Two Special Topics in Pediatrics: Working with Aggression and Identifying Trauma

This free, CME-certified webinar provides clear tools to help you effectively screen for and treat pediatric trauma and agression. Traumatic stress can be a component of multiple psychiatric disorders and is much more common than previously thought. The effects of stress in the body are associated not just with psychiatric symptoms but also with symptoms of chronic cardiovascular diseases and other chronic, debilitating disorders.

In addition, aggression is one of the most common psychiatric or behavioral presenting problems for pediatric providers. Aggression can be a common final pathway of multiple diagnoses, including PTSD and depression.

Failure to diagnose and treat the effects of trauma can lead to significant morbidity and mortality with increasing suicide rates in the population of adolescents. Further, the accurate characterization of aggression is necessary to provide treatments -- of which there are many -- to reduce morbidity, criminal behavior, addiction, and personality disorders in adulthood. This webinar will describe the presenting problems, discuss comorbidities that are common, and provide a treatments that can be used.

This webinar is presented by Project TEACH, a program funded by the New York State Office of Mental Health.

Target Audience

The target audience for this event is: psychiatrists, primary care and family practice physicians, pediatricians, nursing professionals, residents, and other mental health, primary care and pediatric clinicians.

Learning Objectives

At the end of this program participants will be able:

  • To review the risks and benefits of treatment of trauma-related disorders in children and adolescents
  • To describe the phenomenology of aggression in children and adolescents
  • To discuss the presentation of trauma-related illness in children and describe their progression to adult disorders, both psychiatric and nonpsychiatric.
  • To discuss the management of aggression in children and adolescents
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
Course opens: 
Course expires: 

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation


Please login or register to take this course.


David H. Rubin, MD, reviewer
Jane Pimental, MPH

Disclosure Information


In accord with the disclosure policy of McLean Hospital as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:



Commercial Interest


The ACCME defines a “commercial interest” as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit


Financial relationships


Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit.  Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.  ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.


Relevant financial relationships 


ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant.  Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines “’relevant’ financial relationships” as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.


Conflict of Interest


Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.


The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:


Robert R. Althoff, MD, PhD

Investigator: NIMH, NIDA

Grand Funds (Medical Student Training Program Faculty Sponsor and PI) : Klingenstein Third Generation Foundation

Ownership Equity (Partner): WISER Systems, LLC

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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