Adolescent Medicine

All Articles in the Category ‘Adolescent Medicine’

Eating Disorders Referral Change: Patient Labs and EKG Are No Longer Required

The Eating Disorders program will no longer require an EKG or patient labs with referral. We made this change to reduce work for our PCP colleagues and help patients be seen sooner.

Referrals should still contain:

  • Growth charts
  • A physical exam with vital signs completed at the PCP office within the past 14 days. Physical exam should include HEENT, neck, CV, lungs, abdomen and extremities (e.g., +/– LE edema, capillary refill). Vital signs must include height, weight, heart rate and blood pressure.

All patients referred for eating disorders will be offered a one-time telehealth visit. The current wait time is 4 to 6 weeks. Following the telehealth visit, we will provide the patient with appropriate support and resources to continue their care outside Seattle Children’s. We will share this after-visit information with the referring provider to help guide their continuing care of their patient.

Please visit our Eating Disorders – Refer a Patient page for more details about our referral requirements and resources for PCPs to support their patients with eating disorders.

Gender Clinic: When to Refer Your Patient

Please refer your patient to the Gender Clinic only if they are interested in gender-affirming medical care (puberty blockers, testosterone or estradiol). We see patients ages 9 through 16. The wait time for new patients is currently about six months.

  • If your patient is not interested in medical care or is outside these ages, please direct them instead to the community resources on our website. If they still have questions, they are welcome to contact our care navigators at 206-987-5768.
  • For patients who are interested in gender-affirming surgery only, please refer them directly to the Surgical Gender Affirmation Program for a consultation.
  • For patients with Kaiser insurance, we encourage them to seek care through Kaiser’s Transgender Service Program which offers services similar to ours.

Additional resources:

 

Cognitive Behavioral Therapy Helps Teens With Concussion-Related Mental Health Problems

A new study published in JAMA Network Open shows that providing cognitive behavioral therapy (CBT) as part of a collaborative care model for youth who have experienced persistent post-concussive symptoms (PPCS) offers a promising treatment to alleviate symptoms and improve functioning.

Every year, an estimated 1.1 to 1.9 million youth suffer a sports-related concussion. Between 20% and 30% of those experience symptoms that last more than 30 days, including mental health challenges such as depression or anxiety. Yet there is a lack of high-quality evidence to guide best practices for the treatment of PPCS in the pediatric population. Read full post »