This activity will identify the multifaceted effects of past and continuous trauma—including collective and racial trauma—on the well-being of individuals, cultures, communities, and social environments. It will review racism and oppressive tendencies and present strategies to skillfully manage difficult racial and cultural situations and their associated stressful responses. Importantly, trauma management therapies and practices will be identified, along with approaches to building communal anti-racist culture within the workplace. 

The prevalence of anxiety within the pediatric population has increased over the past decade, and primary care pediatricians (PCPs) are often called on to manage and treat child and adolescent anxiety. This activity will discuss anxiety in the pediatric population, off-label use of medications for anxiety, and the “black box warning,” which warns the public of serious, permanent, and possibly fatal side effects caused by that medication. A treatment plan for a medication-naïve and a refractory, or treatment-resistant, patient with anxiety will also be highlighted.

Competency in the early recognition, identification and treatment of ADHD in young patients is essential for pediatric primary care clinicians. Pediatric primary care providers should recognize ADHD as a condition requiring chronic care. This activity will discuss ADHD, including ASD, the long-term impact of ADHD pharmacotherapy, and how to create a treatment plan for ADHD, including the use of off-label medications.

Pediatric primary care providers play an important role in addressing behavioral health (BH) problems and the delivery of services to address these problems. This activity will discuss the management and treatment for pediatric aggression and the core symptoms of disruptive mood dysregulation disorder (DMDD), conduct disorder (CD), oppositional defiant disorder (ODD), and early onset bipolar disorder. ASD with aggressive behavior will also be highlighted.