Ana R Segarra

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Clinical observation and systematic study have demonstrated a subgroup of children with obsessive-compulsive disorder (OCD) and/or tic disorder who experience worsening of symptoms after group A streptococcal (GAS) infections. GAS is known to elicit a wide array of phenotypes that render varying degrees of overlap with rheumatic fever (RF). The clinical(More)
Antidepressants are efficacious for pediatric major depressive disorder, obsessive compulsive disorder (OCD), and non-OCD anxiety disorders. Antidepressants should be used in an evidence-based fashion, with frequent monitoring for side effects, especially when initiating treatment and adjusting dosage. With diligence to appropriate prescribing and(More)
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