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Childhood Anxiety Disorders

Suggested Pre-Referral Evaluation and Management Guidelines Treatment for Anxiety AACAP Practice Parameters

First line treatment for childhood anxiety disorders often includes cognitive behavioral therapy (CBT). This is available at UM Department of Child and Adolescent Psychiatry and through select clinicians in the Ann Arbor community. Clinicians who are comfortable are encouraged to initiate a trial with an SSRI such as fluoxetine in patients who have clear evidence of anxiety disorders where rapid treatment or significant symptoms persist despite CBT. Patients should be re-assessed within 7-14 days for agitation and suicidality. All should be given contact information for psychiatric emergency services 734-936-5900. PES can assess suicidality after hours and on weekends.

Suggested Additional Test/Management Prior to Specialty Visit Patients are asked to bring along results of neuropsychological testing, school reports and other testing results, or reports from other treating clinicians if they have them. Additionally, patients who have failed 2 independent trials of medication within primary/specialty care, may be referred to treatment resistant depression clinic for children.
Patient Education/Information (includes preps) See AACAP Facts for Families
Appointment Timeframe Appt Timeframe: Routine 1-4 weeks.
Urgent (recent visit to emergency room/need for hospitalization) within 1 week.
How to Get Results to Consultant  
Clinic Contact Information UMHS patients:
  1. Complete electronic referral in MiChart.
  2. Direct the patient to call Psychiatry Intake & Call Center at 734-764-0231 or 1-800-525-5188 to make an appointment.
Clinic Location Sites Depression Center / Ambulatory Psychiatry at the Rachel Upjohn Building
UM Consulting Physician Kate Dimond Fitzgerald, M.D.
Gregory Lynn Hanna, M.D.
Revised on: 08/02/2013



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