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    • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2246 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).

    Barbara J. Howard, MD

    Opinion

    I sent my suicidal teen patient to the ED: Whew?

    Author:
    Barbara J. Howard, MD
    Publish date: April 15, 2021

    We now know that certain kinds of psychotherapy have evidence for preventing subsequent suicide in teens at high risk due to suicidal ideation and...

    • Read More

    Opinion

    Child ‘Mis’behavior – What’s ‘mis’ing?

    Author:
    Barbara J. Howard, MD
    Publish date: February 16, 2021

    Considering child behavior as resulting from both parent and child factors is central to the current transactional model of child development.

    • Read More

    Opinion

    To vape or not to vape: Is that really a question?

    Author:
    Barbara J. Howard, MD
    Publish date: December 15, 2020

    In addition to its inherent risk, vaping increases the risk of severe COVID-19 disease.

    • Read More

    Opinion

    Manners matter

    Author:
    Barbara J. Howard, MD
    Publish date: October 15, 2020

    Modeling manners around the child is the most important way to teach courtesy.

    • Read More

    Opinion

    How dogs can teach parenting

    Author:
    Barbara J. Howard, MD
    Publish date: August 18, 2020

    Behavior management works best and fastest if all the humans agree on the rules and follow them.

    • Read More

    Opinion

    Racism: Developmental perspective can inform tough conversations

    Author:
    Barbara J. Howard, MD
    Publish date: June 17, 2020

    Racist discrimination, fear, trauma, or distress may produce or exacerbate conditions we are treating.

    • Read More

    Opinion

    Making something ordinary out of the extraordinary

    Author:
    Barbara J. Howard, MD
    Publish date: April 16, 2020

    Establishing and maintaining routines is important for both physical and mental health at every age and time, but especially when a major change...

    • Read More

    Opinion

    Play it as it lies: Handling lying by kids

    Author:
    Barbara J. Howard, MD
    Publish date: February 19, 2020

    Lying is a normal part of child development, and a tricky part of parenting.

    • Read More

    Opinion

    Poor sleep due to ADHD or ADHD due to poor sleep?

    Author:
    Barbara J. Howard, MD
    Publish date: December 12, 2019

    The first line and most effective treatment for sleep problems in children with or without ADHD is improving sleep hygiene.

    • Read More

    Opinion

    It’s all in the timing

    Author:
    Barbara J. Howard, MD
    Publish date: October 16, 2019

    After seeing so many behaviors change quickly, parents expect all change to be equally fast.

    • Read More

    Opinion

    ALERT: Grandmother in the room!

    Author:
    Barbara J. Howard, MD
    Publish date: August 15, 2019

    You may be able to moderate an open conversation about past hurts in parent and grandparent relationships that...

    • Read More

    Opinion

    Scoring below the cut but still depressed: What to do?

    Author:
    Barbara J. Howard, MD
    Publish date: June 20, 2019

    If you diagnose a teen with mild depression, there are six nonmedical goals you can set before trying medication.

    • Read More

    Opinion

    Making an effective referral is surprisingly complex

    Author:
    Barbara J. Howard, MD
    Publish date: March 19, 2019

    Lack of completion of referrals can come from structural factors and interpersonal factors.

    • Read More

    Opinion

    Dissuading parents from using corporal punishment

    Author:
    Barbara J. Howard, MD
    Publish date: January 16, 2019

    Dr. Barbara J. Howard offers strategies for talking with parents about giving up corporal punishment as way to...

    • Read More

    Opinion

    Ghost busting in pediatric primary care

    Author:
    Barbara J. Howard, MD
    Publish date: December 11, 2018

    Look for connections to the parent’s past when the parent’s handling of typical or problematic child behaviors...

    • Read More

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    • MDedge Home
    • Cardiology
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    • Emergency Medicine
    • Endocrinology/Diabetes
    • Family Medicine
    • Federal Practitioner
    • Gastroenterology
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    • Infectious Disease
    • Internal Medicine
    • Neurology
    • Obstetrics And Gynecology
    • Pediatrics
    • Psychiatry
    • Pulmonology
    • Rheumatology
    • Surgery