Ms. Nancy L. Hornstein, MD
Adolescent Psychiatrist | Child & Adolescent Psychiatry300 Prospect Ave Hot Springs National Park AR, 71901
Dr. Nancy Hornstein practices Child & Adolescent Psychiatry in Hot Springs National Park, AR. Dr. Hornstein evaluates patients throughout childhood and adolescence using many different procedures, in order to determine what treatments must be carried out in order to properly assess their symptoms. Child & Adolescent Psychiatrists are trained and certified to administer psychotherapy, medication, and many other means of treatment. Dr. Hornstein seeks to improve each patients quality of life.
Education and Training
Chicago Medical School at Rosalind Franklin University of Medicine & Science 1983
Ms. Nancy L. Hornstein, MD's Expert Contributions
If your child truly has attention deficit disorder, Ritalin can be a god-send. Often it enables a child to learn and behave in ways where he or she gets much more positive feedback from adults and peers. It must be carefully dosed and worked with to minimize negative side effects such as irritability when it wears off and loss of appetite. Research shows a better outcome for children with ADJD who receive a combination of stimulants and counseling. I have success stories galore of kids who were struggling at school and with peers who have become successful adults, college graduates and are now married with their own families without any bad effects. That being said, Ritalin is often given to children presenting with problem behaviors or learning who do not have ADHD. It is massively overprescribed and the true nature of the child’s problem is never addressed. The dosage is often not carefully titrated or regulated and little is done to help the child cope with side effects. When given in error, much harm can be done as it’s like taking “speed” or “meth” if given to a child that does not have ADHD and can inhibit learning and lead to drug problems. In children who truly have ADHD, Ritalin has the opposite effect, slowing down their thinking so their mind isn’t racing and helps them pay attention. A single dose or several doses will rarely be detrimental, although occasionally a child will have a rapid heart beat and cannot take the drug. If a child has ADHD there should be marked improvement in the child’s ability to sit still and pay attention. If this effect is not seen, the diagnosis or dosage is off and should be attended to immediately. READ MORE
In general, anxiety disorders such as social phobias, panic attacks, generalized anxiety are responsive to SSRI’s such as Zoloft, Paxil, Lexapro. Over a month period, the disorder vastly improves. This is coupled with anxiety management techniques. Medications such as Xanez (Alprazolam) or Ativan any short half life benzodiazepines should not be given. If the anxiety is too strong immediately, hydroxyzine may be given while waiting for SSRI to become effective. Buspirone or Buspar is also a useful anxiety blocker. Benzodiazepine sedatives are highly addictive and should not be given. Depending on your child’s diagnosis, the cause of anxiety determined by a child psychiatrist, other medications may be recommended. READ MORE
The hormone changes of puberty may be playing a role, but remember, not all teens act this way in puberty. The hormone changes can trigger depression, which can lead to all these changes as can teen drug use which is widespread now even in this age group. Discuss these changes with your son's pediatrician or schedule a mental health evaluation. It is better to intervene early with these symptoms. READ MORE
Your daughter's symptoms could be quite serious, I would take her to her pediatrician for an evaluation immediately. READ MORE
I would definitely take her to her doctor for an evaluation. Depression is much easier to treat when it is mild before suicidal ideation or a host of other complications arise. While everyone can experience moments of depression, ongoing depression is not normal and has profound negative consequences on self image self esteem and development READ MORE
To some extent all teenagers become self involved as part of this period of development. Setting up a behavioral program focused on her earning points towards privileges for showing respect and consideration is much more effective than grounding. A behavioral therapist can help you set this up. READ MORE
A behavioral program that seeks to reward her for controlling her anger would be the most helpful. A behaviorist can help you set this up for your daughter READ MORE
The reasons for this type of nervousness can be many. Sometimes these symptoms are caused by a chemical imbalance and are helped by antidepressant medication. Other factors such as traumatic experiences could be playing a role. She should be evaluated by a child psychologist READ MORE
I am concerned your son has gone a month without speaking to you after his father died. Without knowing your son's age or more information about your family’s situation or circumstances surrounding the father’s death, it’s difficult to answer. I’m surprised that your son has spent any time not talking to you due to his father’s death. In general, I would recommend that you and your son go to see a family therapist. The therapist may want to spend some time alone talking with your son before family therapy begins. READ MORE
