Pediatric Radiation Oncology Program Rady Children s Associate Professor Vice Chair UC San Diego Department of Radiation and Applied Sciences Nathaniel Chuang M D Chief of Neuroradiology Rady Children s Associate Clinical Professor of Radiology UC San Diego San Diego Imaging Medical Group Scott Vandenberg M D Ph D Director of Neuropathology and Director of Pathology Tissue Technology Core and UC San Diego CTRI Human Tissue Resources UC San Diego Professor of Pathology UC San Diego Denise Malicki M D Ph D Staff Pathologist Associate Professor of Pathology UC San Diego Robert Weschler Reya Ph D Director Tumor Development Program Sanford Burnham Medical Research Institute Hal Meltzer M D Neurosurgical Director of Craniofacial Program Rady Children s HS Professor of Surgery Neurosurgery UC San Diego Thomas Kelly

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/services/neuro-oncology-program/team/ (2015-03-26)
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  • Andrew Chang, M.D.
    Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Find a Doctor Andrew Chang M D Andrew Chang M D 9730 Summers Ridge Rd San Diego CA 92121 858 549 7400 Specialty Proton Therapy Locations 9730 Summers Ridge Rd San Diego CA 92121 858 549 7400 Specialty Proton Therapy Organization

    Original URL path: http://www.rchsd.org/doctors/andrew-chang-md/ (2015-03-26)
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  • Fellowship
    philosophy that no single conceptual framework is sufficient to understand human behavior Fellows are taught to approach patients and their families from a developmental perspective using five clinical orientations psychodynamic psychosocial biologic behavioral and cognitive They are challenged to understand clinical issues in depth and to attempt formulations that integrate conceptual models Our program recognizes that adequate training for the current and future practice of child and adolescent psychiatry is of necessity demanding Beyond attaining essential knowledge skills and attitudes fellows need to develop a sense of professional identity that includes being a secure physician an advocate for children a sensitive therapist and a thoughtful participant or consultant within team structures A primary goal of the training program is to produce leaders in the field of child and adolescent psychiatry We have designed this program to foster the development of well rounded and competent child and adolescent psychiatrists Above all we value a serious and passionate commitment to the highest standards of patient care Our philosophy emphasizes that first and foremost we are clinicians dedicated and available to the needs of our patients Training in brief and long term individual therapy supportive therapy psychodynamic psychotherapy family therapy crisis intervention pharmacotherapy combined psychotherapy and psychopharmacology group therapy and cognitive and behavioral therapies is provided through direct clinical experience supported by supervision theoretical and evidence based seminars and demonstrations by the teachers and skilled clinical practitioners consultants teachers and administrators We will specifically encourage pilot research protocols and other scholarly experiences Our philosophy emphasizes the concept that research and scholarship are fundamental extensions of being a physician and child and adolescent psychiatrist We understand that residents will come to our program with different strengths and needs Our objective is to ensure clinical competence in childhood and adolescent psychiatric diagnosis and treatment while

    Original URL path: http://www.rchsd.org/programs-services/psychiatry/fellowship/ (2015-03-26)
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  • Resources
    Services Psychiatry Resources Psychiatry Resources Psychiatry Child and Adolescent Psychiatry Services CAPS Eating Disorders Medical Behavioral Unit Fellowship Resources Locations Resources Anxiety and Depression American Academy of Child and Adolescent Psychiatry The Anxious Child www aacap org cs root facts for families the anxious child American Academy of Child and Adolescent Psychiatry The Depressed Child aacap org page ww name The Depressed Child section Facts for Families Anxiety and Depression Association of America www adaa org living with anxiety children Anxiety Disorders KidsHealth cat id 145 article set 83448 ps 104 cat145 National Alliance on Mental Illness Depression Fact Sheets www nami org Template cfm Section By Illness template ContentManagement ContentDisplay cfm ContentID 88551 National Institute of Mental Health Depression in Children Adolescents www nimh nih gov health topics depression depression in children and adolescents shtml Child and Adolescent Mental Health American Academy of Child and Adolescent Psychiatry www aacap org cs forFamilies Child Mental Health MedlinePlus www nlm nih gov medlineplus childmentalhealth html National Institute of Mental Health Child and Adolescent Mental Health www nimh nih gov health topics child and adolescent mental health index shtml Eating Disorders KidsHealth http www rchsd org health articles eating disorders 2 National

