Dr. Rudolf Brutoco

Child Psychiatry
Irvine, CA
46 years experience male

Locations

Office

Irvine, CA

Address

Lifestages Center for Behavioral & Developmental Medicine, 4 Venture, Suite 220, Irvine, CA
Directions

My office hours

Thursday: 8:00am - 6:00pm
Show more

About

Bio

Dr Brutoco is a board-certified MD in the practice of psychiatry, specializing exclusively in Developmental & Behavioral Medicine.The approach is comprehensive including the expert use of psychoactive Rx coupled w/ individual & family-centered counseling.Behavioral systems & fam dynamics are an important emphasis of his assessment &advice. Many complex families seek our care,& we frequently help patients who travel here from other parts of the country.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Child Psychiatry

Pediatrics - Adolescent Medicine

Psychiatry

Languages spoken

English

Doctor Q&A

253 Answers
145 Agrees
The number of answers this doctor has agreed with.
A 28-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
There are options: Primarily, a good pediatrician. A "developmentalist" (physician specializing in behavioral & developmental medicine) is probably the most appropriate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
No specific effect.: Marijuana has no direct effect on this disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Top 10 Answers...: 1. It used to be (ie, quietly accepted/expected by society in past) 2. Denial is a powerful influence 3. Guys are usually not the victims 4. Provides ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Why is it necessary?: You're not likely to win that argument, & if you do, the parent won't remember it! so, why push it? I'm only half-kidding. You have to deal with safet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Maybe; maybe not: Only a thorough evaluation, physical and psychological, can determine this. Get started with the physical part first. See a primary care physician wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Evaluate now!: If you are even remotely considering the possibility of schizophrenia, then this child warrants a thorough eval by a mental health professional specia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
No real link: No, adhd does not cause "giftedness"- but it doesn't prevent it either. Individual variation accounts for this combination of traits. There is more to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
stay consistent : Take your Paxil (paroxetine) at the usual time. Do not over-drink, and take med as rx'd. These substances are not incompatible.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Please get more help: Postpartum is a very vulnerable phase. Mental health problems that emerge or worsen here can have serious consequences, if not treated effectively and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Absolutely!: These meds can work well together. But both meds require expert management. Stay in close communication with your doctor, and do not deviate from the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Evaluation needed: You shouldn't try to treat gum bleeding without a a clear diagnosis. It may be gingivitis (and this is not trivial). It could also reflect more syste... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not how you think: It's unlikely that any or all will be in themselves materially important there is no evidence they are reliably "anxiolytic" (ie, anti-anxiety). But ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Start days ahead: We've had great success treating this. I've found that the fear builds relentlessly as the travel date approaches so the key is to prevent the buildup... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not really, but...: Excessive anxiety complicates and amplifies most problems, both physical and emotional. So ger may seem worse, you might "notice" it more, react more ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
See spine doc: If your back is not straight now and/or if you have a family history of such changes with aging, then go see a good primary physician. If there is any... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Safe but not advised: Benadryl (diphenhydramine) is too sedating, resulting often in some cognitive suppression. The reason for taking the Vyvanse in the 1st place is to en... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Don't even try.: You need to be supportive of one another, but you are individuals with individual problems. You are not likely to be ready to improve at the same time... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes: Idiosyncratic differences are always a possibility, but if you can take both of these meds individually, then there should be no problem taking them t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not necessarily: It takes more than that. Treatment of both adhd and anxiety is a process, not a prescription. It takes a comprehensive treatment approach, expert me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not that much: There are many factors beyond genetics and common childhood experiences. Get well. Your sibs can be fine either way, but their lives should be better... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: Seek an expert mental health professional who takes the time to hear you & to begin to know you clinically. Listen to him/her. Engage. If that profes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
He may not know why: Although women are more likely to have panic attacks, men do have them, and they can have them at any age. The effects of anxiety are both cumulative... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Many options: It is extremely complex to treat, but see a true expert for multi-dimensional care & to customize the treatment. Increasingly, psychoactive meds play ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not determinative: No add "test" is determinative, either for kids or adults. An experienced mental health expert may or may not even utilize a proprietary "test". Adult... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes & no: "bad parenting" is a bigger problem than adhd. And, it makes everything worse. So, some adhd that would be manageable with a better homelife, will be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Several options: There are a number of worthwhile meds that can facilitate improved social interaction w/ less anxiety. It takes more than meds though- you need a plan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: Both locally and in residential programs, there are a number of opportunities for therapy involving the care, training and enjoyment of animals. For e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Absolutely!: If adhd is adversely affecting your performance, relationships, or self-esteem, you deserve effective treatment. See a mental health physician who is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
