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The book removes much of the mystery by describing the part of the
brain that specific medications target and the effect that they
have on the function of the brain. The book outlines the medications
used for the most common childhood mental illnesses, the side effects
associated with each of the medications, monitoring that should
be done when using the medications, warnings associated with the
medications, and practical additional facts included in the "what
else you need to know" category.
This family-friendly and practical book will lead to families making
better informed treatment decisions for their child. It comes highly
recommended as an effective resource for families and professionals
that work with children with mental illnesses.
A recent interview with Dr. Perrin appeared in the Middlesex Sentinel:
Mark Perrin, M.D. Addressed Mental Health Care for Children
By Jennifer Amato, Staff Writer
NORTH BRUNSWICK - A seminar discussing psychiatric treatments for
children with mental illness was recently presented by Mark Perrin,
MD at the Family Support Organization of Middlesex County.
Perrin specializes in internal medicine, but has two children who
have been treated for mental illness. He is a member of the American
Neuropsychiatric Association, the chairman of the Warren County
Mental Health Board for the past 15 years and has been president
of the New Jersey State affiliate of the National Alliance on Mental
Illness (NAMI) for the past five years.
His lecture, "Your Child's Treatment: What You Need to Know,"
was based on a book he published about one year ago titled "Psychiatric
Medications for Children." He touched on the changes needed
to the psychiatric health-care system and what parents need to know
when treating their children.
"I'm trying to help parents who are really trying to help
their children," he said.
Perrin said that the mental health system is broken and that there
are very few child and adolescent psychiatrists available. The future
doctors must undergo 10 years of schooling before being able to
practice, and most usually choose a different route so they can
pay off their educational loans quicker.
Also, insurance companies usually require that a child visits with
a primary care doctor and after failed medication, a psychologist
can be referred. At that point a psychiatrist is called in, when
throughout the entire process medication may not have even been
the proper treatment.
An interplay with the pharmaceutical industry and the Food and
Drug Administration (FDA) also causes problems, because there are
too few researchers, too many lobbyists and disagreements in between,
he said.
"The pharmaceutical industry is at fault for not reporting
all of the side effects to the FDA ... and the FDA gets heckled
up and puts a black box around medication, so parents won't want
to give the medication to their children," Perrin said of the
fear surrounding drugs such as seratonin uptake inhibitors and antidepressants.
Although these potent medications do exist, they can be successful
when monitored correctly, according to Perrin. The doctor said that
instead of appointments being made every six weeks, a child should
be checked once a week for four to six weeks by their physician.
"You wouldn't see a heart patient in one month. You would
look for effects in a week to 10 days," Perrin said.
As a result, Perrin said that parents must bear the responsibility
of caring for their children. "Because there are so many problems
with the system, my message to parents is that you really have to
be involved. ... You really need to be strong in terms of advocacy
... and feel empowered because you're the one responsible for your
child. You have the primary responsibility for your child and no
one can take that away from you and no one should take that away
from you," he said.
His book, which was given to everyone who attended the seminar,
focuses on alleviating the "mystery box" of patients believing
only their professional doctors can make decisions about treatment.
He considers himself, as a practicing physician for 40 years, a
"consultant" who offers advice to his patients, but they
themselves have the power to affect their health concerns.
"I can't make people exercise, I can't make the patient eat
the right things, I can't make the patient take their medication.
They have to be empowered to that," Perrin said of his cardiac
patients, while relating the situation to parents dealing with their
mentally ill children. "You have to empower parents to take
charge because they can't trust the system. They have to step up
to the plate. And that's true in any practice of medicine."
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