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
DirectionsMy office hours
Thursday: 8:00am - 6:00pm
Show morePhone
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.
SpecialtiesDoctors 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.
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 38-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Yes.: Both public and private facilities exist.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Not likely.: Buspar (buspirone) may or may not effectively treat your anxiety, but it is not likely to increase anxiety. It may however take a bit of time to accli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Expect the best: Help facilitate success. You have to want more for your life. Many "aspies" can live full &fulfilling lives, given proper encouragement, opportunities... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 35-year-old female asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Not very related: Boredom and depression are very different concepts. If you truly have depression, then there is something more going on than just boredom. Anyway, sol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Get G-I workup first: There is more to your story than what you are reporting. An expert g-i evaluation, including dietary/medication history, should be your first priority... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A male asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Yes, it is.: "tylenol (acetaminophen) 3" which includes 30mg Codeine however is not a trivial drug, & it will not help mood problems. Still, for significant, short... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Rudolf Brutocoanswered
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.
5.6k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
It's not clear why: Females are treated more frequently for almost all the emotional conditions than are guys (whereas aggressive disorders & add, among others, are more ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
I don't know.: Official stats are usually artificial &often misleading. Stats depend on definitions &these criteria are changing all the time. Plus, "learning disabi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
What are some strategies for dealing with a parent who doesn't want to admit to serious memory loss?
Dr. Rudolf Brutocoanswered
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.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Yes.: Meds like Adderall (dextroamphetamine and racemic amphetamine) need to be very carefully titrated to get just the right dose for each individual's uni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
In some cases: If the impairment is due to excessive anxiety, then benzodiazepines can be helpful in improving rational thinking and more fully using your intrinsic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Marrow donation...: The buccal (inside cheek) swab is most commonly done for the purpose of identifying & categorizing bone marrow donors. This is an easy test that deter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Many factors: Depends on the individual, the age, the circumstances, who the bullies are, who the supposedly supervising people are in the situation, etc. Start wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Follow Rx only.: Nasal steroid preparations can be very effective - if used correctly & with proper dosage & duration. Also, they require the patient inhale thru nose.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A female asked:
Dr. Rudolf Brutocoanswered
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.
4.8k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Rudolf Brutocoanswered
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.
5.7k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Rudolf Brutocoanswered
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.
5.6k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Professional eval: An acute "od" would have to be deliberate, and it would require emergency room care. Otherwise, "overdose" is a relative thing. Whomever is prescribin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Professional eval: An acute "od" would have to be deliberate, and it would require emergency room care. Otherwise, "overdose" is a relative thing. Whomever is prescribin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Rudolf Brutocoanswered
Child Psychiatry 46 years experience
Anti-enuretic: Anti-diuretic hormone, or vasopressin, is produced in much greater levels at night and when we are lying down flat, thus making the urine produced at ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 28-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.5k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Rudolf Brutocoanswered
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.
5.8k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
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 Chairmanâs Award: âSpecial Honors for Saving Livesâ, Leukemia Society of America
Courage Award, International Myeloma Foundation
Ignatian Award, Santa Clara University, âfor Distinguished Service to Mankindâ
Affiliations
Expert Medical Reviewer, Medical Board of California
Reviewer, Journal of Developmental & Behavioral Pediatrics
Contributor, Brown University Child & Adolescent Psychopharmacology Update
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less