    Original URL path: http://www.rchsd.org/programs-services/psychiatry/resources/ (2015-03-26)
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  • Locations
    Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Psychiatry Locations Psychiatry Locations Psychiatry Child and Adolescent Psychiatry Services CAPS Eating Disorders Medical Behavioral Unit Fellowship Resources Locations Locations Outpatient Pyschiatry Clinics Main location Map it 3665 Kearny Villa Road Suite 101 San Diego CA 92123 Phone 858 966 5832 Escondido Map it 625 W Citracado Parkway Suite 102 Escondido CA 92025 Phone 760 294 9270 Oceanside Map it 3605 Vista Way Suite 258 Oceanside CA 92056 Phone 760 758 1480 Behavioral Crisis Center Walk in Crisis Services Oceanside Map it 3605 Vista Way Suite 258 Oceanside CA 92056 Phone 760 730 5900 Outpatient Eating Disorders Program Rady Children s Hospital San Diego Map it Nelson Pavilion 3rd Floor 8001 Frost Street San Diego CA 92123 855 824 3050 or edintake ucsd edu Inpatient Units Child and Adolescent Psychiatry Services CAPS Nelson Pavilion 3rd Floor Map it 8001 Frost Street San Diego CA 92123 Phone 858 576 1700 24 hours a day Fax 858 966 8164 Medical Behavioral Unit Map it

    Original URL path: http://www.rchsd.org/programs-services/psychiatry/locations/ (2015-03-26)
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  • Understanding Depression
    a detailed clinical evaluation must be done by a medical or mental health professional such as a psychologist or psychiatrist To meet criteria for a diagnosis five or more of these symptoms must be present for longer than 2 weeks a feeling of being down in the dumps or really sad for no reason a lack of energy feeling unable to do the simplest task an inability to enjoy the things that used to bring pleasure a lack of desire to be with friends or family members feelings of irritability especially common in kids and teens anger or anxiety an inability to concentrate a marked weight gain or loss or failure to gain weight as expected and too little or too much interest in eating a significant change in sleep habits such as trouble falling asleep or getting up feelings of guilt or worthlessness aches and pains even though nothing is physically wrong a lack of caring about what happens in the future frequent thoughts about death or suicide For a diagnosis of dysthymia someone must experience two or more of these symptoms almost all the time for at least a year feelings of hopelessness low self esteem sleeping too much or being unable to sleep extreme fatigue difficulty concentrating lack of appetite or overeating Kids and teens who are depressed are more likely to use alcohol and drugs than those who aren t depressed Because these can momentarily allow a person to forget about the depression they seem like easy fixes But they can make someone with depression feel even worse Recognizing Depression If you think your child has symptoms of depression it s important to take action Talk with your child and your doctor or others who know your child well Many parents dismiss their concerns thinking they ll go away or avoid acting because they may feel guilty or prefer to solve family problems privately For a long time it was commonly believed that children did not get depressed and that teenagers all went through a period of storm and stress so many kids and teens went untreated for depression Now more is known about childhood depression and experts say it s important to get kids help as soon as a problem is noticed Parents often feel responsible for things going on with their kids but parents don t cause depression However it is true that parental separation illness death or other separation can cause short term problems for kids and sometimes can trigger a problem with longer term depression This means that if your family is going through something stressful it s usually helpful to turn to a counselor therapist or other expert for support It s also important to remind your child that you re there for support Say this over and over again kids with depression need to hear it a lot because sometimes they feel unworthy of love and attention Remember kids who are depressed may see the world very negatively because their

    Original URL path: http://www.rchsd.org/health-articles/understanding-depression/ (2015-03-26)
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  • Anxiety Disorders
    I planned Some amount of anxiety is normal and can even be motivating It helps us stay alert focused and ready to do our best But anxiety that s too strong or too frequent can become overwhelming It can interfere with someone s ability to get things done and in severe cases can start taking over the good and enjoyable parts of life Anxiety Disorders Anxiety disorders are among the most common mental health conditions That s partly because everyone experiences stress and worry There are many different types of anxiety disorders with different symptoms But they all share one common trait prolonged intense anxiety that is out of proportion to the present situation and affects a person s daily life and happiness Symptoms of an anxiety disorder can come on suddenly or can build gradually and linger Sometimes worry creates a sense of doom and foreboding that seems to come out of nowhere Kids with anxiety problems may not even know what s causing the emotions worries and sensations they have Disorders that kids can get include Generalized anxiety With this common anxiety disorder children worry excessively about many things such as school the health or safety of family members or the future in general They may always think of the worst that could happen Along with the worry and dread kids may have physical symptoms such as headaches stomachaches muscle tension or tiredness Their worries might cause them to miss school or avoid social activities With generalized anxiety worries can feel like a burden making life feel overwhelming or out of control Obsessive compulsive disorder OCD For a person with OCD anxiety takes the form of obsessions excessively preoccupying thoughts and compulsions repetitive actions to try to relieve anxiety Phobias These are intense fears of specific things or situations that are not inherently dangerous such as heights dogs or flying in an airplane Phobias usually cause people to avoid the things they fear Social phobia social anxiety This anxiety is triggered by social situations or speaking in front of others A less common form called selective mutism causes some kids and teens to be too fearful to talk at all in certain situations Panic attacks These episodes of anxiety can occur for no apparent reason During a panic attack a child typically has sudden and intense physical symptoms that can include a pounding heart shortness of breath dizziness numbness or tingling feelings Agoraphobia is an intense fear of panic attacks that causes a person to avoid going anywhere a panic attack could possibly occur Posttraumatic stress disorder PTSD This type of anxiety disorder results from a traumatic past experience Symptoms include flashbacks nightmares fear and avoidance of the traumatic event that caused the anxiety Causes Experts don t know exactly what causes anxiety disorders Several things seem to play a role including genetics brain biochemistry an overactive fight flight response stressful life circumstances and learned behavior A child with a family member who has an anxiety disorder has

