Integrative approaches to pediatric mood disorders.

Mood disorders represent an increasingly common clinical challenge in pediatric care. The movement to an integrative approach provides many benefits. First, the emphasis is on the holistic assessment of the whole child or teen. As we embrace the ecological nature of human existence, this broad perspective enables us to see the child more comprehensively and thus to treat him or her more effectively. This allows us to grasp the barriers, triggers, strengths, and challenges for each young person. The integrative practitioner focuses more on symptom pattern than on DSM diagnosis. A whole-child approach naturally de-emphasizes labels and limitations of our diagnostic system. We can fully support the self-healing capacity of the child's ecosystem as it relates to body, mind, and spirit. The integrative practitioner actively seeks to avoid risky and unproven pharmacological interventions if possible..,This more cautious and natural approach is desired by many parents who embrace the holistic-integrative philosophy. This can be thought of as a significant and growing American subculture. As culturally sensitive practitioners, it is crucial that we work with children, teens, families, and parents within their belief systems. The last 2 decades have seen a dramatic rise in the number of children given psychiatric medications. If current rates persist, within a generation, half of American children will be taking psychiatric medication. Many reasons for this pattern exist. Integrative practitioners can offer a variety of safe and effective alternatives for the child or teen struggling with a mood disorder. The greatest benefit comes from seeing a child fulfill his or her true potential.