
Episode #401
Episode 401: #93-3 Psychosis: Hallucinations& Delusions
This week on The Virtual Curbside, we take a closer look at hallucinations and delusions in children and adolescents. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how to approach the diagnosis while keeping safety at the forefront. A thorough history is essential, including the patient’s family history, recent illnesses or infections, travel, changes in function, confusion, and the nature and timing of delusions or hallucinations. The conversation emphasizes the importance of considering both psychiatric and medical causes when a child presents with new or concerning symptoms. We also discuss the role of lab tests and imaging in the evaluation, including when additional medical workup is warranted and when symptoms require evaluation in the emergency department. The episode highlights the PREP program , a resource for young people experiencing a first episode of psychosis, and the Utah Psychiatric Call-Up Line , a publicly funded consultation resource available to primary care clinicians and pediatricians. This episode provides a practical framework for recognizing concerning symptoms, evaluating possible causes, assessing safety, and knowing when to seek additional support or urgent care. The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP) , connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org . ACCME Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation Statement Kansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.






