John March, M.D., MPH, Director of the Program in Child Affective
and Anxiety Disorders is currently conducting several research studies,
enrolling youngsters from North Carolina and southern Virginia. These
trials examine different types of treatment for the following:
ANXIETY - For ages 7 -17, the CAMS study provides treatment
for children and adolescents who suffer from anxiety disorders, including
generalized anxiety disorder, separation anxiety disorder, and/or
social phobia. Enrollment has closed for this study.
OBSESSIVE COMPULSIVE DISORDER
- For ages 7 - 17, the POTS II study deals specifically
with children and adolescents who have been on medication of OCD,
but are still experiencing symptoms.
TICS- The BETTS
study provides treatment for adolescents and young adults (between
the ages of 14-25) who suffer from a chronic tic disorder or Tourette
syndrome.
SUICIDALITY, SUBSTANCE ABUSE, AND DEPRESSION -- For
ages 13 to 19, the CBT-RP (Cognitive Behavior Therapy -- Relapse Prevention)
study provides treatment for teenagers are suicidal, depressed, and
have problems related to alcohol or marijuana use, and their families.
For more information, call David Goldston,
Ph.D. at (919) 416-2423 (office) or (919) 619-5710 (24 hours).
Clinical Services
SOCIAL ANXIETY
DISORDER GROUP - Group psychotherapy for the treatment of social
anxiety disorder in teens is now being offered at the Duke Child and
Family Study Center.
Psychosocial Treatment Clinic
(Supervisors: Dr. Chris Mauro, Dr.
Rebecca Dingfelder, Dr. David Goldston)
The Psychosocial Treatment Clinic at the Duke Child and Family Study
Center serves children, adolescents, and families utilizing evidence-based
practice. This rotation includes training in empirically supported
treatments for children and adolescents with anxiety and mood disorders
such as OCD, separation anxiety, generalized anxiety, social phobia,
depressive disorders, and suicidal thoughts or behavior. Youths with
disruptive behaviors (e.g., oppositional behaviors, ADHD) also may
be seen in the Psychosocial Treatment Clinic, particularly when their
difficulties are accompanied by depression or anxiety. The multidisciplinary
clinic trains psychology graduate students, psychology interns, and
psychiatry residents and advanced residents specializing in child
psychiatry. The primary clinic day is Tuesday afternoons which includes
a didactic seminar, case conferences, and supervision.
Assessment opportunities include use of semi-structured and structured
interviews (e.g., ADIS, ISCA, K-SADS, CY-BOCS) and behavioral rating
scales (e.g., CPRS, CTRS, BDI, MASC, SIQ, CBCL, BASC) to assist
with diagnosis, treatment planning, and assessing outcomes.
A note about medications used in clinical trials: The Food and Drug Administration is always reviewing and releasing the most up to date information available about psychotropic drugs. This January The American Academy of Child & Adolescent Psychiatry released a new Medguide for Parents based on these and other findings. You may view this guide as a .pdf (the file will open in a new window).
