Kristen DalopeGuest
Kelly BeckGuest
Tony TarchichiHost
A question I thought of as a pediatric hospital is the type of patient we see very frequently is an autistic patient coming in with increased self-injurious or aggressive behaviors.

Is it more likely that if somebody has a co-diagnosis of ADHD, they're to have self-injurious or aggressive behaviors at a point? Or is that just perhaps my personal experience?


My first thought, coming as a, you know, behavioral health consultation liaison psychiatrist is, what are the medical reasons that could be contributing to this factor? Because so many of our kids cannot say, I have pain and point to that place where it hurts.

So then it's like, is there an ear infection? Do they have allergies and they're feeling pressure in their sinuses? Have they not made it to the dentist and they don't brush their teeth very well? So are there dental caries or what? You know, something that's more in their mouth that's preventing them from like feeling good.

So then they're biting on themselves or biting on other people to relieve that pressure.

Are they constipated? Is that the reason why they're hitting themselves in the stomach or they're biting on their hand because they're so constipated and they're backed up? So my first thought, regardless of whether it's autism alone or autism plus ADHD is what medical reasons can we rule out first? And then.

let's see what else we can do to help from, you know, psychiatric medications.

But I think that's the reason why they come to the pediatric hospital to rule out those medical issues.


I was going to say, um, The thing that I would think about first or you would read about more in the literature is the verbal skills or how someone is communicating and if they have co-occurring intellectual disability when someone presents that way in the hospital.

A question I thought of as a pediatric hospital is the type of patient we see very frequently is an autistic patient coming in with increased self-injurious or aggressive behaviors.

Is it more likely that if somebody has a co-diagnosis of ADHD, they're to have self-injurious or aggressive behaviors at a point? Or is that just perhaps my personal experience?


My first thought, coming as a, you know, behavioral health consultation liaison psychiatrist is, what are the medical reasons that could be contributing to this factor? Because so many of our kids cannot say, I have pain and point to that place where it hurts.

So then it's like, is there an ear infection? Do they have allergies and they're feeling pressure in their sinuses? Have they not made it to the dentist and they don't brush their teeth very well? So are there dental caries or what? You know, something that's more in their mouth that's preventing them from like feeling good.

So then they're biting on themselves or biting on other people to relieve that pressure.

Are they constipated? Is that the reason why they're hitting themselves in the stomach or they're biting on their hand because they're so constipated and they're backed up? So my first thought, regardless of whether it's autism alone or autism plus ADHD is what medical reasons can we rule out first? And then.

let's see what else we can do to help from, you know, psychiatric medications.

But I think that's the reason why they come to the pediatric hospital to rule out those medical issues.


I was going to say, um, The thing that I would think about first or you would read about more in the literature is the verbal skills or how someone is communicating and if they have co-occurring intellectual disability when someone presents that way in the hospital.
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