Child and Adolescent Psychiatry

Pediatric Psychiatry Consultation Service

The service provides inpatient and outpatient psychiatric consultation and treatment to the general pediatric and pediatric and surgical subspecialty services at Packard Children's Hospital. The service is also responsible for covering the emergency room at Stanford University Medical Center. The service is consulted on a diverse range of clinical questions related to the psychological adjustment of children and families with chronic and complex medical problems. Fellows gain experience in helping physicians and other care providers interact more effectively with their patients, in understanding the health care system and its psychological effects on children and families, and in establishing and maintaining a consultative relationship.

Conditions Treated

  • Psychological adjustment to physical illness including mood and anxiety disorders in the physically ill child
  • Assessment and management of pediatric Somatoform Disorders, including Conversion and Pain Disorders
  • Procedural Anxiety
  • Medical Posttraumatic Stress Disorder
  • Difficulties with Treatment Adherence
  • Pediatric Feeding Disorders
  • Transplant Psychiatry
  • Pediatric Delirium
  • Suicidal children and adolescents
  • Palliative Care

Services Provided

  • Psychiatric assessment of children and adolescents with physical illness
  • Brief inpatient individual and family psychotherapy
  • Evaluation of parents and family members of physically ill children
  • Psychopharmacological assessment and treatment for symptoms of depression, anxiety, insomnia, psychosis and delirium
  • Establishment and implementation of behavior modification programs to assist children with issues related to feeding, medication and cooperation with medical procedures
  • Training in the use of medical hypnosis for symptom management including pain, nausea and anticipatory anxiety
  • Pretransplant psychiatric evaluation of solid organ transplant recipients
  • Psychiatric consultation to the Stanford University Medical Center emergency room
  • Outpatient assessment and consultation to the Pediatric Continuity Outpatient Clinic
  • Outpatient assessment and consultation to the Adolescent Health Van
  • Consultation to the Feeding Disorder Clinic at Lucile Packard Children's Hospital
  • Consultation to the Pediatric Palliative Care Service

Medical Director: Richard Shaw, M.D.

Program Psychologist: Michelle Brown, Ph.D.

List of Clinics

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