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4203 Montrose Boulevard, Suite 240
Houston, TX, 77006
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713-376-9822

Child, teen and family therapy in Houston, TX. Joan's specializations include: ADD/ADHD, Anxiety, LGBTQIA+ Support, Trauma, Adjustment Issues, Depression, Eating Disorders, School Trouble, Learning Disabilities, Trauma, Behavioral Problems, and Self-Mutilation. 

My Blog

This is a collection of psychiatry and psychology news and studies related to child, teen and family therapy.  These resources may be useful to parents interested in learning more about current topics influencing child, teen and family therapy.

Filtering by Category: Teen Therapy

How Has Autism Prevalence Changed Over Time?

Joan Lipuscek

While combing through the Centers for Disease Control and Prevention's (CDC) Data & Statistics site for Autism Spectrum Disorder, we came across an interesting data table with a list of historical prevalence studies for autism among children and teens from around the globe.

The following visualization provides a summary of average prevalence rates of autism for children and teens through the decades starting in the 1960's. There has been a sharp increase in the rise of autism in children and teens as reported through these various international studies since the 1980's.  For the most recent studies conducted since 2011, the average rate of prevalence of autism among children and teens is about 1%.  

After clicking on a specific decade or switching to the second tab labeled "Autism by Study", we have graphed the prevalence rates of all autism studies listed in the table since 1966. (Please set your browser to allow third party cookies if you receive an error while trying to explore the data.)

OBSERVATIONS

We observe that the 1999 study of Swedish children, "Brief report: Autism and Asperger Syndrome in Seven-Year-Old Children: A Total Population Study" by Kadesjo et al. published in the Journal of Autism and Developmental Disorders, Vol. 29, No. 4, 1999 was particularly prescient.  Despite discovering the highest rate of prevalence of any study on our list at the time of publication, prevalence rates from other countries began to drift higher throughout the 2000's.  

To date, the South Korean study, "Prevalence of Autism Spectrum Disorders in a Total Population Sample" by Kim et al. published in the American Journal of Psychiatry, 2013 has found the highest prevalence rate of autism among children and teens of any study on our list at 2.6% or 1 in 38.  

The most recent U.S. study on our list, "Changes in Prevalence of Parent-reported Autism Spectrum Disorder in School-aged U.S. Children: 2007 to 2011–2012" by Blumberg et al. reported the highest U.S. prevalence rate of autism among children and teens to date at 2.0%.

Although not included in the CDC's list of autism studies that we worked from, the more recent "Estimated Prevalence of Autism and Other Developmental Disabilities Following Questionnaire Changes in the 2014 National Health Interview Survey" by Zablotsky et al. confirmed this higher rate in the U.S. with a finding of a 2.2% prevalence rate among children and teens. 

It is generally agreed that at least part of the increase in autism is due to a broader definition of the disorder and greater efforts in diagnosis. However, the CDC has not ruled out the possibility that the overall number of children and teens with autism has been increasing in the past two decades. To answer this question, the CDC is currently working on the Study to Explore Early Development (SEED) to help better identify the factors that put children at risk for autism and other developmental disabilities.

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ADHD In Girls

Joan Lipuscek

In my previously posted survey of Mental Disorders of U.S. Teens, ADHD was shown to have a much higher prevalence rate for boys compared to girls.  

However, this article argues that ADHD is harder to identify and diagnose in girls compared to boys because the symptoms manifest differently.  Sadly, girls are underdiagnosed while boys are overdiagnosed.

Girls have more internalizing symptoms. For example, they tend to suffer from greater bouts of major depression, anxiety and eating disorders which can turn into low self-esteem. Boys on the other hand, have more externalizing symptoms that manifest as physical aggression, hitting and impulsivity. This brief article does a great job of delineating these differences.

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Mental Disorders in U.S. Teens

Joan Lipuscek

It is often difficult for families to understand the prevalence of teens suffering with a mental disorder. To help alleviate this, we created the following data visualization for the summary results of the study, "Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A)" published in the Journal of the American Academy of Child and Adolescent Psychiatry

For ease of use, we have included only figures on lifetime prevalence. This is the proportion of a given population that has ever had a mental disorder as classified by the DSM-IV at some point in their lives at the time of the study.

The visualization is structured with the highest level summary data available on the first tab, data by disorder type on the second tab and specific disorder data on the final tab. (Please set your browser to allow third party cookies if you receive an error while trying to explore the data.)

SUMMARY OF FINDINGS

Tab 1: All Disorders - The study concluded that while 49.5% of teens between the ages of 13-18 had suffered from a mental disorder at some point in their lives, only 22.2% of teens had suffered from a disorder that could be characterized as severe. For disorders to be classified as "severe impairments," the study required the respondents to report "a lot" or “extreme” impairment in daily activities, or “severe or very severe” distress. According to the study, "Severe emotional disorders required both distress and impairment to be present, and severe behavior disorders required endorsement of symptom criteria by both the parent and the adolescent."

Tab 2: Disorders by Type - Among disorder types, anxiety disorders are the most common with 31.9% of U.S. teens experiencing an anxiety disorder at some point in their lives. However, anxiety disorders were also found least likely to be severe with only 8.3% of teens reporting a severe impairment. Along gender lines, teen girls were more likely to suffer from anxiety and mood disorders, while boys were more likely to suffer from behavior and substance use disorders.

Tab 3: Specific Disorders - Specific phobias were by far the most popular mental disorders with 19.3% of teens reporting that they had suffered from this disorder at some point in their lives. However, specific phobias were also the least likely disorder to cause "severe impairment" with a prevalence rate of just 0.6% among teens. Along gender lines, Attention Deficit Hyperactivity Disorder (ADHD) and Post-Traumatic Stress Disorder (PTSD) are noteworthy for the large dispersion between the number of male and female sufferers. ADHD is reported for 13.0% of males, but only 4.2% of females. PTSD is reported for 8.0% of females, but only 2.3% of males. 

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