In this Q&A episode, we wrap up our series on psychosis by exploring the important role of family, relationships, and support systems in caring for children and adolescents experiencing psychosis. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how household dynamics can influence recovery, including the importance of predictability, stability, and a supportive home environment. They also revisit the concept of low expressed emotion and whether it remains a recommended approach for families.

The conversation addresses support following a first episode of psychosis, including the importance of recognizing and treating symptoms early. We discuss how to approach medication when a patient has limited awareness of their illness and may not recognize the need for treatment. Building trust and identifying people the patient trusts to help them recognize and describe changes in their thoughts, behaviors, or experiences can be an important part of this process.

We also highlight NAMI as a resource for education, family support, and support specifically for siblings. For Utah pediatricians and primary care clinicians, the Utah Psychiatric Call-Up Line remains an additional resource for consultation and guidance when navigating psychiatric concerns.

The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org.

ACCME Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians.

AMA Credit Designation Statement
Kansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This week, we take a brief detour from our series on psychosis for a special Book Club episode. Our host and guest discuss Stephen Covey’s classic The 7 Habits of Highly Effective People, exploring the seven habits and the ideas behind them.

The conversation also considers how some of Covey’s principles can apply to pediatric practice and the everyday work of caring for patients and families.

Next week, we’ll return to our series on psychosis with the Q&A episode.

The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org.

This week on The Virtual Curbside, we take a closer look at hallucinations and delusions in children and adolescents. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how to approach the diagnosis while keeping safety at the forefront. A thorough history is essential, including the patient’s family history, recent illnesses or infections, travel, changes in function, confusion, and the nature and timing of delusions or hallucinations. The conversation emphasizes the importance of considering both psychiatric and medical causes when a child presents with new or concerning symptoms.

We also discuss the role of lab tests and imaging in the evaluation, including when additional medical workup is warranted and when symptoms require evaluation in the emergency department. The episode highlights the PREP program, a resource for young people experiencing a first episode of psychosis, and the Utah Psychiatric Call-Up Line, a publicly funded consultation resource available to primary care clinicians and pediatricians.

This episode provides a practical framework for recognizing concerning symptoms, evaluating possible causes, assessing safety, and knowing when to seek additional support or urgent care.

The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org.

ACCME Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians.

AMA Credit Designation Statement
Kansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.