One of the most effective ways to encourage positive coping strategies is for your daughter to learn some breathing and relaxation exercises to use to help her get through episodes of anxiety. A counselor can teach them to her and you and they can be used for almost any age person from young children to old people. If your daughter is an older teen there are also a variety of APs available for phones that offer help doing these exercises. It’s important for you to remain calm and matter of fact. Anxiety is a feeling. It can’t in and of itself kill you. It can be pushed through. Anxiety can in a sense feed on itself and keep growing because the person suffering from it is afraid of the feeling. There are medications available that help correct chemical imbalances that may be part of causing people to suffer from anxiety. Try to stay away from addicting drugs such as Xanax (alprazolam) or Lorazepam as ultimately they create dependency and make the condition worse. Low doses of antidepressants such as Zoloft can often help as can medications such as Gabapentin. A psychiatrist can determine if medication is needed or refer you to a therapist that can help with managing anxiety. READ MORE
Sometimes anger like that coming before or at puberty can be a manifestation of a chemical imbalance. Boys tend to show depression through anger whereas girls become irritable and emotional. At other times, it’s part of the maturational steps involved in separation and individuation that are occurring at this time. A child psychiatrist can assess your son and give advice as to how best help him with his anger. The school counselor may also be able to give you some direction with him. READ MORE
The term means half-way between being asexual and sexual and is used to refer to someone who doesn’t have a sexual attraction to either boys or girls unless there is an emotional bond. It’s not an unhealthy way of being for an adolescent. READ MORE
These symptoms do sound like panic or anxiety attacks, but can come from several underlying diagnoses. I would recommend starting with your pediatrician who needs to check his thyroid and labs then getting a referral to a child psychiatrist for an evaluation. His symptoms are painful enough it’s important to evaluate the cause and then get the right help for him. READ MORE
- Bipolar Disorder
- Post-traumatic Stress Disorder (ptsd)
Ms. Nancy L. Hornstein, MD's Practice location
Hot Springs National Park, AR 71901Get Direction
HOT SPRINGS, AR 71913Get Direction
Ms. Nancy L. Hornstein, MD's reviewsWrite Review
Patient Experience with Dr. Hornstein
Get to know Psychiatrist Dr. Nancy L. Hornstein, who serves patients in Hot Springs, Arizona.
Dr. Hornstein is a board-certified psychiatrist who specializes in child & adolescent psychiatry. She is currently affiliated with Levi Hospital in Hot Springs, Arizona. Levi Hospital is a local non-profit organization that has many specialists ready to provide therapy for the mind and body. The hospital offers many different physical therapy options such as aquatic therapy, occupational therapy, speech therapy, balance/fall prevention, and more. Its mission is to serve the needs of the entire community within the resources of their organization.
Dr. Hornstein is also affiliated with Ouachita Behavioral Health and Wellness (OBHAW) in Hot Springs. OBHAW is a not-for-profit organization that has served Arkansas since 1967. “At OBHAW, we believe that a collaborative, whole-person approach to behavioral health care will help people in our communities to heal. Our team is dedicated to helping every individual find a path to healing that fits them. Our mission guides our organization in seeking out and continuing services and programs that help bring hope and health to each person within our communities” as stated on the organization’s website.
Dr. Hornstein earnd her medical degree from Rosalind Franklin University of Medicine and Science in North Chicago, Illinois in 1983. She then went on to complete her residency in psychiatry at the Stewart and Lynda Resnick Neuropsychiatric Hospital at UCLA in Los Angeles, California.
Dr. Hornstein is board-certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). The ABPN is a not-for-profit corporation dedicated to promoting high quality patient care for the public through the initial and continuing certification of psychiatrists and neurologists.
Psychiatry is the medical specialty devoted to diagnosing, preventing, and treating mental disorders. These include various maladaptations related to mood, behavior, cognition, and perceptions. Thus, a psychiatrist is a trained medical doctor who has received further training in the field of diagnosing and managing those illnesses and disturbances. The role and responsibilities of the psychiatrist include planning and delivering high-quality services within the resources available. A psychiatrist will also advocate for the patients, the carers, and the services.
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