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Clinical Round Tables

Behavioral Medicine, Chronic Illness, and Integrated Primary Care

CBT with pediatric patients: Notions and potions

Clinical Round Table 3 - CBT with Pediatric Patients: Notions and Potions

Thursday, June 25, 2026
2:00 PM - 3:30 PM PDT
Location: Yerba Buena Salon 11, B3 Level
Earn 1.5 Credit
Keywords: CBT, Children, Behavioral Medicine
Level of Familiarity: Basic to Moderate
Recommended Readings: Daniel, L. C., Catarozoli, C., Crabtree, V. M., Bridgeman, M., van Litsenburg, R., & Irestorm, E. (2024). Sleep interventions in pediatric oncology: A systematic review of the evidence. Pediatric Blood & Cancer, 71(10), e31202.,   Marsac, M. L., McGar, A. B., Kindler, C., Shake, M., Smith-Thomas, T., Gray, B. A., ... & Ragsdale, L. (2024). An Initial Evaluation of the Impact of Trauma-Informed Care Training in Pediatrics. Clinical Practice in Pediatric Psychology, 21694826251353756.,   McClure, J. M., Merk, F. L., Anderson, J., Aggarwal, A., & Stark, L. J. (2024). Expanding access to cognitive behavioral therapy: A purposeful and effective model for integration. Cognitive and Behavioral Practice, 31(3), 286-298.,   ,  
Access to care is a significant barrier to early identification and treatment of pediatric behavioral health concerns. Integrating physical and behavioral health screening, prevention, and treatment services using a whole-child approach to pediatric health can decrease obstacles to care. This presentation brings together a diverse array of experienced clinician-scholars to share their innovative work caring for pediatric patients within healthcare settings. The first presentation describes how expanding pediatric integrated care through community partnerships and training increases access and improves outcomes. Exposure to medical events, care, and conditions are common potentially traumatic events igniting significant medical traumatic stress symptoms. The second presentation discusses how to tailor CBT strategies for these traumatized youth, their families, and medical teams. The third presentation addresses pediatric sleep problems and their impact on young patients and their families. It shows how integrating CBT into pediatric sleep centers and medical settings improves timely access to care and allows families to receive effective behavioral health treatment combined with medical interventions. Disorders of gut–brain interaction are a leading reason for pediatric gastroenterology referrals and accordingly, the fourth presentation provides clinicians with evidence-based gut-directed CBT strategies to customize treatment, engage families, and foster collaborative empiricism. The final presentation details the application and adaptation of CBT within Thailand's pediatric Consultation-Liaison (CL) service. TF-CBT for at-risk parents in the PICU setting and integrating cognitive-behavioral techniques in the management of Functional Neurological Disorder (FND) are explained. The discussant’s comments highlight the innovative work presented by the panelists on applying CBT across diverse pediatric medical settings and emphasize key themes as well as the challenges and opportunities associated with integrated CBT-based pediatric behavioral health services.

Learning Objectives:

  • Describe a whole-child approach to integrated pediatric behavioral health care.
  • Explain how expanding pediatric integrated care through community partnerships and training increases access and improves outcomes.
  • Name several medical traumatic stress symptoms.
  • Apply CBT strategies for these medically traumatized youth, their families, and medical teams.
  • Recognize pediatric sleep problems and employ CBT procedures to improve functioning.
  • Specify evidence-based gut-directed CBT strategies to decrease distress, engage families, and foster collaborative empiricism.
  • Summarize how TF-CBT and other CBT strategies are delivered in a PICU unit for Thai pediatric patients.