Aralin 1Kailan mag-refer at collaborative care models: criteria para sa urgent psychiatric referral, outpatient therapy referral, collaborative care integration sa school at community resourcesNagpapaliwanag ng criteria para sa urgent, routine, at specialty referrals, nag-o-outline ng collaborative care models na nag-uugnay ng primary care, psychiatry, school, at community services, at nagbibigay ng praktikal na hakbang para sa shared care plans at komunikasyon.
Red flags na nangangailangan ng urgent psychiatric referralIndikasyon para sa routine therapy referralPagdidisenyo ng shared care plans sa mga specialistPaggawa sa school-based mental health teamsPag-partner sa community at youth servicesAralin 2Follow-up, documentation, at safety planning: follow-up intervals, relapse prevention, documentation templates, crisis resource planningTumatugon sa pag-structure ng follow-up visits, pagmo-monitor ng symptoms at functioning, pagdokumenta ng assessments at plans, pagbuo ng individualized safety plans, at pagbibigay ng crisis contacts at relapse prevention strategies para sa mga adolescent at pamilya.
Pag-set ng follow-up intervals ayon sa risk levelPag-track ng symptoms gamit ang brief rating scalesMga pangunahing elemento ng clear clinical documentationPag-develop ng written safety plans sa mga teenCrisis lines, apps, at local emergency optionsRelapse prevention at early warning signsAralin 3Focused psychosocial history: symptom onset, sleep, appetite, concentration, school functioning, relationships, substance use, family history ng mental illness o suicideGumagabay sa focused psychosocial at psychiatric history, kabilang ang symptom onset, sleep, appetite, cognition, school performance, relationships, trauma, substance use, at family history ng mental illness o suicide upang ipaalam ang diagnosis at risk.
Paglilinaw ng symptom onset, duration, at triggersPagsusuri ng sleep, appetite, at energy changesSchool performance, attendance, at bullyingPeer, family, at online relationship stressorsScreening para sa substance use at risky behaviorsFamily history ng mental illness at suicideAralin 4Epidemiology at kung paano nagkakaiba ang presentations ayon sa edad at sex, common comorbidities (substance use, ADHD)Pagrerebisa ng prevalence ng adolescent anxiety at depression, kung paano nagkakaiba ang symptoms ayon sa edad at sex, at patterns ng comorbidity sa ADHD, substance use, at iba pang kondisyon upang gabayan ang targeted screening at early intervention sa practice.
Prevalence at global burden sa mga adolescentAge-specific symptom patterns 12–14 vs 15–18Sex differences sa presentation at help-seekingOverlap sa ADHD at learning disordersLinks sa substance use at risk behaviorsAralin 5Validated screening tools at administration: PHQ-A/PHQ-9 modified para sa adolescents, GAD-7, Columbia-Suicide Severity Rating Scale (C-SSRS), usage at scoringSumasaklaw sa selection at administration ng PHQ-A, PHQ-9 modified para sa teens, GAD-7, at C-SSRS, kabilang ang scoring, interpretation, cultural issues, at integration ng results sa clinical decisions at shared discussions sa mga pamilya.
Pagpili ng tools para sa anxiety versus depressionPag-administer ng PHQ-A at teen PHQ-9Paggamit at interpretation ng GAD-7 sa teensColumbia-Suicide Severity Rating Scale basicsScoring, cutoffs, at false positive handlingPag-communicate ng results sa adolescents at parentsAralin 6Pharmacologic strategies at monitoring: SSRIs na may ebidensya sa adolescents (fluoxetine, escitalopram), dosing principles, side effect monitoring, black-box concerns at informed consentPagrerebisa ng ebidensya-base na SSRI use sa adolescents, kabilang ang indications, medication selection, dosing at titration, monitoring ng side effects at suicidality, black-box warning counseling, at shared decision-making sa teens at caregivers.
Kailan simulan ang medication versus maghintay o mag-referPagpili sa pagitan ng fluoxetine at escitalopramStarting doses, titration, at trial durationPagmo-monitor ng side effects at activationPag-usapan ang black-box warnings at consentPag-combine ng SSRIs sa psychotherapy nang epektiboAralin 7Initial nonpharmacologic management: cognitive behavioral therapy fundamentals, brief behavioral interventions sa primary care, parental involvement at school liaisonNag-e-explore ng first-line nonpharmacologic strategies, kabilang ang CBT principles, brief interventions na feasible sa primary care, motivational techniques, psychoeducation, at structured collaboration sa parents, schools, at community supports.
Pagpaliwanag ng diagnosis at normalizing help-seekingCore CBT concepts para sa anxiety at depressionBrief behavioral strategies sa short visitsPag-engage ng parents bilang therapeutic partnersPagko-coordinate sa school counselors at staffKailan magdagdag ng structured psychotherapy referralAralin 8Safety assessment at suicide risk triage: direct questions tungkol sa self-harm, plans, means, protective factors, kailan i-enact ang emergency protocolsMga detalye ng structured suicide risk assessment, kabilang ang direct questioning tungkol sa ideation, intent, plans, at means, pagsusuri ng protective factors, pagtukoy ng risk level, at pagde-decide kung kailan i-activate ang emergency o higher level care pathways.
Paggawa ng safe, private interview settingDirect questions sa ideation, intent, at plansPagsusuri ng access sa means at recent behaviorsPagsusuri ng protective at buffering factorsRisk stratification at triage decisionsIndications para sa emergency referral o hold
