What Is Considered Behavioral Health?
We take behavioral health seriously in our office. Our providers have a collective 40 years of experience with pediatrics and behavioral health concerns. Please do not hesitate to make an appointment regarding your child's behavior.
What To Expect
The process starts with an initial evaluation and discussion. If you are a current patient in our practice, we refer to this visit as a "Behavioral Health Consult" appointment. The provider will ask pointed questions regarding the concerns you have about your child's behavior and perform additional evaluation as needed. The additional evaluation often requires completion of paperwork by parents, guardians, school teachers, or therapists as needed. You will then make a follow-up appointment with your child once these forms are completed and delivered to our office within 45 days.
If you are not a current patient and have behavioral health concerns, we will first establish you as a patient either by a well child check up or general health visit. Depending on the visit, the provider may order additional follow up or referrals as needed.
Currently, we evaluate patients for autism, attention deficit hyperactivity disorder, bipolar disorder, obsessive compulsive disorder, oppositional defiant disorder, anxiety, and depression. Our Tullahoma office houses Mental Health Cooperative for counseling needs.
Please complete a Behavioral Health Information Packet prior to your visit.
FAST TRACK is a behavioral health medication refill program. We’ve initiated the Fast Track program because of increased concerns about cardiovascular risk.
In 2008, the American Heart Association (AHA) published guidelines for cardiovascular (heart) monitoring of children who are receiving ADHD medications. Their initial suggestion stated that each child started on medication would need an EKG. They did not consult with the American Academy of Pediatrics (AAP) before they made this very expensive recommendation. The American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry (AACAP) disagreed with the recommendation and have issued a joint recommendation regarding how children on ADHD medications should be followed.
Fast Track Follow-up
At your next refill appointment, you will be given a cardiovascular (heart) history evaluation form with questions designed to determine whether or not your child needs an EKG. We appreciate your cooperation in filling this out during your next visit.
Dr. Seyler will continue to see the children on an every four (4) month basis, but for this refill, in between we will require the child’s presence so that we may check for cardiovascular problems, check height, weight, pulse, and blood pressure on each child. We are instituting this policy out of the abundance of caution. Rest assured that most cardiac events associated with ADHD have occurred in adults or in children with an abnormality in their heart and who see their cardiologist regularly. For these reasons we have instituted a FAST TRACK mechanism so you won’t be burdened with the excessive wait time.
Call in a medication refill before the child runs completely out of medication as all refills are subject to a 3-working day processing period from the day you call in.
FAST TRACK will only be available daily in the Tullahoma office Monday through Thursday between 2 and 5 p.m. Fast Track will be administered on a first come first serve basis. Dr. Seyler’s nurse will take your child’s vitals, review cardiac history, and answer any questions or concerns relating to your child’s medication before issuing the refill prescription. If your insurance requires a co-pay for office visits we will be required to collect your copay at check in. If you prefer to see Dr. Seyler for each visit you may do so by scheduling a regular Evaluation and Management (E&M) appointment instead of Fast Track.