Children as young as 6 months old should begin regular screenings for mental or developmental issues at every well-child visit, the American Academy of Pediatrics (AAP) said in a clinical report released Aug. 25.
Critics of the report fear the recommendations will lead to misdiagnosing and further overmedicating children.
“It is alarming that pressure is being put on pediatricians by the AAP to actively look for signs of depression in a 2-year-old,” Stephanie Seneff, Ph.D., a senior research scientist at MIT, told The Defender.
Pushing mental health screening for children leads to the expectation of psychiatric problems being woven into standards of care, said Robert Whitaker, author of “Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America.”
“And the screening instruments the pediatricians will employ will have been constructed to identify a certain percentage of children as being in need of treatment,” he said.
The AAP report, published online in the journal Pediatrics, recommends that mental health screening begin at 6 months old and continue as part of well-child visits at ages 1, 2 and 3. After age 3, screening would continue annually.
The report said as many as 1 in 5 children in the U.S., including kids as young as 2, have mental or behavioral issues such as depression, anxiety, ADHD (attention-deficit/hyperactivity disorder) or suicidal thoughts.
However, studies show mental health issues are commonly misdiagnosed. Depression has been falsely diagnosed 66% of the time, and generalized anxiety disorder has been incorrectly assessed 71% of the time.
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