The pituitary gland.: These hormones are chemically very similar, yet functionally distinct.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
It's not surprising-: -- but it's not a hallmark of bipolar disorder. All "bipolars" are not alike. Like all the rest of us, the individuality of their personalities as we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Absolutely!: Even if there are conscious choices initially about purging, an eating disorder is definitely not an "intentional" condition. And, it has to do with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Are you kidding?: It sounds preposterous. Autistic patients are highly rigid & anxious. Taking a trip to the supermarket is overwhelming - so taking an "acid trip" woul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
GetProfessional Help: Postpartum depression is common, but that doesn't make it trivial. For some, it can be extremely severe. For most, it interferes with both joy & relat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: Panic attacks tend to come in bunches, but any rate of frequency is possible. I suggest you sort this out further with a mental health expert- -- and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Limited choices: Unfortunately, there are few toys developed specifically for autistics (but I am aware of one great idea that is in development). You have to use toys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Absolutely!: Even if there are conscious choices initially about purging, an eating disorder is definitely not an "intentional" condition. And, it has to do with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: Both public and private facilities exist.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: Episodes that are manic are not uncommon, & do not always mean the person will have ongoing bipolar disorder. Many non-intrinsic factors (lifestyle, p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
More eval needed: There is probably another explanation. This doesn't sound like a panic attack, but since you have panic at times, and because you raise the question,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Check it out: You should be worried enough that you check it out. Most likely, it is some form of local disease, i.e., gingivitis. But this is not trivial. It cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes, but . . .: There are so many other possible factors making sleep difficult for you. The fact that you suspect depression is relevant, so be sure to sort it out ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Pay up front: Join a class that meets at specific times. It need not be expensive, but pay in advance. You'll be far more likely to actually go and use it. If you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
It's a weird world.: Extra time on tests started to try to help those with severe physical/cognitive disabilities. Now it's not clear who really has what, or needs what. W... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Fear of fear is norm: When you accomplish that, you will have gone a long way to preventing the panic attacks themselves. It's ironic that "fear of fear" is a big component... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Evaluation needed: You shouldn't try to treat gum bleeding with mouthwash. 1st, get a clear diagnosis. It may be gingivitis (and this is not trivial). It could also refl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
W/ supervision ONLY: With expert, close clinical supervision, psychoactive meds (including benzodiazepines) can be safely utilized. Do not improvise. Only take as prescrib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes, but . . .: Anxiety can result in a vast array of symptoms, including pain almost anywhere. But groin pain is not commonly caused by generalized anxiety. Like all... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
No.: Seek competent medical evaluation regarding the chest tightness -- now.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Not typical not rare: Anxiety attacks affect each person differently. The diarrhea may not be welcome, but the real problem is fact that you are having recurrent anxiety at... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 46 years experience
Yes.: This is not appropriate for any healthy babies, but premature and ill infants, as well as some with certain swallowing issues, could possibly benefit ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
416
Thank you notes
Sep 16, 2013
Thanks for your contribution at Health Tap
HealthTap member
Mar 30, 2015
Dr. Brutoco is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Brutoco is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I'm on 50mg Vyvanse. New Rx for me. Suddenly developed high blood pressure (155/102) so pdoc wants to switch to Concerta. Will this help?
HealthTap member
Thank you, your answer was very helpful! I appreciate the fast response and solid information. Thank you
HealthTap member
Thank you, your answer was very helpful! Thank you! I really do appreciate your dedication to Help us!!!

Education & Training

Medical/Graduate school

UCLA School of Medicine, CA
Graduated 1977MD

Residency

Childrens Hospital of Los Angeles
Completed 1979

Awards

National Chairman’s Award: “Special Honors for Saving Lives”, Leukemia Society of America
Courage Award, International Myeloma Foundation
Ignatian Award, Santa Clara University, “for Distinguished Service to Mankind”

Affiliations

Expert Medical Reviewer, Medical Board of California
Reviewer, Journal of Developmental & Behavioral Pediatrics
Contributor, Brown University Child & Adolescent Psychopharmacology Update
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