This presentation will review psychotropic medications for adolescents, including indications, off-label use, and adverse effects of major classes, especially ADHD medications (stimulant and non-stimulant), anti-depressants, and anti-psychotics. Clinical and ethical discussions will include polypharmacy (multiple medications in one patient); monitoring for and management of potential adverse effects (such as appetite/weight changes, metabolic effects, movement disorders); role of standing vs. as-needed medications in managing aggression and behavioral issues; and access to continuity of psychiatric care between settings.

Educational objectives:

• Explain principles guiding the use of psychotropic medication in adolescents
• Discuss indications, FDA approval, off-label use, and adverse reactions
• Identify the practical, ethical, and logistical considerations of prescribing psychiatric medication in the juvenile legal system

Level: Intermediate