Florida Advises Against Prescribing Mental Health Meds for Kids

Florida's Surgeon General has issued a new advisory urging doctors to refrain from prescribing antidepressants and other psychiatric drugs to children. Instead, the state recommends comprehensive evaluations and prioritizing behavioral therapy as the primary approach for treating mental health issues in young patients.

Shift in Mental Health Treatment Strategy

The advisory, released on July 29, 2026, marks a significant shift in the approach to pediatric mental health care within the state. Dr. Joseph Ladapo, Florida's Surgeon General, emphasized the importance of evaluating the root causes of mental health conditions and addressing them through non-pharmacological interventions.

“We must prioritize the health and well-being of our children by exploring all treatment options before turning to medication,” Dr. Ladapo stated. The advisory suggests that doctors conduct thorough assessments to understand the unique circumstances and needs of each child before considering medication.

Emphasis on Comprehensive Evaluations

Florida’s health department is advocating for a more holistic approach, encouraging the use of comprehensive evaluations to identify underlying issues that may contribute to mental health challenges. This includes environmental factors, family dynamics, and other social determinants of health.

The advisory highlights the potential risks associated with psychiatric medications in children, such as side effects and the lack of long-term studies on their safety and efficacy. By focusing on evaluations and behavioral interventions, Florida aims to reduce reliance on medications that may not address the underlying causes of mental health problems.

Behavioral Therapy as First-Line Treatment

Behavioral therapy, including cognitive-behavioral therapy (CBT), family therapy, and other evidence-based practices, is being promoted as the first line of treatment. These therapies aim to equip children and their families with coping strategies and problem-solving skills to manage mental health symptoms effectively.

Experts in child psychology and psychiatry have praised the state’s initiative, highlighting the benefits of behavioral therapies in providing long-term solutions and empowering children to manage their mental health proactively.

Potential Impact on Mental Health Services

The policy is expected to influence how mental health services are delivered in Florida, possibly leading to increased demand for therapists and specialists trained in non-pharmacological interventions. It may also prompt other states to reconsider their approaches to pediatric mental health care.

While some healthcare professionals express concerns about the availability and accessibility of behavioral therapy, the state is considering measures to expand resources and training to meet the anticipated demand.

This advisory is part of a broader effort by Florida's health department to enhance mental health care for children, ensuring that interventions are safe, effective, and tailored to each child's unique circumstances.