1. Identify key diagnostic features and clinical presentations of anxiety in children and adolescents.
2. Apply a comprehensive, developmentally appropriate approach to assessing overall mental health in youth.
3. Demonstrate the use of non-stigmatizing, person-centered language when discussing mental health with pediatric patients and families.
4. Analyze evidence-based strategies and skill-building interventions for the treatment and management of anxiety in youth.

1. Identify common mental health presentation patterns in military-connected children and youth, including internalizing symptom profiles and layered stress responses.
2. Differentiate between behaviors linked to trauma, chronic stress, or situational factors versus primary neurodevelopmental disorders like ADHD.
3. Apply a context-first, symptom-focused approach to assessment and cross-system collaboration to support children, families, and school teams.

Navy Lt. Cmdr. Kristan E. (Betsy) Madison, MD, MS, FAAP, DABOM, DipABLM
Assistant Professor, Pediatrics
Director of Pediatric Grand Rounds
Uniform Services University
Director of the Healthy Habits Child Obesity Clinic
Walter Reed National Military Medical Center
Bethesda, Md.

1. Describe current trends in pediatric and active-duty obesity and explain their implications for future military readiness.
2. Identify gaps in early recognition and diagnosis of pediatric obesity, including delays highlighted in recent research and clinical practice.
3. Apply evidence-based, family-centered counseling strategies—including lifestyle medicine principles—to improve nutrition and weight management in pediatric populations within military settings.

1. Describe how the sense of purpose in military service impacts the prioritization of family throughout the course of a career in the military
2. Explain through a developmental lens how parental and military stressors can result in predictable trends in military children
3. Define age and developmentally appropriate strategies for mitigating the negative impacts of a parents military service and harnessing the benefits for resilience

1. Identify common sleep issues and risk factors effecting children and adolescents, particularly in military families.
2. Explain the developmental importance of sleep and consequences of sleep insufficiency across pediatric domains.
3. Apply multidisciplinary strategies to improve pediatric sleep outcomes