    Original URL path: http://www.rchsd.org/health-articles/anxiety-disorders-2/ (2015-03-26)
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  • What Is ADHD?
    fill out questionnaires to help rule them out You ll be asked many questions about your child s development and behaviors at home school and among friends Other adults who see your child regularly like teachers who are often the first to notice ADHD symptoms probably will be consulted too An educational evaluation which usually includes a school psychologist may also be done It s important for everyone involved to be as honest and thorough as possible about your child s strengths and weaknesses Causes of ADHD ADHD is not caused by poor parenting too much sugar or vaccines ADHD has biological origins that aren t yet clearly understood No single cause has been identified but researchers are exploring a number of possible genetic and environmental links Studies have shown that many kids with ADHD have a close relative who also has the disorder Although experts are unsure whether this is a cause of the disorder they have found that certain areas of the brain are about 5 to 10 smaller in size and activity in kids with ADHD Chemical changes in the brain also have been found Research also links smoking during pregnancy to later ADHD in a child Other risk factors may include premature delivery very low birth weight and injuries to the brain at birth Some studies have even suggested a link between excessive early television watching and future attention problems Parents should follow the American Academy of Pediatrics AAP guidelines which say that children under 2 years old should not have any screen time TV DVDs or videotapes computers or video games and that kids 2 years and older should be limited to 1 to 2 hours per day or less of quality television programming Related Problems One of the difficulties in diagnosing ADHD is that it s often found in conjunction with other problems These are called coexisting conditions and about two thirds of kids with ADHD have one The most common coexisting conditions are Oppositional Defiant Disorder ODD and Conduct Disorder CD At least 35 of kids with ADHD also have oppositional defiant disorder which is characterized by stubbornness outbursts of temper and acts of defiance and rule breaking Conduct disorder is similar but features more severe hostility and aggression Kids who have conduct disorder are more likely to get in trouble with authority figures and later possibly with the law Oppositional defiant disorder and conduct disorder are seen most commonly with the hyperactive and combined subtypes of ADHD Mood Disorders About 18 of kids with ADHD particularly the inattentive subtype also experience depression They may feel inadequate isolated frustrated by school failures and social problems and have low self esteem Anxiety Disorders Anxiety disorders affect about 25 of kids with ADHD Symptoms include excessive worry fear or panic which can also lead to physical symptoms such as a racing heart sweating stomach pains and diarrhea Other forms of anxiety that can accompany ADHD are obsessive compulsive disorder and Tourette syndrome as well as motor or vocal tics movements or sounds that are repeated over and over A child who has symptoms of these other conditions should be evaluated by a specialist Learning Disabilities About half of all kids with ADHD also have a specific learning disability The most common learning problems are with reading dyslexia and handwriting Although ADHD isn t categorized as a learning disability its interference with concentration and attention can make it even more difficult for a child to perform well in school If your child has ADHD and a coexisting condition the doctor will carefully consider that when developing a treatment plan Some treatments are better than others at addressing specific combinations of symptoms Treating ADHD ADHD can t be cured but it can be successfully managed Your child s doctor will work with you to develop an individualized long term plan The goal is to help a child learn to control his or her own behavior and to help families create an atmosphere in which this is most likely to happen In most cases ADHD is best treated with a combination of medication and behavior therapy Any good treatment plan will require close follow up and monitoring and your doctor may make adjustments along the way Because it s important for parents to actively participate in their child s treatment plan parent education is also considered an important part of ADHD management Sometimes the symptoms of ADHD become less severe as a person grows older Hyperactivity tends to get less as people grow up although the problems with organization and attention often remain More than half of kids who have ADHD will continue to have symptoms as young adults Medications Several different types of medications may be used to treat ADHD Stimulants are the best known treatments they ve been used for more than 50 years in the treatment of ADHD Some require several doses per day each lasting about 4 hours some last up to 12 hours Possible side effects include decreased appetite stomachache irritability and insomnia There s currently no evidence of long term side effects Nonstimulants represent a good alternative to stimulants or are sometimes used along with a stimulant to treat ADHD The first nonstimulant was approved for treating ADHD in 2003 They may have fewer side effects than stimulants and can last up to 24 hours Antidepressants are sometimes a treatment option however in 2004 the U S Food and Drug Administration FDA issued a warning that these drugs may lead to a rare increased risk of suicide in children and teens If an antidepressant is recommended for your child be sure to discuss these risks with your doctor Medications can affect kids differently and a child may respond well to one but not another When determining the correct treatment the doctor might try various medications in various doses especially if your child is being treated for ADHD along with another disorder Behavioral Therapy Research has shown that medications used to help curb

    Original URL path: http://www.rchsd.org/health-articles/what-is-adhd/ (2015-03-26)
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