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Dr. Rudolf Brutoco

Child Psychiatry
Irvine, CA
45 years experience male

Locations

Office

Irvine, CA

Address

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

My office hours

Wednesday: 9:00am - 12pm
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 25-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 23-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
The usual: Adderall (dextroamphetamine and racemic amphetamine) should not cause bloating. If you're sure it does, then the dose or med should be reconsidered. I... Read More
A 35-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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.
A male asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 36-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
You can help a lot.: Help him feel good about himself, and about how much better he'll feel if he takes great care of himself. If mood/anxiety are issues, treatment with m... Read More
A 36-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
No,: But it may be comparable. Generics do vary somewhat depending on the manufacturer and other variables, but amphetamine salts er is the generic name f... Read More
A 42-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
unpredictable.: Too many factors involved to hazard a guess. Adderall (dextroamphetamine and racemic amphetamine) helped keep weight off while you were taking it. No... Read More
A member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 35-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 25-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
Think big...: ...Then go try your very best to make a good outcome his reality. It is not however about "recovering", but rather "developing". There are many oppo... Read More
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
Yes.: Stay consistent with an effective Focalin (dexmethylphenidate) dose. Drink coffee in limited quantities. Both are stimulants. If it feels like too mu... Read More
A 37-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
Yes.: Don't over-drink, whether on vyvanse (lisdexamfetamine) or not. And, of course, take vyvanse (lisdexamfetamine) as rx'd. The two substances are not ... Read More
A 44-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
Anything's possible: But there is no indication or basis thus far that stem cells are likely to have an impact on autism. There are however interventions that can favorabl... Read More
A 30-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
A pain in the neck!: This should not happen, and you need not tolerate it. Stop the med. It may be dosage issue, or there may be other factors but an effective treatment r... Read More
A 33-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 46-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 27-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
No.: Seek competent medical evaluation regarding the chest tightness -- now.
A 30-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 38-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 27-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 37-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 42-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 29-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 47-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 18-year-old female asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 42-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 39-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 48-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 39-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 36-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 47-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
No.: Seek competent medical evaluation regarding the chest tightness -- now.
A 28-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 28-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
There are options: Primarily, a good pediatrician. A "developmentalist" (physician specializing in behavioral & developmental medicine) is probably the most appropriate ... Read More
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 21-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
No specific effect.: Marijuana has no direct effect on this disease.
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 48-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 40-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 20-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 years experience
Better Sleep Habits: The first thing to examine is the quality of your sleep. Good sleep habits are essential. But, bad nights often follow bad days, so you also must loo... Read More
A 43-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 46-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 31-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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
A 32-year-old member asked:
Dr. Rudolf Brutoco
Child Psychiatry 45 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

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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
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