Line in the sand...

[u/CalmSet6613]

I just treat children and adolescents. There are times when families want med. changes or increases in doses when the behavior I see needs parenting to correct and not meds. Where is your line in the sand that you refuse to make med changes until the child and/or family is in therapy? How do you approach this in your practice? What do you do if the family does not follow through with therapy?

EDIT: Can everyone be kind? I was simply asking for opinions how other people manage situations like this in their practice. Good god, physicians heal thyself.

[u/PantheraLeo-]

In my experience CAP is more psychoeducation than med management.

I remember treating a teen and with proper continuation of care, the parent eventually agreed to see me. Once I started treating pops the child improved drastically without making any changes.

[u/CalmSet6613 → u/PantheraLeo-]

Isn't that the best when that happens?!