Evaluation and Treatment Considerations for Children and Adolescents Presenting With Psychosis Symptoms in Primary Care

Pediatricians and all other pediatric primary care clinicians are likely to encounter youth who report symptom concerns of psychosis, such as auditory or visual hallucinations. It is essential for clinicians to be comfortable evaluating and triaging these symptoms, including assessment of co-occurring safety concerns, to ensure access to appropriate treatment. Due to limited specialty mental health resources nationwide, pediatricians may also be tasked with initiating medications or referring directly to evidence-based psychosocial interventions in the community. This article reviews different types of psychotic symptoms seen in youth and suggested next steps one may take in assessment, management, and referrals.