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Yıl:1998; Cilt: 8; Sayı: 4>> Özet
Klinik Psikofarmakoloji Bülteni; 1998;8(4):219-225
Çocuk psikiyatrisinde ilaçla tedavide yenilikler
MT Söhmen
GATA Çocuk Psikiyatrisi ABD ,Etlik,ANKARA\r\n\r\n \r\n\r\n \r\n\r\n \r\n
Çoğu klinisyen için çocuk ve ergen psikiyatrisinde farmakoterapi yalnız başına tek tedavi seçeneği değildir. Çocukluk dönemine özgü psikiyatrik bozukluklarda davranış terapisi, bilişsel terapi, aile terapisi ve oyun terapisi genellikle ilaç tedavisi ile birlikte kullanılmaktadır. Bununla birlikte, ilaç tedavisinin kullanımı bu alanlarda giderek artmaktadır. Çocuk ve ergen psikiyatrisinde kullanılan farmakolojik ajanlarla ilgili bilgilerimiz bu ilaçların erişkinlerde kullanımından elde edilmektedir. Çocuk ve ergenler arasında bu ilaçların farmakodinamik ve farmakokinetik özellikleri açısından bazı farklılıklar vardır. Bu yazıda antidepresan ilaçlar, psikostimülanlar, klonidin, antipsikotikler, anksiyolitikler ve mizaç düzenleyicilerinin çocuk ve ergen psikiyatrisindeki kullanımına ilişkin son gelişmeler gözden geçirilmiş ve tartışılmıştır.

Recent developments of drug treatment in child psychiatry
In child and adolescent psychiatry, pharmacotherapy is not treatment choice alone for many clinicians. Behavior therapy, cognitive therapy, family therapy, and drama therapy are usually used together with drug treatment in childhood psychiatric disorders. Hovewer, the usage of drug treatment is gradually increasing in these areas. Our knowledges of pharmacological agents used in child and adolescent psychiatry are obtained from adult usage of these drugs. There are some pharmacodynamic and pharmacocinetic differences between children and adults. In this article, recent developments relevant to the usage of antidepressants, psychostimulants, clonidine, antipsychotics, anxiolytics, and mood stabilyzators in child and adolescent psychiatry were revised and discussed.

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