(Country: Canada)

Psychiatric Problems in Children

Tranquillizers have been used to a moderate degree in the treatment of similar psychiatric conditions in children, as in the anxiety reactions and the associated somatic symptoms. They are also of value in childhood schizophrenia. Promethazine has been a particularly helpful drug with very minimal side effects. Promazine and thioridazine have proved to have a similar function. Children who have such problems as speech defects, enuresis, sleepwalking, and nightmares may be helped by several months of therapy with these medications. Deanol has been recommended for behaviour disorders, as have drugs of the amphetamine group, such as dextroamphetamine. Caution should be exercised in the use of the more recently developed phenothiazines of higher potency, as a syndrome suggesting brain tumour, encephalitis, meningitis, and tetanus has been noted in children in association with their administration.

In conclusion, it may be stated that the advent of the tranquillizer drugs represents a considerable advance in the treatment of psychiatric patients, particularly those with a psychosis. Antidepressant drugs have improved the management of depressions and decreased the need for electroshock treatment, although this treatment is still indicated for patients who have severe depressions with suicidal drives. These drugs have decreased significantly the length of hospital stay, permitting improved rehabilitation of the patient within his community.

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