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Case Presentations: Anxiety and Complex ADHD
June 6, 2023


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Learning Objectives:

  • Identify symptoms of selective mutism with comorbid generalized anxiety disorder.
  • Describe evidenced-based treatment interventions for selective mutism in an integrated primary care practice. 
  • Report the factors that contribute to Complex ADHD.
  • Discuss practice guidelines for interdisciplinary behavioral and medication treatments for complex ADHD in a primary care practice. 
  • Explain the nuances to diagnosis and how evidence-based treatment changes for children with comorbid PTSD and ADHD vs either disorder alone. 


Presented by: Cynthia Ellis, MD, and Terri Matthews, PhD, APRN-NP, BCBA-D


Dr. Cynthia Ellis

Dr. Cynthia Ellis is a Professor of Pediatrics and Psychiatry at the University of Nebraska Medical Center in the Department of Developmental Medicine at the Munroe-Meyer Institute for Genetics and Rehabilitation. She is board certified in Pediatrics, Developmental/Behavioral Pediatrics and Neurodevelopmental Disabilities. Dr. Ellis received her medical degree from the University of Nebraska Medical Center and completed residency training in Pediatrics and fellowship training in Child and Adolescent Psychiatry at the Medical College of Virginia/VCU. She has been practicing in the field of Developmental/Behavioral Pediatrics for over 20 years. She has extensive clinical, research, and educational experience with children with neurodevelopmental disabilities and behavioral/emotional disorders. Her clinical expertise is in the psychopharmacological management of children with developmental disabilities and other behavioral disorders. She has also published extensively in the field. Dr. Ellis is the Director of the Munroe-Meyer Institute’s MCH-funded LEND (Leadership Education in Neurodevelopmental and Related Disabilities) and ALA (Autism Leadership Academy) Interdisciplinary Training Programs. Dr. Ellis has served as the medical director for numerous public school and interdisciplinary community-based programs and as a research consultant in the field of developmental disabilities. She also participates in a number of other leadership positions on committees and boards.



Dr. Terri Matthews

Dr. Mathews is an associate professor in the College of Nursing. Dr. Mathews received her bachelor's degree in nursing from University of Nebraska Medical Center in Omaha, NE; her master’s degree in nursing from the University of Missouri-Kansas City, and her doctoral degree in Developmental and Child Psychology from the University of Kansas. Dr. Mathews clinical specialty is child and adolescent psychiatric mental health nursing. She is a Pediatric Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner and a Licensed Psychologist. Dr. Mathews joined the faculty at the University of Nebraska Medical Center College of Nursing in 2008.





Learn more about this series: Tele-Behavioral Health Consultation (TBHC) Primary Care Webinar Series