Helping Families Be Happy

In this insightful episode of the Helping Families Be Happy Podcast, host Christopher Robbins speaks with Dr. Alexander Kolevzon, a child and adolescent psychiatrist and co-author of A Parent’s Guide to Starting Psychiatric Medications for Kids: Start Low and Go Slow. Dr. Kolevzon provides an in-depth discussion on the role of medications in addressing childhood mental health challenges such as anxiety, ADHD, and autism. The conversation focuses on how parents can approach these decisions thoughtfully, emphasizing collaboration, education, and the importance of a "start low and go slow" approach to treatment. This episode aligns with the Familius habits of "Talk Together," "Heal Together," and "Learn Together."

[01:10] Introduction to Dr. Alexander Kolevzon

• Overview of his expertise in child psychiatry and the inspiration behind the book.

[04:25] The Mental Health Landscape for Children

• 20% of American children experience mental health challenges, but only 10% are on medications.


• Addressing the gap in care and access.

[07:45] Medications: Treating Symptoms, Not Labels

• Medications are symptom-focused rather than diagnosis-driven.


• The importance of understanding individual symptoms over generalized labels.

[12:30] What Does “Start Low and Go Slow” Mean?

• The philosophy of beginning treatment with the lowest effective dose and adjusting carefully.


• The importance of thorough evaluations and exploring non-medication alternatives.

[17:15] When to Seek Help

• Guidance on distinguishing normal childhood behaviors from those requiring professional intervention.


• Signs such as severe distress, school avoidance, or functional impairments.

[22:00] The Role of Social Media in Youth Mental Health

• Discussion on the links between social media, anxiety, and depression.


• Practical strategies for parents to help children regulate social media use.

[28:40] Insights from the Book

• Accessible, Q&A-style format designed to address common parent concerns.


• How the book demystifies medication options and their appropriate uses.

[34:00] Trust and Collaboration with Medical Professionals

• Tips for building trust and ensuring a collaborative relationship with your child’s doctor.


• Recognizing parents as experts on their children.

1. Medications Are a Tool, Not a Cure-All: They address specific symptoms and should be part of a broader treatment plan that includes therapy and environmental adjustments.


2. Start Low, Go Slow: Introduce medications cautiously, ensuring they are tailored to the child's unique needs and minimizing side effects.


3. Know When to Seek Help: Significant distress, avoidance behaviors, or impaired functioning are indicators to consult a professional.


4. Social Media’s Double-Edged Sword: It can exacerbate mental health issues but also provides support networks. Parents should guide responsible use.


5. Collaboration is Key: Trust between parents and medical professionals is crucial for effective treatment and long-term success.